54 100 60595 https://digital.lib.buffalo.edu/files/original/613b592a8cc55c210ce3d8e522584703.pdf 0e11c83fb9c7dc005a10369214c5685e PDF Text Text �Dean Naughton From the desk of John Naughton, M.D. Dean, School of Medicine To Alumni and Alumnae: An article in the Spring issue of THE BUFFALO PHYSICIAN resulted in a great deal of expressed concern and anguish from many of SUNYAB's medical students, faculty and alumni. These concerns were expressed verbally and in writing as well as through other channels of communication. The provocative article in question reported an avocation of an alumnus dedicated toward collecting memorabilia, particularly remembrances of Nazi Germany and World War II. The alumni and students were concerned that publication of such sensitive material reflected an antisemitic attitude on the part of the School of Medicine, and in particular, the Dean's Office and its administrative staff, and questioned the appropriateness of publishing non-medical activities of alumni, faculty and students. Neither the President of the Alumni Association nor the Dean review or judge material submitted to THE BUFFALO PHYSICIAN prior to publication. This has been the sole responsibility of the Editor, as it should be. The only exception to this policy has been the personal letters which I insist on writing (and oftentimes rewriting) and the special Update Issue in December, 1979, dedicated to the current status of the School of Medicine. I wish to assure each and every student, faculty member and alumnus that there was no intent on the part of the School of Medicine to offend anyone, and that the article in no way signals a prejudicial attitude of the School. Obviously, the concern raised by those who were offended deals with the School's attitudes regarding the Jewish Community. If such concerns are raised in regard to religion they are also . probably raised in regard to other matters of social concern such as race and sex. The School hopes that it has been apparent that judgments at SUNY-Buffalo are not rendered on the basis of religion, race or sex. The faculty will continue to champion fairness to all and to encourage that decisions regarding acceptance to and graduation from medical school are based upon pe~­ formance independent of one's religious beliefs, color, ethniC background, or sexual identity. The same principles apply to faculty selection and promotion. These policies reflect my professional and social attitudes as well. Thus, although the Dean's Office does not censor the material presented in THE BUFFALO PHYSICIAN. it does not encourage that material non-relevant to medicine or inflamatory to any segment of our alumni and friends be published. Obviously, each student, faculty member and alumnus is free to pursue his or her own personal interests without intrusion from the School of Medicine. On behalf of the administration I express my sincere regret for this incident and ask that those who were rightfully offended bear with us and help insure that such an error in judgment is not repeated in the future. On behalf of the faculty and administration the School thanks you for your patience, understanding and continued participation and support of SUNYAB's programs.D Sincerely, JOHN NAUGHTON, M.D. Dean ,, �Volume 13, Number 2 Summer 1979 THE BUFFALO PHYSICIAN [US PS 551-860) Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD Editor ROBERT S . M CGRANA HAN Dean, School of M edicine DR. }OHN NAUGHTON Photog raphy HUGO H . UNGER EDWARD NOWAK Visual D esig ners RICHARD MACAKANJA DONALD E. WATKINS Associate Editor FLORENCE MEYER CONSULT ANTS President, Medical Alumn i Association OR. EDMOND GICEWJCZ Vice President, Faculty of Health Sciences OR. F . CARTER PANN ILL President, University Foundation }OHN M . C ARTER Direc tor of Public A ffairs }AMES DESANTIS Teaching Hospitals The Buffalo General Children's Deaconess Erie County Medical Center Mercy Millard Fillmore Roswell Park Memorial Institute Sisters of Charity Veterans Administration Medical Center The Buffalo \bbnell~Z Ph~ician Surnnlftl979 IN THIS ISSUE Dean Naughton's Message (inside front cover) 2 Gottlieb Dedication 4 The Clinical Biophysicist by Dr. Michael Anbar 10 Physicians Give $323,571.80 13 Health Sciences Library 14 The 1918 Class 16 Continuing Education 17 Dr. Schubert/Family Medicine 18 Medical Ethics 21 The Aging Clock 22 Dr. Nelson 23 Primary Care Center 24 Radiopharmacy 26 Poet Physicians by Dr. O.P. Jones 29 Dr. Nader/ Myocardial Infarction 30 Antique Cars 32 Dr. Weiser 33 The Gin Plague 34 School Nurse Practitioner 35 Cellular Engineering 36 Hospitals Merge 37 Dr. Roblin 38 Clinical Years 39 The Dr. Wehr Award 40 Royal Flush 41 Margaret Graf's Day 42 The Classes 44 People 47 In Memoriam 48 Alumni Tours The cover by Barbara Evans is all about money. On pages 10-13 is a list of physicians who gave gifts to the Medical School through the U/ B Foundation. THE BUFFALO PHYSICIAN, Summer, 1979- Volume 13, Number 2, published quarterly Spring, Summer, Fall, Winter- by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1979 by The Buffalo Physician. SUMMER, 1979 1 �The family - The Gottlieb Dedication Dr. Gottlieb, President Ketter Dr. Gottlieb, his granddaughter, Elizabeth Porter, Mrs. Gottlieb, Dr. Solon Gottlieb, Dr. Gottlieb's son. The Bernhardt S. and Sophie B. Gottlieb Collection and Study Room dedication (May 2) was a family affair. Dr. Gottlieb, M'21, and several members of his family participated along with President Robert Ketter and several other university administrators. The 6,000 volume collection and room were established through the creation of a $75,000 endowment fund by Dr. Gottlieb. "This is my Blst birthday and one of the happiest days of my life. Both Sophie and I have always been interested in family psychiatry and people's emotions," Dr. Gottlieb said. He also reminisced about his days as a student at U/B. Dr. Ketter said, "On behalf of the University, I am honored to dedicate this collection and Study Room to the future enrichment of our faculty and students, and to the advancement of The Behavioral Sciences and Psychiatry. "The collection and room, and the endowment which funds them, represent one more aspect of the long association which Dr. Gottlieb and his family have had with this University. It has been an association typified by support of the University's commitment to excellence. "As is the case with most universities today, our Libraries have been severely affected by inflationary costs which have increased at a greater rate than acquisition budgets. It is extremely important, therefore, that friends such as Dr. Gottlieb are willing to step forward to assist us in our efforts to continue to enhance the reputation and growth of the University. We are deeply grateful; and we are proud to dedicate this collection, which will continue to grow, and which will serve not only the present but the future." 2 THE BUFFALO PHYSICIAN �To commemorate the occasion of the formal dedications of the Drs. Bernhardt S. & Sophie B. Gottlieb Behavioral Sciences and Psychiatric Collection Endowment Fund, a special exhibit was arranged at the Health Sciences Library. The cases contain varying materials relating to the individual contributions of both Dr. Gottlieb and his wife, as therapists, authors, donors and philanthropists: 1. Original typescripts of their published books, along with several copies of the volumes. 2. Copies of books donated to the library from their personal collection. 3. Copies of works which were currently obtained utilizing the newly established endowment Fund. Health Sciences Librarian C.K. Huang noted that "the endowment created by Dr. Gottlieb will serve to enlarge and enrich an area of medicine here at U/B in terms of scientific material available to students and practicing clinicians." In 1966 the Gottliebs also established an annual award for the senior medical student who best exemplifies how "living and learning go hand in hand," through continuing personal interests and activities in art, literature, community affairs and other areas while pursuing the study of medicine. Other University officials who participated in the dedication ceremonies were: John M. Carter, U/B Foundation president; Saktidas Roy, director of university libraries; and Jonathan A. Dandes, director of corporate relations at the Foundation.D Dr. Gottlieb, Dean Naughton Three generations of Gottliebs hove attended the University: Dr . Bernhardt S., Class of 1921, his son, Solon, Class of 1952, and his grandson, Stephen Weinstein, Class of 1970. GOTTLIEB, BERNHARDT STANLEY. Born May 11, 1898, New York City; State University of New York at Buffalo 1921, Doctor of Medicine; Columbia University College of Physicians and Surgeons 1938, Doctor of Medical Science in Psychiatry; Interned: Erie County Hospital , Buffalo 1919-1920; Lafayette General Hospital, Buffalo, 1920-1921. Residency : New York Psychiatric Institute, 1935-1938; New York Neurological Institute, 1936-1937. Psycho-analytic training: New York Psycho-analytic Institute 1938-45. Professional Experience : Associate Attending Psychiatrist : Vanderbilt Clinic, Presbyterian Hospital, New York City and Assistant Attending Psychiatrist, Kings County General Hospital 1955-. Private practice 1937-. Type of Practice : Neurology and Psycho-analysis, full time. Teaching: Assistant Clinical Professor, State University of New York at Downstate 1955-. Member: Association for Research in Nervous and Mental Disease, American Medical Association, Royal Society of Medicine [England), Pan American Medical Association . Publications: Prognosis in Hebephrenic Schizophrenia, Columbia University Press, 1938; Understan- ding Your Adolescent, Rinehart, 1957; What a Bay Should Know about Sex, 1960; What a Girl Should Know about Sex, 1961; What You Should Know about Marriage, Bobbs Merrill, 1962; Prognosis Criteria in Hebephrenia, American journal of Psychiatry, September 1940; Prognosis in Hebephrenia, Psychiatric Quarterly, January, 1941 . GOTTLIEB, SOPHIE B. Born December 9, 1897, Died December 24, 1970; Columbia University, Barnard College , 1920, Bachelor of Science; Teachers College , Columbia University, 1935, Master of Arts, 1960, Doctor of Education. Teaching and case work in Program Clinical Case Work, New York Board of Education 1935-1937. Social Investigator 1935 and 1937-1939, New York Department of Welfare; Instructor Family Life and Personality, 1960-1962, Brooklyn College; Private practice: 1939-1970; Psychotherapist 1949-Postgraduate Center of Mental Health, Individual and group psychotherapy; Marriage Counselor. Certified, New York.D SUMMER, 1979 3 �The Clinical Biophysicist and His Role in Modern Medicine by MichaelAnbar, Ph.D. Professor and Chairman, Department of Biophysical Sciences A good friend of mine, a practicing physician, once asked me: "Your research on new diagnostic techniques is very interesting, but we clinicians can hardly cope with the current avalanche of medical technology, so what use is there for more of the same?" He was right, we really do not need more of the same, in fact maybe we have too much of it already. Medicine today uses routinely numerous techniques and devices which originate from biophysical research. Prominent among these are radiological diagnosis and nuclear medicine, radiation therapy and electrocardiography. Many new methodologies are now at the stage of evaluation or of tentative general acceptance. These include, among many others, ultrasonic imaging, phonocardiography, laser surgery, ultrasonic Doppler blood flow meters, computerized axial tomography and mass spectrometric pulmonary monitors. Dr. Anbar's seminar 4 The introduction of this sophisticated instrumentation into the hospital poses a number of new problems to health care personnel and to the public in general. First there is the initial cost of the new equipment which in many cases is almost prohibitive. Next there is the cost of operation and service of the equipment, which together with the initial cost of the equipment, imposes prohibitive expenses on the patient. The hospital has also to absorb new types of personnel, such as the medical technologist, the clinical engineer, and the computer specialist needed to operate and maintain the new equipment. In addition there are the biomedical engineers, in industry and in research institutions, who continue to come up with new engineering developments and exert a continuous pressure to upgrade and update the equipment in use, making it obsolete almost on the day of delivery. In spite of the present severe fiscal crisis in the health care industry it can be predicted with certainty that the current trend of introducing newer and better medical technology to diagnosis and treatment will continue, though at a slower pace. The limitations on resources will, however, impose significant constraints on the acquisition of new equipment and on the utilization of the existing instruments. The extent of use and the ultimate utility of such equipment will be scrutinized and cost vs. benefit considerations will have dominant influence on the implementation of new techniques and devices. In order to cope with the new constraints, major changes will have to take place in the way medical technology develops. The current development of clinical instrumentation has generally followed one of two alternative patterns-first, there have been THE BUFFALO PHYSICIAN �engineering solutions and devices developed for some other purpose and the manufacturers or the development engineers, seeking a new market for their technology, have penetrated the health care field. The extent of this penetration has been in many cases a function of advertisement and persistence not less than a function of an optimal fulfillment of a clinical need. Second, there are clinicians who have identified a medical need but having insufficient scientific and technological knowledge failed to translate it adequately and called for an engineering solution to a poorly formulated problem. The engineers confronted with such a problem come up in many cases with excellent solutions to the problem as presented to them, but in some cases their whole effort may only marginally meet the real clinical need. Both these types of technological development have been lacking in extensive research that has to precede any far reaching development. For instance, in a development of the first kind a company that has specialized in flow meters is going, obviously, to advocate the use of a flow meter for a certain clinical need, even if the latter would be better served by a pressure transducer or by a heat sensor. In the second case, the clinician, lacking adequate technological knowledge may easily predetermine the development of a suboptimal or even impractical solution to his problem, by preselecting a specific inadequate technological approach. Meeting a specific need is generally a function of the preformulation of the problem, since even the most elegant engineering solution will not negate a poorly formulated problem. Both types of suboptimal developments of medical technology could be avoided if the clinician would be accompanied by a researcher (not by an engineer) who could help to identify and formulate the problem taking into account a maximal number of options, and who would select the best technical solution from the many offered by industry. This researcher should preferably be trained as a clinical biophysicist. What is a clinical biophysicist, or what is a biophysicist for that matter? I have been asked on several occasions what are we doing in a department entitled "Department of Biophysical Scie.nces?" Well, we must be teaching and carrymg out SUMMER, 1979 Karen Haydock, a graduate student, discusses her project. research in biophysics, whatever that is. But what is biophysics? Unlike chemistry, pharmacology, or physiology, it is not clear to many what is the connotation of biophysics. To tell the truth, there are many biophysicists who hesitate to define the scope of their own scientific discipline. The reason for this is that unlike most disciplines, biophysics does not have a single set of fundamental concepts or a central methodology. In other words you may easily find two senior biophysicists actively engaged in research who do not share any common intradisciplinary fundamental scientific background. This could hardly happen to two biochemists or pharmacologists. To make things even more confusing we have here a department of biophysical sciences which must encompass even more than just this elusive biophysics. So what do the biophysical sciences encompass? To answer this question is not easy, but it is a key to understanding the background of the clinical biophysicist. The advent of physics has completely and permanently changed the understanding of the world of biology. Although life and living systems are part of the physical world, the complexity of these systems and the very fact that we ourselves and our own cognitive faculties are part of them, made their objective exploration lag behind the investigation and elucidation of non-living entities. Physics has offered a critical and quantitative approach to many biological problems, including the most fundamental ones. These include the mechanisms of maintenance, o- 5 �Dr. James McReynolds, associate professor, demonstrates the defusion pump that serves the mass spectrometer. regeneration, and evolution of living systems or even the problem or the origin of life itself. Physics has also provided biology with many highly useful tools, such as X-ray diffraction, measurement of rapid and small changes in electric potential, atomic, electronic and nuclear spectroscopies, or devices to assess isotopic composition which allows us to study the dynamics of biochemical processes. These instruments have facilitated the exploration of biological systems in an unprecedented objective and quantitative manner. The physical scientists who specialized in the handling of biological problems and those biologists who adopted the concepts and methodologies of physics as well as its instruments, call themselves biophysicists. This development in the history of science, followed a course similar to one that took place somewhat earlier in the chemical sciences, where physical chemistry became a discipline by its own right. In fact scientists originally trained as physical chemists, who became involved in biological problems joined the ranks of the biophysicists. There has been talk about biophysics being an interdisciplinary discipline, but this is sheer nonsense, since interdisciplinary disciplines do not exist. There are inter6 disciplinary teams or projects and there are disciplines which grew out of the contribution of one existing discipline to another. The contributors generally have no impact whatsoever on their original discipline and their contributions are evaluated and appreciated by the accepting discipline, although their training and methodologies may be alien to the latter. If this process of contribution repeats itself many times then the contributors, who have a common background and similar goals, form a new discipline of their own. Ultimately they train new researchers, who were never involved in the original discipline, in the new specialty. Biochemists, for instance, contribute little new ideas or concepts to chemistry but they elucidate the chemical hehavior of biological systems. Biophysicists, similarly, do not make their contributions to physics-they are not a special kind of physicist, but they constitute an important essential part of the biomedical sciences. Still their special scientific background and their objectives make them members of a special discipline-that of biophysics. Biophysics has generated practically every fundamental concept in modern biology, from the elucidation of the structure of nucleic acids and the genetic code, to the understanding of the complexities of organ systems such as the heart muscle, the kidney, Graduate students, Gene Nelson and Stephen Scott. THE BUFFALO PHYSICIAN �or the nerve system. Biophysics has so profoundly affected biology that many modern biologists consider it unequivocally as part of biology without even referring to its origins in the physical sciences. Nevertheless, the process of transfer of concepts and techniques from physics and physical chemistry to biology is going on, and the current biophysicists continue, under the banner of biophysics, to contribute to the understanding of living systems. Biophysics has also a different, somewhat narrower, connotation. Biophysics is the discipline which leads to the understanding of the action of physical forces on biological systems, such as pressure, electric potential, light, or ionizing radiation, as well as with physical forces exerted by biological systems, such as electric potential, mechanical action, or light emission. In other words biophysics encompasses radiation biology, photobiology, bioelectricity, mechanobiochemistry, and bioluminescence among others as subdisciplines. This narrower definition is less likely to be challenged by the modern biologist, but it severely limits the scope of contribution of the physical scientist to biology. If Crick wanted to repeat today the elucidation of the structure of DNA, he would have to identify himself as a physicist while making one of the all time greatest contributions to biology. But as a physicist he did not increase the field of knowledge in physics, he applied an established technique in structural physical chemistry to a very fundamental problem in biology- he should be defined, therefore, as a biophysicist par excellence. We prefer, therefore, to broaden our definition and include both definitions of biophysics under the umbrella of biophysical sciences. This approach has another significant advantage, allowing us to include also clinical biophysics as a distinct subdiscipline among the biophysical sciences, together with different aspects of theoretical and experimental biophysics. Clinical biophysics comprises a whole array of contributions of biophysical research to the diagnosis or treatment of disease. It includes therefore, contributions in areas as diverse topics as diagnostic radiology, nuclear medicine, ultrasonic imaging and flow rate measurement, bioelectric diagnosis (ECG, EMG, and EEG), phonocardiography, radiation therapy, the use of lasers in surgery, SUMMER, 1979 functional prosthetic devices (e.g. hemodialysis, pacemakers). and different aspects of modern instrumental clinical chemistry which utilizes highly sophisticated techniques, such as nuclear magnetic resonance or mass spectrometry. Clinical biophysics is distinguished from biomedicalengineering by its objectives, its methodology, and its final product. Its objective is to apply physical principles, techniques, and devices to achieve a better understanding of clinical problems and thus lead to their ultimate solution. It uses research methodology to achieve its objectives, and its final product is generally a new concept or technique applicable to a clinical situation, or a device which provides a new or better way to tackle a specific medical problem. In the latter case we will usually need an additional engineering development phase before such a "breadboard" device may be tested and used under routine clinical conditions. Clinical biophysics, is, therefore, not infringing on the function of biomedical engineering, but is complimentary to it. In fact it should augment the function of biomedical engineering by providing it with new challenges accompanied by a quantitative, rigorously produced data base. Quantitative analytical approaches to clinical situations (e.g., cost-benefit and decision analysis in clinical diagnosis) are an integral part of the technical background clinical biophysicists are expected to use in the evaluation of competing solutions to a given problem. In this respect they have a similar background to that of biomedical engineers. Like the latter they may be also strongly involved in the application of computers and mini-processors in handling and interpretation of clinical information. Clinical biophysicists concerned with real time therapeutic feedback control systems are expected to also have an adequate knowledge of computer interface techniques. It is also conceivable that certain biomedical engineers who become deeply involved in clinical research rather than in engineering development will define themselves as clinical biophysicists. A clinical biophysicist who is expected to have a broad and diverse training in physics, physical chemistry, electronics, and computer science, and who has had research experience in solving clinical problems by the d- 7 �application of concepts and techniques originating from physics, is in a position to evaluate a new clinical problem and select the best among the different available solutions. The clinical biophysicist has generally no vested interest in a particular engineering solution to the problem and should be capable of evaluating the adequacy of available instrumentation for solving a given clinical problem in conceptual rather than in simply operational terms. Thanks to his research training the clinical biophysicist may reformulate a clinical problem altogether and meet, therefore, a more general objective. In order to be in a position to utilize his technical background and experience in a clinical institution, the clinical biophysicist has to have the confidence and respect of the medical personnel; he has to have a sufficiently prestigious status. To attain such a status within a clinical institution the biophysicist has to have a doctoral degree and to be actively engaged in clinical research, obviously in one of the areas of biophysics. Only such a person may be in a position to challenge a senior clinician at the level of conceptual analysis of the best way to achieve a given clinical objective, or even reformulate the objective altogether. A biomedical engineer, on the other hand, will not fulfill his function because he is trained to come up with solutions to well defined problems, and in many cases his main concern is to optimize existing technical solutions. A biomedical engineer may, for instance, find or develop a better elastomer for an artificial heart pump, but he is not expected to and generally will not ask the clinician whether an assisting blood pumping device is the only or the best solution for a given clinical situation of heart failure. This is exactly the type of problem to be tackled successfully by a clinical biophysicist. To recapitulate, in order to implement modern medical technology in a manner justifiable on medical, ethical, and economic grounds, one needs a cooperative team consisting of personnel trained in medicine, clinical biophysics, and biomedical engineering. The clinician together with the clinical biophysicist formulate the problem and select an optimal solution from a set of plausible approaches. Then the biophysicist together with the biomedical engineer will select the ap8 propriate instrumentation, if commercially available, modify and adapt available instruments or design and construct appropriate new diagnostic, therapeutic or prosthetic devices. The biophysicist, who is in a much better position than the clinician to translate the clinical needs into engineering requirements, is indispensible for effective development of new medical technology and for the optimal utilization of the existing one. To come back to my friend's question about our new diagnostic techniques-we are not aiming at the development of new and more sophisticated clinical instrumentation, in our research we are applying some state of the art methodologies to the solution of clinical problems which have no comparable alternatives. If we are successful, some new instrumentation will have to be developed for routine clinical use-this· is where the contribution of engineering will be involved. In spite of the obvious need for clinical biophysicists in clinical institutions, in addition to biomedical engineers, clinical engineers, and medical techologists, there are very few biophysicists who specialize in clinical biophysics and are ready to carry on their research work in a hospital environment. For only such researchers would be available as collaborators and consultants regarding the use of biophysical devices and techniques. To meet this urgent need our Department has initiated a graduate training program in clinical biophysics. The purpose of this program is to produce Ph.D.'s well versed in the different aspects of clinical biophysics who have gained first hand experience in clinical institutions. This department is part of the medical school and dental school and is affiliated with a large medical research institute (Roswell Park Memorial Institute), while drawing extensively on the capabilities of a number of departments in the faculties of Science and Engineering. The Department offers at present a number of formal courses in clinical biophysics, most of which are available to the medical students as electives. Seven of the 26 members of our faculty are researchers with M.D. or M.D.Ph.D. degrees, some of them being practicing hospital physicians. Four other faculty members are researchers with engineering degrees actively involved in biomedical engineering. The rest of the faculty have their primary training in physics or physical THE BUFFALO PHYSICIAN �chemistry. This combination of research and teaching staff provides a unique environment for the training of clinical biophysicists. Plans are presently drawn to allow undergraduate students to major in the biophysical sciences along three professional career paths: theoretical biophysics, experimental biophysics and clinical biophysics. Some of the undergraduates majoring in clinical biophysics may end up as medical technologists or as biomedical engineers while others may enter medical schools, but we hope that many of these students will continue their graduate studies in the field of clinical biophysics, since they would be optimally prepared for such a career. We believe that this intiative taken by our Department to train clinical biophysicists from the college level up, is a step in the right direction to meet the current national needs. Since there are at present few newly evolving professional specialties which offer challenging and socially desirable careers, there is a good chance that the training programs for clinical biophysicists will attract top rate young scientists. This will definitely improve the quality of health care in the foreseeable future and maintain a high standard in years to come. If our analysis of the present situation is correct, there exists a need for hundreds of Ph.D. clinical biophysicists to fill the Graduate students, Karen Haydock, Vahe Bedian and Van Kurtz, use the biophysics library. existing gap in the operation of clinical institutions all over the country and possibly all over the world. At the same time we are offering the medical students an introduction to clinical biophysics to make them aware of the extensive potential of this field and make it easier for them to communicate and collaborate with clinical biophysicists. Achieving this type of collaboration between these two types of our alumni is at present one of the primary goals of our Department. Biophysical sciences thus encompass the most fundamental problems confronting current science, such as the origin of life, how do we store and retrieve cognitive information, or how are the latter processes affected by our emotional states. They also include more readily accessible problems such as the mechanisms of rna terial transport through biological membranes, the mechanisms of radiobiological effects, the mechanism of bone remodeling, or the function of photoreceptors. And, last but not least, they include the application of fundamental principles of physics and physical chemistry to daily clinical problems such as providing information about changes in the elasticity of arteries, assessment of the radio-sensitivity of tumors or the understanding of the mechanism of cardiac arrythmias. The latter exemplify the contributions of clinical biophysicists.D �Physicians Give to the Medical School In 1978 the University received gifts from 778 physicians (through the U/B Foundation) totaling $323,571.80. Most of the money was designated for the Medical School. One physician made a gift of $180,000.00. We at the Medical School appreciate your support. Without your support many programs would have to be curtailed or eliminated.D Abbert, Martin F. Addesa, Albert J. Alden, Carlos C. Alessi, Edward C. Alfano, Guy S. Alford, J. Edwin Alford, Kenneth M. Alker, George J., Jr. Allen, James C. Ament, Richard Ames, Wendell R. Andaloro, William S. Andelman, S.Y. Anderson, Elroy E. Anscher, Richard M. Aquilina, Anthony M. Aquilina, Joseph T. Arani , Djavad R. Argentine, Leonard A. Armenia, Carmela S. Armenia, John V. Arthurs, Glenn Robert Ascher, Julian J. Atkins, Thomas W. Averbach, Irwin Jay Babcock, Bruce D. Baeumler, George R. Bannerman, Robin M. Barany, John S. Barlow, Jared C. Baron, Michael B. Barron, Stephen A. Bartels, John D. Batt, Richard C. Batt, Ronald E. Bauda, Charles A. Baumler, Robert A. Bean, Berten C. Bendich, David Benjamin, Craig L. Benken, Lawrence D. Benny, John M. Bermann, Max M. Bernhard, Harold Bernhoff, Willard H. Bernat, Robert Bernstein, Charles Bernstein, Joel M. Birtch, Paul K. Bistany, Theodore S. Blake, James R. Blakey, Ernest A. Bleich, LaMoyne C. Block, Marvin