Blair
Fearon was Professor Emeritus of the Department of Otolaryngology at the
University of Toronto and retired senior surgeon in the Department of Otolaryngology
at the Hospital for Sick Children in Toronto at the time of his death.
Blair Fearon was a world-renowned pediatric otolaryngologist, teacher,
and innovative thinker.
He was born January 26, 1917, in Farnham, Quebec. Tragically, his mother
was killed in a horseback riding accident when he was but a few months
old, and as an only child, he was raised by his grandmother in rural Nova
Scotia. During high school, he lived with an uncle who was a general practitioner:
it is thought that at that time lie became inspired to he a medical doctor.
Graduating from Mount Allison University with a BA in 1940, he left Nova
Scotia to study medicine at the University of Toronto. During World War
II, he became a captain in the Royal Canadian Army Medical Corps; he told
me that the war ended before he saw active service.
In 1947, he married Joyce Doreen Ball, his wife of 44 years (predeceasing
him in 1991), who worked as a nurse at the Hospital for Sick Children in
Toronto. They subsequently had three children: two daughters, Merrill,
a French education specialist, and Judy, an early childhood education specialist:
and a son, Blair, an ophthalmologist practicing in Toronto. Blair especially
enjoyed fishing with his son, and he was an excellent amateur golfer, capturing
a number of trophies. Hobbies included photography, woodworking, and model
building. He always enjoyed traveling and was a faithful attendee at annual
society meetings . He also collected stamps and coins, and with his wife,
developed an interest in antiques.
In 1948, Blair was among the first graduates of the then new postgraduate
training program in otolaryngology at the University of Toronto. From September
1948 to June 1949, he was enrolled in a research program in otolaryngology
at the University of Toronto. He really completed his training formally,
from his point of view, when he served as chief resident of the department
of laryngology and bronchoesophagology at the graduate hospital of the
University of Pennsylvania from July 1949 to July 1950. He was then appointed
to the staff of otolaryngology at the Hospital for Sick Children in Toronto
to begin what became a truly illustrious career.
Blair was an extremely skilled and observant pediatric endoscopist. In
these days of telescopes and miniature TV cameras allowing simultaneous
video recording even in the smallest of neonates, it is difficult to relate
to the skill and art involved in making accurate observations monocularly
down a 30-centimeter tube, 4 or 5 millimeters in diameter. He did this,
and presented and subsequently published his findings. His writing style
had a succinct, informative quality Ultimately, he authored over 70 peer-reviewed
publications and book chapters.
For some inexplicable reason, he appeared to be known and honored more
outside Canada than within. He held many offices in the senior American
otolaryngology societies and served as president of the American BronchoEsophagological
Association in 1966-1967, and of the American Laryngological Association
in 1987-1988. He was awarded the Chevalier Jackson Award in 1976 and 1980.
It never failed to amaze me. when I was traveling throughout Europe in
1971 on a fellowship, that lie frequently was the only "Toronto otolaryngologist" that
my host would be aware of.
Subglottic stenosis and its management was of particular interest to
him. His paper in 1966 drew particular attention to the role of endotracheal
tubes in the pathogenesis of this condition. In the early 1970s, his research
work with green monkeys (in collaboration with Dr Robin Cotton) laid the
groundwork for the surgical management of this condition. He wrote many
papers about the management of epiglottitis; he would be amazed that this
condition is now a clinical rarity.
There are many aspects of this man that are remembered fondly by his
colleagues. He was a fabulous teacher with a prodigious memory for past
cases. In his prime, it was his habit on Saturday mornings to sit 2 or
3 hours, in the OR coffee room chain-smoking (before the days of smoke-free
hospitals) recounting clinical story after clinical story to the resident
staff to illustrate various clinical points. He was a terrifying man behind
the wheel of his Chrysler LeBaron, as he took any attempt by others to
pass him as a personal affront. He was invariably courteous and kind to
those that worked with him. But he was frightfully intimidating if you
took an opposing point of view regarding patient management.
Blair Fearon contributed mightily with his professionalism and academic
orientation to establishing the credentials of what is now recognized as
a subspecialty of pediatric otolaryngology. With his phenomenal clinical
skills and innovative thinking, he contributed very significantly to the
welfare of the children he managed that had very daunting otolaryngological
problems.
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