Dear belMarduk: I wonder if "Ketchum" is a typo for "Ketchup". The history of ketchup is interesting enough that below there is a URL about it. The first Kleenex appeared over seventy years ago, and I still remember what a blessing it was not to have to use sandpaper muslin on my abraded proboscis any more.
There is a URL to history of Cesarean Section, which says Julius was not born this way, but passed a law about it. You have to scroll down a ways.

http://www.i5ive.com/article.cfm/5676/42844

http://www.nlm.nih.gov/exhibition/cesarean/cesarean_2.html