A. Bloom, Marvin L. Bloom, William H. Blum, Robert Boardman, Willard H. Boeck, Virgil H.F. Bonafede, Vincent I. Bondi , Raymond G. Bone , Kenneth W. Borman, James G. Bosu, Sogba K. Botsford, Mary Henrich Boyle , Richard C. Bramer, Clifford F. Brandetsas, Peter G. Brandl, James J. Bratt, Floyd C. Breakell , EdwardS. Brenner, Robert A. Brody, Harold Brothman, Melvin M. Brotman, Barry G. Brown, Robert L. Bruno, August A. Bucher, William C. Buckley, Richard J., Jr. Budny, James L. Bukowska, Eugenia F. Bumbalo, Thomas S. Bundrock, Gloria A. Bunnell, Ivan L. Burgess, Gordon Burns, John B. Burr, Janice M. Burstein, Alan G. Bye, Michael R. Calkins, Evan Campagna, Franklyn Cantwell, Earl K. Capuana, Nicholas J. Carboy, David T. Carden, Lawrence M. 10 Carlin , James W. Carosella , Nicholas C. Casagrande, Peter A. Catalano, Russell J. Cavalieri, James L., II Celestino, Vincent S. Celniker, Ben Chaikin, Nathan W. Chapman, Ralph R. Chardack, William M. Chassin, Norman Chazan, Joseph A. Chen , C. James Cheplove, Max Cherkasky, Paul Cherry, Alfred V. Chirlin, Elaine S. Chirlin, Paul J. Ciesla, Theodore F. Cimino, Eugene Anthony Clack, William E. Clark, Alice L. Clayman, Sidney Clemens, Mary Clinton, Marshall Cohen, Arthur N. Cohen, Gary N. Cohen, Michael E. Cohen, Stanley L. Cohen, Victor L. Coleman, Benjamin Collins, James R. Collins, Robert J. Colton, Ralph M. Comerford, Thomas E., Jr. Comfort, Bernice S. Conrad, Carl R. Constantine, John M. Cooper, Anthony J. Cooper, Richard G. Copley, Donald P. Corretore, Robert B. Cowan, Martin Cowper, Alexander R. Creighton, James J. Crohn, Edward B. Crosby, John P. Cudmore, John W. Cullen, Julia Cumbo, Thomas J. Cummiskey, Thomas G. Curtin, Daniel E. D'Arrigo, PeterS. David, JosephS. Davis, Bernie P. Davis, Harvey D. Davis, Paul J. Dayer, RogerS. DeLaus , Frank V. DePaula, Geraldine F. DeSantis, Carlo E. Diesfeld, Gerard J. Dillon, William P. DiPoala, Joseph A. Dischinger, Frederick W. Doan, Glenn B. Dobmeier, Lawrence J. Dobrak, Alfred H. Dobson, Richard L. Doeblin, Thomas D. Donatelli, Charles Donohue, John M. Doubrava, Sterling M. Drazek, George A. Driver, Maier M. Druger, George L. Duffner, Patricia K. Dunghe , Adelmo P. Dunlap, Edward A., Jr. Dunlop, James A. Durshordwe, Clarence J. Dwoskin, Joseph Y. Dwyer, Thomas J. Dzubaty, Michael Eckert, George L. Eckhert, Kenneth H. Eckhert, Kenneth H., Jr. Edmonds, Robert W. Edwards, John A. Ehrenreich, Donald L. Ellis, George M. Eluard, Alain Elwood, Charles M. Erickson, George M. Etling, George F. Evangelista, Italo A. Evans, Alfred S. Evans, Jay I. Fahey, Daniel J. Falcone, Alfred E. Falsetti , Dominic F. Farber, Jason E. Far hi , Leon E. Farugia, Joseph V. Fasanello, Sebastian S. Falla, Ernest A. Feinberg, MichaelS. Ferguson, Wilfrid H. Ferlisi, Joseph A. THE BUFFALO PHYSICIAN �Felt, Wolfgang Fischer, Willard G. Fisher, Donald M. Fisher, Grant T. Fisher, Wilbur). Fix, L. Walter Fleisher, David R. Fleming, William A., Jr. Fletcher, RichardS. Float, john W. Floccare, Anthony). Fogel, Sander H . Foit, Norman). Foti, Anthony M. Franco, Albert A. Frankfort, Ian Freeman, james J. Freer, jack P. Friedberg, Eugene Friedland, Elmer Friedman, Bernard B. Friedman, Irwin Friedman, Ronald). Frost, Frank T. Fuhr, Neal W. Gabryel. Timothy F. Gaeta, john F. Galdys, Bronislaus ). Gardner, Richard M. Garvey, Ronald F. Gelormini, Carmen D. Genewich, joseph E. Gentner, George A. Geoghegan, Thomas G. George, Clyde W. Georgi, William H. Gerstner, Martin L. Gesson, Bruce H. Giambrone, james P. Gibbs, john W., Jr. Gibson, Robert). Gicewicz, Edmond). Giller, jerald Gilson, Benjamin I. Ginsberg, Irwin A. Glauber, jerome). Glazier, William L. Glennie, Robert D., Jr. Glockner, Franklin Godfrey, joseph D. Goergen, Peter F. Gold, jack Golden, Lawrence H. Goldfarb, Allen L. Goldstein, Frederick P. Goldstein, Henry N. Gordon, Myron Gorman, Fred E. Goshin, Authur R. Gottlieb, Bernhardt S. Gottlieb, Solon H. Graber, Edward J. Graber, james E. Graff, Harold L. SUMMER,1979 Graser, Harold P. Grauer, Seymour D. Grayson, Thomas L. Greco, joseph M. Greco, Pasquale A. Greene, Lawrence S. Greengold, Myron C. Gresham, Glen E. Guerino!, Gerald T. Gulino, Lorie A. Gurney, Ramsdell Guarneri, Victor Guthiel, George N. Guttuso, Thomas). Haar, jean G. Haber, Francis B. Haberman, Michael A. Haight, Rothery). Hall, Donald W. Hall, Robert). Hamilton, Robert W. Hanavan, Eugene). Handel, Cleora K. Handel. john W. Handler, MarkS. Hanson, Florence M. Hanson, Warren H. Harer, Adolf E. Harrison, Nedra). Harrod, Emma K. Hashim, Sami A. Hatch, Glenn C. Hauler, Donald R. Hevizy, Louis Hawro, Vincent A. Heerdt, Mark E. Heier, Ellwyn E. Heilbrun, Mark Peter Heilbrun, orman Heimback, Dennis P. Helfer!, Irving Heller, Marie H. Herbert, Anita). Herrmann, jack W. Hetzer, Barbara). Heus, E. George Hewett, William). Heyden, William C. Hill, joseph M. Hoak, Frank C. Hobbie, Thomas C. Hodes, Marion E. Hoeffler, Hugh B. Hoffman, Leon Hollis, Warren L. Homokay, Ernest G. Hornung, Norman E. Howard, William). Howland, Murray S., Jr. Huber, Franklyn A. Humphrey, Thomas R. Hurley, jerome E. Imburgia, Ross Impaglia, Michael A. Isaacs, Eli H. jackson, Stanley). jacobson, Evelyn H. jaeger, Robert M. jewel, Kenneth L. johnson, Curtis C. jones, Ralph, Jr. joseph, Brian S. judelsohn, Richard C. Kaehler, jeffrey L. Kaine, Richard Kane, Ernest G. Kane, Leo A. Kane!, Harris H. Kano, Kyoichi Kanski, james R. Kaplan, Milton P. Kaplan, Murray C. Kaplan, Z. Micah Karsh, Sanford J. Katz, Leonard A. Kelley, Donald). Kelley, Walter Ransom Kelsey, Robert D. Keyes, Howard C. Kibler, Douglas L. Kij. joseph F., Jr. Kiley, john L. Kime, james S. King, Walter F. Kinkel, William R. Kinzly, john C. Kipping, Hans F. Kirsch, Scott D. Kleinman, Harold L. Klementowski, Kenneth V. Kling, Robert W. Klocke, Francis). Klocke, Robert A. Knapp, Russell G. Kohli, Romesh Kolbrenner, Louis Korn, john T. Kostecki, john W. Koukal, Ludwig R. Kozera, Daniel C. Kramer, David Krauss, Ruth F. Kriteman, jacobS. Kritkausky, Anthony R. Kroopnick, Robert B. Krueger, Harold P. Kuch, Norbert W. Kuhl, john Randolph Kunz, joseph L. Kuritzky, Paul Kuritzky, Sharon Kuwik, Richard) . LaForge, Harry G. Laglia, Vito P. La Mancusa, S. joseph Lang, Gordon R. 11 Langford, Edward A. Lapp, Milton C. Lascari, Andre D. Lazarus, Victor C. Leberer, Richard). Lee, Herbert E. Leibowitz, Alan I. Lemann, jack Jr. Lent, Melbourne H. Lenzner, AbrahamS. Lenzner, jacobS. Leone, Charles R. Leslie, Eugene V. Lessler, Paul A. Leven, Eli A. Levine, Donald A. Levinson, Warren Levy, Harold). LeWin, Thurber Liberman, Seymour). Lichtenstein, Heinz Lichtenstein, Mark Lieberman, Samuel L. Lies, Bert A. , Jr. Lipp, William F. Lippes, jack Lippschutz, Eugene). Lockie, George N. Lockie, L. Maxwell Loeser, Eugene W. Lord, Alvah L. Loree, Paul). Lowe, Frederick A. Lubow, Lawrence, D. Lundgren, Claese Lundquist, john Richard Luparello, Thomas J. MacCallum, james D. Mackey, Edmund A. Madden, Michael M. Maestre, Federico). Maggioli, Albert) . Malinov, David N. Maloney, Milford C. Mancuso, Vincent S. Manders, Karl L. Manning, Edwin). Marino, Charles H. Markello, Anthony P. Markovitz, julius T. Marks, Eugene M. Marshall, Clinton Martin, Ansel R. Masotti, George M. Massie, Mary jane Matasar, Kenneth W. Matuszak, Diane L. Maunz, Don Loren May, Charles E. Maynard, Robert E. Mazza, Michael A. Meese, Ernest H. Menchini, john P. Mernan, Winifred G. d- �Metcalf, Harry L. Meyer, Patricia A. Milanovich, Robert Milch, Robert A. Milgram, Felix Miller, Donald E. Minkel, Amos)., Jr. Mitchell, Alfred A. Mitchell, Raymond W. Magerman, Jeffrey A. Mohn, James F. Mont, Hallie Buchanan Monte, joseph F. Montes, Mario Montgomery, Warren R., Jr. Moore, Darwin, D. Moore, Shedrick H. Morelli, Daniel). Morey, Philip D. Morphy, Murray A. Moskowitz, Robert M. Mosijczuk, Askold D. Molt, Frederick E. Moudy, Philip C. Mruczek, Arthur W. Munschauer, Richard W. Murphy, john P. McCormick, Robert C. McCue, Daniel). McCutcheon, Sue A. McDonough, Thomas C. Mcintosh, Robert G. McMahon, Daniel). McMorrow, Kathryn J. McNeil, Crichton Nagel, Richard). Nakandakari, Masao Nakata, Harry H. Narins, Richard B. Natalizio, Charles F. Nathan, Ronald G. Naughton, john P. ess, Paul M. Neter, Erwin Neumann, Peter Newman, Richard P. Niswander, Kenneth R. Nohejl, Bruce M. Norman, N. Allen Noshay, William C. Novak, jan M. Nunn, james Nuwer, Donald C. Ohler, Ralph M. Oblelz, Benjamin E. O'Brien, Matthew J. O'Connor, john D. O'Connor, john). Oestreich, Mitchell O'Gorman, Kevin M. Orman, Dean E. Orr, james M. Osofsky, Marvin G. Palmer, Milton A. Panaro, Victor A. Panner, Molly S. Parlante, Vincent J. Paroski, jacqueline L. Paul, Norman L. Paull, joel H. Payne, Lawrence Peacock, Robert A. Pellicano, Victor L. Perkins, Raymond C. Pescovi tz, Harold Petersen, Walter R. Phillips, james F. Phillips, Michael M. Pierce, Allen A. Pieri, Doris Pieri, Steven Pietraszek, Casimer F. Pirson, Herbert S. Pitkin, john T. Pittman, David E. Pleskow, Adrian). Pleskow, Sanford R. Ploss, Robert E. Pohl, Melvin I. Polis, Mark). Porrath, Saar A. Partin, Bertram Post, Robert M. Potenza, Lucien A. Prentice, Theodore C. Prior, Bradley W. Pschierer, Francis). Publow, David G. Purple, Donald G. Raab, Thomas A. Rachow, Donald 0. Rahner, Richard A. Ranchoff, john Y. Rayhill, Edward A. Reeber, Erick Reed, Roy E. Regan, Thomas C. Rekate, Albert C. Rennick, Barbara R. Repicco, john A. Reynhout, jonathan C. Richards, Charles C.B. Rickloff, Raymond). Ridall, Earle G. Riforgiato, Frank T. Riggs, DouglasS. Ristin, Norman I. Rivo, Ellicott Robinson, john Rock, Elton Rocktaschel, William G. Rodenberg, Thomas A. Rodner, Robert D. Romanowski, Richard R. Ronca, Paul C. Rosenbaum, Myron G. Rosenblatt, Maxwell Rosing, Douglas R. 12 Rosner, Edward W. Ross, Harold G. Ross, Joseph Rothfleisch, Sheldon Rowe, Albert G. Rowley, RichardS. Rowlingson, john C. Rube, Joseph Ruh, Joseph F. Rutecki, Joseph E. Saks, Gerald L. Saltzman, Alan R. Sanderson, George M., Jr. Sanford, Clarence E. Sansone, Michael A. Sayres, Barbara Blase Scamurra, Vincent Schaefer, Arthur). Schaer, Leonard R. Scheiber, Stephen C. Scherer, William P., III Scheuermann, Henry A. Schiavi, Anthony B. Schiferle, Ray G. Schiff, Lester H. Schlisserman, Albert Schlisserman, Helen F. Schneider, Max A. Schnitzler, Robert N. Schubert, Daniel S.P. Schutkeker, Bruno G. Schwartz, Lawrence). Schwartz, Wilbur S. Schwartz, Fred S. Schwebel, Walter Z. Secrist, Robert L. Segel, Nathan P. Seibel, Roy E. Seigel, Arthur M. Selkirk, George H. Serrage, Elizabeth G. Shaheen, David). Shalwitz, Fred Shammash, jacob B. Shanbrom, Edward Shatkin, Samuel Shaver, Carrol J. Sheesley, Byron E. Sheffer, john B. Sherrill, Gene D. Shields, john E., Jr. Shulman, Myer Shumway, Clare N., Jr. Siegel, Louis A. Sielski, Lester S. Sievenpiper, Timothy S. Simpkins, Herbert W. Simpson, S. Aaron Sklar, Bernard H. Slepian, Alexander Smith, Adolph Smith, Cedric M. Smith, Edgar C. Smith, Eugene Smith, Howard C. Smith, Wilbur L., Jr. Smolens, Bernard Smulyan, Harold Sobocinski, RobertS. Sakal, joseph E. Solomon, Irwin Solomon, Rebecca G. Solomon, Yale Spagna, Anthony A. Spiegelman, Harry Spoor, john E. Spoto, Russell C. Sprecker, Donald H. Squadrito, john). Stafford, Walter F., Jr. Staiman, Richard I. Stein, Alfred M. Steiner, George L. Steinfeld, Michael Steiman, Henry H. Stoff, jeffrey S. Stoll, Howard L., Sr. Stone, Edward R. Stone, judith L. Baron Stone, Steven Strachan, john N. Straubinger, Clarence Strong, Evan H. Stulberg, Burton Sullivan, Eugene M. Sullivan, Eugene M., Jr. Sullivan, james R. Sullivan, Michael A. Sussman, Robert B. Sussman, Sylvia W. Sutton, Paul Sutton, Reginald M. Szefler, Stanley J. Tamer, Dolores Tanner, Charles J. Tedesco, joseph C. Teich, Eugene M. Terry, Richard N. Thau, Warren L. Thomas, Donald Thurn, Roy J. Tirone, Charles S. Tornow, W. William Tracy, Ann A. Tramont, Andrew V. Trefts, Hazel). Tress, jonathan H. Tutton, joseph C. Ullrich, Reinhold A. Valentine, Edward L. Valvo, jospeh A. Van Coevering, Russell J. Vasilion, Peter Venuto, Rocco C. Vidal, Ronald A. Voelkle, Albert). THE BUFFALO PHYSICIAN �Despite our every e ff ort to avoid error s, th ey some times do occur in th e process of annu a l reporting. If your nam e has been accidentally omitted or misspe lled , please notify th e U/B Foundation and accept our sincere apologi es. This listing refl ec ts individu als whos e gifts were gi ven during the 1978 calendar ye ar.D Vogt, Arth u r C. Vo n Schmi d t, Ba r bara Wa dl e r, Marvi n Wadsworth, john Wa ka i, Cooli dge S. Wa lcza k, Pau l M. Waldeck, Be nj am in j. Wa ldma n, Irv ing Wa ldo, Irma M. Wa lke r , H ele n G. Wa ll ace, Euge ne W. Wa lls, W. Scott, JIJ Wa lls, Wa lter S. Wan ka, joseph Warner, Robe rt Wasson, Richa rd D. Wate rs, Franklin E. Webber, james T. Webster, Willi amS. Wegner, Kur t j. Weige l, ja mes W. We inbe rg, Mor ton B. Wei n berg, Pau l C. We inberg, Sidney B. Will ia ms, james S. Willi a ms, john R. Willi ams, Richard W. Win e r, Marvin N. Wir tze r , All a n S. Wa ld man, Sherman Wolfe, He r be rt S. Wormer, Donald A. Wr ight, john R. Wyn n, Ralph j. Wei ner, Ir vi ng Wei ner, Max B. Wei nste in , Ba r ry A. We int ra u b, David H. We is, Fra ncis R., Jr. We iss , Charl ott e C. Weiss, Leo nard We iss, Robert M . We lch, Mark W. We ls, Philip B. We nde, Reinha rdt W. Wesp, Eve re tt H. Wherl ey, Be nj a min Whit e, Madeli ne j. Whi te, Wa rd j. Whi ting, Frede ri ck D. Whit ney, Eugene B. Wil es, Charl es E. Wi les, ja ne Brady Wi les, john B. Wil kinso n, Robe r t G. Yab lonsky, Cha rl es P. Yeos tros, Saran tos j. Yoch e lson, Leon Yoo n, Sigmu nd Yost, Murray A., Jr. Zel ler, james F. Ziegler, David C. Zimmerman, Haro ld B. Zinke, My ra R. Zygaj, Eugene j. Health Sciences Library The third annual meeting of the Friends of the Health Sciences Library was held in the Buffalo Academy of Medicine Room of the Health Sciences Library. The well attended meeting heard an optimistic report from the President, Dr. John M. Hodson. During the past year, the number of contributions of books and other medical memorabilia to the library through the Friends of H .S.L. were noteworthy and considerable. These included Dr. Archibald Dean's personal library presented by Dr. Dean; books of Dr. John Folts, Class of 1874, School of Medicine, presented by a relative. In addition, volumes on military medicine of the Civil War and World War I, belonging to Dr. Edwin Meyer, were donated by Mr. Anthony Ciko, Librarian of the Erie County Medical Center. Dr. Edward Rozek presented to the History of Medicine Collection medical books and surgical instruments. Gifts presented through the Friends of H.S.L. included photographs of various medical notables by Dr. O.P . Jones, Dr. Archibald Dean, and Dr. Robert L. Brown. A large group picture of physicians of Buffalo (all identified) circa 1899, was presented to the History of Medicine Collection by Dr. Lyle Morgan. Finally, the library received from the Friends of H.S.L. the completed bronze death mask of Roswell Park, M.D . This resulted primarily through the efforts of Dr. Robert L. Brown. He tracked down the plaster cast done SUMMER, 1979 by Dr. Charles Bethune just prior to the cremation of the famous physician; this plaster form was used and cast into bronze. Dr. Hodson also reported on the numerous inquiries regarding the Dr. Rudolph E. Siegel Student Essay Contest on the History of Medical Sciences, which the Friends of H.S.L . is sponsoring. He was confident that there would be many papers submitted before March 31st, 1979 deadline . Following the business meeting, the membership and guests were treated to an excellent historical presentation by Dr. Wilmot Jacobsen, the guest speaker. Dr. Jacobsen came to Buffalo from Johns Hopkins . After an active career in teaching and service at the Buffalo Children's Hospital, in retirement, he has continued his scholarly endeavors, especially in the fields of natural sciences and medical history. Dr. Jacobsen chose as his topic: " The Assassination of President McKinley-Medical controversy." The talk was accompanied by most interesting slides illustrating The Pan-American Exhibition in Buffalo, along with other related pictures to President McKinley's visit. The Officers elected for the coming year are: Dr. John M. Hodson, President, Dr. David Dean, Vice-President, and Mrs. Mildred F. Hallowitz, Sec'y-Treas.D John M. Hodson, M.D. , President, Friends of H.S.L. 13 �The 1918 Class Medical school enrollments are at a record high. The annual Association of American Medical Colleges survey shows that there are 62,242 medical students (4 percent rise] enrolled this year. There are 16,530 first-year students this year, a two percent rise over the previous year.D The year 1918 was an epoch-making one for the University of Buffalo School of Medicine. It marked the graduation of the first class of which a pre-medical course in arts and sciences was required. Until 1913, a student could enter medical school directly from high school. That year the American Medical Association ruled that medical schools which wished to maintain Class A ratings must require at least one year of pre-medical work from all candidates for admission. Although U/B was then officially 67 years old, it was only a loose collection of professional schools. It had tried, and failed, to establish a liberal arts college. In the Fall of 1913, to meet the needs of its School of Medicine, it offered for the first time a one-year program called simply Courses in Arts and Sciences. (Five years later this was increased to two years and, in 1920, to four, at which time the State Education Department authorized the university to confer bachelors' degrees.) The first pre-medical students were required to take chemistry, physics, biology and one modern language, preferably German or French. One of them, Mary J. Kazmierczak, had never really obtained a high school diploma. She had dropped school to help support her family and then studied with tutors and in night school to obtain the necessary credits. She had no trouble completing the required pre-medical courses and being accepted by the Medical School. The new requirement had reduced the number of applicants considerably and the class of 30 that was accepted was half the size of that of the previous year. Three of the others accepted already had bachelors' degreesAlice May Bullett, Everett T. Mercer and W. Edward McGarvey. Another student, who was to graduate with the class, Ella M. Bergtold, was already in Medical School and so did not have to conform to the requirement of a pre-medical year. She had been admitted in 1912 and had been going to school half time, working the other half for Dr. Grover W. Wende, noted Buffalo dermatologist. There were no government loans or incentive payments for students in those days. Tuition for the pre-medical year was $100, that for the first two years of medical school $185, the last two $225. The class included the three women previously mentioned and a fourth, Katherine F. Carnivale. There was also a black, Henry Harrison Lewis, and Abdo M. Haroney, of Syrian background. Only two students had automobiles and only one, Dr. Stanislaus Nowak, married during his medical school years. The responsibilities of marriage on a limited budget were too much for him and he failed to graduate with the class. Three others dropped out earlier - one because he couldn't tolerate dissection, two because of illness. In the class' junior year the United States entered World War I. Some of the students joined the Red Cross Society, the Medical Reserve Corps or both. Those who could afford it purchased Liberty Loan Bonds. Classes ended in April, 1918, so that the students could take an intensive course of field military medicine. 14 THE BUFFALO PHYSICIAN �The year book advertises military uniforms - $35 and up for those of serge or wool, $7.50 for khaki. "What part some of us must take in this great war we know not," the editor commented. "For all the future is hazy and uncertain." But of one thing there was no doubt. "Surely the medicine of tomorrow will be on a higher plane than that of today, and the doctors of tomorrow will be accomplishing wonders unheard of today." Dr. Herbert U. Williams, professor of pathology, predicted what some of those "wonders" might be in his article on "The Outlook of Medicine." His predictions proved amazingly accurate. They included: • The development of precision instruments for diagnosis, instruments that would be used as generally as the thermometer and the stethoscope. • The harnessing of new forms of radiant energy, like the "spectacular recent discoveries X-and radium rays." • The ability to look into the living body and see details of soft tissue "as clearly as we can read a printed page." • New medicinal compounds with results as far-reaching as those that came from ether and cocaine. • New specific drugs of value, "such as quinine is for malaria. " • A substance that will kill bacteria in the human body without injuring tissues. • Isolation of the organisms responsible for infections such as smallpox and scarlet fever. • Development of antitoxins in cultures of living cells growing in synthetic media instead of a live horse. • On the economic side, more salaried positions under the government, fewer independent practitioners, some form of insurance that would put the expense of sickness on the community instead of on the sufferer. Dr. Williams was less sure about the discovery of the causes and cure of malignant tumors. Whether these would be found during the lifetime of anyone then living, he said, "cannot be predicted from data in sight." Dr. James E. King, who taught obstetrics and gynecology, urged the importance of postgraduate study, in patients, consultations, courses and clinics. In medical school, he pointed out, one doesn't learn medicine - only how to study medicine. The successful physician "realizes the limitations" of his training and continually updates it. The year book was dedicated to another professor, Anatomist James A. Gibson, who had died earlier in the year. The James A. Gibson Anatomical Society is named for him. What, then, of the Class of 1918? Dr. Dan H. Mellen, who practiced surgery in Rome, N.Y. , became president of the State Medical Society, commissioner of public welfare in Rome, owner of the former Rome Colonels Baseball Club. After his death in 1957 his sister, Marian E. Mellen, gave $25,000 in his memory for the general support of the School of Medicine. SUMMER, 1979 15 d- �Dr. Kazmierczak, the first woman of Polish-American parentage to be licensed as a physician in New York State, became a leader in her profession and the community. She served as secretary of the Erie County Medical Society, its first woman delegate to the State Medical Society, president of the local Women Physicians League and the Women's Medical Society of New York State; scholarship chairman for the American Medical Women's Association. She was twice president of the Buffalo Board of Education, secretary of the Buffalo City Planning Commission, a member of the Board of Directors and the Executive Committee of Blue Cross of Western New York. In 1953 both she and Dr. Mellen were cited by U/B for their leadership in civic affairs. Dr. Louis C. Kress became director of the New York State Institute for the Study of Malignant Disease now Roswell Park Memorial Institute. Dr. Lewis, believed to be the first black graduated from the Medical School, practiced on Michigan Ave. and helped found Phi Omega Chapter of Omega Psi Phi, graduate chapter of the national black fraternity founded here in the 20s. He died in 1952 at the age of 57. Dr. Haroney also died while relatively young. Dr. Bullett married another member of the class, Dr. Garry R. Burke. They went to Puerto Rico to do their internships and become medical missionaries. Dr. Burke died some years ago. Dr. Bullett lives in Alameda, Calif. Dr. Nowak went back to school and got his degree the following year. He died Oct. 31, 1977, in Lansing, Ill. Four members of the class still live in the Buffalo area. Only one, Dr. Mercer who lives in Hamburg, still sees any patients. The others, all retired, are Dr. Kazmierczak, Dr. Morris Newman and Dr. John D. Fadale of West Seneca. A fifth, Dr. Joseph P. Garen, lives in Rochester.D Continuing Education June 4-8- June June July Sept 8-1021-2319-2114-16- Five continuing medical education programs are scheduled for summer and early fall, according to Dr. Martin Wingate, assistant dean and professor of Gyn/Ob. Infant Nutrition and Development of GI Tract (presented by the Pediatrics Department) Workshops in Cardiac Auscultation (American College of Cardiology) Advances in Pediatrics (Pediatrics Department) Pediatric and Adult Allergy and Clinical Immunology (Department of Pediatrics) Gynecologic Surgery, Dr. David Nichols, Professor of Gyn/Ob 16 THE BUFFALO PHYSICIAN . �Since graduating from the Medical School in 1965 Dr. Daniel S.P. Schubert has enjoyed a distinguished career as a clinician, educator and author. He has been on the faculty of the Case Western Reserve University Medical School since 1972. He was promoted to associate professor of psychiatry in 1977. He is also director of research in the department of psychiatry at Cleveland Metropolitan General Hospital. Some of Dr. Schubert's current professional activities include examining candidates for the American Board of Psychiatry and Neurology. He is also secretary of the hospital medical staff and the Cleveland Psychiatry Society. In 1975 he served as a delegate to the Ohio Psychiatric Society. The following year he received a special award for outstanding service to the Council of the Ohio Psychiatric Association. Since 1971 Dr. Schubert has been consulting editor, Journal of Creative Behavior. He has been associate editor, Ohio Psychiatric Association Newsletter since 1975. He also has served on numerous committees. Dr. Schubert has authored or co-authored 30 articles for professional journals; presented nine papers at scientific meetings; reviewed eight books and has several other articles in press. Dr. Schubert received his B.A. rcum laude) from U/B in 1955. In 1969 he received his Ph.D. in psychology from the University of Chicago. He interned at Meyer Memorial Hospital and took his residency in psychiatry at Yale, 1969-72. In 1969 Dr. Schubert married Nancy S. Lapham. The couple has a son, Alexander, born in 1973. They live in Shaker Heights and are active in church and civic activities.O Dr. Schubert Dr. Schubert Family Medicine Dr. Pohl A 1976 Medical School graduate is happy with his life and the choices he has made. Dr. Melvin I. Pohl said, "I really enjoy what I do. I feel like I'm good at what I do, and getting better." He is a resident in family medicine at the Deaconess Hospital. "I have more responsibility. I spend three half-days at the Family Practice Center treating patients. The intimacy with patients is the thing I enjoy the most. Listening to my patients, examining them and then treating them is very rewarding," Dr. Pohl said. The 26-year-old physician is glad that his first year of internship is behind him. "My internship was an intense year of hard work, fatigue, frustration and fear. I worked 10 hours a day, five days a week. Every third night I worked all night and the following day." Dr. Pohl's hobbies include travel, swimming, reading and playing the piano. Both professionally and personally, he is relaxed, confident and interested in people.O SUMMER, 1979 17 �Human Values Medical Ethics A student faculty panel suggested that dehumanization is caused in part by the 'tons' of material , some of it irrelevant, that medical students are required to memorize. "In my case," said second year medical student, Gus Geraci, "dehumanization started when I applied to medical school. "I was reduced to a set of statistics even before my interview. I was asked why I got a 'B' in organic chemistry. After my rejection letter I wondered who I was and where I was going. Then 10 days before orientation I was accepted. Once classes start you don't have time for friends and you are not sensitive to people around you. During our first two years we are rewarded for grades, memorizing, and spewing it back on an examination. "There is not enough reward for being a human being." Mr. Geraci participated on a panel discussion - "Does Medical Education Dehumanize the Physician?" - along with a fourth year student, Paul Paroski, and faculty members, Drs. Norman Solkoff, professor of psychology, and John Wright, professor and chairman of pathology. Paul Paroski noted that the transition between the basic science years and clinical years was difficult and dehumanizing. "I felt like I was back in high school. I thought I was losing myself. No one defined our purpose as third year students. I had no free time. All I wanted to do after leaving the hospital was go home and eat and sleep. Maybe we all have to go through this to be a good physician." Dr. Wright suggested that the current attitude of patients and consumers towards the medical profession indicates that something is wrong. He asked several questions: - is medicine an academic pursuit or a trade? are we just learning for learning's sake or to apply knowledge in a practical sense? - is there something in the training of a physician that makes him less human? - is self sacrifice a necessary part of the profession? - is dehumanization a pre-requisite for becoming a good physician? "Self education is the most important part of your medical education," Dr. Wright said. "You must learn to teach yourself after graduation, because 10 years from now many of the things you have learned will be outdated." Dr Wright went on to say that students expect to be introduced to life when they enter medical school, but instead they are introduced to death, especially in anatomy classes. "The sudden transition from lay person to physician during your freshman orientation may be dehumanizing," Dr. Wright said. Dr. Solkoff suggested that perhaps curriculum demands are so great that students are overwhelmed, preoccupied and less sympathetic. He cited a survey he had taken of medical and law students to show how personality characteristics related to academic success. "The results suggested that although there was no basic personality pattern distinction to the medical students, they did obtain significantly more deviant scores on the 18 THE BUFFALO PHYSICIAN �masculinity-femininity scale than the general college population. Freshman law students expressed significantly more cynical attitudes than did medical students. However, by the time the two groups became seniors, this difference disappeared due to the significant increase in cynicism scores of the medical student, and the significant decrease in the law students' scores on this variable." At the outset of the seminar the participants admitted that they probably would ask more questions than they would answer. And they did. It is a very complex subject that can't be adequately dealt within one hour. But it gave stucJ.ents and faculty an opportunity to discuss the problem freely. In conclusion Dr. Solkoff said, "we should perhaps strive for a better balance between humanization and technical know how for physicians."D The rights of a newborn should and must be protected as diligently by physicians as the rights of older patients, according to Dr. Edmund A. Egan II. "The physician and other clinicians must participate in decision making on medical care given infants especially if the judgment of the physician is in conflict with the parents of the child." The case discussed at the seminar on human values and ethics featured a newborn baby born with Down ' s Syndrom (mongolism). The infant also had duodenal atrisia. The baby would probably starve to death in about three weeks unless immediate surgery was performed. With surgery, Dr. Egan noted, the infant could live well into adulthood although permanently dependent upon family and society. In such a case the physician should be an active advocate for the infant's rights, seeking to convince the parents to opt for surgery rather than taking a passive course. The associate professor of pediatrics and chief of neonatology at Children's Hospital, told the students that the physician has four alternatives if his option differs from that of the parents. He can withdraw from the case; seek a court order to perform surgery; abide by the parents' decision; or continue to care for the infant without surgery. When faced with such a situation, the physician must consider whether the proposed treatment will benefit the infant, not whether it will benefit his parents or society. The physician-educator noted that the treatment must have a minimum goal of achieving a conscious and pain-free life for the infant. If treatment if instituted or continued without minimum goals, it can be considered torture. Dr. Egan urged the future physicians to be more aware of their advocate role for the newborn when they are caring for them. "Don't have your decisions colored by emotional factors." In conclusion Dr. Egan said, "in your careers you will be faced with this or a similar case which poses an ethical dilemma. Think it through before it arises." d- SUMMER, 1979 19 Newborn Rights �Abortion "Having an abortion is a difficult decision for most women," according to a philosopher, two social workers and a physician. This panel spoke about the social, economic and emotional problems of abortion at the final medical ethics seminar of the academic year, sponsored by the Human Values and Medical Ethics Education Committee of the Medical School. Dr. Richard Hull, associate