Nathan Ryno Smith, M. D.,

Was called from his residence in Baltimore, Maryland, to the chair of Theory and Practice of Medicine in Transylvania in the year 1838. He resigned the chair and returned to that city in 1840, having delivered three annual courses of lectures here. He was succeeded in this chair by Doctor Elisha Bartlett.

Doctor Smith was born May 21, 1797, in the town of Cornish, New Hampshire, where his father, Nathan Smith—afterward Professor of Physic and Surgery in Yale College—had been for ten years in the practice of his profession. In a brief sketch of his father, Doctor Smith unconsciously drew the outlines of his own character. "In the practice of surgery," he said, "Professor Smith displayed an original and inventive mind. His friends claim for him the establishment of scientific principles and the invention of resources in practice which will stand as lasting monuments of a mind fertile in expedients and unshackled by the dogmas of the schools." The father, at the age of twenty-four, after an early life of industry and adventure in the then new country, had been so impressed and attracted by witnessing a surgical operation that he at once devoted himself to surgery and medicine, and with such ardor and success that for forty years succeeding he was a distinguished member and teacher in his profession. The son, with much the same natural bent of mind, after receiving his early education at Dartmouth and graduating at Yale in 1817—spending a year and a half in Virginia as a classical tutor—began the study of medicine in Yale, where his father was Professor of Physic and Surgery. He there received the degree of Doctor of Medicine, in 1823. He began practice in Burlington, Vermont, in 1824. In 1825, he was appointed Professor of Surgery and Anatomy in the University of Vermont, the Medical Department of which was organized principally by his exertions, aided by his father.

In the winter of 1825–26, he attended the medical lectures in the University of Pennsylvania, with a view to improvement in his profession and in the art of teaching in it. While there he was invited by the late celebrated surgeon, George McClellan—to whom he had become favorably known—to take the chair of Anatomy in the new Jefferson Medical College, which McClellan and other members of the profession were engaged in organizing. This situation he occupied with success for two years, leaving it then to accept the chair of Anatomy in the School of Medicine of the University of Maryland in Baltimore, which had been vacated by Professor Granville Sharpe Pattison, in 1827. In Baltimore he soon acquired an extensive medical and surgical practice. On the death of Professor John B. Davidge he was transferred to the chair of Surgery. In the language of his biographer and colleague, Samuel C. Chew, M. D.: "In Baltimore he found a congenial home and when, at the age of fourscore, he was laid to rest among us, his name had been for a whole lifetime a household word throughout our State."

When, in 1838, he accepted the inducement offered him by the Medical Faculty of Transylvania University to occupy the chair of the Theory and Practice of Medicine in their college at Lexington, Kentucky,[88] during the four months of the winter course of lectures, he did not abandon his residence in Baltimore, but at the close of each session returned to his professional work in that city. It was there especially, as a professor and practitioner of surgery, that his life-work was done.

Doctor Smith was a man of remarkable mental activity, "acuteness of perception and extraordinary power of adaptation to circumstances as they might arise, promptness of action and untiring industry.... And yet with his great gifts there was about him a remarkable simplicity of character and a transparent ingenuousness which was as incapable of affectation as of falsehood."

His forte was Surgery, yet his lectures here on the Theory and Practice of Medicine were exceedingly clear and instructive. One little peculiarity of his may be noticed. He never lectured without a small whalebone rod or pointer. Without this in his hand he seemed to fear the loss of continuity of his ideas. As remarked by his biographer, "his wand must always be at hand, for, like the magician's divining-rod, it seemed to have some mystic connection with the exercise of his powers."

Early in his professional life he published his work on the Anatomy of the Arteries, and, in his later days, his work on Fractures of the Lower Extremities. He was engaged in the preparation of a work on surgery at the time of his death. His inventive genius, which was remarkable, was exhibited in several improvements of the instruments and apparatus of surgery, especially in his lithotome. In the practice of his son—Professor Alan P. Smith—in a series of fifty-two consecutive cases, without a single death, he used his father's lithotome in all but six cases. This great success he attributed mainly to the instrument. Another valuable improvement was his "anterior splint."

Doctor Smith died on the third of July, 1877, a few weeks after the completion of his eightieth year, full of honors. "He has left behind him a record of a great surgeon, a brave and true citizen and magnanimous gentleman."