Biography

Andries van Wesele, better known as Andreas Vesalius,

was born in the Silvesternight of 1514. His family was Flemish. His father was court-apothecary of the Holy Roman Emperor Carolus V. His grandfather had been a physician to the Emperor Maximilian, and his great-grandfather was physician to the city of Brussels and one of the very first professors of the new University in Louvain.

As a boy, Andreas Vesalius dissected cadavers of stray dogs, cats and rats he found in the streets of Brussels. Eventually, his "furor anatomicus" became a compulsion to dissect the human body in order to present exact descriptions of all its parts.

Louvain 1528-1533

 

    He attended the University of Louvain where he studied Greek, Latin and Hebrew at the Pedagogium Castri and the Collegium Trilingue. One of his fellow students was Anthony Perrenot, later Bishop Granvelle and imperial chancellor. To the latter he owed a certain degree of favor at the imperial court.

Paris 1533-1536

    In Paris his most important teachers were Jacobus Sylvius (1478-1555) and Johannes Gunterius von Andernach (1505-1574).

    Gunterius von Andernach taught Greek and Latin, and established a reputation for himself as a anatomist by translating the works of Galenus, an ancient Greek physician. Gunterius was a linguist rather than a physician. He had no experience in dissecting, and was very glad that Vesalius proposed him to do the dissecting himself during the lessons.

     

     

    Sylvius was a gifted teacher but also an ardent adept of the works of Galenus. For more than a millennium Galenus' books were the bible of medicine and according to Sylvius, they could not be improved. His allegiance to Galenus was so profound that he once remarked that any structure found in contemporary man which differed from the Galenic description, could only be due to a later decadence and degeneration of mankind.


     

     

    Although the University of Paris was famous for its medical teaching, it was extremely conservative. Moreover, there were no teachers in practical anatomy. To perfection his knowledge of the bones, Vesalius went out to the gibbets of the Montfaucon and removed the abandoned cadavers. With his friend Matheus Terminus he frequented the Cimetière des Saints Innocents, the ancient graveyard of the Parisians, and robbed the charnel house. Reconstruction of the city wall had necissitated disinterment of many corpses, and the bones had been stored in a series of charnel houses. Taking advantage of this abundant supply Vesalius noticed the first misconception of Galenus. He noted that the human jaw is one single bone, not two.

 Louvain 1536-1537

    In the summer of 1536 Vesalius was forced to return to Louvain because a war had broken out between the emperor Charles V and François I of France.
    In Louvain he prepared his first articulated skeleton after robbing the gibbet. Under great difficulties he, and his friend Gemma Frysius, smuggled the cadaver in pieces to town. He later donated the skeleton to doctor Gisbertus Carbo. Frisius was an eminent astrologer, mathematic and carthografer and became the teacher of Gerard Mercator.

     

    At the start of the academic year Vesalius was granted permission to conduct an autopsy before an eager crowd of students en professors. It was the first autopsy to be undertaken in that city for eighteen years.

    In February 1537 Vesalius obtained his bachelor's degree in medicine with the thesis, "Paraphrase on the Ninth book of Rhazes."

Padua 1537-1542

     

    Having obtained his baccalaureate, Vesalius set out for Italy where he believed were greater opportunities for the study of anatomy and medicine. At that time, Padua and Venice reigned supreme, not only in the arts, literature and philosophy, but also as the center of the scientific renaissance. Under the tutelage of Giambattista Da Monte, professor of medicine, Vesalius began to visit the sick.

     


     

    In Venice Vesalius made the acquaintance of a fellow countryman, the artist Johan Stefan van Kalkar, an apprentice of Titiaan. In the light of he opus magnum of Vesalius it was the meeting of the century.

    On 5 December 1537 the Medical Faculty of Padua granted Vesalius the degree of doctor of Medicine "cum ultima diminutione" (with the highest distinction). On the following day, Vesalius dissected a 18 year old boy who was taken from his grave. After that dissection, he was nominated professor of Surgery and Anatomy by the "Illustrious Senate of Venice". In this function, he succeeded Paolo Colombo da Cremona. At that time Vesalius was only 23 years of age.

    In his anatomical courses Vesalius introduced the use of drawings as study aids, thus engendering the opposition of professors who felt students should be reading rather than looking at pictures. Vesalius, in contrast, thought students could learn more anatomy at a butcher shop than from professors sitting in their high chairs, and talking about things they had never seen but simply memorized from books. He came to insist that students see, feel and learn for themselves what the human body really was like.

    In teaching dissection, he immediately departed from custom, which dictated that the professor should sit in an elevated chair, read from a text of Galenus or Mondinus and watch while an unskilled barber-surgeon conducted the dissection. Instead, Vesalius descended from the chair and he himself handled the body and dissected the organs. In doing so he destroyed the foundation of the whole teaching of Galenism and the belief in its authority, and paved the way for the free investigation of nature.