professor of philosphy, posed three important questions: (1) is the fetus a person with a serious right of life? (2) if the fetus is a person with a right to life - does the mother's views take precedence over the fetus' right? (3) should the right of the mother always be respected? "There has always been a conflict of interest between the mother and the fetus' right to life." The traditional view of when life begins as well as the recent Supreme Court Decision that said "the fetus becomes a person when it is capable of life independent of the mother," was discussed as well as voluntary and involuntary pregnancies and what to do when the life and health of the mother is at stake during a pregnancy. The pros and cons of abortion were not discussed during this 90 minute session. The history of abortion was reviewed by Natalie Evans, director of the E.J. Meyer Memorial Hospital's social services. "Women had more rights on abortion in the 1800s than since 1950. Even the Greeks and Romans had abortions. Our state legislatures became interested 10 years ago and five years ago we had the Supreme Court decision. Today the debate continues." Angela Lawrence, a Meyer Hospital social worker, noted that women's lib coupled with sexual liberation caused teen-age pregnancies to boom. "One out of 10 pregnancies in New York State are teen agers, and two out of four Erie County teen agers terminate their pregnancy. We make it clear to the young females that they have the right to decide whether to have the baby or have an abortion." Dr. Theodore Schulman, clinical assistant professor of gyn/ob, noted that 47 per cent of the abortions in the United States are 18 and 19 year olds. "This is the most difficult group to deal with because of the social situation. It is very emotional for these young women.'' The physician told the medical students and faculty that abortion is a poor solution to the problem. "The prevention of pregnancy should be our first goal. Young women exposed to good sex education programs have fewer pregnancies. Both men and women should use the traditional forms of contraceptives to avoid pregnancies. There are lots of problems with birth control pills." Dr. Schulman went on to say that 30 to 40 percent of all pregnancies in the United States are being aborted. "A decision on abortion is very difficult for all women and fathers. A value judgment is necessary."D 20 THE BUFFALO PHYSICIAN �The Aging Clock The human body may be programmed to self-destruct with aging, according to a California scientist. Dr. Takashi Makinodan, addressing the sixth International Convocation on Immunology, said "the immune system which protects the body from foreign substances, falters with age. As a result diseases in which the agents of the immune system turn on the body may occur as part of aging. The target can be any tissue in the body - blood vessels, the heart or the brain." The professor of medicine at UCLA said, "one hallmark of aging is loss of homeostasis. In all animals ranging from mice to man we see certain normal immune reactions decline with age. We know the decline is related to changes in the environment of the cells in the immune system and changes in the cells themselves. Associated with loss of our ability to respond to foreign agents seems to be a loss of ability to maintain self-tolerance. The rate of breakdown varies among individuals and may be accelerated by factors such as viral infections." The director of geriatric research at Veterans Administration's Wadsworth Hospital Center in Los Angeles has done research in which certain cells from young mice are frozen and later injected into them as they age to bolster their immune system. He said a means to control the immune system with aging might minimize diseases seen among the elderly. "We think the aging clock of the immune system is the thymus. One way to counteract aging of the immune system may lie in increasing the activity of certain cells as an individual gets older," Dr. Makinodan concluded. More than 60 scientists from 11 countries, including specialists in diseases such as rheumatoid arthritis and various hypersensitivity reactions spoke during the four-day meeting. Some of the other speakers were Dr. K. Ishizaka, who discovered the antibody class responsible for hypersensitivity reactions such as hay fever; Dr. Peter A. Miescher, who discovered systemic lupus erythematous as an immunological disease; and Drs. Nathan J. Zvaifler and John H. Vaughan who are experts in rheumatoid arthritis. Among other scientists on the Convocation program are former students of the U/B Department of Microbiology, including Drs. Georg Wick (Austria). Noel Rose (Detroit). John Klassen (Canada). and Juan Andrada (Argentina) as well as several U/B and Buffalo specialists in microbiology, medicine, pathology, and pediatrics, such as Drs. Milgrom, James Mohn, Ernst Beutner and Guiseppe Andres. A highlight of the Convocation was an Ernest Witebsky Lecture by Dr. Philip Y. Paterson, professor of microbiology-immunology at Northwestern University. The Convocations have been held in alternate years since 1968. They are sponsored by the Center for Immunology. Dr. Witebsky was the Center's first director. He died December 7, 1969.0 SUMMER, 1979 21 �Dr. Nelson Dr. Lincoln D. Nelson M'46 and his wife, Lenore, at work in one of their hospital operating rooms. When Dr. Lincoln D. Nelson, M '46, went to the Philippines 25 years ago, he was the only American missionary-physician for the entire island of Mindanao, second largest in the archipelago. He performed his first operations on the ground floor of a grass-roofed house belonging to Bethel Mission, an outpost of the Association of Baptists for World Evangelism, Inc. His wife, the former Lenore Butts of Hamburg, a graduate of the Millard Fillmore Hospital School of Nursing, assisted him. Today Dr. Nelson commutes between two 18-bed hospitals-one on the site of the original mission dispensary, the other on the island of Leyte 150 miles away-in a four-passenger Cessna 180 piloted by himself or his son, David J. He has a staff of more than 60, including four Filipino general practitioners, an American pediatrician, seven nurses, lab technicians and trained attendants. One of the technicians, Ella Grover, completed her training at Millard Fillmore Hospital in 1957, and is currently helping set up a new lab and office for a third hospital of the mission on the main island of Palawan. The two existing hospitals see over 1500 outpatients monthly and admit 150-169 inpatients. In 1974, in recognition of his accomplishments, the Philippine College of Surgeons accepted Dr. Nelson as a fellow. In May, 1978, Dr. Nelson was the first non-Filipino physician to receive the Humanitarian Award of the Manila Medical Society. Dr. Nelson's sights were set on the missionary field when he graduated from the School of Medicine. But first there was an internship to do-at Hackensack Hospital, Hackensack, N.J.-and then service with the Navy. When the Navy sent him to the Philippines in 1949, Lenore, whom he had married while he was still in medical school, went with him. The first of their five children, Linda, was born during their tour of duty. Lenore, like her husband, had always wanted to be a missionary. She had attended the Baptist Bible Seminary in Johnson City, N.Y., before studying nursing. In the Philippines the young couple spent their free time visiting the missions maintained by the Association of Baptists for World Evangelism and determining where their services were most needed. Back in the United States, Dr. Nelson was discharged from the Navy in 1951. Six months later the Nelsons and their family-a second child, David, had been born in the States-returned to the Philippines. Although medical care is improving, life expectancy in the islands is 20 years less than it is in the United States. Infant mortality is high. In the provinces, most babies are still delivered in their homes by midwives, but increasingly the problem cases are referred to the two small hospitals. Dr. Nelson and the Filipino general practitioners see relatively few of the so-called diseases of civilization-ulcer, high blood pressure, cancer and heart disease. They treat, instead, patients with tuberculosis, malaria, "snail fever," which farmers acquire working in the rice fields, dysentery and vitamin deficiencies. 22 THE BUFFALO PHYSICIAN �Dr. Nelson estimates that 30% of his surgery is for obstetrics and gynecology, 10% for goiter (the hospitals lie in a "goiter belt.") Cleft lip and choriocarcinoma are also common. The UB graduate is concerned about more than the bodies of his patients. On weekends he and Mrs. Nelson often travel to one of the 100 churches of the Baptist fellowship in their province. He preaches and counsels Filipino pastors. She sings or helps with Sunday School. Dr. Nelson believes that "a personal commitment to Christ gives purpose to life and the peace of heart so urgently needed in today' s world." Linda, their first daughter, is now Mrs. Steve Conklin of Santa Barbara, Calif. David, the missionary pilot, has a wife, Rebecca, and two children. Sanda lives in Denver with her husband, Larry Blanchard, a student in the Conservative Baptist Theological Seminary. Michael, a graduate of Cedarville College, Ohio, also hopes to attend a seminary. The youngest, Shirley, was graduated this year from Faith Academy in Manila and will study nursing at Porter Memorial Hospital, Denver. Every fifth year the family is home on furlough. They talk at churches to enlist support for their work and Dr. Nelson takes refresher courses to keep up with advances in medical practice. During his first furlough, in 1956-57, he worked in the Pathology Department at Meyer Memorial Hospital and took back a microtome so that he could prepare his own tissue slides. On his current furlough he is doing emergency room work in a hospital in Santa Barbara, California.D Sisters of Charity Hospital will extend its medical arm out to the Village of Alden by establishing a Primary Care Center in that community this summer. The proposed 3,000 sq. ft. center will provide the services of at least two hospital employed family physicians assisted by a medical resident with specialists available by appointment according to Sister Mary Charles, hospital president. The plan calls for Sisters Hospital to act as a mothership for the center. Electrocardiograms and routine X-ray procedures will be performed at the center and interpreted by specialists at Sisters Hospital. Laboratory specimens will also be sent into the Buffalo hospital daily, with results sent back out to Alden the next day. Alden fire companies will work along with Sisters own ambulance service in providing emergency transportation to the center, and if need be on to Sisters Hospital. The hospital also plans social service, geriatric counseling and health education programs for the Alden area. The center will be open 60 hours per week with physicians available by phone during closed hours. The primary care center will be the first of its kind in Western New York and should provide a good example on how urban hospitals can better lend their services to the underserved rural communities which surround our cities. The hospital will invest approximately $200,000 to get the facility operational.D SUMMER, 1979 23 Dr. Lincoln D. Nelson, his wife, Lenore, and their youngest daughter, Shirley, at home in the Philippines. Primary Care Center �Mr. Robert Wicks, clinical instructor of medical technology, analyzes nuclear medicine data on the computer. in Nuclear Medicine. Radiopharmacy Center The Radiopharmacy Center is unique. Dr. Monte Blau said, "it is a model in the state and nation because virtually all of the nuclear medicine done in Buffalo Hospitals is with material prepared in the Center. Compoun- Mr. Wilbur Quoin, research assistant professor of nuclear medicine, teaching health physics to the undergraduates in the Nuclear Medicine Technology program. Mr. Sonde/ and Ms. Bukoskey "milking" the Iorge isotope generator in the Rodiophormocy Center. Dr. Samuel Sostre, Director of Nuclear Medicine at The Buffalo General Hospital, and assistant professor of nuclear medicine, examines a liver-spleen study. 24 THE BUFFALO PHYSICIAN �ding of the drug, calibration of the radioactivity and quality control are done centrally instead of at each hospital. The drugs are prepared in the early morning hours and delivered to each hospital." As chairman of the Joint Radioisotope Committee, Dr. Blau is responsible for the license that the medical school holds for the use of radioactive materials. The license delegates wide authority for the experimental and clinical use of radioactive materials. The professor and chairman of the nuclear medicine department at the Medical School said, "the broad license makes it possible for the center to provide health physics services to the local hospitals. This covers all clinical and research activities of hospitals using isotopes. Development of new drugs is also done at the Center." The educational activities of the Center includes teaching fourth year medical students, residents and graduate students in chemistry, biophysics, natural sciences and undergraduates in the pharmacy school. There is also a quarterly technologist workshop at Roswell Park Memorial Institute and a once a month continuing education program at the Erie County Medical Center for physicians. A new Bachelor of Science Degree program in nuclear medicine technology is offered jointly by the Schools of Medicine and Health Related Professions. Dr. Jehuda Steinbach, clinical assistant professor of nuclear medicine and chief of the VA Hospital's Nuclear Medicine Service, is the program director. This new program is designed to fill the present gap in manpower training for nuclear medicine by providing academic as Filling vials with Radiopharmaceuticals for delivery to area hospitals. well as clinical educational experiences in formal program of study. "The activities of the Radiopharmacy Center are the heart of many of the educational and service activities of the nuclear medicine department," Dr. Blau said.D Drs. Hank Kung, research instructor in nuclear medicine, (foreground) and Robert E. Ackerhalt, clinical assistant professor of nuclear medicine and radiology, conduct research on new radiopharmaceuticals. Ms. Judith Dudkiewicz, cJinicat.,.iQstructor of medical technology, and Mr. A. Lyles prepare radiopharmaceuticals for administration to clinic patient. 1 SUMMER, 1979 25 �POET PHYSICIANS By Oliver P. Jones, Ph.D., M.D. Distinguished Professor Emeritus Dr. Jones gave this talk at the Roswell Park Memorial Club Institute Medical November 15, 1977. In the late 1940's, the Library Committee of the Medical School consisted of E.A. Sharp, M.D., '98, Julius Richter, M.D., '04 and O.P. Jones, Ph.D., as chairman. One of its functions was to approve requests for new acquisitions or to recommend them. The advantage of being chairman-there were no chairpersons at that time-was to preview the new books before they were catalogued and shelved. Hence, it came about that I ordered Mary Lou McDonough's "Poet Physicians." This was a fortuitous selection-at least for me-because portions of this book were used as source material in 1950 for a talk before The Elizabeth Blackwell Society. This society was a successor to the Women's Medical Club formed at the University of Buffalo before the turn of the century. Her book also focused my attention on Frederick Peterson, M.D. (U.B., 1879) who was subsequently described as a poet, pathologist, psychiatrist and humanitarian in an article in the Buffalo Physician derived from a presentation before the Roswell Park Medical Club in February of 1970. There are 412 names listed in the Cumulative Index of Poet Physicians. Of these, McDonough selected 110 for her anthology. Physicians did not always write classical poetry. The quality of their poems varied from lyrical heights down to the depths of mundane doggerel. It is a wonder that they wrote at all for so much of it was composed in the quiet of a sickroom or in the lonely house after midnight when they found a few brief hours alone.McDonough said, "Through all these records there runs a thread of lyric poetry about everything from birth to death, and one learns quickly that these men and women know whereof they speak." McDonough's book has an impressive list of physicians who wrote poetry including: Hippocrates, Lucretius, Keats, Rabelais, Goldsmith, Holmes and Zinsser. Of those who contributed truly classical poetry we have, Sir Arthur Conan Doyle, Havelock Ellis, Edward Jenner, Walter Pope, Frederick Peterson and William Carlos Williams. Since that time, Murray Verso has attracted my attention to some others, namely, Schiller, Erasmus Darwin-grandfather of Charles-and Sir Samuel Garth, who like Peterson had been a poet before commencing his medical studies. Now, let me return to Frederick Peterson who graduated from the University of Buffalo in 1879, but received his diploma a year later after he was of legal age. This has all been detailed in the Buffalo Physician but for those who may not have read that issue, suffice it to say that a school teacher in Sioux City, Iowa recognized his literary ability and constantly encouraged him. His verses appeared in a local newspaper under the pseudonyms of Pier of Redstone. (This presumably refers to Pieria, one of the early sites of worship for the Muses in Macedonia.) Peterson retained his early interest in poetry which grew with intensity throughout his entire professional life. In 1882 he wrote the lyrics for The Sweetest Flower That Blows which was set to music by James H. Rogers in 1886. This became famous and was sung for many years by prima donnas all over the world. In 1916 he published a book on "Chinese Lyrics" which was just the way his study of Chinese art impressed his mind. This time he used the pseudonym of Pai Tashun (Chinese for Son of Peter). The following poems are examples of his works: 26 THE BUFFALO PHYSICIAN �William Carlos Williams is also of particular interest to us because he was one of the twelve recipients of the honorary degree of Doctor of Laws awarded by the University of Buffalo on the occasion of its centennial celebration in 1946. He has been termed a poetanesthetist, a physician who probes with words in the same way that he finds with a needle the exact spot at which to apply a sedative or a stimulant. His poem "Le Medecin Malgre Lui" which translated means the physician in spite of himself, is perhaps appropriate at this time. Sometime during the summer of 1976 at Lake Chautauqua, I docked my cruiser at Dr. and Mrs. Gordon Culver's place. Conversation covered a wide range of topics until the name of their granddaughter was mentioned - Caitlin. This was only the second time I had encountered this given name-the other being Dylan Thomas' wife, Caitlin Macnamara. This led to a discussion of Thomas' life and works-especially the film scenario "The Doctor and the Devils." The plot for this was woven around the character of Dr. Robert Knox, the anatomist of the early nineteenth century in Edinburgh, who was supplied bodies by two Irish laborers-Burke and Hare. This prompted Dr. Culver ('37) to lend me a book by Warren entitled The Doctor's Window. Unfortunately some previous owner had removed-or ripped off as we now say-the Frontispiece, "A Cure for the Gout" by Sadler, the title paper and the fourth illustration entitled "The Doctor" by Fildes. Fortunately the Preface was intact and signed "I.R.W., Buffalo, N.Y., September 3rd, 1897." After much delay-caused by the mutilation of an otherwise good book-I finally searched for I.R. Warren in the obituary index of the library of The Buffalo and Erie County Historical Society Museum. Excerpts from the Buffalo Evening News, 18 April 1951, are as follows: Miss Ina Russelle Warren, the famed "Lucy Lincoln" whose columns in the B.E.N. have been a household institution to millions of Western New York women for 39 years, is dead. The 73-year old columnist died in Columbus Hospital at 9:30 o'clock this morning (April18, 1951), 14 hours after she was struck by a taxi in Washington St., near Clinton. Born in London, Eng., 3 Sept. 1877, Miss Warren was the daughter of the late Margaret Davies Warren and William Fenner Warren, an organist. After an education, mostly in private schools in England, she came to America with her parents. They settled first in Ottawa, Ont., then moved to Buffalo. Miss Warren came by her literary talents naturally. An uncle, Samuel Warren, Queen's Counsel, doctor of civil letters and fellow of The Royal Society, was an author, an attorney and Sheriff of London. He was the author of "Passages from the Diary of a Late Physician." Miss Warren launched her literary career at the age of 16. She was particularly interested in verse on homey subjects ... over a 13 year period (1898-1911), she turned out six anthologies. The Doctor's Window was published in 1898. Information about the title page was obtained at The Buffalo and Erie County Public Library. The publisher was Charles Wells Moulton, Buffalo, 1898. SUMMER, 1979 27 THE IDIOT Through his misshapen soul and brain No thought has passed and left its trace, And all that brings man joy and pain, Finds in his heart no dwelling place; His life is the world's stain. The horrid vacant visage !ears And shows its heritage of woe, Its scars-the sins of ancient years. Could any love or hate it?-No! Pity may give her tears. HEREDITY I met upon the woodland ways At morn a lady fair; Adown her slender shoulder strays Her raven hair; And none who looks into her eyes Can fail to feel and know That in this conscious clay there lies Some soul aglow. But I, who meet her oft about The woods in morning song, I see behind her far stretch out A ghostly throngA priest, a prince, a lord, a maid, Faces of grief and sin, A high-born lady and a jade, A harlequinTwo Jines of ghosts in masquerade, Who push her where they will As if it were the wind that swayed A daffodil. She sings, she weeps, she smiles, she sighs Looks cruel, sweet or base; The features of her fathers rise And haunt her face. As if it were the wind that swayed Some stately daffodil, Upon her face they masquerade And work their will. �Le Medecin Malgre Lui Oh I suppose I should wash the walls of my office polish the rust from my instruments and keep them definitely in order build shelves in the laboratory empty out the old stains clean the bottles and refill them, buy another lens, put my journals on edge instead of letting them lie flat in heaps-then begin ten years back and gradually read them to date cataloging important articles for ready reference. I suppose I should read the new books. If to this I added a bill at the tailor's and at the cleaner's grow a decent beard and cultivated a look of importanceWho can tell? I might be a credit to my lady Happiness and never think anything but a white thought! In her anthology, Miss Warren had 115 entries of whom 30 were medical doctors. Of these Holmes is represented twice while Jenner and Peterson were each allowed one poem. Miss Warren said, "The volume is compiled especially for the Doctor, with the hope that he may find it a restful diversion from an arduous practice." In her notes she had this to say about Garth and Chaucer: Garth. "The Dispensary" is a burlesque poem in six cantos, written in defense of an edict passed by the College of Physicians, July, 1687, which required medical men to give gratuitious advice to the poor. The poem was published in 1696. Chaucer. "A Fourteenth Century Doctor" is from "The Canterbury Tales," and is the oldest poetic description of a physician in modern English literature. Finally, one never knows when, where or by whom a medical student may be inspired to versification. On 29 February 1940, the osteology assignment was in my gross anatomy course-as I recall-the temporal bone. Before the usual Saturday morning recitation, Nathan P. Segal, M.D., '43 asked to be excused for lack of preparation. However he did submit the following poem indicating that he had at least thought about the assignment. Ode To a Bone I sat and studied a human bone And just as soon my thoughts did roam No clothes are the ultimate of the nudist trend Yet barer still reposed my osseous friend. 'Tis utterly certain his favor you wouldn't keep If you assented that beauty was only skin deep Oh woe is me, I may have been guilty of a slur For I suddenly bethink me, the him might be a her. But male or female at this present date It remains but a skeleton of its former state The references are arranged in the order quoted or paraphrased material first appeared in the article. 1. Mary Lou McDonough, Poet Physicians, Springfield, Thomas, 1944 2. Jones, O.P. Dr. Frederick Peterson-Alumnus, Poet, Pathologist, Psychiatrist, Humanitarian. Buffalo Physician 4: No. 4, 38-53, 1970. 3. Verso, M.L. The literary doctor, Victorian Hist. J. 47: 7-22, 1976. 4. Obituary. Ina Russelle Warren. Buffalo Evening News, 18 April 1951, p. 55, c. 4-5. 5. Ina Russelle Warren, The Doctor's Window, Buffalo, Moulton, 1898. So now I knight you Sir neuter gender And pray I never meet you when off on a bender. 'Tis easy to philosophize on your past life Your moments of grandeur, your moments of strife To choose from the infinity of pattern prevailing The one most suitable to our subjective bewailing. But I choose to think of you my anemic friend As one who went out laughing at the end Certain of the hours you added of weary strife To the already over burdened young med-student's life. As to whether or not this will ever find its way into someone's anthology-only time will tell.D 28 THE BUFFALO PHYSICIAN �A 1971 Medical School graduate has prepared a "protocol" for use by hospital personnel to help alert them to possible child abuse cases. Dr. Dennis Nadler said the written guidelines for detecting and reporting suspected abuse cases are important because, "unless you are attuned to it, a lot of it gets by." The acting chief of pediatrics at the Erie County Medical Center noted that up to 100 suspected abuse cases a year are spotted and reported by hospital personnel, but some slip by, usually because the doctor handling the case treats it without stopping to think the injury might have been the result of abuse. If a parent brings a child in for treatment who he or she has abused the parent is not likely to admit the abuse, according to Dr. Nadler, assistant professor of pediatrics at the Medical School. "Also these parents are prone to giving fake names, addresses or phone numbers. They even use stolen health insurance cards, in an effort to hide their identity and thwart any investigation. Habitual child abusers tend to skip from one hospital to another to avoid being recognized by the staff in any one emergency room." At ECMC, all suspected abuse cases are reported by hospital personnel on a standard reporting form, which is forwarded to the head of ECMC's social services office. This office alerts state and county officials and the pediatrics chief.D ~yocardial Infarction The pathway back from a myocardial infarction is slow. It requires understanding and patience, according to Dr. Allen Goldfarb, director of the Coronary Care Unit at Millard Fillmore Hospital. He noted that today the road back is safer and easier than a decade ago. "Education of the patient is the key to the hospital's program. We want to prevent a second attack and prepare the patient for discharge," the clinical associate professor of medicine said. Dr. Goldfarb is a 1951 Medical School graduate. The patient receives several pieces of literature that cover diet, medication and activity. The patient is taught some basic, simple anatomy and physiology, especially as it relates to the heart and its functioning. Many aspects of the program have been done before by several hospital departments, including nursing and physical therapy. "Now it is centralized and coordinated and small group therapy is used for the first time," Dr. Goldfarb said. "A well educated patient is much less likely to have a second coronary," Dr. Goldfarb said. He praised the dedicated staff who plan the materials and do the teaching.D SUMMER, 1979 29 Dr. Nadler �Dr. Argue, Lewis Smith and Don Flagler with a replica of a 1901 Olds. Antique Cars Dr. John Argue is an antique car buff. The 1935 Medical School graduate not only restores old cars, but he drives them. His summer car is a restored 1957 white two-door Lincoln Continental, Mark II and during the winter he prefers his 1972 Saab, which is fiberglass and rust-resistant. Mrs. Argue drives a 1969 Lincoln Continental, but changes to a 1966 Ford Station Wagon in the winter. She is interested in her husband's hobby and often drives with him to antique auto shows. Dr. Argue started his collection in 1950 when he purchased and restored a 1934 Packard Series 1100, rumble seat convertible. He has 26 cars (11 are at various stages of restoration). Dr. Argue has two good friends, one a body repair man, the other a mechanic. They work on his cars during their off-duty hours. All of the cars are in running condition and are frequently driven to antique car meets as far as Michigan, Indiana and Maryland. "We have no crash program. The men work a few hours a week or a month, and sometimes it is 10 years before an automobile is completely restored. The minimal cost of restoring a car is about $7,000," Dr. Argue said. 30 THE BUFFALO PHYSICIAN �.. ,.. • One of his favorite cars is a 1935 Pierce Arrow, model 836-A (8-cylinder, four-door sedan) with 45,800 miles. It is a four-time national champ and winner of a junior and senior prize from the Antique Automobile Club of America and the same from the National Pierce Arrow Society. Another favorite is a 1935 Rolls Royce, Phantom II with a Hooper Limousine body. It is a 6cylinder, right hand drive with only 15,000 miles. Dr. Argue has had this car 15 years. A 1946 7-passenger Chrysler black Crown Imperial is another favorite. Dr. Argue found this car in Florida in good shape with only 35,000 miles. In his 27 years of buying and restoring cars, Dr. Argue has had to order a crank shaft from England and leather upholstery from Scotland. "This took some doing and it was months before we received our order," Dr. Argue said. One of his favorite stories is about a 1928 Reo that he purchased in 1953. "It came in 10 bushel baskets. It took 8 years to restore this car." Recently Dr. Argue bought another Reo to finish the restoration. Dr. Argue has donated two of his oldest cars- a 1904 Covert and a 1907 Metz - to the Wilson Historical Society. A new historical society building is under consideration to house the antique cars and other memorabilia. After completing his internship and residency at the E.J. Meyer Memorial Hospital in 1937 Dr. Argue started his general practice in Wilson, New York. He has been on the staff of Millard Fillmore and Mt. St. Mary's, Niagara Falls Memorial and Lockport Memorial Hospitals. Currently he is on the staff of Mt. View Hospital, Lockport, where he has been chief of staff, and Inter-Community Memorial Hospital, Newfane. Dr. Argue was a flight surgeon (Captain) in the United States Air Force during World War II. He is a past president of the Niagara County Medical Society and the Gross Medical Society. He is a Charter Member and Diplomate of the American Board of Family Practice.D A 1928 Reo Convertible coupe with rumble seat . Clockwise from right- 1935 Phantom II, Rolls Royce, limousine body by Hooper; 1946 Chrysler seven passenger sedan; Ast?nMartin model DB-5- this model was used in the James Bond movies; Dr. Argue examines his 1935 Pierce Arrow model 836-a , flve passenger, four-door sedan. �Dr. Weiser Dr. Weiser A new serum marker for cancer as well as a new therapeutic factor in man has been identified, according to Dr. Milton M. Weiser who heads the Gastrointestinal Unit at the Erie County Medical Center. He is also professor of medicine and director of the gastrointestinal/nutrition division. The marker, an enzyme, is revealed by a simple procedure, he said. This procedure takes a day and a half to separate the abnormal from the normal enzyme in a patient's serum. In studies on patients, almost 70 percent of those with cancers of the breast, colon, pancreas or lung were found to be positive for this enzyme, he said. And in studies on the largest group -117 with carcinoma of the colon- 85 were found to be positive for the enzyme. "We actually picked up the enzyme in eight out of nine patients with cancer of the colon so small it had not yet penetrated the intestinal wall," he said. He noted that further simplification of the test may well lead to a screening test for cancer. "While there will never be an absolutely certain test for cancer, our procedure was positive in only one non-malignant disease, that of celiac disease which mimics cancer in its symptoms and in some tissue characteristics," he said. Dr. Weiser is now trying to develop a radioimmunoassay to screen much larger numbers of patients. He noted some new findings to be unplanned. "They are accidentally discovered," he said. In some patients with large, extensive cancers, the enzyme was not detected. "What we did find was a different factor in their serum that inhibited the enzyme." This factor, of small molecular weight, has been purified and, on early studies, was found to kill cancer cells while leaving normal ones alone. Still struggling to establish an operational GI laboratory at the new hospital, he hopes to begin clinical studies here as