“A theory formed at once.”

“Trismus Nascentium—Its Pathology and Treatment,” J. Marion Sims, The American Journal of the Medical Sciences, Vol. 11, April 1845, p. 367.

SIMS, J. Marion, (1885). The Story of my Life, ed. by H. Marion-Sims. D. Appleton & Co: New York, p. 224.

“…designed to cause the deformity.”

SIMS, J. Marion, (1885). The Story of my Life, ed. by H. Marion-Sims. D. Appleton & Co: New York, p. 225.

“Trismus Nascentium—Its Pathology and Treatment,” J. Marion Sims, The American Journal of the Medical Sciences, Vol. 11, April 1845, p. 378.

“…four days’ time.”

“Trismus Nascentium—Its Pathology and Treatment,” J. Marion Sims, The American Journal of the Medical Sciences, Vol. 11, April 1845, p. 365.

“…for an autopsy…”

“Trismus Nascentium—Its Pathology and Treatment,” J. Marion Sims, The American Journal of the Medical Sciences, Vol. 11, April 1845, p. 365.

SIMS, J. Marion, (1885). The Story of my Life, ed. by H. Marion-Sims. D. Appleton & Co: New York, p. 224.

“…it wasn’t hard to imagine cures…”

It took Sims several years to fully refine his views on infant lockjaw, but the seeds of his “cures” were present from the moment he conceived of the nature of the problem (he was wrong).

“Further Observations on Trismus Nascentium,” J. Marion Sims, The American Journal of the Medical Sciences, Vol. 16, July 1848, pp. 71-72, 78.

“…gathering case reports…”

“Trismus Nascentium—Its Pathology and Treatment,” J. Marion Sims, The American Journal of the Medical Sciences, Vol. 11, April 1845, p. 371.

“…additional doomed babies.”

I am making an inference here. While Sims’s original infant lockjaw case, on the Stickney plantation (see “…just as hopeless,” above), would seem to have come about randomly, his subsequent cases—many of them—all happen in a short period of time, when he is attempting to write on the subject. In the case of fistula, Sims explicitly states that he sought out cases, and I am assuming that as part of his investigation into infant lockjaw he did the same.

“Further Observations on Trismus Nascentium,” J. Marion Sims, The American Journal of the Medical Sciences, Vol. 16, July 1848, p. 74.

“…Tom Zimmerman…Lucy…”

SIMS, J. Marion, (1885). The Story of my Life, ed. by H. Marion-Sims. D. Appleton & Co: New York, p. 228-29.

“…declared it hopeless.”

SIMS, J. Marion, (1885). The Story of my Life, ed. by H. Marion-Sims. D. Appleton & Co: New York, p. 229.

“Zimmerman protested.”

SIMS, J. Marion, (1885). The Story of my Life, ed. by H. Marion-Sims. D. Appleton & Co: New York, pp. 229-30.

“…by the next train.”

SIMS, J. Marion, (1885). The Story of my Life, ed. by H. Marion-Sims. D. Appleton & Co: New York, p. 230.