THE sudden death, at just over 58 years, of Douglas Miller, Forbes
Professor of Neurosurgery at Edinburgh University, robs neurosurgery in
Britain of an academic leader and the world of one of its most gifted
researchers into brain injury.
Professor Miller's achievements reflected his own activities and also
his immense capacity to influence others. His clear commitment to
improving the quality of care of patients, through the highest standards
of clinical practice, was a constant stimulus to colleagues and an
inspiration to trainees, many of whose careers he influenced profoundly.
He was liked and admired both for his talents and for his open, genuine,
good-humoured personality.
Douglas Miller was born in Glasgow and schooled at Glasgow Academy. He
began his undergraduate career at Glasgow University by studying modern
languages -- gaining a clarity of speech and writing that was the envy
of medical colleagues -- but chose to transfer to medicine, graduating
in 1961. A Doctorate in Medicine at Glasgow University was followed by a
post-doctoral fellowship at the University of Pennsylvania which refined
his laboratory and clinical investigative skills.
He returned to Glasgow in 1971 to spend five years with Professor
Bryan Jennett as senior lecturer in neurosurgery, beginning a period of
immense productivity which continued when he moved to the US as Lind
Lawrence Professor at the Medical College of Virginia in Richmond.
There, he helped to create an internationally renowned
inter-disciplinary research programme on head injury.
In 1981 he returned to Scotland to the Chair of Surgical Neurology at
Edinburgh University. He had a flair for research, picking questions
that were important and answerable with the techniques available at the
time. His work was characterised by an ability to take problems from the
clinic to the laboratory then back to applications in patients.
Among his many contributions, he might be remembered most for
highlighting, characterising, and quantifying what he termed ''secondary
insults'' -- disturbances of brain and body physiology likely to lead to
additional brain damage supervening upon the effects of the initial
injury.
Professor Miller's work was well supported by the Medical Research
Council, which recently chose Edinburgh as the location for the major
Clinical Research Initiative, co-directed by him and focusing on
research into acute brain injury from head trauma and stroke.
His firm friendships with erstwhile colleagues in Glasgow led to an
unprecedented number of joint ventures between East and West, including
the organising of international courses sponsored by the British Council
and the staging of two international symposia. Douglas Miller served as
president of the Society of British Neurological Surgeons between 1992
and 1994 and held many international honours.
He is survived by his wife Margot -- who was immensely supportive to
him throughout his career while pursuing her own in nursing -- and by
his sons Derek and Kenneth.
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