well as at the Buffalo General Hospital and Roswell Park Memorial Institute. "We have been planning these studies for some time," he said. Dr. Weiser, who came to Buffalo in July, previously headed studies on specific GI problems at the Massachusetts General Hospital in Boston and was associate professor of medicine at the Harvard Medical School. Initial enzyme tests and the discovery of the new, possibly therapeutic factor, were developed by Dr. Weiser and former student Dr. Daniel K. Podolsky in the laboratory headed by Dr. K.J. Isselbacher at Massachusetts General Hospital. A graduate of the University of Michigan Medical School of Medicine, Dr. Weiser completed postgraduate training in Internal Medicine and Gastroenterology in Ann Arbor. Following that, he was an NIH Special Fellow in molecular biology at Albert Einstein where he worked on bacterial cell wall synthesis and studied an enzyme similar to that of his current studies. High on his list of priorities for Buffalo is the establishment of a strong academic program in gastroenterology and nutrition with emphasis on the nutritional aspects of disease backed by a strong scientific base. In addition to his work on cancer he is looking closely at the role of vitamin D and calcium absorption in intestinal diseases as well as pinpointing the immunopathology of 32 THE BUFFALO PHYSICIAN �Crohn's disease and ulcerative colitis. He finds Buffalo an exciting place to work. He points to the excellent work under way on liver disease at the Buffalo General Hospital by Drs. James Nolan and Alan Leibowitz and the newer work of Veteran Hospital's Edward Penner and Jan Nowak. He hopes to attract new faculty to work on the immunology of inflammatory bowl disease as well as the nutritional aspects that come with aging. And there is the support by Drs. John Siegel, Edward Henderson, William Carter, Ralph Bernacki, Monica Spaulding and Morris Reichlin. "All have been very encouraging," he said. He looks forward to developing optimal collaborative programs. "There is much expertise available in Buffalo in immunology and oncology. That is what attracted me to this area," he said.D Dr. Roy J. Thurn, M'52, has written an article, The Gin Plague, published in Minnesota Medicine, April 1978. This plague from 1720 to 1750 in London and other British cities is an example of unprecedented mass alcoholism. It gave rise to increased crime and mortality and decreased birth rate. Its evil was brought to the attention of the public and Parliament by a writer, Henry Fielding and an artist, William Hogarth. The plague was controlled by taxes. Dr. Thurn said, "It is not the purpose of this article to make conclusions, but to present an interesting facet of history, the significance of which is enhanced by our present extensive problem with alcoholism. There are a few thoughts and questions engendered, however. One thought is that the gin plague was ameliorated by making gin too expensive for widespread consumption by means of taxes. Taxes are generally regarded as odious, but what would happen in our society if liquor was cheap? The federal tax on a gallon of distilled spirits is $2.10, in Minnesota the state tax is $4.39 a gallon. This accounts for one-third of the price. It might be asked, should the taxes be higher still? Another aspect to consider is that the gin plague is an example of a societal disease that came upon a susceptible population. Did the availability of street drugs come upon a susceptible young population in the sixties in the same way? Finally, did the gin plague in England in the mid-seventeenth century affect the outcome of the American Revolution? The generation of English soldiers for that war had its origin during the period of the gin plague." Dr. Thurn is an assistant clinical professor in family practice at the University of Minnesota Medical School. He is also associate director, Smiley's Patient Clinic at the Medical School. He is active in several state, regional and national professional associations.D SUMMER, 1979 33 The Gin Plague �Dr. Evelyn Cunonon, clinical instructor in pediatrics, and Mrs. Virginia McMurtry, school nurse practitioner, at school 61. At the College Learning Lob Mrs. Donna Radecki, school nurse practitioner, and Dr. Barbaro Steinbach, pediatrician, examine a patient. School Nurse Practitioner Dr. Dorothea Downey, M'69, clinical instructor in pediatrics, and Mrs. Alva Morticelli, school nurse practitioner, at school 66. The nurses in this new program are receiving clinical experience in several Buffalo Public Schools. Miss Mary Norma O'Hara, R.N., associate professor of nursing is codirector of the program along with Dr. Henry Staub, associate professor of pediatrics. The 9-month School Nurse Practitioner Program, funded by HEW's division of nursing, prepares nurses to evaluate and manage the physical and psychosocial health status of school-age children and adolescents in collaboration with physicians and other health professionals.D At the Waterfront School Mrs. SoJJy Florence, school nurse practitioner, and Dr. John Menchini, M'67, clinical assistant professor, visit with a patient. �Dr. Linda Kam, M'72, clinical instructor in pediatrics, and Mrs. Helen Esford, school nurse practitioner, examine a patient at school 45. Dr. Staub, Mrs. Donna Radecki, school nurse practitioner, and Ben Tarantino, fourth year medical student, at school 42. Cellular Engineering Man has in his genes the ability to live 95 or 100 years, according to Dr. Robert A. Good, internationally known immunologist. "But most of us are robbed of this by what I call diseases of aging. These include diseases of the vascular system, kidney, central nervous system and cancer." The president and director of Sloan-Kettering Institute for Cancer Research noted that 'cellular engineering' holds the potential to allow man to avoid the diseases of aging and die instead from "the beautiful death of old age." Dr. Good, who said his wife actually coined the term 'cellular engineering,' said the discipline is distinctly different from genetic engineering, "which is an emotion laden topic." The scientist said, "cellular engineering is here right now. We are able to treat 16 diseases from the very rare severe combined immunodeficiency disease to the more common aplastic anemia." He explained cellular engineering does not involve tampering with man's genetic makeup, but is "what we have known as approved medical practice involving work with drugs, surgery and manipulation of cells. But the goal may never be accomplished because it is linked to limiting food intake. Ironically, man has always sought food as protection against early death." Dr. Good's lecture was sponsored by the department of anatomical sciences at the Medical School.D SUMMER,1979 35 �Buffalo General/Deaconess Merge Dr. Casagrande Dr. Winie cki The newly-combined medical staff of The Buffalo General Hospital and the Deaconess Hospital has elected Dr. Peter A. Casagrande, M'43, clinical assistant professor of orthopedics, as its first president and named Dr. Joseph J. Winiecki as presidentelect, to take office as president in January, 1980. The hospitals merged January 3, 1979. Dr. Casagrande, an orthopedic surgeon, had been elected last fall as president of the medical staff at Buffalo General. Dr. Winiecki, who specializes in internal medicine, had been serving as vice president of the Deaconess medical staff and was due to become president of the Deaconess staff next June. Dr. John Hodson, M'56, clinical assistant professor of urology, who had been serving as president of the Deaconess staff, joined Dr. George A. Cohn, clinical professor of neurosurgery, immediate past president of the BGH staff, in being designated as an immediate past president of the combined staff. Other officers of the combined staff are Dr. Irwin Friedman,clinical associate professor of medicine, vice president; Dr. John Cudmore, M'62, clinical associate professor of surgery, secretary; and Dr. John J. McMahon, M'59, clinical associate in medicine, treasurer. Dr. Friedman, who had been president-elect at BGH, will become president of the combined staff in 1981. Dr. Oguz K. Sarac, clinical instructor in surgery, who had been secretary of the Deaconess staff, will become president of the new staff in 1982. Dr. James R. Kanski, M'60, clinical associate professor of medicine, who had been serving as vice president of the BGH staff, will become president in 1983. The combined medical staff includes about 780 members. The staff merger was accomplished under principles of consolidation and a single set of bylaws as previously prepared by an InterHospital Staff Executive Committee and approved by both staffs. The combined medical staff has also approved a transition plan to consolidate the organizational structure of the two former staffs, including the combining of some committees and the continuing of some separate committees for the two sites, all subject to review in one year. Current clinical department and division heads at both sites will retain their positions for up to a year. Later in 1979, the Hospital University Committee will recommend the choice of a single department head and, if appropriate , a chief of service. Neal E. Wixson, vice president for Professional Affairs at BGH, who played a major role in drafting the new bylaws and transition plans, pointed out that, "Our new combined medical staff includes every specialty and sub-specialty in the practice of medicine. The combined staff will be a cornerstone in the implementation of programs and services for a 1070-bed hospital in two locations providing a full range of services." 36 THE BUFFALO PHYSICIAN �This is the largest hospital in Western New York, according to J. Allen Berne!, president of the Deaconess Board of Directors. "At the same time, this eliminates a total of 107 beds from our former separate operations. This is a major step toward eliminating the surplus number of hospital beds in Erie County, a key factor in containing the cost of health care in our area. These 107 beds have been gradually phased out of service at both sites in anticipation of the merger and they will be closed immediately, without any adverse effect on patient care." The Buffalo General Board of Trustees Chairman, Andrew B. Craig, III, said, "merger of these two excellent hospitals is a significant event for Western New York. It strengthens our ability to serve the health care needs of our communities and the region. It presents the combined institution and its staff with an unequalled opportunity to further expand and improve the Buffalo General and Deaconess programs."D Dr. Gloria L. Roblin feels strongly the use of hypnosis in the treatment of various medical disorders is valuable, but should be limited and carefully controlled. "When every standard approach has failed, you try hypnosis." The clinical professor of psychology in the department of psychiatry instructs medical and dental students in the uses of hypnosis. "It can be particularly useful for such varied tasks as relief of chronic pain, quitting smoking, improving psychoanalysis, curbing high blood pressure and controlling nausea during pregnancy." Dr. Roblin emphasized that hypnosis should never be used for any of these conditions until after a person has been examined completely by a physician. Whatever the problem that is being attacked by hypnosis, the basic method of inducing hypnosis is the same, according to the professor. "There is no guarantee that hypnosis will stop a person from smoking. I use the suggestive powers of hypnotism in trying to persuade my subjects to give up the weed. I say it is poison to your body, and hope the subject will quit. You can't have two urges at once - the urge to smoke and the urge to protect your body." Dr. Roblin has no explanation for what hypnosis is and how it works other than a general feeling that involves talking directly to the unconscious portion of the subject's mind. "The mind is a tape recorder and it picks up whatever is around it in sound and in visual images. The best subjects for hypnosis are willing subjects. A person who absolutely does not want to be hypnotized probably will not be."D SUMMER, 1979 37 Dr. Roblin �The Clinical Years Drs. Aquilina, Calkins The clinical years will be a new learning experience. This is what 140 third year students were told at a special one-day orientation before beginning their clinical rotations in the teaching hospitals. Four senior medical students-Robin Adair, James Creighton, Frederick Eames, and Myra Rubycz-outlined some of their experiences in making the transition from basic science classes to clinical settings. Dr. Nancy Nielsen, assistant instructor in medicine and chief medical resident at the Buffalo General Hospital, led the panel. Nine faculty members spoke briefly about their respective disciplines. They were: Drs. Marcos Gellego, assistant professor of gyn/ob; Ellen S. Dickinson, clinical assistant professor of neurology; Donald Becker, clinical professor of surgery; S.K. Park, clinical associate professor of psychiatry; Marvin Herz, professor and chairman of psychiatry; James Nolan, professor of medicine; Evan Calkins, professor of medicine; Joseph T. Aquilina, M'41, clinical associate in medicine; and Erika Bruck, professor of pediatrics. Dr. Aquilina also introduced seven new third year students who completed their basic science requirements in medical schools in France, Italy and Mexico. They are: Jack L. Gabay, Jeffrey Isen, Christopher Rigsby, Andrew W. Ross, Walter R. Siemian, Edward A. Toriello and Richard G. Williams. They will complete their clinical years at U/B. Medical ethics and human values was the theme of the morning session directed by Dr. Robert L. Dickman, assistant professor of medicine and social and preventive medicine. He told the third year students that they would have an opportunity to reflect on issues that they will be facing during the rest of their careers. "You will be troubled by major ethical dilemmas and this is the way it should be. We will try to suggest ways of coping with these dilemmas." Two audio-visual presentations-"Please Let Me Die," and "Who Should Survive" were shown. The first featured a 27-yearold man who was severely burned and had lost his eye sight. The second featured a new born baby with Down's Syndrome (mongolism). The Reverend Lewis Bigler, chaplain at the Roswell Park Memorial Institute and Buffalo General Hospital; Dr. Edward Marine, clinical associate professor of medicine and family medicine; Dr. Norman Chassin, clinical associate professor of medicine; Dr. Norman Solkoff, professor of psychology in the department of psychiatry; and Dr. Leonard Katz, associate professor of medicine and associate dean, led small discussion groups.D 38 THE BUFFALO PHYSICIAN �The Dr. Wehr Award The Roswell Park Memorial Institute named a special award after a 1930 Medical School graduate. The first annual Dr. William H. Wehr Award was presented last summer to Dr. Merrill A. Bender, chief of the Institute's Nuclear Medicine Department and internationally-recognized leader in the field which specializes in the use of radio-active materials for medical diagnosis and treatment. Dr. Bender is also a clinical professor of nuclear medicine and clinical assistant professor of radiology at the Medical School. The presentation was made by Dr. Wehr, who retired in 1968 after serving 37 years at Roswell Park. The award will be presented annually to senior Roswell Park staff members for outstanding work in cancer research, treatment and education. Dr. Bender, who joined Roswell Park 25 years ago, played a lead role in the development of radio-isotope scanning, which through the administration of radio-active material, produces pictures for diagnostic purposes. In collaboration with Dr. Monte Blau, professor and chairman, department of nuclear medicine and professor of biophysical sciences, he developed a highly sensitive photo-scanning device that became the model for present-day scanner instruments. In addition, they developed several radioactive drugs in use today. Dr. Bender also designed a highly sensitive and fast scintillation camera. It was originally intended for use in detecting tumors but now is employed throughout the world as a means of diagnosing heart disease without the necessity of coronary artery catherization and its hazards. He was elected president of the Society of Nuclear Medicine in 1967 and served on a number of Atomic Energy Commission panels and committees. From 1968 to 1972, he was chairman of the American Board of Nuclear Medicine, during which time he spearheaded a successful fight which led to the recognition of nuclear medicine as a special branch of the medical profession which deserved its own residency training programs and examinations. More than 4,000 nuclear medicine physicians have since been trained in this specialty. A native of Cleveland, Ohio, and graduate of the Harvard University Medical School, Dr. Bender joined Roswell Park in 1953. He was appointed chief of the Nuclear Medicine Department in 1959. Dr. Wehr was one of the first physicians in the nation to use radium in cancer treatments. He was on the Medical School faculty for 28 years (1934-1962). When he retired he was a clinical associate in surgery. He lives at Lighthouse Point, Florida, 33864.0 SUMMER, 1979 39 Dr. Bender �The Royal Flush Dr. Felix Milgram Dr. Martin Milgram Dr. Henry Milgram We hope that the Chairman of the Department of Microbiology, Dr. Felix Milgram, will forgive us the poker title but the situation is asking for it. The last member of the Milgram's family received the MD degree thus completing the MD's royal flush. The Milgram's family is a rarity with a century long medical tradition and all members of the family are MD's. Doctor Milgram's father, Henry Milgram, was a general practitioner. The wife of Dr. Felix Milgram, Halina, also a daughter of a physician, is a dermatologist in the department of dermatology in the Roswell Park Memorial Institute. The oldest son of Milgram's, Henry, received his MD in 1971 from U/B, after finishing undergraduate studies at Columbia College. He is a resident in the pediatrics allergy training in Children's Hospital in Boston. Martin Milgram received his S.B. from MIT and MD from the Columbia University College of Physicians and Surgeons in 1977. The medical tradition in Milgram's family can be traced to 1886, in which year Dr. Milgram's great uncle graduated from the University of Vienna. The same University in 1975 bestowed on Dr. Felix Milgram an Honorary Doctor Degree in Medicine for his contributions to immunology. It indeed is a rare occurrence when all members of a family are physicians, but it is much rarer that all members of the family are also scientists. The major domo, Dr. Felix Milgram, once a successful practitioner, is a world renowned immunologist to whom clinicians and researchers from the whole world come for training. Doctor Halina Milgram, a well known diagnostician is not only a practicing physician but also an outstanding researcher. Doctor Henry Milgram has several scientific contributions in the field of infectious diseases and Dr. Martin Milgram, involved in research since his college years, is a co-author of several publications in the field of immunopathology. One may truly say that Dr. Felix Milgram who is a well known organizer of medical communities was able to organize a microacademia in his own home, which as some of us know, is not an easy task. On the occasion of the graduation of the last representative (Martin) of Milgram's MD family, best congratulations to the new physician, best wishes and much success to Dr. Henry Milgram and admiration to both parents. (K.W.)D Dr. Halina Milgram 40 THE BUFFALO PHYSICIAN . �Clockwise : Margaret Graf prepares a quick breakfast in her apartment; off to the hospital; examining a patient in the intensive care unit with Dr. Fred Geisler, surgical resident; discussing a case with Drs. Mike Tamul, anesthesiology resident, Frank Cerra, assistant professor of surgery, Bill Luria, surgical resident; attending a case presentation; studying; checking the oil; grocery shopping; the end of a busy day. SUMMER,1979 A Typical Day for Margaret Graf Days are long for third and fourth year medical students. Margaret Graf's day began at 6:30 a.m. and often ended 17 hours later at 11:30 p.m. After a quick breakfast she was off to the Buffalo General Hospital where she was a sub-intern in the intensive care unit (surgical). At the hospital there were morning rounds with physicians and patients, daily reports, case presentations, conferences and many other medical activities. After hours she shopped, cleaned her apartment and played some tennis.D 41 �The Classes The Classes of the 1920's The Classes of the 1940's Dr. Milton A. Palmer, M'27, ophthalmologist, retired as President of the Buffalo Eye Bank and Research Society, Inc. (1957-1978). He was elected President Emeritus of that society. He is a honorary member of the Buffalo Ophthalmalic Club; and honorary life member of the Alumni Association of U/B; an honorary life member of the Alumni Association of U/B; and a member of the Fifty Year Club of American Medicine [AMA). Dr. Palmer lives at 18 Park Blvd., Lancaster, New York 14086.0 Dr. Harold K. Palanker, M'40, moved to Albuquerque, New Mexico in January. He is a surgical consultant and surgeon at the VA Hospital's ambulatory care unit. He lives at 1542 Catron SE, Four Hills, Albuquerque, N.M., 87123.0 The Classes of the 1930's Dr. Myron G. Rosenbaum, M'34, practices orthopedics in Albuquerque, New Mexico. His address is 143 Madison N.E. (87108) .0 Dr. Samuel L. Lieberman, M'38, was a guest columnist in January in the Buffalo Courier Express. He expressed his ideas on the escalation of medical/hospital costs. Dr. Lieberman is a clinical associate professor of anesthesiology at the Medical School and chief of anesthesiology at DeGraff Memorial Hospital.D Dr. Lawrence Golden and his wife, Nancy, a family th erapist, demonstrate their "walk and talk" program for p ersons recovering from heart attacks at the Millard Fillmore Hospital. Dr. William J. Staubitz, M'42, was honored in January by the Buffalo Urological Society. The former chairman of the urology department, who retired July 1, received a plaque in honor of his outstanding contributions to the field of urology. Dr. Staubitz traced the development of urology in Buffalo from 1851 in a talk, "The Birth and Development of a Specialty." He continues to be a professor at the Medical School and an attending physician at the VA Hospital. Formerly he was chairman of the urology departments at Buffalo General, Meyer Memorial and Children's Hospitals. From 1949 to 1960 he was chief of urology at Roswell Park Memorial Institute.D Dr. Joseph J. Ricotta, M'43, founder and director of the Buffalo Diocesan Family Life Clinic, has been elected president of the National Federation of Catholic Physicians Guild, which had 4,700 members representing the United States and Canada. Buffalo has been selected as the site for the upcoming convention of Catholic physicians and those interested in the medical field to be held September 26-29.0 A husband-and-wife health team, [the Goldens), help heart attack victims return to normal living. "These people may have to alter their life styles and we can help them in our 12-week 'talk and walk' program," Dr. Lawrence Golden, M'46, said. He is chief of the cardiology section and the department of medicine at Millard Fillmore Hospital and clinical professor of medicine at the Medical School. The exchange of information that occurs at the weekly two-hour sessions is very important to these people, according to Dr. Golden.D �Dr. Thomas F. Frawley, F.A.C.P., M'44, professor and chairman, emeritus, department of internal medicine, St. Louis University School of Medicine, has been appointed to the Residency Review Committee - Internal Medicine which is comprised of representatives from the American Board of Internal Medicine, American College of Physicians and the Council on Medical Education. He will represent the American College of Physicians. This committee sets and enforces standards of quality for graduate education in Internal Medicine and evaluates new and existing programs prior to granting official approval. Dr. Frawley is a Regent, American College of Physicians. He lives at 23 Williamsburg Estates, St. Louis, Mo. 63131.0 Dr. Arthur J. Schaeffer, M'47, was elected secretary of the American Society of Ophthalmic Plastic and Reconstructive Surgery at the annual meeting in Kansas City. He is a clinical associate professor of ophthalmology at the Medical School.D Dr. James A. Werick, M'49, is coordinator of the medical residency program at Sheehan Memorial Emergency Hospital and Sisiters of Charity Hospital. The internist was appointed chief, department of medicine, St. Francis Hospital, Buffalo, on January 1, succeeding Dr. Francis E. Kenny, M'31. Dr. Werick lives at 169 Lancaster Ave, Buffalo 14222.0 Dr. Robert Sussman, M'57, is clinical assistant professor of psychiatry at the New York Medical College. He was appointed Director, Division of Alcoholism, United Hospital, Port Chester, New York. He is a Fellow, American College of Physicians; Fellow, American Psychiatric Society, New York State and Westchester County Medical Societies. Dr. Sussman lives at 19 Hayhurst Road, New Rochelle, New York 10804.0 Dr. John Armenia, M'58, director of ophthalmology at the Erie County Medical Center, received $10,000 from the Buffalo Eye Bank and Research Society and the Lions Club Blind and Charity Fund to equip a lowvision examining room at the hospital. Dr. Armenia is a clinical professor of ophthalmology at the Medical School.D Dr. Lloyd H. Leve, M'58, of Rochester has given the Medical School 10 photographs of winter scenes.D Dr. David E. Denzel, M'59, has been elected chief of staff at Lockport Memorial Hospital. He succeeds Dr. Paul T. Buerger, M'49, for a two-year term of office.D The Classes of the 1960's Dr. Roger A. Ronald, M'61, is changing his specialty to anesthesiology at the Millard Fillmore Hospital. He is a clinical associate in medicine at the Medical School and has been in the department of medicine at the hospital for several years.D The Classes of the 1950's Dr. Oliver P. Jones, M'56, Distinguished Professor Emeritus, gave two lectures at the University of Oklahoma Health Sciences Center, Oklahoma City, in December. The titles were: "A Student's Impression of Austin Flint (The American Laennec) 18481849" and "Medical Apprenticeships in the Early 19th Century." Recently Dr. Jones edited a 20-page pamphlet, "History of the International Society of Hematology, 19461976." He also lectured at Roswell Park Memorial Institute on "Dr. Roswell Park's Lantern Slides Illustration Medicine and Surgery in Classic Art and Satire."D SUMMER, 1979 Dr. James T. Bumbalo, pediatrician, M'62, is special medical advisor to the Jamestown, New York public school systems. He is the 1979 president of the W.C.A. Hospital Medical staff and the past president of the Jamestown Medical Society, 1977 and 1978. Dr. Bumbalo lives at 15 Emory Drive, Jamestown 14701.0 Dr. Albert J. Maggioli, M'63, is a clinical assistant professor of pediatrics at the Medical School. On March 1 he joined the American Pediatric Associates in Williamsville. Dr. Maggioli is the Pediatric Society Representative to HSA Task Force 43 �Committee on Infant Mortality; chairman of the Erie County Medical Society Membership Committee; and a member of the State Medical Society committee on membership benefits. He lives at 288 Robin Hill Drive, Williamsville, New York 14221.0 Medical Center, Ann Arbor. He is in private practice of Diagnostic Radiology, Ultrasound, and Nuclear Medicine with Toledo Radiological Associates, Toledo, Ohio. He is a member of various professional organizations in his specialty.D Dr. Joseph A. Dipoala, Sr., M'64, practices internal medicine in Rochester, New York. He is a member of numerous medical societies, including the American Holistic Medical Society and AMIM. Dr. Dipoala lives at 2511 Highland Avenue (14610).0 Dr. Brian Kaufman, M'77, has accepted a fellowship in Critical Care Medicine at Ellis Hospital, Schenectady, New York - Albany Medical College of Union University for July 1, 1980. Dr. Kaufman lives at 2 Tyler Court, Guilderland, New York 12084.0 Dr. Adele M. Gottschalk, M'67, whose specialty is general surgery, is a member of the Permanente Medical Group at Harbor City, California. She is newly elected as president of the medical staff at Kaiser Hospital, Harbor City, and the outgoing secretary of the medical staff of 150 physicians at the hospital. Her address is 6542 Ocean Crest Drive C 301, Rancho Palos Verdes, Cal. 90274.0 Dr. S.K. Bosu, M'69, whose specialty is neonatology, is an assistant clinical professor of pediatrics (neonatology) at the University of California School of Medicine at Irvine. He was awarded the 1977/78 prize in pediatrics by the University for being voted the most outstanding teacher [full time faculty in pediatrics) by the residents.D The Classes of the 1970's Dr. Howard R. Goldstein, M'74, is a senior resident in urology, Squier Urologic Clinic, College of Physicians and Surgeons, Columbia University, New York. Dr. Goldstein and his wife, Judy announce the birth of Lee Joshua's sister, Lauren Sarah, November 30th, 1978. He was the recipient of an award in the Ferdinand C. Valentine Urology residents essay contest for his paper "The Value of Intravesical Thiotepa in Recurrent Superficial Bladder Tumors Treated by Radiotherapy." The Goldsteins live at 214-09 14th Avenue, Bayside, New York 11360.0 Dr. William G. Novak, M'75, completed a residency and fellowship training in radiology at the University of Michigan 44 People Dr. Harold Bernhard, M'49, clinical associate professor of medicine, has been elected president of the Western New York Society for Gastrointestinal Endoscopy. Dr. Vilayat M. Ali, clinical associate professor of medicine, is the new secretary. Dr. Charles Michalko, M'66, is treasurer. Dr. Steven Stowe is vice president. Dr. Leonard Katz, associate professor of medicine and associate dean of students and curricular affairs, is a member of the council.D Dr. S. Mouchly Small, professor of psychiatry, was named Psychiatrist of the Year by the Area Council II of the American Psychiatric Association in November, 1978. He was recognized for his long, creative career in psychiatry which included being a pioneer and contributor in community psychiatry; for training a generation of psychiatrists, many of whom occupy key positions in the academic world; for his contributions to muscular dystrophy and continuing education.D Two associate professors of anatomy, Drs. Herbert Schue} and Robert Summers, have been invited to participate in the Gordon Conference in New Hampshire in July/ August. Dr. Schue} will talk on "Plasma Membrane and Cortical Granule Mediated Blocks to Polyspermy in Sea Urchin Eggs" and Dr. Summers will chair a session on "Sperm Behavior During the Fertilization Process."D THE BUFFALO PHYSICIAN �Dr. Theodore T. Bronk, clinical associate professor of pathology and Director of Laboratories at Mt. St. Mary's Hospital in Niagara Falls, is vice president elect of the New York State Division of the American Cancer Society. He is a Fellow of the American College of Physicians, the American Society of Clinical Pathologists and the College of American Pathologists. He is also a past president of the Niagara County Medical Society and the Western New York Society of Pathologists.D Dr. W.C. Elliott, professor of biochemistry, has written "The Chemistry and Immunology of Reptilian Venoms" IN "Biology of the Reptilia" (C.Gans, ed.) Vol. BB Physiology (C. Gans and K.A. Gans, eds) pp. 163-436, Academic Press, London.D Two assistant professors of physiology, Drs. Joan S. Baizer and David Bender, are studying sight as a function of the brain. They have received a three-year $125,000 grant from the National Eye Institute. Drs. William Maguire and Steven Hoffman are also involved in this study that uses young rhesus monkeys.D Three faculty members are new officers of the Columbus Hospital medical-dental staff. Dr. Charles A. Bauda, clinical instructor in family medicine, is the newly elected president. Vice president is Dr. Robert J. Lascola, clinical instructor in surgery, and Dr. Joseph S. Calabrese, clinical assistant professor of gyn/ob, is treasurer. Dr. Edward M. Apen is treasurer.O Four faculty members have been elected officers of the executive committee of the Medical Board of Children's Hospital. Dr. Theodore Schulman, assistant professor of Gyn/Ob, is the new president. He is a Fellow of the American College of Obstetrics and Gynecology. Other officers: President-elect, Dr. Theodore Putnam, clinical assistant professor of pediatrics; Vice President, Dr. David Klein, associate professor of neurosurgery; secretary-treasurer, Dr. John Fisher, clinical associate professor of pathology.D SUMMER, 1979 Three Buffalo physicians have been playing tennis together for 30 years. They are Medical School graduates-Drs. Marvin Block and Milton Kahn graduated in 1925 and Dr. Benjamin Obletz in 1932. The fourth tennis player is Dr. Samuel Traeger, an optometrist. Many times a neighbor or business associate joined the foursome. Drs. Block and Kahn have been playing handball together for 60 years. They both played basketball at U/B. The foursome all played tennis in college and participated in many local tournaments.O Dr. Frank Schimpfhauser, assistant