Wikipedia

Louis A. Perrotta

Louis A. Perrotta (September 27, 1900 – March 29, 1985) was an Italian-American surgeon in New York. His research in spinal anesthesia in 1943 demonstrated that pain control during childbirth could be achieved.[1][2] His clinical study showed that rapid painless childbirth was safe and possible with the use of regional anesthesia at a time when this was not accepted common practice.[3] The study utilized two controversial and polarizing techniques in obstetrics:[4][5] Spinal anesthesia and manual cervical dilation.[6] Perrotta was an owner and founder of Pelham Bay General Hospital in New York in 1960 where he was the Director of Surgery.[7] Perrotta held academic positions as Professor of Pediatrics at Bellevue Medical College, Clinical Professor at New York University School of Medicine and Associate Clinical Professor of Surgery New York Medical College.[8][9][10] Perrotta served as the house physician to the Metropolitan Opera House in New York City from 1950 to 1966[11][12] and as a personal physician to the opera stars from the Met.[13][14] Perrotta was interviewed on Midday Live regarding his work ethic and professional life.[15]

Louis A. Perrotta
Perrotta, aged 65
Born(1900-09-27)September 27, 1900
Arienzo, Italy
DiedMarch 29, 1985(1985-03-29) (aged 84)
The Bronx, New York City
Education
  • Fordham University
  • Bellevue Hospital Medical College

Early life

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Perrotta was born in Italy on September 27, 1900. He was the seventh of ten children who survived past infancy. His family immigrated to America in 1908, arriving at Ellis Island on the S.S. Venezia. They settled in the Bronx, New York. At Fordham Preparatory School in the Bronx, he studied music and took violin, mandolin and vocal lessons. Singing helped finance his college tuition at Fordham University. He graduated from Bellevue Hospital Medical College in Manhattan in 1927 with the degree Doctor of Medicine.[16]

Research

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In 1943, Perrotta and Dr. H. Koster published the clinical study "Elective Painless Rapid Childbirth Anticipating Labour ( by procaine spinal anesthesia)".[17][18][19] The study demonstrated that neuraxial anesthesia could be safely used to alleviate the pain of childbirth .[20] In 1943, spinal anesthesia was not the standard of care and was widely considered dangerous for pregnant women.[21] Present day obstetrics shows that the opposite is true, and caudal anesthesia is presently the most common and safest modality for anesthesia in pregnant women. Early recognition of the technique was met with resistance. While spinal anesthesia would go on to be indispensable in the world of obstetrics, manual cervical dilation would fall out of favor in the years since the study. Perrotta and Koster originally employed the combined procedures to facilitate delivery in cases of cervical dystocia, while also eliminating pain from the event. The study showed that a healthy full term fetus could be delivered comfortably, before labor, in less than 40 minutes. Spinal anesthesia is now implemented routinely in labor and cesarean section as it provides a rapid onset of sensory motor block and excellent pain control. The techniques of spinal and epidural anesthesia became common practice as they were shown to be safer for the mother and newborn than sedatives and opioids.

Professional life

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In 1960 Perrotta founded Pelham Bay General Hospital in the Bronx, where he served as director of surgery and co-owner.[7] The hospital provided emergency, surgical and maternity services until it closed on January 30, 2004. Perrotta was a surgeon practicing in New York from 1927 until his death in 1985.[22] He had a large Bronx-based practice of predominantly Italian American patients.[14] He was the house physician at The Metropolitan Opera House in New York[12][11] and the personal physician to Opera stars Franco Corelli[23][24] and Carlo Bergonzi.[13][25]

Academic appointments

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  • Professor of Pediatrics at Bellevue Medical School from 1928–1931.[9]
  • Attending Physician at NYU Medical College 1930–1931.[8]
  • Attending Surgeon Columbus Hospital 1935–1937.[26]
  • Attending Surgeon Lutheran Hospital from 1935–1955.[26]
  • Associate Attending Surgeon at the City Hospital of New York on Welfare Island 1938–1940.[27]
  • Attending Surgeon in the Department of Urology at the New York Cancer City Hospital 1940-1944
  • Director of Surgery at Crown Heights Hospital in Brooklyn 1944-1954
  • Director of the Department of Medicine and Professor at SUNY Maritime College from 1954–1955.
  • Associate Clinical Professor of Surgery at New York Medical College from 1944–1959.[10]
  • Director of Surgery at Lutheran Hospital in NY from 1955–1956.
  • Director of Surgery Pelham Bay General Hospital 1960–1970.