    During his further research Vesalius showed that the anatomical teachings of Galenus, revered in medical schools, was based upon he dissections of animals even though they were meant as a guide to the human body.

    A lack of cadavers suitable for dissection and study hampered the study of anatomy in Vesalius' day. The only bodies legally available for dissection were those of executed criminals. Vesalius seized every opportunity he could to gather specimens.

Tabulae Anatomicae 1538

    At the request of his pupils, Vesalius made a compilation of the sketches he used to draw in his lessons. He made one of the portal vein with his tributaries, one of the veins and one of the heart and the arterial system. With three views of the human skeleton (draw by Johan Stefan van Kalkar), Vesalius made his first atlas, the "Tabulae Anatomicae Sex". Vitalis Venetus printed the six plates in Venice.

    In his Six Anatomical Tables, Vesalius continued the Galenic tradition of leaping from animal to human anatomy. Nevertheless he introduced a tremendous novelty. Few anatomical works until that time had been illustrated. The overall conception was that illustrations would mislead students and degrade scholarship. Moreover, said Sylvius, the spokesman of the old tradition, this had not been done in ancient times.

    The plates were an instantaneous success judging from the immediate plagiarism all over Europe and by the fact only two complete sets of the Tabulae have survived today. The rest has been literally thumbed out of existence.

The "Institutiones" 1538

    Also in 1538, while teaching from Galenus text, Vesalius realized that what he was reading, was really only a compendium of statements about animals in general. His great revelation was that "Anatomical dissection might be used to check speculation".

    Therefore he revised the anatomico-physiological views of Galenus, translated by his former teacher at Paris, Guinterius van Andernach, and corrected many errors.

    As he continued to learn from further dissections, he revised also his own works, thus constantly up-grading his scheme according to new discoveries and refined observations. Galenus was considered infallible, even sacred, and his texts had been the main source of knowledge about the human body for 1.500 years. To question their authority required great courage.

    Vesalius took up the gauntlet and stated that the only truth was what one could see with ones own eyes. By basing his findings on direct observation of the body itself, he revolutionized the science of anatomy.
    Therefore Andreas Vesalius can be called the "founder of modern anatomy."

The "Fabrica" and "Epitome" 1543

    Vesalius research, dissections and drawings culminated in a book that brought him fame all across Europe. Called in Latin "De Humanis Corporis Fabrica", or in English, "The Structure of the Human Body", it appeared in 1543 as a 14 ounces heavy lump in folio format. The volume contains about 700 pages. At that time Vesalius was only 28 years old.

    The Fabrica is more than the complete description of the structures of the human body. It contains the largest and most beautiful and faithful illustrations of the dissected human body yet seen. Without doubt, it is the greatest single contribution to the medical science, but it is also a masterpiece of art and typography. Kalkar was an artist and so was the printer, Johannes Oporinus. The Fabrica is not only embellished with brilliant decorations and initials, there are almost no typographical errors, apart from pagination. Oporinus was a meticulous printer. As a professor of Greek and Philology in Basel, he reviewed every page. The cross references between the text and the illustrations made the Fabrica unique in the history and development of the printed book as a medium for the communication of a descriptive science.

    The Fabrica was dedicated to the Holy Roman Emperor, Charles V. In fewer than 50 years, Vesalian anatomy became the norm in European medical schools, and thenceforth, the study of anatomy was never the same. Albrecht von Haller (1708-1777), a physiologist from Bern, wrote on the Fabrica: "Immortale opus, et quo priora omnia, quae ante se scripta fuissent, pene reddidit supervacua". (An immortal work that render all previous works superfluous.)

    In the same edition came also a little work, the Epitome. In the words of Vesalius, the Epitome was conceived of as a companion to be used as a pathway beside the highway of the major work. It was composed as a ready guide for students, largely pictorial with a minimum of text. It was dedicated to Filips II, the son of Charles V. A magnificent copy of the Epitome, printed on vellum, was for a long time one of the chief treasures of the great library of Louvain until its destruction during the first world war in 1914.

Imperial Physician 1543-1555

    Soon after the publication of his book Vesalius abandoned his professorship in Padua to practice medicine at the court of Emperor Charles V. He became one of the "medicus familiaris ordinarius" and followed Charles on his many trips, campaigns and wars.

    The emperor was a difficult patient. He suffered from gout, asthma, stomachache, hemorroids, etc. and seldom followed the advice of Vesalius. He refused to restrict his exotic and bizarre appetite and was always ready to lend a willing ear to any quack who had some nostrum to sell or who promised him relief from his chronic ailment without a diet.