dean and assistant professor of social and preventive medicine presented the findings of his national study and recent monograph entitled "A Systematic Assessment of Clinical Teaching Skills and Strategies in the Health Sciences" at the Eastern Educational Research Association Meeting in February in Charleston, S.C. He was also invited to chair a symposium and present his study findings at the American Education Research Association Meeting in San Francisco in April.O Dr. Harry Metcalf, M'60, has been elected president of the Research Education Foundation of the New York State Academy of Family Physicians. He is a clinical assistant professor of family medicine and director and chairman of the Medical School's Admissions Committee. Dr. Herbert Laughlin, clinical instructor of family medicine, was elected treasurer. Elected to the executive committee were Drs. Herbert Joyce, M'45, clinical assistant professor, and Robert Seller, professor and chairman of family medicine.D Dr. Joel M. Bernstein, M'61, clinical assistant professor of otolaryngology, received his Ph.D. in microbiology in 1978. In May of 1979 he will be a lecturer at the 2nd International Symposium on "Middle Ear Effusions" at Ohio State University, Columbus. The following November he will participate in the International Symposium on Allergy in Jerusalem. In February Dr. Bernstein spoke at Columbia University on "Mediators of Inflammation in Middle Ear Effusions."O 45 �People The cover story in the February issue of Scientific American is a report of a research project by Drs. Hermann Rahn and Charles V. Paganelli, professors of physiology and Dr. Amos Ar, senior lecturer in the physiology department at Tel Aviv University in Israel. "How Eggs Breathe" is the title of the report. A technique for measuring the pressures of oxygen and carbon dioxide in chicken eggs is depicted on the magazine's cover. Faculty members and alumni are newly elected officers of the medical staff of Sheehan Emergency Hospital. Dr. Joseph J. Ricotta, M'43, is the president and Dr. Joseph M. Anain, clinical assistant professor of otolaryngology, is the vice president. Dr. John G. Zoll, M'40, clinical assistant professor of neurosurgery, is the treasurer. The secretary is Dr. Jeremiah O'Sullivan.D In the experiment, the magazine says, "18day-old chicken eggs, each specially fitted with a metal connector and a fine plastic catheter, are removed temporarily from an incubator. A plastic syringe is attached to the connector in order to sample the gas in the air cell at the blunt end of the egg. (After the sample has been taken, the syringe is tilted so that the drop of mercury inside seals off the opening, preventing the gas sample from being contaminated with atmospheric air.) At the same time a smaller glass syringe is connected to the plastic catheter and a sample of oxygenated blood is removed from a sample in a placenta-like membrane within the egg. After samples of blood and gas have been taken from each egg the concentrations of oxygen and carbon dioxide in the samples are determined." Dr. Frederick Sachs, assistant professor of pharmacology, therapeutics and biophysical sciences, received a $13,500 grant from the Muscular Dystrophy Association to continue his research project-"Properties of VoltageDependent Channels in Tissue-Cultured Muscle Cells."D Scientific American says the article "shows the egg to be a not quite self-contained life support sustem for the developing embryo. It holds all the ingredients required for the growth of the chick from single fertilized egg-cell-except oxygen. To supply that essential ingredient the egg 'breathes;' by simple diffusion, through microscopic pores in the shell, oxygen finds its way in and carbon dioxide leaks out." The authors said "our interest in bird eggs started 10 years ago when O.D. Wangensteen, now associate professor at the University of Minnesota, joined our respiration group as a post doctoral fellow. One day he asked, 'How do eggs breathe?' Since none of us knew, he proceeded to demonstrate for the first time how Fick's law of diffusion would explain the gas exchange across the eggshell of the chicken. We have since studied respiratory processes in the eggs of many bird species, both in the laboratory and on field expeditions to various parts of the world."D 46 Dr. Lucille Lewandowski, clinical assistant professor of psychiatry, defines stress as "a non-specific response of the body to any demand, unpleasant or pleasant." Having things to do can help people handle stress. She listed working with plants, caring for pets, reading and exercising as things to do to combat stress. Dr. Lewandowski is chief of the alcohol treatment center at the VA Hospital.D Three faculty members, who are also alumni, are the new officers of the Kenmore Mercy Hospital medical staff. Dr. Leo E. Manning, M'50, clinical assistant professor of medicine, is the new president. Presidentelect is Dr. Edward A. Rayhill, M'54, clinical assistant professor of family medicine. Dr. George M. Sanderson Jr., M'50, is the new treasurer. He is a clinical assistant professor of anesthesiology.D Dr. Robert J. Mcisaac, professor of pharmacology and therapeutics, received a $13,530 grant from the New York State Health Research Council.D Dr. Cedric Smith, professor of pharmacology and therapeutics, was a "visiting professor" at St. George's University, Grenada, West Indies in February.D THE BUFFALO PHYSICIAN �In Memoriam Dr. Robert Blum, M'42, died January 28 in Sloan-Kettering Memorial Hospital. His age was 67. He had been a member of the medical staff at the Buffalo General Hospital since 1949, and was president of the medical board in 1975. Dr. Blum was born in Austria and attended the University of Vienna Medical School before coming to Buffalo. He served in the Philippines and Japan during World War II. Dr. Blum was a Diplomate of the Board of Internal Medicine. He was a clinical associate professor of medicine at U/B for 21 years.D Dr. Raphael M. Baratta, M'24, died November 23, 1978 at the age of 80. He lived and practiced in Brooklyn, N.Y. He was active in many professional associations and received many honors.D Dr. Allan L. Grossberg, research professor of microbiology, died February 11. The 58year-old scientist, an associate chief cancer researcher at Roswell Park Memorial Institute, had been on the staff since 1956. He received his education at the California Institute of Technology. During World War II he did atomic research. Dr. Grossberg was author or co-author of more than 80 scientific pape~s: ~e c~-authored a textbook, Antibody Speclflclty, With Dr. David Pressman.D Dr. E. Hoyt De Kleine died February 25 at Royal Oak, Michigan after a short illness. The 69-year-old plastic surgeon was an associate in surgery at the Medical School from 1946 to 1957. He was a consulting surgeon at Millard Fillmore and Children's Hospitals and a senior surgeon at Buffalo General Hospital. Dr. De Kleine was a past president of the Upstate New York and Buffalo Plastic Surgery Societies. He was also active in several other national and international professional associations. His hobbies included wood carving, gardening and needlepoint. He also designed sets for performances of the Amherst Players.D SUMMER, 1979 Dr. Clyde B. Simson, M'38, died of a heart attack on December 28, 1978 at his home in Detroit. He was acting director of the Lafayette Clinic at the time of his death. For 22 years he had been chief of the Adolescent and Children's Service.D Dr. Joseph Farugia, M'21, died December 13, 1978 in Mount St. Mary's Hospital, Niagara Falls. His age was 80. He was a former public school physician. Dr. Farugia was honored in 1978 by the Century Club as "Man of the Year."D Dr. Ira C. Wollen, M'29, died February 2 in Douglas Memorial Hospital, Fort Erie, Canada. His age was 80. The retired family practitioner was past president of the Medical Board of Directors at Lafayette General Hospital. He had been active in several other professional associations and the U/B Medical Alumni Association.D Dr. Wilfrid H .. Ferguson, M'33, died February 18. The 70-year-old physician had practiced in Brockport, N.Y. since 1946. He served in World War II and was active in several professional organizations.D 47 �U/B ALUMNI ASSOCIATION 1979 Travel Program SWISS ALPS/ FRENCH RIVIERA June 24 - July 9 DANUBE CRUISE & VIENNA/ ISTANBUL September 29 - October 13 SICILY October 30- November 7 $650 leaving from Buffalo (Capitol International Airways - DC 8; 7 nights in the Swiss Alps at the Swiss Alpine Village of Thyon 2000; first-class accommodations for 7 nights on the French Riviera; Continental breakfast daily) $1549leaving from New York City (Pan American Airlines 707 Jet Clipper; 2 nights at the Istanbul Sheraton; Danube Cruise including Izmail, Soviet Union, Bucharest, Romania, Belgrade, Yugoslavia, Budapest, Hungary, Bratislava, Czechoslovakia; three full meals (aboard ship); 2 nights Vienna Hilton, Full American breakfast in Istanbul and Vienna) $460 leaving from Buffalo (Trans International Airlines - DC-10 ; Deluxe accommodations for 7 nights at the Hotel Zagarella or the Sea Palace; Continental breakfast daily) NOTE: These prices all include the 15o/o tax rounded off to the nearest dollar. BROCHURES ON THESE TOURS WILL BE PROVIDED AS SOON AS THEY ARE AVAILABLE. The General Alumni Board- ERNEST J. KIEFER, B.S.'55, President; MICHAEL F. GUERCIO, A.S.C.'52, President-Elect; CONSTANCE M. GICEWICZ, Vice President for Activities; DOROTHEA W. STERNE, Vice President for Administration; RUSSELL J. GUGINO, A.S.C.'52, Vice President for Athletics; JOHN R. VONA, D.D.S.'61, Vice President for Constituent Alumni; SUSAN D. CARREL, Ph.D.'76, Vice President for Continuing Education; ROGER P. KRUEGER, B.S.'51, Vice President for Development and Membership; M. DOLORES DENMAN, J.D.'65, Vice President for Legislative Relations; STEPHEN C. TOWNSEND, J.D.'74, Vice President for Young Alumni; WILLIE R. EVANS, Ed.B.'60, Treasurer; Past Presidents, PHYLLIS M. KELLY, B.A.' 42; GIRARD A. GUGINO, D.D.S.'61; GEORGE VOSKERCHIAN, B.A.'54; MORLEY C. TOWNSEND, J.D.'68; EDMOND J. GICEWICZ, M.D.' 56; M. ROBERT KOREN, L.L.D.'44.0 Medical Alumni Association Officers: Drs. Edmond J. Gicewicz, M'56, President; W. Yerby Jones, M'24, Vice President; Lawrence Carden, M'49, Treasurer; Michael A. Sullivan, M'53, Immediate Past President. Board Members - Robert Schultz, M'65; Norman Chassin , M'45; Charles Tanner, M'43; Eugene M. Sullivan, M'26; Nancy Nielsen, M'76; Robert Baumler, M'52; George W. Fugitt Jr., M'45, Program Committee Chairman; Carmelo Armenia, M'49, Exhibits Committee Chairman; James F. Phillips, M'47, Past President.D 48 THE BUFFALO PHYSICIAN �A Message from Lawrence M. Carden, M'49 President, Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Carden The articles, A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself, by the late Samuel Sones, M.D. that appeared in The Buffalo Physician (1974-1978} hove been printed in book form by State University of New York Press, 99 Washington Avenue, Albany, N. ¥ . 12246. The cost: $12.95.0 ---------------------------------------------------------------------------------------------------- IIIII I BU SI N ESS REPLY MAIL FIRST CLASS PERMIT NO. 2210 POSTAGE WILL BE PAID BY ADDRESSEE Buffalo Physician 28 Diefendorf Annex 3435 Main Street Buffalo, New York 14214 BUFFALO, N.Y. NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 y 14226 BUFFALO ------------------------------------------------------------------THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name - - -- - - - - - - - - - - - - - -- - -- - - - -- -- - - - - - Y e a r MD Received - - - Office Address-- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----HomeAddress - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - IfnotUB,MDreceivedfrom--------------------------------------InPrivatePractice: Yes ~ No ~ SpecialtY----------------------------~ In Academic Medicine: Yes ~ ~ No Part Time ~ Full Time ~ School --------------------------------------Title - - - - -- -- -- - - - - -- - - - - -Other: Medical Society Memberships: - - - -- - - - - - - - -- - - - -- - - - - - - - - - - - - - - - - - - NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? - - -- - Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 1979 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1979-Summer Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1979-02-Summer Table Of Contents A list of subunits of the resource. Dean Naughton's Message Gottlieb Dedication The Clinical Biophysicist by Dr. Michael Anbar Physicians Give $323,571.80 Health Sciences Library The 1918 Class Continuing Education Dr. Schubert/Family Medicine Medical Ethics The Aging Clock Dr. Nelson Primary Care Center Radiopharmacy Poet Physicians by Dr. O.P. Jones Dr. Nader/ Myocardial Infarction Antique Cars Dr. Weiser The Gin Plague School Nurse Practitioner Cellular Engineering Hospitals Merge Dr. Roblin Clinical Years The Dr. Wehr Award Royal Flush Margaret Graf's Day The Classes People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-12-20 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v13n02 Extent The size or duration of the resource. 52 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/76eee948f32980ad889eba41669208f6.pdf 013025b14a143908601b5cf770f42cbd PDF Text Text �Dr. Victor Cohen, M'29 Dr. J. Edwin Alford, M'34 Dr. George C. Brody, M'39 Dr. J. Fred Painton, Jr., M' 64 Nine Class Reunions, May 11, 12 Pictures were not available for Drs. James R. Sullivan, M'44, Paul T . Buerger, M'49, Ed A . Dunlap, M'54, John J. McMahon, M'59, Douglas Roberts, M'69. Nine classes will have reunions during the 42nd annual Spring Clinical Days, May 11 and 12. Approximately 700 physicians and their wives are expected to attend the reunion dinners. Several of the class reunion chairmen are pictured here. Dr. Victor L. Cohen of Buffalo is chairman of the 50 year class reunion. Other members of this class: (from Buffalo) Drs. Richard A. Downey, Jay I. Evans, Raymond G. Filsinger, Clyde W. George, Ramsdell Gurney, Norman Heilbrun, L. Maxwell Lockie, Frank Meyers. (From New York State) Garra L. Lester, Chautauqua; Michael J. Maggiore, Endwell; WarrenS. Smith, Bluff Point; Anthony J. Zaia, Oneida. (From out of state) John B. Anderson, Cleveland, Ohio; James E. Dailey, Weslaco, Texas; Ernest B. Hanan, Springfield, Missouri; Rudolph W. Kouchy, Minneapolis, Minnesota; Charles R. Leone, Erie, Pennsylvania; Frederick G. Stoesser, Jupiter, Florida; George A. Thorn, Cambridge, Massachusetts; Lee Weinstein, Harrisburg, Pennsylvania; Jack M. York, Perry, Ohio.D �Volume 13, Number 1 Spring1979 THE BUFFALO PHYSICIAN (USPS 551-860) Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD Editor ROBERTS. MCGRANAHA Dean, School of Medicine DR. }OHN NAUGHTON Photography HUGO H. UNGER EDWARD NOWAK Visual Designers RICHARD MACAKAN)A DONALD E. WATKINS 2 3 4 11 12 14 15 16 by Drs. Progoy, Korenyi-Both Associate Editor FLORENCE MEYER CONSULT ANTS President, Medical Alumni Association DR. EDMOND GICEWICZ Vice President, Faculty of Health Sciences DR. F. CARTER PANNILL President, University Foundation }OHN M. CARTER Director of Public Affairs }AMES DESANTIS Teaching Hospitals The Buffalo General Children's Deaconess Erie County Medical Center Mercy Millard Fillmore Roswell Park Memorial Institute Sisters of Charity Veterans Administration Medical Center IN THIS ISSUE Class Reunions (inside front cover) Dean Naughton's Message The Follies The 1982 Class Dr. Marconi Faculty Retire Dr. Ogra Dr. Gonder/Dr. Dewitz Lithopedion Profile 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 36 37 38 44 51 52 Primary Ambulatory Care Physicians Honored Dr. Melant/Dr. Coventry Dr. Herz/Residents Graduation Martinique MECO Colon Cancer Tennis Tourney Drs. Herbert!Seibel!Culver 42nd Annual Spring Clinical Days Deep Sea Diving Dr. Ettinger Erie County Medical Center Physicians Honored/Faculty Promotions Transfer Students Dues Paying Alumni, 1978 Continuing Education Programs Inner-City Well Health Clinic People The Classes In Memoriam Alumni Tours The cover by Donald Watkins focuses on the 1982 class on pages 4-10. THE BUFFALO PHYSICIAN, Spring, 1979- Volume 13, Number 1, published quarterly Spring, Summer, Fall, Winter - by tbe School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1979 by The Buffalo Physician. SPRING, 1979 1 �Dean Naughton From the desk of John Naughton, M.D. Dean, School of Medicine Dear Alumni, Alumnae and Friends: President Carter's 1980 Budget proposals confirm the worst in terms of what medical schools have been expecting for quite some time. Principally, his message confirms a change in federal posture toward the funding of medical education and biomedical research. For instance, he recommends a reduction in the level of medical school capitation support by 50 per cent in 1980 and a reduction to zero thereafter. This posture has the support of Secretary Califano who is convinced that the health manpower problem, save for specialty and geographical maldistribution, has been resolved. The budget provides modest increases, mostly inflationary adjustments, in the biomedical research program. Thus, it is apparent that as long feared the Federal Government has every intention of disengaging itself from the direct support of medical schools. Although we would like to think that these attitudes are short-sighted and alterable, the current posture for budgetary reductions and stabilization makes it highly unlikely that President Carter's recommendations in these areas will be overridden. The above message, of course, means that SUNY /Buffalo as well as its three sister schools will become ever more dependent on state, local and alumni support if the present quality of programs is to be maintained and if new, needed programs are to be inaugurated in the future. In the years ahead, it is obvious that we will all have to work together as constructively as possible to accomplish the goals and objectives which we have established for ourselves. I am confident that despite this significant change in public federal policy that we at SUNY/Buffalo will continue to work cooperatively to make positive gains for the betterment of medical student education and health care in Western New York. Sincerely, JOHN NAUGHTON, M.D. Dean 2 THE BUFFALO PHYSICIAN �Clockwise above: Dr . Jules Constant; Anthony DiBenedetto, M.G.; Anthony DiBenedetto lectures to Drs. Alexander Brownie, Murray Ettinger; The Finale Wesley Blank in wheel chair gives " Saturda y Night Fever" to examining physicians; Dean John Na ughton, Dr. Leonard Katz; Martin Hale; Nickolas Bertini; John Case; Sylvia Turner, Wesley Blank; Richard Frimer, Dawn Desiderio. Medical School Follies Some 400 students, faculty and friends attended the second annual Medical School Follies last spring. It was an evening of laughs, music, song and dance sponsored by the second year medical students. After cocktails the guests were treated to over 24 acts performed by students, ranging from the sublime to the ridiculous. Photos by Barry Kahn, 1980 Class SPRING, 1979 3 �The 1982 Class Dr. F. Carter Pannill Jr., vice president for the Faculty of Health Sciences, welcomed the 135 new medical students at the opening orientation session in Butler Auditorium. "We are deeply concerned with you and your activities. This is a large university and sometimes it is difficult to get things done. When you need help, please come and see me. My door is always open." Dr. Pannill said, "in any case I will shake your hand in four years when you graduate. We are proud of you and wish you well in your new profession." The chairman of the admissions committee told the students something about themselves. Dr. Harry Metcalf said, "your average age is 22.8; 45 of you are women; 90 are men; 12 are minority students. There are 132 residents from New York State (59 from Western New York). There are only three out of state residents." Dr. Metcalf pointed out that the students were tops in their high school and college classes. The science majors had a 3.54 average. The Medical School received 3,500 applications and conducted 900 interviews before selecting the current class. Speaking for Dean John Naughton, Dr. Leonard Katz told the newcomers "we want your input." The associate dean for student and curricular affairs urged the students to participate in all the activities of the Medical School. "In spite of the prediction that by 1990 there will be an excess of physicians, there will a future for each of you. The medical profession is changing. Today's physician must be more aware and concerned with the many social and environmental problems smoking, drugs, alcoholism and the elderly." 4 THE BUFFALO PHYSICIAN �Orientation speakers : Drs. Metcalf, Richert, Schimpfhauser, Katz, Pannill, Markell a. Dr. Katz urged the new students to be concerned with primary care in the city centers and the rural areas. "We must all work together as a team to solve the health care problems of the future." Dr. Ross Markello, assistant dean for graduate education, said his job was to interact with the students and the hospitals. "If you have any problems, please come and see me. Things are much different than when I entered medical school 25 years ago. Sex was a dirty word and abortion was illegal. The life you will lead in your chosen profession will be changing constantly." Dr. Frank Schimpfhauser spoke briefly about two new programs- the year committee and the student profile. "We have made attempts to work with students and faculty to improve teaching and learning. The Medical School's year committees, made up of course coordinators and students from each class, welcome your input and will seek your opinions on how well we are doing throughout your medical program." Dr Schimpfhauser heads the office of educational evaluation and research. As a part of thd-SPRING, 1979 5 Dr. Plaut �profile program he noted that the students would be surveyed from time to time during the next four years regarding personal attitudes, career interest and expectations, and behaviors as student-physicians. Mr. Rudolph Williams, assistant dean and financial aid officer, discussed scholarship and loan support. "There is no money, but I am here to help you in any way I can." Dr. M. Luther Musselman told the students of the new and better benefits of the University health insurance plan. "It is the best program we have had." The assistant dean and director of health services also outlined the special clinics and other services available on both the Main Street and Amherst Campuses. There was a 4 p.m. picnic at the end of the first day but not before the students had lunch and discussions with upper class student leaders and faculty. There were also pictures taken, tours and briefings on registration and study habits by Meryl McNeal. Dr. Martin E. Plaut, associate professor of medicine, spoke about his interviews, rejections and frustrations in getting accepted to medical school in the 1950's. "Getting accepted is the toughest hurdle. You are well enough equipped to become successful physicians and most of you will make it. In 24 months you will be entering your third year clerkship. At this time you will learn to talk to people about their medical problems and diagnose their illnesses." Dr. Norman Solkoff, professor of psychology in the department of psychiatry, noted that the Medical School was dedicated to producing good physicians. "Medical ethics and dilemmas won't be neglected. Several special seminars are being planned for the year. We urge your participation." The final day of orientation featured a clinical case presentation by clinical and basic science faculty, luncheon with preceptors and administrators and a hospital visit with the preceptors. The students heard patient X, a 49-year-old man, who had recovered from open-heart surgery. He told them he was in good health until he had an acute myocardial infarction in 1967 when he 6 THE BUFFALO PHYSICIAN �was 39 years old. The students asked questions and learned how his life style had changed before his surgery in 1977 and during his rehabilitation last year. The patient told the students that before his heart attack he took on more things than he could do. "Now I pace myself. I have changed my attitudes and work habits. I watch my diet and walk and ride my bicycle daily." Dr. Francis J. Klocke, professor of medicine, said "we have done this operation for several years. There are no cook-book rules on age. Recently I discharged a 73-year-old man after open heart surgery." Dr. Edward A. Carr, professor and chairman of pharmacology and therapeutics, told the students about the three drugs hydrochlorothiazide, propranolo, nitroglycerine- the patient had been taking during his illness and prior to his hospitalization. During hospitalization the patient went from three drugs to nine. During surgery and recovery patient X used 26 different drugs, not all at once. Dr. Carr asked a moral/ethical question: "How much can you commit to any one man?" The professor of medicine discussed drug interaction, time-delay curves and risky drugs. Dr. Barry S. Eckert, assistant professor of anatomy, showed slides of the heart in his basic anatomy presentation. Dr. John Wright, professor and chairman of pathology, discussed briefly the three stages of myocardial infarction - death, removal of dead tissue and scar formations. Dr. Murray N. Anderson, professor of surgery, said that if there is an obstruction in the artery "you can open it up or by-pass it. Heart surgery improves the quality of life and life expectancy of the patient and prevents future myocardial infarction. There is no upper age limit. The physical condition of the patient is the determining factor. If he is a chain smoker we might refuse to do surgery." Dr. Marjorie Plum, associate professor of psychology in the department of psychiatry, showed the students a 20-minute video taped interview with patient X about his recovery. He admitted that he was depressed after his first heart attack because "I didn't The clinical case was discussed by Drs. Carr, Klocke, Naughton, Dickman, Eckert, Anderson, Plum. SPRING, 1979 7 �know how it would affect my life. My doctors were always open and candid. I am strating a new life, working again and enjoying it. I think my life expectancy is the same as anyone." Dean John Naughton moderated the panel discussion that followed. He also analyzed the patient's recovery in seven areasmedical, psychological, physiologic, socially, sexually, vocationally and recreationally. "We put a lot of emphasis on rehabilitation of heart victims, the nation's number one disease. There were 1.2 or 1.3 million episodes in 1973. Half of the people survived. People who accept having a heart attack don't have a good record of rehabilitation, while defiers have an excellent record. Early, active and mobile rehabilitation is very important. The cost is staggering...:_ $17 to $30 billion annually." During the panel discussion, Dr. Robert Dickman suggested that the moral questions of medicine must be dealt with. "There is a scarcity of resources. How should we allocate them? Should the lottery be used?" Clockwise from right: Drs. Milford Molone y, Russell VanCo evering, Robert Ehrenreich, Pearay Ogra, Dennis Sullivan , Francis Klocke. �Clo ckwis e from left: Drs. Robe rt Patterson , John Conboy, Robert Kohn , Morris Unh er, John Naughton, David Copl ey. The assistant professor of medicine and social and preventive medicine noted that today the rich and socially prominent are getting open-heart surgery. At the Friday luncheon for preceptors and students Dr. Robert J. Patterson emphasized the flexibility of the program. "If some groups don't hit it off we will make adjustments and changes." The director of the program and clinical associate professor of Gyn/Ob urged the physician/preceptors to have a plan for their students. "The first 60 days of clinical experience is very important." Dr. Katz noted that this is the third year of the program. He told the students that the preceptors are doing this because they want to. Following the luncheon the students were introduced to clinical medicine by the preceptors in the several teaching hospitals. The physician preceptors and their departments are: Anesthesiology - Robert Harvey, Timothy Sievenpiper, Julie Cullen; Dermatology - James Rasmussen; Family Practice Peter Goergen, Frederic Hirsch, Leslie McLaren, Robert Miller d- SPRING, 1979 9 �Julie Nickelsen, James Nunn, Winfred Quick; Medicine - Israel Alvarez, John Conboy, Donald Copley, Kenneth Gayles, Robert Kohn, Milford Maloney, Donald Miller, Phillip Morey, Carol Segal, Michael E. Sullivan, Luis Valls; Neurology - Stephen Barron, LeoN. Hopkins; Obstetrics & Gynecology- Ronald Foote, Rosendo Intengan, Kenneth Kahn, Robert Patterson, Emerson Reid, Morris Unher, Russell Van Coevering, Murray Yost; Otolaryngology - Irwin Ginsberg; Pediatrics - Cynthia Clayton, Robert Ehrenreich, Pearay Ogra, Henry Staub, Dennis Sullivan; Psychiatry - John Robinson; Surgery - James Allen, Roland Anthone, Frank Cerra, William Heyden, Robert Milch, Richard Peer; Urology- Joseph Dwoskin, Dale Skoog. First and second-year preclinical advisors: Doctors C. John Abeyounis, Margaret A. Acara, Seymour Axelrod, Alexander C. Brownie, Arlene Collins, Roger K. Cunningham, Murray J. Ettinger, Thomas D. Flanagan, Peter K. Gessner, Perry M. Hogan, Suk-Ki Hong, Jack 0. Klingman, Robert J. Mcisaac, Frank Mendel, Peter A. Nickerson, Roberta J. Pentney, Barbara R. Rennick, Alan M. Reynard, Gloria L. Roblin, Benjamin Sanders, Frances Sansone, Norman Solkoff, Judith Van Liew.D Clockwise from right: Drs. John Robinson, Leonard Katz, Luther Musselman and Jack Richert; Roland Anthone, John Wright, Ross Markello. �Dr. Ronald Marconi, M'76, is one of 18 family practice residents in the United States to receive a 1978 Mead Johnson Award of $1200. He is the only recipient in upstate New York. The award is given on the basis of scholastic achievement, leadership qualitities and qualification for and interest in family practice. Dr. Marconi, now chief resident of the Family Practice Program at Deaconess Hospital, got his medical education the hard way. The son of Mr. and Mrs. Fred Marconi of South Wales, he was graduated from State University College at Buffalo in 1968. After applying to several medical schools and being turned down, he took a job teaching science at Bennett High School and a second, part-time, job in the laboratory at the Buffalo Veterans Hospital. He also began studying for a master's degree in biology at State College in the hope that the degree would bolster his chances of getting into medical school. With course work finished and only his thesis to complete, he reapplied to medical school. By late spring of 1972, when he had still had no notice of acceptance, he flew to Mexico and enrolled in the Autonomous University of Guadalajara Medical School. Since classes were conducted in Spanish, he was required to take an intensive summer course in that language before attending his first lecture. His wife, the former Judy Daly of Buffalo, and three daughters, ranging in age from five months to five years, accompanied him to Guadalajara. For the next two years they lived frugally on money they had saved and borrowed while Ron attended classes and, on his own, studied for the National Boards, Part I. (Under the recentlyestablished COTRANS Program, students who passed all parts of the boards could apply for transfer to a school in the United States at the end of the sophomore year.) As a student, Ron was instrumental in starting a clinic in a section of Guadalajara where there had been no health care for the poor. Today that clinic is an official teaching clinic of the Autonomous University. In 1974 Ron passed the National Boards with grades high enough to win acceptance to the SUNY /B School of Medicine. He was one of five students in foreign schools accepted by SUNY /B that year. (Since 1969-70, the School of Medicine has accepted 51 such students, 26 of them from the University of Guadalajara.) After graduation in 1976, Dr. Marconi entered the training program for family practitioners at Deaconess Hospital. He was the first resident from the program to take special training in obstetrics at the Los Angeles County Hospital-University of Southern California Medical Center, paving the way for a continuing affiliation with that institution. Today he, his wife and their four daughters - a fourth born since their return to Western New York- live at 4162 Vinewood Rd., Williamsville.D SPRING, 1979 11 Dr. Marconi �11 Faculty Retire Dr. Bumbalo Eleven Medical School faculty members, who reached age 70 on or before the last day of August, have retired. Collectively they have served the University 316 years. They are Drs. Virgil H.F. Boeck, Thomas S. Bumbalo, Arthur J. Cramer, Irwin Felsen, Joseph D. Godfrey, J. Curtis Hellriegel, Frederick K. Neuburger, Nelson G. Russell, Harold Schweitzer, Edith E. Sproul and Martin G. Staiman. Dr. Boeck is a 1931 Medical School graduate. He has been on the faculty since 1949, and is a clinical assistant professor of medicine. He took his residency at the Buffalo City Hospital and the E.J. Meyer. Dr. Boeck is a Diplomate, American Board of Internal Medicine and a Fellow, American College of Physicians. He served as a battalion surgeon four years in the Pacific theatre during World War II. After his discharge as a Major he did post graduate work at Harvard University Medical School. He is an attending physician emeritus at Millard Fillmore Hospital