Personal life

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In 1928 he married Caroline Perrillo, and they had two daughters, Sophia and Dolores. In 1928 he opened a medical practice on Morris Avenue in the Bronx. In 1937, Caroline died of rheumatic heart disease.[28] On April 26, 1942 he married Elvira Spatafore. They lived in the Country Club area of the Bronx[29] and had four children, Maria, Paulette, Louis and Vera Lou.[30]

References

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  1. ^ Perrotta, Louis; Koster, H (January 1944). "Elective Painless Rapid Childbirth Anticipating Labour" (PDF). British Chemical and Physiological Abstracts. A III: 58.
  2. ^ Fleming, Valerie EM (18 August 2016). "Autonomous or Automatons? An exploration through history of the concept of autonomy in midwifery in Scotland and New Zealand". Nursing Ethics. 5 (1): 43–51. doi:10.1177/096973309800500106. PMID 9505714. S2CID 37073338.
  3. ^ Mander, Rosemary (2002). Failure to Progress. New York and London: Routledge. pp. 66, 73. ISBN 978-0-415-23557-0.
  4. ^ Greenhill, J.P. (1943). 1943 Year Book of Obstetrics and Gynecology. Chicago: Year Book Publishers.
  5. ^ Fleming, Valerie (1995). "Partnership, Power and Politics". Massey University Publishers. p. 37.
  6. ^ Kassebohm, Fred (May 31, 1944). "Correspondence to the Editor". American Journal of Obstetrics and Gynecology: 281–282. doi:10.1016/S0002-9378(15)31416-2.
  7. ^ a b McDowell, John (April 1, 1973). "Consumer Commission on the Accreditation of Health Services". Health Perspectives. 1 (1): 3.
  8. ^ a b "The University and Bellevue Hospital Medical College". New York University Bulletin. XXX (11): 24. March 15, 1930.
  9. ^ a b "The University and Bellevue Hospital Medical College". New York University Bulletin. XXIX (9): 24. March 2, 1929.
  10. ^ a b Sciences, New York Academy of (November 1951). "Active Memberships". New York Academy of Sciences – Transactions. 14 (1): 40.
  11. ^ a b Feinstein-Bart, Beth (August 17, 2005). "Hallandale Soprano Takes Lead in Miami Opera". Sun-Sentinel. Archived from the original on September 28, 2015.
  12. ^ a b Perrotta, Augustine L. (2015). A View From The Inside. Arizona: Keith Publications. p. 18. ISBN 978-1-62882-082-9.
  13. ^ a b "Archives MetFamilyOpera.org Un ballo in maschera". February 10, 1981.
  14. ^ a b Cevetillo, Lou (December 25, 1977). "...Is There a Doctor in the Opera House?". Vocal Scoops. The Journal News Westchester Gannett Sunday Magazine: G21.
  15. ^ Midday Live on YouTube
  16. ^ "New York University Bulletin". University at Bellevue Hospital Medical College. XXVV: 88. March 20, 1926.
  17. ^ Perrotta, Louis; Koster, H (1944). "Index to Current Literature". British Journal of Obstetrics and Gynaecology. 51 (3): 260–276. doi:10.1111/j.1471-0528.1944.tb07343.x. S2CID 221484885.
  18. ^ Kisch, Bruno (1944). Harry Koster MD. Brooklyn Medical Press. p. 103. OCLC 14723564.
  19. ^ Koster, Harry; Perrotta, Louis (July 1943). "The Medical Library of the Tulsa County Medical Society" (PDF). The Bulletin of the Tulsa County Medical Society. 9.
  20. ^ "Donated to the History of Nursing Group Archives". BC History of Nursing News. 19 (1): 17. March 2008.
  21. ^ Greenhill, J.P. (September 7, 1944). "Manual Dilatation of the Cervix Under Caudal Anesthesia". American Journal of Obstetrics and Gynecology. 48 (4): 594. doi:10.1016/S0002-9378(15)32486-8.
  22. ^ "Perrotta Louis (New York Medicine (Physician, Including M Ds & D Os))". www.nymedicine.org. Retrieved 2017-03-05.
  23. ^ Seghers, Rene (2008). Franco Corelli. Wisconsin: Hal Leonard Publisher. p. 348.
  24. ^ Cevetillo, Lou (June 3, 1976). "Fans Assured Corelli Well". Lifestyles: Vocal Scoops. The Journal News.
  25. ^ Cevetillo, Lou (February 12, 1981). "True to form, Bergonzi sings another great Riccardo". Entertainment. Gannett Westchester Newspapers. p. 8.
  26. ^ a b "1935-36 MEDICAL DIRECTORY OF NEW YORK Published by: The Medical Society of the State of New York (Hospitals of New York State-NYC) Boroughs of Manhattan and Bronx".
  27. ^ "The New York Medical Week". Medical Society of the State of New York. 18. January 1, 1939.
  28. ^ "New York, New York, Death Index". Ancestry.com. Provo, UT. 2014.
  29. ^ "Office of the City Register". www.nyc.gov/finance. NYC Department of Finance. April 6, 1981.
  30. ^ Obituaries, Tuckahoe (December 19, 2002). "Elvira Spatafore Perrotta". Bronxville Review Press Report. p. 12.
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