     

     

    In the years 1540-1544 Vesalius was invited to lecture at Padua, Bologna and Pisa. Cosimo de Medici, the Duke of Tuscany, proposed Vesalius to conduct a course on anatomy at the newly established University of Pisa. In January Vesalius did an autopsy in Pisa. Dissection material and a dead body, was floated down the Arno to Pisa and a temporary theatre was erected for the occasion. The proceedings were enlivened by the collapse of the scaffolding, so great was the press to view the demonstration. Duke Cosimo appreciated the abilities of Vesalius and attempted to gain his service on a permanent basis. But Vesalius was committed to the emperor and had to join urgently the military forces because a war with the French had broken out in the summer of 1544.

    Before the walls of Saint-Dizier René of Nassau,Prince of Orange-Châlon, the Lord of Halvin and many others were mortally wounded by the fiery bombs. They were autopsied by Vesalius to determine the cause of death. At that time it was universally believed that death was due to the poisonous effects of the gunpowder. Vesalius had also the duty of embalming the dead for the bodies of the nobility had to be transported home for burial.

    Within the walls of Saint-Dizier, attached to the opposing forces of France, was Ambroise Paré (1510-1590), the most famous surgeon of that time. It was Paré who popularized the Fabrica and the Vesalian teaching among surgeons by writing an epitome of it in the vernacular. Paré's greatest contribution to surgery was the disproof that gunshot wounds were poisonous. Hence he discarded the barbaric dressing of the wounds with boiling oil.

    In the meantime Vesalius' father, the imperial apothecary, had died leaving his son a considerable inheritance, which included the family residence in Brussels. Vesalius married Anna van Hamme in July 1545. A year later his only child, Anna was born.

     

    Vesalius was not only a famous anatomist, with his astonishing anatomical knowledge he became one of the most wanted physicians of his time. He was the first who ever diagnosed an aneurysma dissecans aortae in a living person that he later conformed by autopsy. He was the only physician who dared evacuate a pleural abscess. From many colleges he received letters of advice on difficult problems. He was summoned to the mortally wounded King of France, Henry II in 1559. In the same year, Filip II invited him to care for his son Carlos, the prince of Aragon who was comatose following an unlucky fall. He treated or gave advice on the illnesses of the most famous patients of his time including Bernardo Navagero, a Venetian ambassador, de Princes of Oranje-Nassau, the sister of Cardinal Granvelle, the Bishop of Limoges, and Leonhard Welser, a patrician of Augsburg.

Spain, 1555 - 1564

    In august 1555 Vesalius published the second folio edition of the Fabrica.

    After the abdication of Charles V in 1555, Andreas Vesalius became one of the court-Physicians of Filip II, but not the protomedicus. This favor was granted to Gutteriez, one of the Spanish doctors. Vesalius was not allowed to do any dissection on a human being and he was deprived of any anatomical material.

    At the end of 1561 he wrote to Gabriele Fallopio (1523-1562) an answer to his recently published anatomical work, the "Observationes Anatomicae". The comments of Vesalius on the work of Fallopio consitute his last publication "Gabrieli Fallopii Observationum Examen".


Pilgrimage and death, 1564

    In April 1564 Vesalius made a trip to the Holy Land from which he never would return.

    The story, that towards the end of his life Vesalius came into conflict with the Inquisition, is found in a letter written in Paris and dated
    1 January 1565 by Hubertus Languetus to Kaspar Peucer. According to rumors from Spain, Vesalius had dissected a distinguished man whose heart was still beating, and was therefore accused of murder by the family of the deceased. In order to secure a more severe punishment the family also made an accusation of atheism against him before the Inquisition. Only the personal intervention of Philip II saved him from the death penalty, and Vesalius was forced as penance to undertake a pilgrimage to Jerusalem and Mount Sinai.

    Modern historians regard the report as a malicious invention, all the more because, according to his own statement, Vesalius never had an opportunity in Spain to perform a dissection. At that era a scholar with so many enemies, one who introduced new ideas in conflict with the commonly held opinion, could easily be accused of heresy. To many his relations with Protestant scholars appeared suspicious. As a young man, about 1536, he had had a dispute with the theologians of Louvain with regard to the seat of the soul. About the same time an opponent characterized Vesalius in a dispute about bloodletting, as the "Luther of the physicians". However, there is not a single sentence in his writings, which has even the appearance of heresy. Concerning the seat of the soul he blames the theologians for wishing to solve such questions without understanding anatomy. Personally he avoided expressing his opinion, in order to avoid any suspicion of heresy. Therefore, there must have been another reason for his pilgrimage to the Holy Land.

    But what reason?
    A purely religious one? Probably not. A temporary leaving Spain in order to obtain the vacant position of professor of anatomy at Padua after the dead of Fallopio? Possibly. A diplomatic mission to the Sultan?
    Why not?

All what we know today is that he died in a shipwreck, on his return from the Holy Land. The bones of the man, who knew every bone by name and surname, were lost somewhere on an isolated island, the beautiful island of Zakynthos.


 

 
Last updated: 5 november 2007