and chief of medicine emeritus at St. Joseph's Intercommunity Hospital. He is an active member of 20 professional and civic societies. Dr. Bumbalo is a 1931 graduate of the U/B Medical School. He has been a clinical professor of pediatrics since 1963. He has been associated with the E.J. Meyer hospital since his internship in 1932, and has been medical director since 1972. He has also served as attending pediatrician, head of pediatrics, chief attending, assistant and associate medical director at the Meyer. Dr. Bumbalo has also been attending pediatrician at Children's Hospital since 1936; a consulting pediatrician to four other area hospitals and on the courtesy staff of seven others. He is a Fellow, American Academy of Pediatrics. He has been active and an officer in numerous city, state, regional and national professional societies. Dr. Bumbalo has also been active in civic organizations. He has authored or co-authored 35 scientific papers for professional journals. Dr. Cramer Dr. Godfrey Dr. Cramer joined the faculty in 1936 as an associate in pediatrics and retired 42 years later as clinical associate in pediatrics. He received his M.D. from U/B in 1932 and took his internship and residency at Children's Hospital, 1932-1936. Dr. Cramer has been senior attending physician at Children's and Buffalo General; chief of pediatrics at Kenmore Mercy; health officer in Kenmore, N.Y. where he practiced; and on the pediatric staff of DeGraff Memorial and Millard Fillmore Hospitals. He served with the U.S. Army Medical Corps in World War II from 1942-1946 in the European theatre with the 3rd and 7th Army. As a Captain and Major he was awarded five battle stars. At one time he was Chief Communicable Disease Officer in Munich. He is a Fellow, American Academy of Pediatrics, past president of the Buffalo Pediatric Society and has been active in several other professional and civic organizations. A stroke forced him into semi-retirement in 1969, but he still serves on the staff of three nursing homes, reads scientific journals and is a 'Ham' radio operator. Dr. Godfrey is a 1931 graduate of the U/B Medical School. He has been a clinical professor of orthopaedics since 1942. He is an orthopaedic consultant in four Buffalo Hospitals (General, Children's, Mercy, Roswell Park) as well as the United States 12 THE BUFFALO PHYSICIAN �Naval Academy, United States Military Academy. Dr. Godfrey is a Diplomate, American Board of Orthopaedic Surgeons and a Fellow, American College of Surgeons (life member) . He was the Buffalo Bills team physician. He was named "Mr. Sports Medicine" in 1977 by the American Orthopaedic Society for Sports and was given the "President's Challenge Award" by the National Athletic Trainers Association in the same year. In 1976 Canisius College honored him with their "Distinguished Alumnus Award." Dr. Godfrey has been a member and an officer in many national professional associations. He has addressed many professional organizations in Belgium, Canada and the United States. He had post graduate training at Temple University's Shriners' Hospital for Crippled Children, Philadelphia. During World War II Dr. Godfrey was a Lieutenant Colonel and chief orthopaedic service, 23rd General Hospital in the African and European theatres. Dr. Neuburger, clinical associate professor of otolaryngology, joined the faculty in 1948. He received his M.D. from the University of Vienna Medical School (Austria) in 1933. After a four-year internship and residency there he did five years of postgraduate work at Brooklyn Jewish, New York University, Buffalo General and Children's Hospitals. Dr. Neuburger served as a Major during World War II with an evacuation hospital in the European theatre and at Walter Reed Hospital. Dr. Neuburger has been active in local and national professional societies. He has been on the staff of Buffalo General and Children's Hospitals. His father, Max, was an internationally known medical historian and professor of medicine at the University of Vienna. Dr. Sproul joined the faculty in 1962 as a research associate professor of pathology. She received her M.D. from the College of Physicians and Surgeons, Columbia University. She also took her Residency there, after interning at Strong Memorial Hospital, Rochester, N.Y. Dr. Sproul was chairman of the department of pathology at American University, Beirut, Lebanon four years. She has been affiliated with Buffalo General Hospital and Roswell Park Memorial Institute. Before coming to Buffalo she was associated with two New York City hospitals, Presbyterian and Francis Delafield. Dr. Sproul is active in several professional organizations. Dr. Staiman, clinical assistant professor of psychiatry, joined the faculty in 1954. He has taught medical students in group psychotherapy and supervised residents for 24 years. He is a Diplomate in clinical psychology, American Board of Professional Psychology and a Fellow, American Psychological Association, American Orthopsychiatric Association and American Group Therapy Association. Dr. Staiman received his PhD. from New York University in 1949; his M.A. from Columbia University in 1932. He served during World War II in the Correction Division, Adjutant General's Office in the Pentagon. Before the war (for 10 years) Dr. Staiman was director of classification for the New York City department of correction. In November, 1969 he retired as chief of psychology at the Veterans Administration Hospital, a position he held for 17 years. In October 1978 Dr. Staiman was inducted into the Alfred University Athletic Hall of Fame. He received his B.A. degree from Alfred in 1931 where he was a star_L_ on the gridiron. 0 SPRING, 1979 13 Dr. Neuburger Dr. Sproul Dr. Staiman �Dr. Felsen joined the faculty in 1971 as a clinical instructor in family medicine. He received his M.D. degree in 1934 from the University of Glasgow. Dr. Hellriegel, a 1933 Medical School graduate, joined the faculty in 1966 as a clinical associate in Gyn/Ob. Dr. Russell joined the faculty in 1939 as a clinical assistant professor of medicine. He received his M.D. from McGill University in 1934. Dr. Schweitzer, a 1931 Medical School graduate, joined the faculty in 1939, as a clinical assistant professor of medicine.O Dr. Ogra Wins Award Dr. Ogra Dr. Pearay L. Ogra, professor of pediatrics and microbiology and director of the division of clinical infectious diseases and virology at Children's Hospital has been awarded the prestigious E. Mead Johnson Award for original and significant research in pediatrics. According to the American Academy of Pediatrics which presented the award at its annual meeting in October in Chicago, Dr. Ogra was selected for his contributions in the field of immunologic defense mechanisms operating at the mucosal barrier of the respiratory and gastrointestinal tracts. He is the first Buffalonian selected to receive the award since its inception in 1939. Previous winners include Drs. Albert Sabin and Benjamin Spack. Dr. Ogra joined U/B in 1966 as a Fellow in virology and instructor in the department of pediatrics. In 1974, he was named professor in both pediatrics and microbiology. He is a native of Kashmir (India) and was graduated from the Christian Medical College at Ludhiana there. He completed residency training at the Government Medical College (Srinagar), the Christian Medical College, Binghamton General Hospital, the University of Chicago Hospitals and Clinics and New York University-Bellevue Medical Center. He is certified by the American Board of Pediatrics and the National Registry of Microbiologists and is a Fellow of the Royal Society of Medicine, the American College of Pediatricians and the American Academy of Pediatricians. Dr. Ogra has authored or co-authored some 65 professional papers and has served as editorial consultant for the Journal of Pediatrics, the New England Journal of Medicine, Pediatrics, Infection and Immunology, Applied Microbiology, Journal of Infectious Disease and the American Journal of the Diseases of Children. Dr. Ogra is also a member of U/B's Center for Immunology, a consultant to the Erie County Virology Labratory and has served also as consultant to the U.S. Public Health Service and the World Health Organization and has been a member of a special study section for the National Institutes of Health. He and his wife, Dr. S.S. Ogra, assistant professor of gynecology and obstetrics at U/B, have two children.O 14 THE BUFFALO PHYSICIAN �Dr. Gonder Named Acting Chairman .. Dr. Maurice J. Gonder, chief of urology at the Veterans Administration Hospital and clinical associate professor at the School of Medicine, has been named acting chairman of the U/B Department of Urology. Dr. Gonder, who succeeds Dr. William Staubitz who retired his chairmanship this spring, has been on the U/B faculty since 1960. Prior to that time, he was chief of urology at Ireland Army Hospital, Ft. Knox, Ky.; and at the 97th General Army Hospital, Frankfurt, Germany. Dr. Gonder received his MD degree from the University of Iowa, interned at Madigan Army Hospital in Ft. Lewis, Wash., and completed residency in urology at Brooke Army Hospital in San Antonio where he became assistant chief of urology from 1954-58. A native of Boone, Iowa, he has been active in urological research concentrating on diseases of the prostate and has authored or co-authored some 60 professional papers including textbook material. He is a Diplomate of the American Board of Urology as well as a Fellow of the American College of Surgeons and a member of the American Urological Association, the Erie County and New York State Medical Societies. Dr. Gonder holds current hospital staff appointments at Erie County Medical Center, the VA, Kenmore Mercy, Buffalo General and Sheridan Park Hospitals.D Dr. Charles F. Dewitz has the distinction of being the longest practicing physician of the 1914 U/B Medical School graduating class. In 1977 he gave up his office on Main Street where he had practiced for 25 years. Recently Dr. and Mrs. Dewitz celebrated their 60th wedding anniversary. They were married November 2, 1918 at Bethel Baptist Church on Johnson Street. Mrs. Dewitz was a nurse at Buffalo General Hospital when her future husband was an intern. Exercise and moderation are the keys to healthy living, according to the 93-year-old physician. He eats sparingly, smokes a pipe and has a drink once in a while. Dr. Dewitz began his medical career when he was 15 years old working in the lab of the late Dr. Charles Stockton. Dr. Dewitz has been devoted to his profession. He rarely took a vacation. He enjoys hearing from his former patients and continues to read medical journals.D SPRING, 1979 15 Dr. Gonder Dr. Dewitz �Biochemical ''Profile'' of a Lithopedion by Drs. D.A. Pragay and Korenyi-Both Dr. Pragay is a clinical associate professor of biochemistry and pathology. Dr. Korenyi-Both is a clinical assistant professor of pathology. Both are affiliated with the chemistry laboratory at the Erie County Medical Center; and the departments of neurology and biochemistry and the Medical School. The Lithopedion "stone baby" is a calcified fetus. It is a very rare finding. Approximately 330 recorded cases are known in the whole of medical literature. The first case was described by Albucasis (936-1013) during the Arabic Era in Medicine. His observations were translated later into Latin and published in 1459 in Venice, and in 1779 in Oxford. The second recorded case was published by Israel Spack in 1557. Since the introduction of systematic medical publication, these observations increased in number. During a regular autopsy precedure performed in 1977 in the Meyer Hospital, a lithopedion was found. The mother suffered a myocardial infarct and died one hour after admission to the hospital. During the autopsy, the lithopedion was detected. This lithopedion was firmly attached to a loop of the maternal ileum in the abdominal cavity. X-ray bone analysis revealed that the fetus died at approximately nine months of age. From the very scanty data available one could assume that the dead fetus was subjected to a mild mummification and to calcification for 20-25 years in the abdominal cavity. Histological, morphological, electronmicroscopical and chemical analysis were done on the tissues of the fetus. The length of the body of the fetus was 30cm; the chest circumference 20 em; the weight was 730 gm (vs 3,000-3,500 gm weight of a normal nine month old fetus). Macroscopical examination revealed brain tissue, and then liver, large and small intestines, uterus and bladder in the abdominal cavity and muscle in the extremities. From those tissues muscle only showed definite microscopical structure. Dry weight analysis showed a definite increase of the dry weight in the lithopedion tissues when compared to normal fetal tissues. The lithopedion was completely surrounded by a calcified shell o.1-1.3 em thick. The shell showed an inorganic composition very similar to egg shell (hen]. Tissues were wet washed and analyzed for inorganic components. The study revealed increases in sodium, and magnesium, loss of potassium and chloride, and an enormous increase in calcium and phosphorus. All these data point in one direction: the mother organism tried to "inactivate" and isolate the dead fetus as a "foreign body." Properly prepared tissue homogenates were studied for enzyme activity. The enzyme activity of the extracts was only approximately 1 o/o of the activity found in the extract of normal fetal tissues. The following enzymes analyzed showed a low but definite activity: transaminases (ASPAT, ALAT) lactic dehydrogenase, creatine kinase, gamma glutamyl transpeptidase (LDH, CK, GGT]. The isoenzymes of LDH and CK were also discernible in different tissues and showed the characteristic isoenzyme composition of the fetal tissue. Although lithopedions were studied in the past, this was the first time when chemical analysis was also performed. The detailed results will be published and are in press.D 16 THE BUFFALO PHYSICIAN �Fourth year student Robert Rose with Dr. Gerard Diesfeld, M '60, in Arcade, New York. Dr. Carol Segal reviews a patient's chart with Donald Armenia, fourth year student. Primary Ambulatory Care Fourth year medical students are getting a good feel for patient care in the required one month primary ambulatory care rotation in the teaching hospitals and city clinics. Students have their choice of four departments- family medicine, medicine, gyn/ob or pediatrics. More than one-third of the students selected the family medicine program at Deaconess Hospital. This program gives students exposure to treating patients not hospitalized. Dr. Daniel Morelli, clinical instructor in family medicine, directs the program that emphasizes continuous patient care. Students in the Deaconess program can work at the Center with a physician in the community or in a rural setting in Arcade, Springville, Wellsville, Dansville, Warsaw or Saranac Lake. At the new Erie County Medical Center students see the range of common patient problems (diabetes, congestive heart failure, hypertension, arthritis) in the general adult medicine clinic headed by Dr. Carol Segal, clinical assistant professor of medicine . She hopes that the students will see the results of their patient evaluation during several patient visits. At the East Side Health Clinic directed by Dr. Jacqueline Levitt, clinical instructor in medicine, and the downtown alcoholic clinic students may see a different patient population with other health problems.D SPRING, 1979 17 Dr. Clifton Strong, M'44, and Ramon Pabalan, fourth year student, in Springville, New York. �Two Physicians Honored Dr. Bruck Dr. Staubitz Two Medical School faculty members were among 15 retirees honored at the annual Commencement Luncheon by President Robert L. Ketter at Spaulding Dining Room. Erika Bruck, professor of pediatrics. Dr. Bruck has been with U/B and Children's hospital since 1947. She directed Children's Clinical Chemistry Laboratory from 1947 to 1949, and again from 1951 to 1968. A graduate of the Friedrich Wilhem Universitaet Medical School, Breslau, Germany, she completed an internship there and was affiliated with the University of Istanbul before emigrating to the U.S. In this country, she completed an internship and residency at Goldwater Memorial Hospital, New York City. Following that, she was on the staff of the Children's Hospital of Cincinnati and was a research fellow in pediatrics at the Children's Hospital of Philadelphia before coming to Buffalo. Since 1952, Dr. Bruck's primary research interests have been concerned with respiratory function in children, with disorders in the central nervous system in children, with fibro-cystic disease of the pancreas, and with the problems of dehydration. Her findings have been widely published in medical journals, and she is a member of a number of medical professional societies. William J. Staubitz, professor and chairman of the Department of Urology. Born in Buffalo, Dr. Staubitz attended Gettysburg College on a football scholarship before taking his medical degree at U/ B. He was chief of urology for twelve years at Roswell Park and joined his alma mater in 1960. Concurrent with his U/B appointment, he has been chairman of the departments of urology at Meyer Memorial and Children's Hospitals. He served as co-chairman of U/B's Department of Surgery in 1965-66, has served on a number of Health Sciences search committees, was chairman of the University Residency Committee and of the School of Medicine's Research and Development Committee for seven years, and was president of Medicine's Faculty Council for a term. Now a member of the Clinical Council of the School, he serves on its executive committee and on similar committees at Buffalo General and the Meyer. One of the developers of a surgical technique for removing certain deposits from tumors of the male sex organs, Dr. Staubitz has been an attending and consulting physician at a number of hospitals, has held visiting professorships throughout the world, is a widely published researcher, was the second Buffalo resident ever to be elected to the American Association of Genitourinary Surgeons (the first was Dr. Roswell Park). and was the first American to be president of the Canadian Urologic Association.O 18 THE BUFFALO PHYSICIAN �( Dr. Joseph Melant calls himself an advanced amateur historian who has collected all kinds of medals, documents, 800 books, and personal reminders of World War II. The April 1943 Medical School graduate is living in Sarasota, Florida where he also has autographs and memorabilia of famous people who made history in the 1930's and 1940's. Some of these include Harry Truman, Omar Bradley, Winston Churchill, Franklin Roosevelt, Dwight Eisenhower, Adolph Hitler and Hermann Goering. Dr. Melant also has Lady Churchill's autograph on a first-day cover of the Winston Churchill stamp commemorating his Iron Curtain Speech. The stamp is postmarked May 13, 1965 at Fulton, Mo., where Churchill first coined the term "Iron Curtain." Autographs of Edward, Duke of Windsor, and Wallis, Duchess of Windsor, are also on the cover owned by Dr. Melant. Before he moved to Florida in 1977 much of his collection was either sold or given to Mount Holyoke College and Mt. Mercy Academy. Dr. Melant still owns the last Nazi flag that flew over Dachau concentration camp the day it was liberated. He served with the 85th field hospital in England, France and Belgium and on VE day he was across the Rhine from Bonn. He has returned to Germany eight times to search for documents and autographs and meet some of the people close to Hitler. In 1972 Dr. and Mrs. Melant had dinner with Albert Speer, Hitler's minister of armament. One of the 22 defendants at Nuremberg, Speer spent 20 years in prison. He authored two of the best sellers about the Third Reich. Dr. Melant has also visited with other associates of Hitler in recent years. Dr. Melant's office includes a bust of Hitler, a wall of medals, many books and badges. Some of the momentos were given him by patients and others were purchased from dealers or at auctions. The Melant's live at 4219 Francis Bacon Lane, Sarasota, 33583.0 Dr. Melant -------. ...... -u······---- ..,...,...,.. ..._ _ _ ___ «,t<'lt(ftj - .. . . . ~~-..- •• . . . ..,... fU ol( ijlllec Dr. Charles B. Coventry The eastern entrance to the Amherst Campus has been named the Charles B. Coventry Entrance. Dr. Coventry was the first professor of physiology and medical jurisprudence and one of the founders of U/B. Dr. Coventry was born in 1801 and died in 1875. In 1825 he received his M.D. from the College of Physicians and Surgeons of Western New York at Fairfield, Herkimer County. Dr. Coventry practiced medicine with his father in Utica, N.Y. until 1828 when young Coventry was appointed to lecture on Materia Medica at the Berkshire Medical College, Pittsfield, Mass. The following year he was appointed to the chair of Obstetrics and Materia Medica, a position he held until 1832. When the medical department at Geneva College was organized in 1834 Dr. Coventry accepted the chair of Materia Media and Obstetrics. In 1846 he was one of seven professors named to the new U/B Medical School. When he resigned in April1851, because of an extensive family practice in Utica, Dr. Coventry was named the first Emeritus Professor of the University.O SPRING, 1979 19 Dr. O.P. Jones wrote a story on Dr. Coventry that appeared in The Buffalo Physician, Vol. 8, No. 3, p-54, Spring, 1974. �New Psychiatry Chairman Dr. Herz Dr. Marvin Herz has been named professor and chairman of psychiatry. He replaces Dr. S. Mouchly Small, who retired after 26 years as chairman. Dr. Herz comes to Buffalo from the Georgia Mental Health Institute in Atlanta where he has been director of research and medical director. From 1972-77 he was associate professor of clinical psychiatry, College of Physicians and Surgeons, Columbia University; director of community services, New York State Psychiatric Institute; and associate attending psychiatrist at Presbyterian Hospital, New York City. He has also been associated with Yale University, Albert Einstein College of Medicine, and the New York State Psychiatric Institute as director. Dr. Herz has also been professor of psychiatry at Emory University. Dr. Herz did his undergraduate work at the University of Michigan, received his Master's degree from Yale and his M.D. from the Chicago Medical School. He interned at the University of Illinois Hospitals and took his residency at Michael Reese Hospital. The educator is a Fellow, American Association for Social Psychiatry, American College of Psychiatrists, American Academy of Psychoanalysis, and American Psychiatric Association. He is a Diplomate, American Board of Psychiatry and Neurology in Psychiatry and American Board of Medical Examiners. He has also been active in several other professional organizations. Dr. Herz has made significant contributions to the mental health services delivery field. He is listed in "Who's Who in Health Care" (1st edition, 1977). He has authored or co-authored 40 professional papers and has served as publication reviewer for the American Journal of Psychiatry. He has also served as an educational consultant for the National Heart, Lung and Blood Institute and a consultant to the Task Panel of the President's Commission on Research and Mental Illness.D Residents Graduation Three graduating residents in orthopaedics and one senior medical student presented thesis papers at the 7th annual Residents' Scientific Program and Graduation Day in May, according to Dr. Eugene R. Mindell, professor and chairman of orthopaedics. Dr. John A. Hefferon, "Fractures of the Forearm, An Analysis of 70 Cases;" Dr. David M. Roe, "Fracture Dislocations of the Lumbar Spine, An Analysis of 50 Cases;" Dr. Jimmy S. Snur, "Fractures of the Distal Femoral Epiphysis". In addition, Greg Roberts, senior medical student, delivered a paper entitled "Elasticity and Plasticity of Rat Femora." The Visiting Professor, Dr. Carl T. Brighton, professor and chairman, department of orthopaedics at University of Pennsylvania, delivered two lectures entitled "Epiphyseal Cartilage Plate" and "Electricity in Bone Repair."D 20 THE BUFFALO PHYSICIAN �A Martinique Experience Physicians left the inhospitable climate of Buffalo in March for a one-week combined continuing education-pleasure trip to Martinique. Martinique, a department (state) of France and aptly called the isle of flowers, has to be one of the Caribbean's most beautiful locations. Delicate and brilliantly-hued everywhere,from the north mountainous rain forests where the ever-present sun is usually obscured by rain clouds and dense jungle growth to the low lands in the south where sugar cane and distilleries predominate. The French influence is strong; our U/B party was quartered at the Meridien, a luxury hotel in the Air France chain. Located across the bay from the capital, Fort de France, a city of 100,000, the alumni made many a passage from the newer resort of Trois Islets by ferry, a pleasant half-hour ride. Numerous restaurants featured an attractive blend of continental and Creole fare, which delighted the most discriminating palate. The U/B party of 150 included dental alumni, who also were engaged in seminars, and about 70 others who were strictly vacationers. The program provided an update on current practices in cardiology and the psychosocial factors in cardiac disease. The techniques for alleviating stress was emphasized. The faculty included: Dr. Sebastian S. Fasanello, clinical instructor in psychiatry; Dr. Lawrence H. Golden, clinical professor of medicine; and Nancy P. Golden, family therapist, child and family service.D SPRING, 1979 21 �Dr. Debobroto Moulik, assistant professor of Gyn/ Ob at Deaconess Hospital, with second-year students, Wendy Kahn and Stacey Ackerman. MECO Myra Rosenstein, a second-year medical student, with Dr. P.V . Mehta, clinical instructor in medicine, at the Ambulatory Core Center, Buffalo General Hospital. During the summer 37 first and second year medical students were introduced to primary care. Fourteen of the students were in Jamestown, New York for the first time, while the others were in hospitals, health clinics and physicians' offices in the Buffalo area. The Medical Education Community Orientation (MECO) Program, sponsored by the American Medical Student Association, is in its third year. Two second year students, Robert Shalwitz and Donald Switzer, directed the program. Most of the students were on six week stipends, while several worked for seven or eight weeks. Among the contributors were- the Annual Participating Fund for Medical Education (APFME). New York State Academy of Family Physicians, Lamb Foundation, Jeffrey Fells, Gebbie Foundation, and Cornell Foundation. There were also several private contributors. The 42 physicians participated voluntarily. The Outer East Side Health Center and the West Side Health Center participated for the first time in this program. Participating in the program: STUDENT PRECEPTOR Robert Shalwitz ....... Orlando Alvarez ...... James Conway ........ Brett Shulman ......... Diana Ellis ............ David Small ........... Dr. Harry Beirne, pediatrics Dr. Richard Carlson, medicine Dr. Richard Carlson, medicine Dr. Paul T. Buerger, gyn/ob Dr. Stephen Farkas Dr. Jaime Revollo, family medicine 22 THE BUFFALO PHYSICIAN �Robert Ignasiak ....... Myra Rosenstein ...... Ken Entes ............. Thomas Dew .......... Larry Sporn ........... Mona Fleiss ........... Stacey Ackerman ...... Wendy Kahn .......... Greg Goldberg ........ John Zalewski ......... Pat Diesfeld ........... Natalie Schwartz ...... Marjory Dube ......... Robert Parkes ......... Barry Schiff ........... Donna Oehman ....... Dr. Morton Lipsitz, medicine Dr. Michael F. Noe, medicine Dr. John Conboy, medicine Dr. John McMahon, medicine Dr. Anthony Merlino, medicine Dr. Ulrich Bauer, pediatrics Dr. Jack Lippes, gyn/ob Dr. Jack Lippes, gyn/ob Dr. Bertrand Rqche, family medicine Dr. Robert Corretore, family medicine Dr. William Heyden, surgery Dr. Joseph Armenia, medicine Dr. Milford C. Maloney, medicine Dr. John Gab bey, family medicine Dr. Jacob Steinhart, pediatrics Dr. Melvin Deister The students participating in the Jamestown area program are: Don Switzer, John Mageli, Harvey Arbesman, Mary Frank, Diane Sinatra, Robert Braco, Robert Walsh, Susan Pettitt, John Ninos, Steven Wilson, Todd Jacobson, Alfred Smith, Margaret Werick, John Paroski. Coordinating the Jamestown preceptors was Dr. Lillian Ney. Other participants: Doctors Anderson, Messinger (ob/gyn); Bumhalo, Lisciandro (pediatrics); Lewis, Liebentritt (family practice); Gutierrez (Primary Health Care Center, Salamanca); Rappole, Lynn (general surgery); Kumar (neurosurgery); Campbell, Heverly (Emergency Room); Danahy, Ungerer (orthopedic surgery); Davis, Franks (ophthalmology); Finklestein (public health); Sinatra, Sood, Ervin (medicine) .0 Cancer of the Colon ,, Eating green vegetables and cabbage in particular, may help protect individuals from cancer of the colon, according to Dr. Saxon Graham. His study is based on the comparison of the diet of 257 white males with cancer of the colon and 783 controls. The professor of sociology and social and preventive medicine noted his research shows that decreased frequency of eating certain vegetables corresponded with increased risk of colon cancer. His findings appear to parallel research in which laboratory rats fed cabbage, broccoli, brussels sprouts and turnips showed increased activity of a chemical which inhibits cancer. Dr. Graham said the study found no correlation between risk of colon cancer and a diet high in meat or beef. Several researchers from Roswell Park Memorial Institute were involved in this study.D SPRING, 1979 23 Robert Shalwitz, second-year medical student, examines a youngster at the West Side Health Center with Dr. Harry Beirne, clinical assistant professor of pediatrics. �Dr. David Dean, clinical associate professor of medicine, and students. The organizer of the tourney, Christine Miller, 3rd year student; Myra Rosenstein, 3rd year student; Dr. Leonard Katz, and the tennis tourney winner/assistant organizer, John DeBerry, 2nd year student. 4th Annual Tennis Tourney Seventy medical students and faculty participated in the fourth annual round-robin tennis tournament in September. Approximately 250 cheered their favorites and attended the picnic that followed. The top three students were Avi Jain, John DeBerry and Rakesh Jain. The three faculty winners were - Dale Fish, Mario Montes and David Myers.D Dr. Jock Richert, David Kurss, 1st year student, Alan Schimmel, 4th year student. Some played volleyball. 