[2] It represents the first use of cotton wool in a medical context, and was a major advancement in the prevention of infection of surgical wounds.
In Birmingham, "Gamgee" became the colloquial name for cotton wool, which led to the surname of Gaffer Gamgee and his son Sam in J. R. R. Tolkien's The Lord of the Rings.
In a 1954 letter to the author Naomi Mitchison, who was checking the text of the novel for Tolkien, he addresses a question she had about the name:[1] Yes, Sam Gamgee is in a sense a relation of Dr. Gamgee, in that his name would not have taken that form, if I had not heard of 'Gamgee tissue'; there was I believe a Dr. Gamgee (no doubt of the kin) in Birmingham when I was a child.
But, as you will find explained, in this tale the name is a 'translation' of the real Hobbit name, derived from a village (devoted to rope-making) anglicized as Gamwich (pron.
Since Sam was close friends of the family of Cotton (another village-name), I was led astray into the Hobbit-like joke of spelling Gamwichy [as] Gamgee, though I do not think that in actual Hobbit-dialect the joke really arose.