134 honored by the glory of islam
physicians shrank as the number of convert and Muslim physicians grew. Jew-
ish physicians in earlier centuries had occasionally converted and become chief
physicians while in palace service; for example, Hekim Yakub, physician to Meh-
med II, converted soon after the accession of Bayezid II to keep his position
and became known as Convert (Mühtedi) Yakub Efendi.^39 But in the seventeenth
century the practice became the norm. In 1 669 there were as many converts as
Jews serving as palace physicians (fi ve), and in 1 697 the number of converts
(not including the head of the privy physicians) surpassed the number of Jews
(two Jews, three converts).^40 By the end of the century, twice as many converts as
Jews served as privy physicians alongside the converted Jewish head of the privy
physicians, Nuh Efendi: two Jews and four converts.^41
Modern researchers in Istanbul use archival sources today because they
seem to provide hard data that when read sequentially narrate historical trends.
These sources demonstrate that over the course of the seventeenth century
Jewish physicians disappeared from the ranks of the most important physi-
cians in the empire as converted Christians and Jews joined a proportionally
larger staff of Muslim physicians. Basing their opinions on these documents,
scholars have made Jews the agents of their own decline or cited economic rea-
sons for their loss of offi ce. Some have surmised that fewer Jews were educated
in western European universities, which offered the most sophisticated medi-
cal training, and thus fewer were qualifi ed to be among the pool of potential
physicians. Others have speculated that fi nancial diffi culties may have caused
the palace to reduce the bloated staff of palace physicians during the reign of
Mehmed IV.^42 What these numbers cannot reveal, however, and what archival
sources fail to provide, are the ideological reasons for and context of the trends
they capture, in this case why Jews no longer became leading physicians.
To understand the story behind these bits of information, we have to turn
to narrative sources. Evidence from a treatise written by a palace preacher
from Vani Mehmed Efendi’s inner circle reveals that in order to preserve their
position at the sultan’s court it was a necessary but not suffi cient condition
for Jews to maintain their educational edge in the medical profession. The
suffi cient condition for Jews to remain as physicians was for the sultan’s court
to maintain its sixteenth-century attitude, which allowed Jews to treat the sul-
tan as head physician without converting. When this attitude changed, so did
the Jews’ ability to function in offi ce as Jews. The circumstances surround-
ing the conversion of the Spanish Jewish physician Moses son of Raphael
Abravanel illustrate how this happened. In the case of this physician, conver-
sion was a necessary step to remain as privy physician and be allowed access
to the sultan’s body. He became Hayatizade Mustafa Fevzi Efendi and head
physician in 1 669.^43