24 THE BUFFALO PHYSICIAN �Dr. Anita J. Herbert, M'63, an internist, ended her 10-year practice in Bradford, Pa. in June to teach at the Boston University Medical School. She will also be on the staff of Boston City Hospital. Her experience in Bradford prepared her for her new position. She was on the Bradford Hospital medical staff, and active in the American Heart Association. Dr. Herbert has also been the Bradford Area School District physician for several years and a consultant to the McKean County Department of Children's Services' Child Abuse Program. She interned and took her residency at the E.J. Meyer Memorial Hospital and the Alleghany General Hospital in Pittsburgh. Dr. Herbert's new duties in Boston will include teaching medicine, providing out-patient care at Columbia Point Health Center in Boston as part of a training program for students in the primary care graduate training program and supervising in-patient care. The physician sees her role as a faculty member as one of encouraging residents to enter the "primary care specialty of general internal medicine" and to practice in rural areas such as Bradford. She says that she will now be able to guide doctors in these directions on a different level, on the teaching level, where residents make their decisions rather than on the "front lines" of the private practice.D Dr. Roy E. Seibel, director of the radiology department at Deaconess Hospital, has been appointed to head the same department at Buffalo General Hospital, as another step toward the planned merger of the two hospitals. Dr. Gordon J. Culver, who had served as head of the department at BGH since 1949, stepped down as department head six months before his scheduled retirement "in order to facilitate a more orderly transition to a joint administration of the two radiology departments," according to BGH president, Dr. William V. Kinnard, Jr. Dr. Seibel has been the chief radioiogist at the Deaconess since 1946. Born in Buffalo, he graduated from the University of Buffalo in 1935 and earned his medical degree from UB in 1939. He served as a staff physician with the H.N.JAdams Memorial Hospital in Perryburg from 1940-1942, did his internship at Deaconess from 1942-1943, and took his radiology residency at the Peter Bent Brigham Hospital in Boston, Mass. from 1943-1946, before returning to Buffalo to head the radiology department at the Deaconess. Certified by the American Board of Radiology, Dr. Seibel also is an clinical associate professor of radiology at the UB Medical School. Dr. Culver, who was 65 last February, is staying on in the radiology department at BGH for the present as a full-time radiologist and to assist Dr. Seibel in his administrative duties. Dr. Culver is a native of Randolph, N.Y. who earned his medical degree from UB in 1937 and has been with Buffalo General ever since, serving his internship and residency in radiology at the High Street hospital before being appointed as a staff radiologist in 1941. He is a clinical professor of radiology. Dr. Kinnard said Dr. Seibel "is working closely with the BGH administration to finalize proposals for early improvement of our X-ray facilities."D SPRING, 1979 25 Dr. Herbert Drs. Seibel/Culver Dr. Seibel Dr. Culver �42nd Annual Medical Alumni Spring Clinical Days Theme: What's _Right with Medicine Today May 11, 12, 1979 Program STATLER HILTON HOTEL Embassy Room FRIDAY MORNING, MAY 11 8:00 Registration 8:30 Welcome: Edmond Gicewicz, M.D . '56 President, Medical Alumni Association Clinical Associate Professor of Surgery John Naughton, M.D. , Dean, School of Medicine 8:45 WHAT IS NEW IN NEUROLOGY by William Kinkel, M.D. '54 Clinical Professor of Neurology; Clinical Associate Professor of Anatomical Sciences 9:30 DIALYSIS AND RENAL ADVANCES by Sidney Anthone M.D . '50 Clinical Professor of Surgery 10:15 Coffee 10:45 ORGAN TRANSPLANTATION by Thomas Starzl, M.D., University of Colorado Medical School 11:30 GASTROENTEROLOGY by Harold Bernhard, M.D. '49 Clinical Associate Professor of Medicine 12:15-12:30 Business Meeting FRIDAY AFTERNOON 1:15 INFECTIOUS DISEASES by Richard Lee, M.D. Professor of Medicine 2:00 CARDIOVASCULAR by Francis Klocke, M.D. '60 Professor of Medicine, Physiology 2:45 3:15 4:00 Coffee CHEMOTHERAPEUTICS by James Holland, M.D., Mt. Sinai Hospital COMPUTERS IN CRITICAL CARE by John Siegel, M.D., Professor of Surgery; Research Professor of Biophysical Sciences SATURDAY MORNING, MAY 12 9:00 CHANGING CONCEPTS IN THE RISING COST OF HEALTH CARE SATURDAY AFTERNOON UB MEDICAL ALUMNI ANNUAL LUNCHEON AND 1:00 STOCKTON KIMBALL MEMORIAL LECTURE (speaker not announced at press time) SATURDAY EVENING, 6:30 Class Reunions: 1929, 1934, 1939, 1944, 1949, 1954, 1959, 1964, 1969 26 THE BUFFALO PHYSICIAN �The new hyperbaric research Jab. Deep Sea Diving I, 1 The director of the hyperbaric research laboratory has received two grants totaling $300,000 from the Office of Naval Research for deep sea diving research and renovation of the facilities. Dr. Claes E.G. Lundgren stressed that the research aspects of the project would be for the improvement of deep sea diving safety and efficiency. "We want to make diving more productive by studying the physiological and medical problems related to diving. We hope we can increase the amount of cumulative time deep sea divers can spend on the ocean bottom. The current average is about 30 hours." The professor of physiology hopes to give his students much more exposure to the safety and research aspects of diving. Dr. Lundgren suggested that this project could have a good affect on recreational diving. "Our civilian community is becoming more interested in swimming and diving and they will also reap some rewards from our research."O SPRING, 1979 27 �Dr. Ettinger Honored Dr. Ettinger Dr. Murray J. Ettinger, associate professor of biochemistry, was among 10 members of the U/B community to receive $1,000 for "outstanding" service to the University. The awards were funded by the U/B Foundation Inc. These awards are intended to begin a tradition of recognizing "dedication and meritorious" on-the-job and community efforts. President Robert L. Ketter presented the awards at the dedication of the Baird Point amphitheatre project. Dr. Ettinger joined the Medical School faculty in 1969. He received his doctorate in pharmacology from Hahnemann Medical College, Philadelphia in 1965. Dr. Ettinger was nominated by a colleague for "his excellence, innovativeness, and devotion in teaching, his creative and superb research," and his "very impressive contributions" to the Medical Faculty Council as chairman of its committee on academic and student affairs. A major contributor to the biochemistry teaching program in medicine and dentistry, he is especially involved with sometimes ill-prepared minority students. For these students, he and another professor, Dr. Alexander C. Brownie, developed a supplementary course which runs parallel to the regular one. "There is clear evidence," a colleague notes, "that in a large number of instances this enables students to achieve satisfactory grades and, indeed, sets learning methods which pay off in other aspects of the basic science program." Consistently recognized in student evaluations as a top teacher, Ettinger also offers courses for both undergraduate and graduate students. He is a member of the Bioinorganic Graduate Group, which consists of faculty from chemistry and biochemistry, and is principal investigator of two funded research projects. He is said to have "the most graduate students in his laboratory" of anyone in biochemistry. During Ettinger's tenure as chairman of the Medical Faculty's panel on academic standards and student affairs, a new approach to the assessment of student performance was devised. As another faculty member describes it, "he was very instrumental in getting us to identify problems as early as possible in a student's career in the Medical School, and this has led to appropriate modifications of that student's curriculum. The curriculum may be lengthened as a result, but the policy insures that students are retained and successfully complete their training program. We have been working with these guidelines for several years now and it is clear that they work. "0 28 THE BUFFALO PHYSICIAN �Clock wise from lower left: Dr . Francis ]. Klock e, M'60, guests from the Peoples R ep ublic of China, Dr. Guy Alfano, M'50; Dean John Naughton, Walter Floss; the a udi tori um; Dr. John Border ; th e lobby; Dr. and Mrs. George Hatem from The Peoples Repu blic of China, Dr. Th omas Bumbalo, M'31. Erie County Medical Center Approximately 3,000 people walked through the new 775-bed hospital during two days of open house and ribbon cutting in July. The patients were moved into the 12-story building a few days later. The ultra-modern hospital is one of the finest in the Northeast. It was in the planning stage 10 years and took seven years to build. County Legislator Roger I. Blackwell said, " this is the most magnificent thing to happen in Erie County."D Photos by Sheldon Dukoff SPRING, 1979 29 Tina Santonocito opens the $127 million Erie County Medical Center with the h elp of County Executive Edward Regan. Mr 1 Regan is now State Comptroller. �Five Physicians Honored Five physicians were honored by the graduating residents in internal medicine at the new Erie County Medical Center (formerly Meyer Ho.s pital). It was the fourth annual awards program sponsored by the residents. Dr. Evan Calkins, professor of medicine and head of the new division of gerontology, was honored as the "outstanding clinical teacher." He received a monogrammed white coat at the June 17th dinner dance at the Sheraton-East. Dr. Calkins headed the department of medicine for 17 years. He received his M.D. from Harvard in 1955. Dr. L. Yu, research assistant instructor in biochemistry, received the $200 Semmelweiss Award for his work on "Urinary Catecholamines in Trauman-Septic Patients by High Performance Liquid Chromatography." This award was created in 1974 by Dr. D.A. Pragay, clinical associate professor of biochemistry and pathology, and director of clinical chemistry at the hospital. This award is named for Hungarian born Ignatius Semmelweiss, who pioneered antiseptic and aseptic methods of surgery and gynecology between 1840 and 1865 in Hungary and Austria. Dr. Yu was born in Taiwan and received his undergraduate education at the University of British Columbia, Vancouver, Canada. He graduated with honors from the U/B biochemistry department and is completing a post-doctoral fellowship in clinical biochemistry at the Erie County Laboratories. Three clinical assistant instructors in medicine, Drs. Evelyn Bargman, Steven Lanse, and Edward Stehlik, won the coveted Norman Chassin award ($100 each) as the outstanding interns in the department of internal medicine. Dr. Lanse is a 1977 U/B Medical School graduate. Dr. Bargman received her M.D. from the University of North Carolina in 1977, and Dr. Stehlik is a 1977 Tufts Medical School graduate. This award is named for Dr. Chassin, a 1945 Medical School graduate, who is a clinical associate professor of medicine. 46 Faculty Promotions The following 46 Medical School faculty members received promotions effective July 1, 1978. Promotions to Professor: Doctors Carl Bentzel (medicine); Francis Klocke (physiology); Robert A. Klocke (medicine); Marek Zaleski (microbiology). Promotions to Clinical Professor: Doctors James F. Phillips (medicine); Casimir F. Pietraszek (medicine); Robert E. Reisman (pediatrics and medicine). Promotions to Associate Professor: Doctors Boris Albini (microbiology); Michael Cohen (neurology and pediatrics); Arlene Collins (microbiology); Donald Faber (physiology); Marjorie Plumb (psychiatry); James Rasmussen (dermatology and pediatrics); Frances Sansone (anatomical sciences); Judith Van Liew (physiology); Roger Cunningham, (microbiology). Promotions to Clinical Associate Professor: Doctors Giovanni Costa (medicine); John E. Fitzpatrick (pathology); John Northman (psychiatry); Joohg 0. Rhee (psychiatry); Roger W. Seibel (surgery). 30 Promotion to Assistant Professor: Doctor Hank F. Kung (nuclear medicine). Promotions to Clinical Assistant Professor: Doctors Arnold A. Abramo (pediatrics); Bhaskas Achar (gyn/ob); Chung-Hyun Bae (radiology); Kumaran Bahuleyan (neurosurgery); Jared Barlow (anesthesiology); Robert M. Barone (surgery); John J. DeMarchi (orthopedics); Francesco Giacobbe (pediatrics); Peter Goergen (family medicine); William Gross (gyn/ob); Theodore J. Hajek (pediatrics); John F. Hartman (pediatrics); Rosen do Intengen (gyn/ob); Jayaraj S. Kumar (pathology); Shashikant B. Lele (gyn/ob); Bert A. Lies (orthopaedics); Martin Mango (medicine); Robert M . Matthews (anesthesiology); Gerald E. Patterson (gyn/ob); Sateesh K. Satchidanand (pathology); Lester N. Schiff (pediatrics); Aaron Searle (pediatrics); Robert J. Zwirecki (neurology). Promotion to Research Assistant Professor: Doctor Anthony M. Avellanosa (neurosurgery). THE BUFFALO PHYSICIAN �Drs. Joseph Aquilina, and Jack Goldman, associate professor of medicine and chief of endocrinology at the VA Hospital with several of the students. Seven new members of the junior class are transfers from French, Italian and Mexican medical schools. They are entering U/B via the United States Citizen Foreign Medical Students (USCFMS) pre-clinical review program of the Association of American Medical Colleges. Under this program American students, who have completed their basic science education in foreign medical schools and passed Part I of the National Boards, are accepted into the clinical years in American Medical Schools. The junior year for these transfer students started July 10, and lasted 10 weeks with orientation and intensive lectures and some clinical experiences. Since 1969 the Medical School has participated in a similar program called COTRANS, but external resources were not available to support this program. In December of 1977 the Medical School received a four-year $226,904 grant from HEW to establish the current program (USCFMS). The project director is Dr. John Richert, assistant dean and registrar. Co-directors are Dr. Joseph Aquilina, clinical professor of medicine, and Dr. Frank Schimpfhauser, assistant professor in social and preventive medicine. The 12 facilitators are: Drs. Arlene Collins, microbiology; Robert Dickman, medicine; Chester Glomski, anatomical sciences; Jack Klingman, biochemistry; Richard Hull, Murray Morphy, Gloria Roblin and Norman Solkoff, psychiatry; John Sheffer, pathology; Werner Noell and Hugh Van Liew, physiology; Edward Nelson, pharmacology. Other staff members are Vickie Leone, secretary; Meryl McNeal, study skills coordinator, and Klara Papp, evaluation coordinator.D New transfer students: Drs. Edward Toriello, Andrew Ross, Richard Williams, Christopher Rigsby, Walter Siemian, Jeffrey Isen, Jack Gabay. 7 Transfer Students �Dues Paying Alumni, 1978 The number of dues-paying medical alumni increased again last year. A special thanks to this group as well as to those who give annually. And to the nine reunion classes - 1933, 1938, 1943, (April 1943), 1948, 1953, 1958, 1963, 1968 and 1973 - who contributed $20,800 to the Medical School, a thank you. We at the School of Medicine appreciate your support and participation.D 1917 Thompson, Myron A. Tillou, Donald J. 1919 Goldstein, Henry N. 1920 Nigro, Bart A. Schultz, Cecil L. Walker, Irwin M. 1921 Morgana, Dante J. McGroder, Elmer T. Reimann, Hobart A. 1923 Burwig, W. Herbert Butman, Harold A. Koch, Caryl A. Siegel, Louis A. 1924 Colton, Ralph M. Sanborn, Lee R. 1925 Block, Marvin A. Clark, William T. Culver, Claire H. Hogben, Margaret M. Kahn, Milton E. Kuch, Norbert W. Linton, Mary D. Loder, Margaret M. 1926 Cheplove, Max Pisa, Joseph J. Sanford, James J. Sullivan, Eugene M. Sr. 1927 Berwald, Herbert Criden, Frank M. Maderer, Robert E. Meissner, William W. Murphy, Gerald E. Riwchun, Meyer H. Saunders, Richard L. 1928 Bratt, Floyd C. Brock, Thelma Bukowska, Eugenia F. Burns, John B. Etling, George F. Gardner, Richard M. Hill, Joseph M. King, Walter.F. Markovitz, Julius T. Schutkeker,Bruno Stoll, Howard L. Walker, Helen G. 1929 Cohen, Victor L. Evans, Jay I. Filsinger, Raymond G. George, Clyde W. Gurney, Ramsdell Heilbrun, Norman Lester, Garra L. Lockie, L. Maxwell Meyers, Frank Thorn, George W. Tyner, James D. 1930 Bonafede, Vincent I. Feldman, Raymond L. Heyden, Clarence F. Kanski, James G. Sr. Smarzo, Frank B. 1931 Barone, Michael H. Bean, Richard B. Boeck, Virgil H. Ciesla, Theodore F. Connelly, Gerald T. Da Luisa, G.A. Donovan, Donald E. Godfrey, Joseph D. Glick, Arthur W. Heier, Ellwyn E. Kenny, Francis E. Kuhl, John R. March, Thomas A. Naples, Angelo S. Oderkirk, Francis V. Schwartz, Jerome Tedesco, Joseph C. Ullman, Robert A. Walls, WalterS. 32 1932 Goodman, C.H. Leone, Angelo F. Leone, Frank G. Obletz, Benjamin E. Olszewski, Bronislaus S. Smolev, Joseph M. 1933 Anna, Wilfrid M. Baube, John L. Hewett, Joseph W. Hobbie, Thomas C. Homokay, Ernest G. Huber, Franklyn A. Kolbrenner, Louis Masotti, George M. Mountain, John D. Yost, Murray A. 1934 Alford, J. Edwin George, Alfred L. Haight, J. Rothery Kinzly, John C. Kraska, Michael D. La Forge, Harry G. May, Charles E. O'Connor, John D. Ridall, Earle G. Rocktaschel, W.G. Slatkin, Edgar A. Weiner, Max B. 1935 Ames, Wendell R. Arbesman, Carl E. Bernhoft, Willard H. Coleman, Benjamin Drexler, Bernard Furlong, Maurice B. Gray, James H. Kelly, Miles W. Lampka, Victor B. Madsen, Niels G. Mecklin, Bennie Moran, Charles E. Peschio, Daniel D. Rosokoff, Solomon Young, GeorgeS. 1936 Batt, Richard C. Brundage, Donald W. Burgeson, Paul A. Cherry, Alfred Crosby, John P. Eschner, Edward G. Glauber, Jerome J. Helfert, Irving Hoak, Frank C. Houston, Thomas F. Leven, Eli A. Lipp, William F. Pellicano, Victor L. Wherley, Harold F. 1937 Alford, Kenneth M. Ball, William L. Banas, Charles F. Culver, Gordon J. Flemming, Theodore C. Goodman, Soll Jackson, Stanley J. Koepf, George F. Lanahan, Rose M. Lipsett, Robert W. LoGrasso, Alice A. Mac Callum, James D. Murray, Alice B. Musselman, M. Luther Shapiro, Norton Tranella, Augustus J. Weiner, Irving Weintraub, David H. White, William F. 1938 Catalano, Russell J. Cooper, George M. Doll, Leo J. Jr. Fait, Norman J. Gilson, Benjamin I. Hertz, Carl Kaminski, Chester J. Kritkausky, Anthony R. Law, Harry C. Lieberman, Samuel L. Me Neil, Crichton Oehler, H. Robert Phillies, Eustace G. Rosenblatt, Maxwell Straubinger, Clarence A. Sydoriak, Walter L. Terry, Richard N. 1939 Alden, Carlos C. Jr. Bissell, Grosvenor W. Bleich, LaMoyne C. Burton, Ruth C. Caldwell, Milton V. Cammer, Leonard Dobrak, Alfred H. Gajewski, Matt A. Geckler, John H. THE BUFFALO PHYSICIAN �Goldstein, Kenneth Harris, Harold M. Mogil, Marvin Olmsted, Elizabeth P. Postoloff, A.V. Remington, John H. Riforgiato, Frank T. Seibel, Roy E. Siegel, Marvin Squadrito, John J. Storms, Robert E. Wesp, Everett H. Winer, Marvin N. 1940 Ascher, Julian J. Benny, John M. Clinton, Marshall Eppers, Edward H. Hildebrand, Wm. Jr. Kane, Francis D. Molyneaux, Evan W. Montgomery, Warren R. Jr. Morgan, Lyle N. Palanker, Harold Reitz, Russell E. Rekate, Albert C. Roberts, Norbert J. Schaus, James P. Jr. Severson, C. Henry Siegner, Allan W. Trippe, Louis A. Umiker, William 0. White, John D. 1941 Aquilina, Joseph T. Bean, Berten C. Cooper, Anthony J. Edmonds, Robert W. Gentner, George A. Greco, Pasquale, A. Gross, Arnold Hall, Donald W. Hanavan, Eugene J. Jr. Henrich, Mary I. Herrmann, Jack W. Hull, Bradley Jr. Kidder, RussellS. Jr. Kleinman, Harold L. Lenzner, Abraham S. Me Cue, Daniel J. Me Grane, James L. O'Brien, John J. Pierce, Allan A. Pitkin, John T. Radzimski, Eugene H. Shubert, Roman Wels, Philip B. Zaepfel, Floyd M. 1942 Ascher, Julian J. Axelrod, Sidney J. Battaglia, Horace L. SPRING, 1979 Bauda, Charles A. Blum, Robert Brown, Kent L. Cotroneo, Vincent S. Follette, William J. Eckhert, George L. Clifford, Francis J. Hall, Frank M. Kibler, Diana D. Marmolya, Boris L. Parlante, Vincent J. Persse, John D. Jr. Presant, Herman M. Smith, Martha L. Yochelson, Leon 1943 Behling, Ralph T. Birtch, Paul K. Bloom, Marvin L. Bone, Kenneth W. Buckley, Richard J. Collins, Robert J. Evans, Alfred S. Grayson, Thomas L. Guarneri, Victor Haber, Norman Humphrey, Thomas R. Jones, Richard J. Krauss, Ruth F. Lent, Melbourne H. Marano, Anthony J. Martin, Ronald E. Meyer, Franklin Minkel, Amos J. Jr. Moyce, Robert W. Me Cormick, Robert C. Niesen, William C. O'Gorman, Kevin M. Petersen, Walter R. Pleskow, Adrian J. Prior, Bradley W. Richards, Charles C. Ricotta, Joseph H. Selkirk, George H. Sherrill, Gene D. Slepian, Alexander Smith, Ralph E. Jr. Swarthout, Gertrude S. Tanner, Charles J. Jr. Trefts, Hazel J. Trovato, Louis A. Unher, Morris Valvo, Joseph A. Williams, John R. Wolfgruber, Paul J. 1944 Aquilina, Anthony M. Blodgett, Robert N. Boardman, Willard H. Bondi, Raymond G. Bramer, Clifford F. Jr. Brown, Robert L. Edelberg, Eileen L. Edelberg, Herman Egan, Richard W. Fountain, Newland W. Frawley, Thomas F. Frost, Frank T. Gage, Andrew A. Ginsberg, Irwin A. Graser, Harold P. Kennedy, Sidney R. Jr. Long, Frank H. Jr. Major, William K. Perkins, Raymond C. Prentice, Theodore C. Ross, Joseph Schaer, Sidney M. Shaver, Carrol J. Stafford, Walter F. Jr. Strong, Clinton H. Sullivan, James R. Weygandt, Paul Wilkinson, R.G. Jr. 1945 Adler, Richard H. Andaloro, William S. Baisch, Bruce F. Capraro, Vincent J. Chassin, Norman Ellis, George M. Jr. Forgrave, Edward G. Fugitt, George W. Jr. Grabau, A. Arthur Greenwald, Richard M. Johnson, James H. Joyce, Herbert E. Laglia, Vito P. Lazarus, Victor C. Longstreth, H. Paul Poda, George A. Quinlivan, John K. Robinson, John G. Rogers, William J. III Shaheen, David J. Sheedy, K. Joseph Steinhart, Jacob M. Tannenhaus, Joseph D. Templer, Wayne C. Thorngate, George IV Tybring, Gilbert B. Valentine, Edward L. Wiles, Charles E. Wiles, Jane B. 1946 Allen, John G. Baer, Richard A. Cowper, Alexander R. Crissey, John T. Driver, Maier M. Golden, Lawrence H. Herman, RalphS. Jr. Howard, Chester S. Imburgia, Ross Impellitier, Carl J. Irons, Annabel M. Joy, Charles A. 33 Levy, Harold J. Lundquist, J. Richard Marks, Eugene M. Morgan, Thomas W. Musser, Frederick E. Petzing, Harry Piccoli, Amo J. Pirson, Herbert S. Rowe, Albert G. Tardif, Henry M. Walczak, Paul M. Walsh, William P. Williams, Myron E. Jr. 1947 Arthurs, G. Robert Baker, William C. Breakell, Edward S. Bukowski, William M. Curtin, Daniel E. Dean, Robert J. Edgecomb, William S. Ehrenreich, Robert J. Julian, Peter J. Kipping, Hans F. Lippes, Jack Marchand, Richard J. Nuwer, Donald C. Phillips, James F. Riordan, Daniel J. Schaefer, Arthur J. Stagg, James F. Tokars, Jerome I. Waite, John H. Ward, Robert Whiting, Frederick D. Wildhack, Robert H. 1948 Bailie, Allston G. Borman, James G. Fahey, Daniel J. Gambacorta, Joseph P. Good, Raphael S. Gordon, Myron Graff, Harold L. Hall, Robert J. Hanson, Warren H. Hollis, Warren L. Liss, Judith L. Marinaccio, John J. Martin, Ansel R. Miller, Daniel G. Minde, Norman Moore, Darwin D. Paul, Norman L. Regan, Cletus J. Regan, Thomas C. Schiff, Lester H. Shapiro, Alfred J. Shore, Charles Solomon, Irwin Solomon, Rebecca G. Stone, Edward R. Turner, Wilbur S. �Van Avery, Jasper L. Jr. Weinberg, Paul Zola, S. Paul 1949 Abel, Frances R. Armenia, Carnielo S. Aust, J. Bradley Jr. Berl, Alfred Buerger, Paul T. Carden, Lawrence M. Dennen, Philip C. Erickson, George M. Franz, Robert Magerman, Arthur Paroski, Jacqueline L. Pfalzer, Frank A. Jr. Rosner, Edward W. Sanford, Robert D. Schneider, Max A. Shalwitz, Fred Stuart, James D. Waldo , Irma M. Weinstein, Judith Weinstein, Pierce Werick, James A. Wolfe, Charles J. 1950 Alfano, GuyS. Anthone, Roland Anthone, Sidney Benken, Lawrence D. Benninger, Robert A. Berman, Herbert L. Bisgeier, George P. Brody, Charles Busch, Grace B. Cecilia, Carl A. Chambers, Ftank Jr. Conte, Anthony Dunghe, Adelmo P. Jr. Dunn, James C. Falcone, Alfred E. Gelormini, Carmen D. Howe , Charles A. Jr. Kling, Robert N. Leberer, Richard J. Lyons, Richard E. Manders, Karl L. Meyer, Patricia A. Patterson, Robert J. Primeau, Daniel F. Robinson, Roy W. Sanford, Clarence E. Shulman, Myer Sikorski, Helen F. Solomon, Yale Thomas, Donald B. Waite, Gertrude L. Wasson, Anne A. Webster, WilliamS. Weinberg, Sidney B. Zygaj, Eugene J. 1951 Baratt, Theodore Belsky, Jay B. Bolgan, Frank J. Bruno, August A. Conrad, Carl R. Danzig, Leonard S. Engel, Eli Goldfarb, Allen L. Keicher, Kathryn M. Koukal, Ludwig R. Krueger, Harold P. Leslie, Eugene V. Murphy, Thomas J. Phillips, Daniel A. Pleskow, Marvin J. Ploss, Robert E. Reinhard, M.C. Schultz, Gerard E. Secrist, Robert L. Shanbrom, Edward Smolens, Bernard Teich, Eugene M. Weigel, James W. 1952 Adams, Donald J. Banas, John J. Baumler, Robert A. Brown, Alvin J. Chernoff, Seibert G. Corley, Barbara G. Davis, Bernie P. Fuhr, Neal W. Genewich, Joseph E. Gottlieb, Solon H. Hurley, Jerome E. Kelley, Donald J. Krohn, Melvin R. Lapp, Milton C. Lazarus, Alfred Loeser, Eugene W. Jr. Mac Lead, Colin C. Mitchell, F. Douglas Schmitt, James N. Sheesley, Byron E. Simpson, S. Aaron Sprecker, Donald H. Steiner, Oliver J. Stulberg, Burton Szabo , Imre Thurn, Roy J. Underwood, S. Jefferson Wegner, Kurt J. Weiss, Charlotte C. Whatron, Cloyd F. Zeller, James F. 1953 Atkins, Thomas W. Carlin, James W. Cohen, Stanley L. Coleman, James R. Comerford, Thomas David, JosephS. Delerme, Felix A. Fogel, Sander H. Garvey, Ronald F. Geoghegan, Thomas G. Gold, Jack 34 Handel, John W. Johnson, Curtis C. Lee, Herbert E. Lenzner, JacobS. Maloney, Milford C. Maynard, Robert E. Nagel, Richard J. Orr, James M. Panner, Molly R. Partin, Bertram A. Rachow, Donald 0. Simpkins, Herbert W. Smulyan, Harold Sobocinsiski, RobertS . Spagna, Anthony A. Strachan, John N. Sullivan, Michael A. Ullrich, Reinhold A. Wadler, Marvin Wakai, Collidge S. 1954 Beltrami, Eugene L. Campo, Joseph L. Carosella, Nicholas C. Cloutier, Louis C. Conboy, John L. Foley, Robert D. Genner, Byron A. III Glucksman, Michael Haines, Robert W. Hanson, Florence M. Hohensee , Edward W. Howard, William J. Lemann, Jacob Jr. Lesswing, Allen L. Lizlovs, Sylvia G. Marino, Charles H. Meese, Ernest H. Miller, Robert H. Murray, Donald J. Norman, N. Allen Oliver, Harry T. Olszewski, Walter A. Pletman, Robert J. Rayhill, Edward A. Tomaka, Edwin B. Weinmann, PaulL. Wilson, Donald M. Youker, James E. 1955 Beahan, Laurence T. Celestino, Vincent L. Collins, James R. Dean, Robert T. Jr. Fagerstrom, C. Daniel Franco, Albert A. Garvey, James M. Gazzo, Frank J. Gianturco, Michael J. Hashim, Sami A. Lamancusa, Sam J. Leonhardt, H. Albin Martin, Robert E. Mye, George L. Jr. Nunn, James R. Palmerton, David L. Peterson, John H. Schaer, Leonard R. Schiavi, Anthony B. Schiferle, Ray G. Jr. Smith, Robert A. Stengel, James G. Sullivan, William J. Jr. Von Schmidt, Barbara Weppner, David F. Whitney, Eugene B. Winter, John A. Wormer, Donald A. 1956 Alker, George J. Jr. Ben-Asher, M. David Corretore, Robert B. Dentinger, Mark A. Gicewicz, Edmond J. Goergen, Peter F. Jr. Goldstein, Frederick P. Haar, Jean G. Haber, Francis B. Heimback, Dennis P. Jones, Oliver P. Sr. Kunz, Joseph L. Me Intosh, Robert G. Me Cutcheon, Sue A. Nuessle, Frederick C. Ollodart, Robert O'Neill, Hugh F. Reeber, Erick Reisman, Robert E. Ronca, Paul C. Schnake, Edward G. Sklar, Bernard H. 1957 Beck, Arthur L. Jr. Berghorn, Bronson M. Boncaldo, Germante Bongiovanni, John R. Celniker, Benny Chafel, Frank J. Eisenberg, Marvin N. Friedman, Gerald Gulino, Lorie A. Kanel, Harris H. Klein, Harvey Z. Lasry, James E. Lowe, Charles E. Metsch, Herbert Miller, Richard F. Myers , Robert C. Silver, Herbert Sussman, Robert B. Waldman, Sherman 1958 Alessi, Edward C. Anderson, Elroy E. Armenia, John V. Batt, Ronald E. Boyle, Richard C. Brothman, Melvin M. Cohen, Gary N. Dischinger, Frederick W. THE BUFFALO PHYSICIAN �Dickson, Robert C. Falsetti, Domonic F. Float, John W. Genco, Michael T. Glazier, William L. Guerinot, Gerard T. Kane, Leo A. Korn, John T. Kunz, Marie L. Mazza, Michael A. Perez, Robert J. Potenza, Lucien A. Rahner, Richard A. Rivo, Elliott Rothman, Walter H. Spivack, Morton Stein, Alfred M. Taylor, Richard L. Waldman, Irving Wasson, Richard D. Weinberg, Morton B. Wende, Reinhardt W. Zeplowitz, Franklin Zimmerman, Harold B. 1959 Baeumler, George R. Brennan, Robert J. Brenner, Robert A. Cohen, Donald L. Doubrava, Sterling M. Ferlisi, Joseph A. Grauer, 'Seymour D. Heafitz, Morton H. Isaacs, Eli M. Kostecki, John W. Mangan, William J. Monte, Joseph F. Morrell, Noel H. Oberkircher, David J. O'Brien, Charles W. Richardson, Burt W. Rock, Elton M. Spoto, Russell C. Stevens, Jason H . Zara, Sabah E. 1960 Abramson, William E. Antkowiak, Joseph G. Bernat, Robert Chazan, Joseph A. Dayer, Roger S. Diesfeld, Gerard J. Donius, Donald Gamziukas, Algirdas Graber, Edward J. Guttuso, Thomas J. Hammel, Donald A. Harrington, John H. Kanski, James R. Jr. Kenner, Harris M. Klocke, Francis J. Metcalf, Harry L. Nakata, Harry H . Rakowski, Daniel A. Riggio, Charles J. SPRING, 1979 Saks, Gerald L. Sauer, Robert H . Shapiro, Marvin Stein, William J. Steinberg, Irwin Tuyn, John A. Wayne, MartinS. 1961 Bernstein, Joel M. Brody, Harold Cimino, Eugene A. De Santis, Carlo E. Disraeli , Allan S. Fleisher, David R. French, Paul D. Hatch, Richard C. Hewett, William J. Manning, Edwin J. Porrath, Saar A. Rader, Stephen D. Ronald, Roger A. Schnatz, Paul T. Skarin, Arthur T. Szuter, Carl F. Usiak, Ronald H. 1962 Armenia, Joseph P. Cowan, Martin Fasanello, Sebastian Fisher, Jack C. Floccare, Anthony J. Klein, Morton P. Lang, Gordon R. Loree, Paul J. Lubin, Arnold Madden, Michael M. Markello, Anthony P. Morey, Philip D. Ney, Robert G. Oberkircher, Oscar R. Pohl, Alan L. Polatsch, Bernard Resnicoff, Seth A. Scherer, William P. Ill Steinhart, Melvin J. Tzetzo, George R. 1963 Bermann, Max M. Blake, James R. Burgess, Gordon H. Carboy, David T. De Laus, Frank V. Ehrlich, Frank E. Fatta, Ernest A. Foti, Anthony M. Maggiolo, Albert J. Malinov, David N. Narins, Richard B. Nathan, Ronald G. Post, Robert Repicci, John A. Scheurmann, Henry A. Seidenstein, Harvey Spielman, Robert B. Steiner, George L. Tirone, Charles S. Tutton, Joseph C. Wadsworth, John M . 1964 Carr, Jeffrey S. Cherkasky, Paul Di Poala, Joseph A. Feinstein, Michael Goldstein, Gerald B. Leff, David A. Mukamal, Ronald S. Ney, Lillian V. Reilly, John F. Jr. Rothfleisch, Sheldon Scheiber, Stephen C. Weinstein, David J. Williams , Richard W. Wolin, Richard E. Ziegler, David C. 1965 Cardamone, Joseph G. Feinberg, Michael S. Giller, Jerald Grisanti, Anthony V. Hurwitz, Lawrence B. Jeffery, Gary H . Kolin, Irving S. Krall, Joseph I. Marantz, Calvin Schnitzler, Robert N. Schubert, Daniel S. Schultz, Robert W. Steckelman, Joel Verby, Harry D. Wherley, Benjamin J. Young, Ronald R. 1966 Antonucci, Louis J. Barlow, Jared C. Bradley, Thomas W. Carmola, John R. Klementowski, Kenneth Lindenbaum, Jeffrey E. Martinak, Joseph F. Rappole, Bert W. Saab, Richard J. Sperling, William L. Spoor, John E. 1967 Augustine, Thomas Jr . Benson, Robert M. Berkowitz, Norman Daffner, Richard H . Epstein, Barry M. Fugazzoto, David J. Giambrone, James P. Gibbs, John W. Jr . Gottschalk, Adele M. Hoffman, Leon Kaplan, Murray C. Kriteman, JacobS . La Gratta, Robert J. Levine, Allwyn J. Lo Galbo, Anthony J. 35 Miller, Donald E. Saroff, Marie I. Sheedy, J. Brian Sheehan, Thomas P. Sosis, Arthur C. Starr, GeorgeS. Strosberg, James M. Young, Linda Young, Richard 1968 Barron, Stephen A. Clack, William E. Cramer, Gary H. Cumbo, Thomas J. De Paula, Geraldine F. Dobmeier, Lawrence J. Druger, George L. Friedman, Ronald J. Gesson, Bruce H. Joseph, Brian S. Kaine, Richard F. Kaplan, Milton P. Kaplan, Z. Micah Karch, Gary D. Kramer, David Kulman, Harold L. Martin, Raymond A. Matasar, Kenneth W. Milanovich, Robert A. Peck, Alan H. Rodner, Robert D. Schwartz, Lawrence J. Shultz, Barry S. 1969 Blanc, Alan H. Bosu, Sogba K. Bowers, Joel B. Cavaliere, James L. II Citro, Laurence A. Dayton, Lang M. De Paula, Carl J. Gibson, Robert J. Hevizy, Louis Horwitz, Hanley M. Knapp, Russell G. Major, William K. Jr. Milazzo, RichardT. Jr . Rothman, Warren Scanlon, Thomas S. Sherer, David M. Smallwood, Michael F. Smith, Wilbur L. Jr. Weinstein, Barry A. White, Madeline J. 1970 Copley, Donald P. Davidoff, Allen Fischbein, Charles A. Fischbein, Ellen R. Forden, Roger A. Krauss, Dennis J. Lippmann, Michael L. Prenner, Bruce M. Seigel, Arthur M. Ungerer, Robert M. d- �Vandersea, Harold M. Wirtzer, Allan S. 1971 Abeles, Micha Anscher, Richard M. Brotman, Barry G. Bullock, Alan H. Capuana, Nicholas J. Greenberg, Harvey Guedalia, John C. Handler, MarkS. Hoffman, David E. Kirsch, Scott D. Lewin, Stanley B. Marcus, Donald H. Mazeika, Denis G. Mosijczuk, Askold D. Me Coy, James J. Jr. Paull, Joel H. Potts, David W. Richardson, Douglas S. Sa pin, Neil J. Solomon, Kenneth Staiman, Richard I. VanSlooten, Dale A. Wendell, John M. Witter, Theodore 0. 1972 Berkson, Richard A. Frankfort, Ian M. Kroopnick, Robert B. Natale, Dennis L. Price, Karen A. Rubin, Stuart Toledano, Stuart R. 1973 Dunn, Nancy L. Greco, Joseph M. Haberman, Michael A. Hayes, Maxine D. Kuritzky, Paul Kuritzky, Sharon Launder, Dana P. Mruczek, Arthur W. Przylucki, John E. Wiles, Charles E. III 1974 Beckman, Daniel R. Budny, James L. Bukowski, Elaine M. Burstein, Alan G. Clark, John H. Glazier, Wayne B. Greene, Donald R. Lemmer, Joseph P. Morelli, Daniel J. Moore, Sarah E. Pleskow, Sanford R. Russell, Eric J. Schulman, Elliott A. Stomierowski, Louise M. 1975 Bendich, David Burdick, James Cohen, William I. Daniel, Emmeth A. Li, Lillian Y. Szefler, Stanley J. Trautman, Paul 1976 Benson, Al B. III Bob, Harold B. Bye, Michael Gabryel, Timothy Gitterman, Ben Marconi, Ronald Wiles, John 1977 Billi, John E. Doniger, AndrewS. Feldmann, Spencer G. Harrison, Nedra J. Kuritzky, Alan S. Losonsky, Genevieve A. Magerman, Jeffrey A. Raab, Thomas A. Schmitt, Carl J. Stiles, Reginald B. Szabo, Robert M. Vidal, Ronald A. Woodcock, Jonathan H. Zornek, Nicholas F. Jr. Non-Alumnus Contributors for 1978 Abdelmessih, Fawzi F. Bernstein, Charles Blase, Barbara A. Damsey, Joan Davis, Mary Fenger, John B. Florsheim, Anne Johnson, James H. Karelitz, Julian R. Kinney, Ethel E. Kireishi, Faruk M. Lemann, Jack Jr. Lenzer, Alfred Lippschutz, Eugene Machowiak, Edwin Mindell, Eugene R. Me Laughlin, John J. Naples, John D. Privitera, Louis M. Shane, Ronald W. Tazier, Barbara Udwadia, Rusi Warner, Robert Winiecki, Joseph J. Yared, Joseph G. Continuing Education Programs Ten Continuing Medical Education programs have been tentatively scheduled during the next five months, according to Dr. Martin B. Wingate, assistant dean and professor of Gyn/Ob. The dates and titles of the programs are: April 29 21 26 May June 27-28 11-12 4-8 June 8-10 21-23 July 19-21 March Practical Neurology for Physicians in Primary Care Biofeedback Symposium Ultrasound and Fetal Growth Tests for Monitoring Fetal State - Medical Legal Aspects RPMI Chest Radiology Spring Clinical Days Infant Nutrition and Development of GI Tract (presented by the Pediatrics Department] Workshops in Cardiac Auscultation (American College of Cardiology] Annual Advances in Pediatrics, sponsored by the Department of Pediatrics, State University of New York at Buffalo, and the Children's Hospital, will be held in Niagara Falls, New York. Write CME Division, Children's Hospital, Buffalo, New York 14222. Second Annual Buffalo Conference on Pediatric/ Adult Allergy and Clinical Immunology, will be held in Niagara Falls, New York. Write CME Division, Children's Hospital, Buffalo, New York 14222. 