In July 1975, a building custodian on York Avenue in Manhattan followed a smell he recognized from his military days up to the 10th floor. Behind the door he found rotting food, scattered cash, about a hundred empty pill bottles and two dead men who looked almost exactly alike. Stewart and Cyril Marcus were identical twins, celebrated fertility doctors and, by then, very nearly strangers to the rest of the world.
Light colors, dark colors
The boys arrived on June 2nd, 1930, in an era before ultrasound, so their parents, Anna and Jack Marcus, had no warning. Stewart came first. A few minutes later, Cyril followed, and that order held for the rest of their lives. They grew up in Bayonne, New Jersey, the sons of a physician, and both were bright. The Bayonne High School newspaper noticed something odd about them: they didn't dress alike exactly. They wore matching outfits in different colors, light for Stewart, dark for Cyril.
Both made the National Honor Society. Stewart was valedictorian; Cyril was salutatorian, second in the class. They went to Syracuse University together, joined the same fraternity, went on to medical school at Syracuse and graduated with honors in 1954. In first-year anatomy they even shared a cadaver.
A monster, by the book
Their first separation came from another twin. Dr. Alan Guttmacher, director of obstetrics and gynecology at Mount Sinai Hospital in New York, was himself an identical twin, and he had written sharply negative articles about twin psychology. After the brothers finished their internships and gynecology residencies at Mount Sinai, he looked over their records and reached for a word from an 18th-century manual for midwives, a word once used for conjoined twins: monster. "All separate identical twins may be regarded as monsters who have successfully escaped the various stages of monstrosity."
Guttmacher believed their "psychic conjoinment" was ruining them as individuals. Colleagues backed him. Mount Sinai's chief resident, Dr. Joseph Ravinsky, said, "They were arrogant, resentful of criticism, disobedient of orders." Guttmacher refused to recommend them to the same hospital anywhere. Cyril landed at the Hospital for Joint Diseases in New York, and Stewart went west to Stanford. Within a year Stewart had left, vaguely claiming an orthopedic hospital, and that year remains a hole in his résumé. Then he was back at Stanford, and the separation stuck for a while.
Cyril built a life. By 1958 he was on staff at New York Hospital and the Cornell Medical Center, and in 1960 he married Corinne Stein. Then his new boss, unbothered by twins working side by side, let Cyril bring Stewart home.
The two-headed practice
Together they were formidable. Stewart was the charmer: the researcher, grant-winner and in-demand conference speaker. Cyril built the Marcus Brothers OB-GYN practice and got hauled out of bed at all hours to deliver babies. Their 1967 book, Advances in Obstetrics and Gynecology, put them on the map, and New York Hospital handed them its fertility clinic. The wealthy and famous flocked to them. Hundreds of families had babies who otherwise would never have been born, and some grateful parents named their children after the doctors.
Then Cornell offered a full-time professorship to Stewart, not Cyril. Corinne had just given birth to their second daughter, and Cyril's workload swelled. He started taking amphetamines, stimulants that were easy for a doctor to get. By the end of 1969 his marriage was over. Alone in an apartment, he got a dog so his daughters would have a reason to visit. The neighbors complained about the barking, and the dog was gone almost as soon as it came. Cyril sank into depression and took to calling patients late at night to confess his misery.
The practice turned strange. A 1976 article in Esquire described the twins swapping places mid-exam. Once Stewart told a patient he'd failed to fool that the two of them had played the impersonation game with 14 patients that day and fooled nine. "Our mother has trouble telling us apart," he said. Cyril slammed down an IV bottle when a pregnant patient complained of pain. The brothers told patients, "thou shalt have no gynecologist before us." Cyril told one woman on the exam table a rambling story about treating a patient who'd had sex with a dog.
After Stewart died, Cyril got dressed and made it to the sidewalk. Then he turned around, barricaded the door and lay down near his twin's body to die, choosing death over living alone for the first time in 45 years.
Undone by paperwork
None of that brought them down. Insurance forms did. The twins hated paperwork so much they stopped billing some patients, and insurers stopped paying claims. Evelyn Chait, a furious New Jersey housewife, spent years writing letters to the practice, the hospital and state agencies in New Jersey and New York. In 1974 the New York State Department of Professional Conduct assigned an investigator to her case.
By then Cyril was taking barbiturates like Nembutal, a sedative, to sleep through the amphetamines. In April 1974 he took a bad fall right outside an operating room where he was scheduled to perform surgery, and both brothers were put on medical leave. At the private practice the rent went unpaid and the air conditioning stayed broken. When the investigator threatened a subpoena, Stewart showed up that October pretending to be Cyril. He pulled the same trick again later with the county medical society.
In May 1975 the hospital gave them two weeks: take a leave for treatment, resign, or be dropped. Days before their 45th birthday, Cyril told a patient that identical twins "often come down with the same thing, cancer or whatever, and die together or close." On June 27th a panel charged them with unprofessional conduct. On July 10th, New York Hospital dropped them from its staff.
Behind the barricade
Cyril had already retreated to his apartment, and Stewart followed. The medical examiner found no violence. Both men were six feet tall; Stewart weighed less than 120 pounds, Cyril less than 100. Despite all the empty barbiturate bottles, the toxicology came back clean. The brothers had died of withdrawal, quitting cold turkey, perhaps sure that as doctors they could manage it. Stewart died first, on or just after July 10th.
On July 14th the doorman saw Cyril stumble into the lobby and out to the sidewalk. "Looked terrible," the doorman said. "So sick, skeletal." Cyril stood outside for a minute or two, then went back upstairs, bolted the doors and shoved a heavy armchair against them. He typed Corinne's address on a sheet of paper and left the rest blank. Then he lay down on the bed near his brother's body, perhaps the only time in his life he got the more comfortable spot, and within days he was gone too.
