Ronald Elmer Batt, MD, PhD (history)
Friend, scholar, scientist, historian, and clinician
Dr Ronald Elmer Batt died 25 April 2017 aged 83 after a prolonged illness.
He is survived by his wife Kathleen, 12 children and step-children; 31 grandchildren and step-grandchildren; 6 step-great-grandchildren; and his sisters Norma Hinchy, Eileen Batt, and Phyllis Kavanaugh.
Ron was a friend to all, a scholar, a scientist, an historian, and a wonderful clinician. He will be missed by many including those who study or treat endometriosis and who continue to benefit from his contributions.
Although Ron was originally interested in osteopathy, he went to medical school in Buffalo, New York to stay closer to home. He remained in Buffalo in practice and with the University of Buffalo during his medical career. His first peer-reviewed publication was in JAMA in 1962 on gout and salt-wasting renal disease during pregnancy. In 1977, he began his publications on endometriosis with ‘‘Conservative Surgery for Endometriosis in the Infertile Couple.’’
He presented a keynote lecture in Beijing on 19 June 1985, on “Minimal Endometriosis Treatment and Relationship to Infertility” with a view of endometriosis characterised by both embryonic remnants and acquired endometriosis. He summarised,
“The histogenesis of endometriosis as a continuum starting with cases of congenital endometriosis originating in embryonic life, followed by cases of acquired endometriosis originating from the endometrium”
Professor Maurice Bruhat was also in Beijing and invited him to the First World Congress on Endometriosis in 1986 in Clermont-Ferrand, France. In Clermont-Ferrand, Ron presented “Duplications of the Müllerian System and Pelvic Endometriosis”.
He enjoyed friendship, intellectual curiosity, and professional expertise through his many years of attending the World Congress on Endometriosis (WCE) meetings. He also used those meetings as opportunities to lead friends and family on tours of WW-II battlefields in Belgium, shrines in Kyoto, civic celebrations, a kangaroo farm, and an unexpected breakfast with Gene Simmons of KISS in Melbourne.
Ron had three funded medical history projects, including the 2004–2005 ACOG Ortho/McNeil Fellowship in History of American Obstetrics and Gynaecology. He entered graduate school with an emphasis on the history of medicine after retiring from medical practice. He drew on his lifetime of experience and study of endometriosis in his doctoral thesis “Emergence of Endometriosis in North America: A Study in the History of Ideas’’ (State University of New York at Buffalo, 2008). Dr Batt focused on the need for attention to detail when studying definitions and concepts of a specific historical era. He noted that definitions can vary during any period and change over time.
His doctoral thesis was expanded into A History of Endometriosis (Springer-Verlag London Ltd, 2011). A History of Endometriosis covers the development of anatomic and clinical science leading up to von Rokitansky’s description of endometriosis in 1860 and subsequent developments through 1946. It chronicles the contribution of Johann Wolfgang von Goethe, Immanuel Kant, Carl von Rokitansky, Friedrich von Recklinghausen, William Russell, Thomas Cullen, H. Futh, Cuthbert Lockyer, DB Casler, John Sampson, and the many others who were part of this story.
He found that Sampson credited Pick and Rokitansky with recognising endometrial hematomas and cysts. In Dr Batt’s words,
“It took 86 years to move from the morbid pathology of Rokitansky to the pathophysiology of Cullen and Sampson, and then another 64 years of consolidation till now, we are preparing for another leap forward to personalised medicine. We are entering an era of new understanding, and it is time to take stock of where we have been and to understand what we have done”
Ron was recently honoured with the 2015 Harry Reich Award by the Endometriosis Foundation of America for his lifetime in the study of endometriosis. He was privileged to be introduced by his friend, Lone Hummelshoj. His presentation “The Theory of Müllerianosis: An Odyssey of Discovery and Verification” can be viewed here:
Before his illness, Ron focused his research on the history of endometriosis since World War II; the life and research of Kornel Ludwig Terplan MD, professor of pathology at the University of Buffalo from 1933 to 1960; male endometriosis; and the pathogenesis and pathophysiology of the four acquired and four congenital müllerian diseases: adenomyosis, endometriosis, endosalpingiosis, and endocervicosis.
Ron is missed by those who had the privilege and pleasure of knowing him. We have lost not only a respected and thoughtful member of our community, but also a committed scholar and scientist.
Dan Martin, MD