36 THE BUFFALO PHYSICIAN �Clement Peterson, second year student, ond Bernadette Sheridan, fourth year student. Inner-City Well Health Clinic Under the supervision of 10 physicians, 35 second, third, and fourth year medical students are running the Inner-city Well Health Clinic at 608 William Street. The clinic is open from 10 a.m. to 3 p.m. every Saturday from October to May. Dr. Ben H. Echols, clinical instructor in medicine, is the medical director. The faculty advisor is Dr. Winford Quick, clinical instructor in family medicine. The clinic gives diagnostic and physical examinations and referrals to patients. Since 1971 medical students have been involved in a similar clinic at 485 Washington Street.D Bernadette Sheridan, fourth year student, and Coral Surgeon, third year student. Dr. Echols and Augustus Ohemeng, second year student. Mike Miller, administrator, ond Kathi Chavous, secretary. �People Buffalo's Veterans Hospital was among six medical centers designated to train VA geriatric fellows. Dr. Evan Calkins, professor of medicine at the Medical School, will direct the program .. Physicians already certified as specialists in internal medicine, psychiatry or family practice will be given two years study in caring for the aged. The program is designed to provide needed skill to help a veteran population in which the elderly will soon be predominant.D Dr. Giovanni G. Costa, clinical associate professor of medicine, was honored by the Baccelli Society for 25 years as a distinguished medical researcher. From 1958 to 1963 he was senior cancer research internist at Roswell Park Memorial Institute. Dr. Costa was on the Harvard University medical faculty from 1968 to 1970, and was director of the Clinical Research Center at the Virginia Commonwealth University the next five years. He received his medical degree in 1953 from the University of Genoa. In 1959 he received his Ph.D. in biochemistry from the University of Oklahoma.D Two faculty members, Drs. D.A. Pragay and Philip Li, are charter members of the National Academy of Clinical Chemistry. Dr. Pragay is also a FeUow of the Academy. He is a clinical associate professor of biochemistry and pathology and director of clinical chemistry at the Erie County Medical Center. Dr. Li is associated with Children's Hospital and is assistant professor of pediatrics and clinical assistant professor of pathology.D The late Dr. Rufus R. Humphrey, Professor Emeritus of Anatomy, before the University became part of the State University of New York, was honored posthumously by having a Symposium on the Mexican Axolotl dedicated to his memory at the annual meeting in Toronto, Canada, in December 1977. He was a member of the Department of Anatomy (now Anatomical Sciences) for 34 years until his retirement to Indiana University at Bloomington in 1957.0 Dr. S. Subramanian, chief of cardiovascular surgery at Children's Hospital was honored by 80 former patients, 3 months to 17 years old, and their families in August. They came from Ohio, Massachusetts and Western New York to celebrate Dr. Subramanian's 10th anniversary of working with pediatric heart patients. Recently the professor of surgery at the Medical School was named chief of the newly created section of cardiac surgery at the Erie County Medical Center. He will remain in the same capacity at Children's Hospital.D Dr. Francis J. Klocke, professor of medicine and physiology, and 20 other U/B researchers and clinicians are doing collaborative research of heart and lung diseases under a five-year $2.5 million grant from the National Heart, Lung and Blood Institute. Five years ago the same group received a similar grant. Others involved include: Drs. David G. Greene, Morris Reichlin, Robert Klocke (all professors of medicine); Dr. Perry Hogan, associate professor of physiology; Dr. Alan Saltzman, assistant professor of medicine; and Dr. Robert E. Mates, professor of mechanical engineering.D Dr. Erika Bruck, professor of pediatrics, was honored recently by former students and colleagues upon her retirement. She joined the U/B faculty in 1945. Dr. Charles U. Lowe, special assistant for child affairs at HEW, was the main speaker at the dinner at the Plaza Suite restaurant. Dr. Bruck will continue her association with the university as a professor emeritus. Moderator of the day-long program was Dr. Mitchell Rubin, professor emeritus, who was instrumental in Dr. Bruck's coming to Children's Hospital and the Medical School.D Dr. Helen M. Ranney, who was professor of medicine at U/B from 1970-73, recently received the Gold Medal for "distinguished professional accomplishments" to the Alumni Association from the Columbia College of Physicians and Surgeons. It was the first time in the 119 year history of the Alumni Association that a woman was so honored. Dr. Ranney is professor and chairperson of the department of medicine at the Medical School in LaJolla, California.D 38 THE BUFFALO PHYSICIAN �William L. Strauss, a graduate student in the department of pharmacology and therapeutics, received a $10,000 fellowship from the Pharmaceutical Manufacturers Association Foundation Inc. He was one of 10 to receive the award from among 80 applicants in nation-wide competition. In his research Strauss will seek to isolate, purify and determine the structure of receptors in cell membranes which interact with adrenalin to keep body tissues functioning.O Dr. Paul Kostyniak, assistant professor of pharmacology and therapeutics, received a $6,000 research starter grant from the Pharmaceutical Manufacturers Association Foundation Inc. to develop techniques which speed elimination rates of mercury and other heavy metals from the body.O Dr. Norman Courey, clinical professor of Gyn/Ob, presented papers at the 9th annual Philippine Obstetrical Gynecological Society meeting in Manila recently. He is director of Ob/Gyn at the Erie County Medical Center.O "Persistent Virus Infections" was the topic of Dr. Thomas D. Flanagan's address at the December meeting of the Buffalo Academy of Medicine. He is professor of microbiology at the Medical School.O Mr. Fraser M. Mooney is the new associate administrator at the Erie County Medical Center. He was assistant administrator at the county hospital when it was Meyer Memorial. He left it in April 1977 to be associate administrator at Sheehan Emergency Hospital and four months later became administrator.O Dr. Louis Bakay, chairman of the department of neurosurgery, has been elected vicechairman of the Research Committee of the World Federation of Neurology. Recently he was a visiting professor at the University of Oklahoma.O SPRING, 1979 Dr. D.A. Pragay, clinical associate professor of biochemistry and pathology, has been invited to become a member of the prestigious International Society of Clinical Enzymology (ISCE). Dr. Pragay is also director of clinical chemistry at the Erie County Medical Center.O Three medical students were among 11 health sciences students at U/B named to the 1978-79 edition of Who's Who Among Students in American Universities and Colleges. The students are honored for academic achievement, community service, leadership in extracurricular activities and future potential. Listed in the current edition are - James Bracikowski, 4th year; Robert Shalwitz, 3rd year; and John DeBerry, 2nd year.O Two faculty members, Drs. Harry Sultz and Donald B. Thomas, are co-chairmen of a special Erie County Health Department task force to look at ways in which the school health program can better meet the needs of students. Dr. Sultz is a consultant to the department and acting chairman and professor of social and preventive medicine. Dr. Thomas is a clinical assistant professor of social and preventive medicine and deputy county health commissioner for personal health services. The task force hopes to have recommendations to be implemented at the start of the 1979-80 school year.O Dr. James R. Nunn, M'55, clinical assistant professor of family medicine, has been elected Speaker of the Congress of Delegates of the New York State Academy of Family Physicians for 1978-79. Dr. Herbert E. Joyce, M'45, clinical assistant professor of family medicine, was elected alternate delegate.O Dr. Dogan Perese, clinical associate in neurosurgery, is the new secretary of the medical staff of Our Lady of Victory Hospital, Lackawanna. Two Medical School graduates, Drs. Franklin Zeplowitz, M'58, and Joseph Kij Jr., M'57, were elected vice president and treasurer. Dr. John P. Grimaldi is the new president.D d- 39 Dr. Progoy �People Dr. Richard Dobson, professor of der. matology, received four honors recently. He has been appointed assistant editor of the Journal of the American Academy of Dermatology; edi-tor of the Year Book of Dermatology; elected to the American Board of Dermatology ; and vice president of the American Academy of Dermatology.D Dr. Harold Brody, professor and chairman of anatomical sciences, was the recipient of the Robert W. Kleemeier Research Award by the American Gerontological Society. Dr. Brody won the award for his research in the field of aging that involves aging of the normal human nervous system. He will present the Robert W. Kleemeir lecture at the Society's next meeting in Washington, D.C. Dr. Brody is a past president of the Society. He is a member of the National Advisory Council of the National Institute on Aging, chairman of the American Executive Committee of the International Association of Gerontology and editor-in-chief of the Journal of Gerontology.D Dr. Rune E. Grubb, professor of medical microbiology, University of Lund, Sweden , has been appointed a lifetime member of the professional staff of the Center for Immunology at the Medical School.D The mechanisms by which the cortex or outer layer of the adrenal gland controls production of vital hormones in the body is the continued subject of study by a group of researchers . Dr . Alexander C. Brownie, professor and chairman of the Department of Biochemistry, has received an $83,438 grant renewal from the National Institute of Arthritis, Metabolic and Digestive Diseases to aid basic research into these mechanisms which may lead to further knowledge of diseases such as hypertension. Over a four-year period Dr. Brownie's project has received some $248,000 from the NIAMD . Others involved in the study are Drs. Samuel Gallant, assistant professor of pathology and Peter Nickerson, associate professor of pathology at U/B.D 40 Four faculty members have been reelected officers of the Erie County Chapter of the New York State Academy of Family Physicians. Dr. Richard J. Leberer, M.50, clinical assistant professor of family medicine was re-elected president; Drs. A. Charles Massaro, clinical associate in medicine and family medicine , vice president; Frederic M . Hirsh, clinical instructor in family medicine, secretary; Robert B. Corretore, M'56, clinical assistant professor of family medicine/clinical instructor in medicine, treasurer.D Dr. Willard B. Elliott , professor of biochemistry, has received a $99,160 NIH grant to characterize phospholipases from venoms. The grant runs for three years.D Four associate professors - Drs. Murray Ettinger and Daniel Kosman, biochemistry, Robert Bereman and Robert Kurland, chemistry - have received a $35,000 NSF (first of three year grant). This Bioinorganic Research Group is investigating the genesis of the structure and function in metalloenzymes.D Dr. Alexander C. Brownie's work on hypertension is supported by a $130,259 grant from the National Heart and Lung Institute. Dr. Brownie is professor and chairman of biochemistry.D Dr. Murray Ettinger, associate professor of biochemistry, has a $176,000 NIH grant that runs through July, 1983 to study the molecular basis of antidiuretic hormone action.D The National Institute of Arthritis, Metabolism and Digestive Diseases has awarded a $146,000 grant to Dr. Michael Garrick, associate professor of biochemistry and pediatrics, for studies on the biosynthesis and genetics of hemoglobin. The grant runs through April, 1981.0 THE BUFFALO PHYSICIAN �NIH's General Medical Sciences division is supporting the work of Dr. W. Roy Slaunwhite, professor of biochemistry, on the structure of human transcortin.D Dr. Gerald P. Murphy received the 13th annual Heath Memorial Award from the University of Texas M.D. Anderson Hospital and Tumor Institute in November. The Heath Award is given for "outstanding contributions to the better care of cancer patients." Dr. Murphy is director of Roswell Park Memorial Institute and research professor of urology at the Medical School.D New York State's geneticists received a $300,000 grant for screening, diagnosis, counseling and treatment for genetic diseases when Congress passed the National Genetic Diseases Act. Drs. Robin Bannerman, professor of medicine and pediatrics, and Robert Guthrie, professor of microbiology and pediatrics, received $25,000 to extend services in Western New York. Dr. Guthrie will use the GM Mass Spectrometer in the biophysical sciences department in Cary Hall for special diagnostic services for mental retardation. Dr. Bannerman heads the joint division of medical genetics based at Buffalo General and Children's Hospitals.D Dr. Murray Ettinger, associate professor of biochemistry, is president elect of the Medical School's Faculty Council. He succeeds Dr. Michael Cohen, clinical associate professor of pediatrics and neurology, when his term expires in the spring of 1979. Other new officers elected include: Parliamentarian - Dr. Glen Gresham, professor and chairman of rehabilitation medicine; steering committee members Drs. John F. Moran, associate professor of biochemistry, Robin Bannerman, professor of medicine and pediatrics, John Cudmore, M'62, clinical associate professor of surgery; Dr. Arlene Collins, associate professor of microbiology, will continue her two-year term as secretary. Dr. Peter Goergen, clinical assistant professor in family medicine will serve as an alternate on the executive committee.D Dr. Edward Niles, assistant professor of biochemistry, has a $28,000 NIH grant to continue his work on the in vitro transcription of tetrahymena pyriformis (rDNA) .D People Dr. Pearay L. Ogra, professor of pediatrics, has received a $700,000 five-year grant from the National Heart, Lung and Blood Institute to study respiratory syncytial virus. Dr. Ogra is also director of the division of infectious disease and virology at Children's Hospital. Other faculty members involved in the study are Drs. Gerd Cropp, professor of pediatrics; Theodore Putnam, clinical assistant professor of pediatrics; and research assistant professors, Robert Welliver and Marie Gallagher.D Dr. Hermanl Rahn, professor of physiology, gave the first Wallace 0. Fenn Memorial Lecture at the University of Rochester Medical Center in February.D The Buffalo General Hospital has received a $67,315 grant to establish a health center in Akron. The Center will be staffed by a physician, nurse practitioner and aides. The grant was awarded by the State Office of Health System Management.D The Medical School along with the VA Medical Center and the University of Rochester will launch a co-operative program to train physicians who wish to specialize in treating the elderly. Dr. Evan Calkins, professor of medicine and chief of the division of geriatrics-gerontology, will direct the program. Co-directors are Dr. T. Franklin Williams, medical director of Monroe Community Hospital and Dr. Harold Brody, professor and chairman of anatomical sciences and acting director of the multidisciplinary center.D Mr. Daniel Mateleska is the new assistant director of Deaconess Hospital. He comes to Buffalo from the Olean, N.Y. General Hospital where he was assistant administrator.D Mr. Mateleska SPRING, 1979 41 �People Dr. Ignatius S. Bertola has been appointed head of physical medicine and rehabilitation at Buffalo Columbus Hospital. He has been on the staff since 1969. He is a Diplomate of the American Board of Orthopedic Surgery.D Dr. Henry E. Black, clinical associate in medicine, will succeed Dr. Edward Marine as chairman of the Deaconess Hospital's department of medicine. Dr. Black has been chief of the cardiology division at Deaconess since 1974. Dr. Marine, clinical associate professor of medicine and family medicine, will head the newly opened Health Care Plan Medical Center in Cheektowaga.D Dr. Martin Wingate, professor of Gyn/Ob, has been named assistant dean and director of continuing medical education.D The U/B chapter of the Student National Medical Association (SNMA) honored two faculty members recently. Dr. Winford Quick, clinical instructor in family medicine and Dr. Werner K. Noell, professor of physiology, received certificates of merit for outstanding service in the education of medical students. Dr. Quick is on the staff of the Erie County Medical Center.D Dr. Alan Reynard, associate professor of pharmacology and therapeutics, has been appointed executive editor of a new journal, Journal of Immunopharmacology.D Four faculty members, who serve on the Erie County Laboratory staff, have new appointments. They are: Dr. Konrad Wicher, director of department of microbiology of Erie County Laboratories, professor of clinical microbiology was appointed clinical professor of pathology; Dr. Richard Bettigole, director of the department of hematology and bloodbank of Erie County Laboratories, associate professor of medicine was appointed clinical associate professor of pathology; Dr. Desider A. Pragay, director of the department of clinical chemistry of Erie County Laboratories, clinical associate professor of biochemistry was appointed to clinical associate professor of pathology; Dr. William Bartholomew, assistant director of the department of clinical microbiology of Erie County Laboratories, associate professor of clinical microbiology was appointed clinical associate professor of pathology.D While studying for his doctorate in educational psychology, Randy Sarnacki is working for Dr. Frank Schimpfhauser, assistant dean for development and evaluation. Mr. Sarnacki's home is in Syracuse. He received his master's degree at U/ B in 1977. He is working in the areas of testing, performance and evaluation.D Dr. Raymond P. Bissonette has been named to the 20-member National Advisory Council on Health Professions Education. The Council evaluates applications for government medical grants. He will serve a threeyear term. Dr. Bissonette is assistant professor of family medicine and clinical assistant professor of social and preventive medicine. He is also curriculum coordinator for the department of family medicine.D The Medical School received a $2,400 contribution from the United Torch Fund of Gowanda, Inc. The money will be used to support faculty research efforts related to health and disease.D Three faculty members are the new officers of the Western New York Chapter of the American Heart Association. Dr. Arthur B. Lee, Jr., assistant professor of surgery, is president. The new first vice president is Dr. Robert Schultz, M'65, clinical associate in medicine. Dr. Martin J. Downey Jr., M'45, is second vice president. He is a clinical associate professor of anesthesiology.D Three faculty members are new officers in the Maimonides Medical Society. A Buffalo surgeon, Dr. Franklin Zeplowitz, is president. Dr. Herbert Berman, M'50, clinical assistant professor of surgery, is vice president. Drs. Morris Fine, clinical instructor in pediatrics, is secretary and Yehuda Laor , clinical associate professor of nuclear medicine and radiology, is treasurer.D 42 THE BUFFALO PHYSICIAN �In a recent "Run For Your Life" event a team headed by Dr. Charles Paganelli, professor of physiology, finished third in tthe Family Division. Other members of Dr. Paganelli's team were Jacqueline Dahl, Paul Funch and Robert Paganelli.D Dr. Eugene R. Mindell was visiting guest professor for the Yale Orthopaedic Association Alumni meeting in New Haven in June. He delivered the Carl Henze Memorial Lecture, "Etiology of Bone Sarcoma." Dr. Mindell is professor and chairman of orthopaedics at the Medical School.D Dr. James P. Giambrone, M'67, clinical instructor in medicine, is the new vicepresident of the Deaconess Hospital Foundation. Drs. Henry E. Black, clinical associate in medicine, and Kenneth H. Eckhert, Jr., M'68, were re-elected as directors (second consecutive terms). Newly elected to three-year terms as directors were Dr. Willard G. Fischer, M'36, John D. Naples, Sr., Donald R. Becker, clinical professor of surgery, and Herbert E. Joyce, M'45, clinical assistant professor of family medicine.D Five faculty members are officers or directors of the Erie County Unit of the American Cancer Society. Dr. Nancy J. Stubbe, clinical instructor in surgery, is the new president and Dr. H. James Wallace Jr., research associate professor of medicine, is president-elect. Reelected as directors: Drs. Richard G. Cooper, clinical associate professor of medicine and assistant professor of otolaryngology; Robert M. Moskowitz, M'65, clinical instructor in medicine; and Ronald Vincent, research assistant professor of surgery.D Mark Hagen, a fourth year medical student, was one of 38 medical students to receive a MAP-Reader's Digest International Fellowship. He will be in India the first four months of 1979 working in rural hospitals and clinics. Since this program started seven years ago more than 500 students have served in 50 developing countries.D SPRING, 1979 Physicians at five teaching hospitals Buffalo General, Children's, Deaconess, Erie County Medical Center and Millard Fillmore - are doing a national study to determine the short-term and long range effects of voluntary sterilization on women. A $105,000 grant from the Center for Disease Control will help finance the project. Dr. Norman G. Courey, clinical professor of Gyn/Ob, is the project director. Other physicians in the study are: Drs. David Nichols and Jack Lippes, professors of Gyn/Ob; Wayne Johnson, professor and chairman of Gyn/Ob; Robert Patterson, clinical associate professor of Gyn/Ob; and Marcos Gallego, assistant professor of Gyn/Ob.D A medical researcher is a contributing author to a new English-language edition of a classic German reference book on the pathology of laboratory animals. Dr. Robin M. Bannerman, professor of medicine and pediatrics and head of the division of medical genetics at U/B, is one of four authors of the chapter on blood diseases. The chapter includes an extensive section on the use of animal models in simulating human hereditary blood disorders, which Dr. Bannerman and his laboratory associates at U/B have investigated over the past 10 years. The new two-volume, 3,000-page Englishlanguage edition, titled Pathology of Laboratory Animals, is being published by the internationally-known Springer-Verlag scientific publishing firm of New York and Berlin. The English version is expected to become the standard reference work in its field, as was the German text, Pathologie der La boratoriumstiere.D Dr. F. Carter Pannill Jr., vice president of health sciences, has recently returned from medical practice at a Sioux Reservation in Eagle Butte, S.D. Dr. Pannill, an internist, has participated in a variety of programs sponsored by the Indian Health Service which was invited to provide medical care at the reservation. More than 5000 Sioux on the Eagle Butte Reservation are served by two full-time physicians, a 30-bed hospital and five outpatient clinics.D 43 p 1 eop e �The Class of 1918 Dr. Everett T. Mercer, M'18, of Hamburg, New York, writes that he has "almost retired" from the general practice of medicine.O The Classes of the 1920's Dr. Hobart A. Reimann, M'21, is still active as professor of medicine at the Hahnemann Medical College Hospital, Philadelphia. He retired recently as associate medical director of the hospital.D Dr. George B. Kuite, M'27, is retired from private practice. He lives at Intervale Road, North Conway, New Hampshire 03860. Dr. Kuite is an honorary life member of numerous professional organizations and an honorary life Fellow of the International College of Surgeons.O The Classes of the 1930's Dr. Thomas March, M'31, is listed in Who's Who in the West. He has retired as director of the V.A. Hospital in Tacoma, Washington. His home address is 12793 Grayelly Lake Drive, S.W. Tacoma, 98499.0 Dr. John F. Argue, M'35, of Wilson, N.Y. received the President's Citation of the Medical Society of the State of New York. It honors physicians for community service not related to medical practice. The citation noted 37 years as "an active concerned citizen of his Niagara County Community." Dr. Argue was founder and president for many years of the Historical Society of Wilson. His other activities were with the Boy Scouts, Lions Club and the Exley United Methodist Church. In 1970 he was president of the Niagara County Medical Society.O Dr. Martin A. Angelo, M'36, is living at 4602 King Palm Drive, Tamarac, Florida 33319.0 The Classes of the 1940's Dr. John D. White, M'40, semi-retired anaesthesiologist and medical author, lives in Tavernier, Florida. He was recently elected to the Board of Directors of the Health Systems 44 Agency of South Florida, Miami. He is PSRO Advisor, Monroe County, and a member of the Board of Directors of the Monroe County Sub-Area Council, HSA of South Florida.O Dr. William Staubitz, M'42, won the Class C golf championship at Wanakah Country Club in September. He recently retired as chairman of the urology department.D Dr. Maynard H. Mires, M'46, was recently elected to the National Office of Surgeon General, Sons of the American Revolution. Dr. Mires is an associate professor of community medicine at Dartmouth. He is also associated with the State Health Department in Concord, New Hampshire, 03301.0 Dr. M.E. Hodes, M'47, is professor of medical genetics and medicine at Indiana University School of Medicine. He recently returned from a year's sabbatical at Hebrew University-Hadassah Medical Center in Jerusalem, Israel. He was Fogarty International Fellow and Lady Davis Visiting Professor in the Department of Human Genetics. Dr. Hodes lives at 648 Edgemere Drive, Indianapolis, Ind. 46260.0 Dr. Anthony S. Merlino, M'47, has been named chairman of the board of Buffalo Columbus Hospital. The clinical assistant professor of medicine was appointed chief of medicine at the hospital in 1973.0 Dr. David H. Nichols, M'47, professor of gynecology-obstetrics and head, department of obstetrics and gynecology, Buffalo General Hospital, was Visiting Professor at the University of Texas Health Sciences Center at Dallas, Southwestern Medical School last March. He lectured on recent developments in genital reconstructive surgery in women, describing new techniques developed at Buffalo General Hospital.D Dr. James F. Phillips, M'47, has been named to the council of U/B by Governor Hugh Carey. Dr. Phillips is a past president of the Medical Alumni Association and a clinical associate professor of medicine.O THE BUFFALO PHYSICIAN �Dr. Arthur J. Schaefer, M'47, has been elected secretary of the American Society of Ophthalmic Plastic and Reconstructive Surgery. He is a clinical associate professor of ophthalmology .0 The Classes of the 1950's Dr. Guy S. Alfano, M'50, clinical professor of surgery at the Medical School, has been appointed superintendent of the Erie County Medical Center by County Executive Edward Regan (subject to confirmation by the County Legislature). Dr. Alfano has been interim director during the past two years as the county abandoned Meyer Memorial Hospital to occupy the new facility. He has been associated with the hospital for 30 years.O Dr. Joel G. Brunson, M'50, is professor and chairman of the pathology department at the new medical school at Morehouse College in Atlanta. The first class of 24 students started in September. Dr. Brunson had been in Beirut with American University. His new address is 150 S. Atlanta St., Apt. 12-J, Roswell, Ga. 30075.0 Dr. Alfred E. Falcone, M'50, formed his own surgical team from Syracuse, N.Y. and spent the month of June, 1978 at Santarem in the Central Amazon Region in Brazil on a special project. Dr. Falcone reported that this was "an opportunity to help appreciative people who have no access to specialty services. It was a most rewarding experience." He lives at 514 Bradford Parkway, 13224.0 Maurizi will coordinate scientific programs as well as investigate and evaluate credentials of prospective members to ACCP. He is chief of pulmonary medicine at Deaconess Hospital and past president of the American Lung Association of Western New York.D Dr. James M. Orr, M'53, chairman of the department of pediatrics of the Holzer Clinic, Ltd. in Gallipolis, Ohio, was elected secretary-treasurer of the American Group Practice Association at the group's 29th Annual Meeting in New Orleans. Dr. Orr served terms as vice chairman and chairman of the credentials committee of AGPA before being appointed to the Board of Trustees in 1975. As a board member, he became the trustee liaison to the credentials committee. A past president of the Northeastern Region of AGPA, Dr. Orr has much experience in association management and protocol. Founded in 1949, AGPA is the national voluntary professional organization of group medical and dental practice. Through the more than 14,000 affiliated physicians and dentists in its member groups, AGPA works to keep group practice in the forefront of American health care by promoting and fostering the group practice concept.D Dr. Larry Beahan, M'55, captured first place overall in his 20-foot Highlander Big Rock Candy Mountain in September at the Buffalo Yacht Club's annual Ryan Cup series for centerboard boats. He is a clinical assistant professor of psychiatry at the Medical School.D Dr. Milton Robinson, M'51, is conducting a series of workshops for health professionals on human sexuality in Niagara Falls, N.Y. The psychiatrist noted that human sexuality encompasses a wide range of attitudes and feelings that are often difficult to discuss.O Dr. Edward H. Kop£, M'55, is the first Nevadan to be honored as "Physician of the Year." In 1971 he was the Robbins Physician of the Year for the State of Nevada. Last June Dr. Kopf was presented an award by the City of Hope for the Physician of the Year for the State of Nevada, 1978.0 Dr. Jerome Maurizi, M'52, clinical associate professor of medicine, was reelected to a second three-year term as New York State Governor to the American College of Chest Physicians. He is one of two physicians from New York to represent the state in the medical policy making body. Dr. Dr. Charles Goldfarb, M'56, is a clinical associate professor at Rutgers University and New Jersey Medical Schools. He is also director of psychiatry at Muhlenberg Hospital. Recently he contributed chapters to two books. He is also active in local, regional, state and national professional societies.O SPRING, 1979 45 Dr. Maurizi �Dr. Robert Reisman, M'56, has been elected treasurer of the American Academy of Allergy during the 34th annual meeting in Phoenix. He is a clinical associate professor of medicine and dinical assistant professor of pediatrics.D Dr. Philip A. Brunell, M'57, is professor and chairman of the department of pediatrics, The University of Texas Health Science Center at San Antoni.o. He is co-editor of a textbook, Principles of Pediatrics; Health Care of the Young. He is active in at least a dozen professional associations.D Dr. Donald R. Hauler, M'57, has assumed the position of Third Marine Division Surgeon in Okinawa. He had been living in Virginia. He is active in Aerospace and Amphibious Medicine and in the Society of Navy Flight Surgeons.D Dr. Harris H. Kanel, M'57, is chairman of the medical staff at Riverside Medical Clinic and associate professor of orthopedic surgery at Lorna Linde University, California. He lives at 5281 Candelwick Street, Riverside, Ca. 92501.0 Dr. Sherman Waldman, M'57, clinical assistant professor of pediatrics, has been reelected president of the Western New York Chapter of the Leukemia Society of America. He is also chairman of the Public Health Committee of the Medical Society, County of Erie.D Dr. Earl A. Brandl, M'591 has been appointed medical director of the Harrison Radiator Division (Buffalo) of General Motors Corporation. Dr. Brandl joined General Motors in 1963 and has been assistant medical director of Harrison since 1970.0 The Classes of the 1960's Dr. William E. Abramson, M'60, has been elected president of the Sheppard and Enoch Pratt Hospitals medical staffs in Towson, Maryland. He lives at 8218 Marcie Dr., Baltimore, Md. 21208.0 46 Dr. Theodore Bistanty, M'60, scored a first place on corrected time in the Buffalo Yacht Club Class A-cruiser race on Pt. Abino Bay in August. He skippered his 41-foot Tartan Niagara around the 12-mile triangular course in one hour 31 minutes and 56 seconds. Earlier in the year the clinical assistant professor of medicine skippered the Niagara to a 3rd place finish over-all in the 9th annual Lake Erie Race. He received the Courier Express trophy for being the first Buffalo boat across the line in the prestigious 210-mile race. He sailed with a seven-man crew.D Dr. Francis J. Klocke, M'60, professor of medicine and physiology and chief of the cardiology division of the Medical School, has been named a member of the National Advisory Committee to the Mayo Foundation's Biotechnology Research Resource and Program Project. Members of the committee meet annually with researchers at the Mayo Clinic, Rochester, Minn., to review, counsel and provide perspective to the project funded by the Division of Research Resources and the National Heart, Lung and Blood Institute.D Dr. Marshall A. Lichtman, M'60, has edited a new book, Hematology for Practitioners, for internists and family practitioners (Little, Brown & Co., Boston). The book condenses the sophisticated literature of a complex specialty to present clinically oriented discussions that focus on the practical aspects of diagnosis and management of the major abnormalities of blood cells and coagulation proteins. Dr. Lichtman is professor of medicine and of radiation biology and biophysics at the University of Rochester, Rochester, N.Y. His specialty is internal medicine and hematology. Dr. Lichtman is a member of several national/international professional societies. He is a Diplomate, National Board of Medical Examiners (1961), and American Board of Internal Medicine (1967). He has been an editor and consultant to several national societies. Since 1962 Dr. Lichtman has been invited to give 69 lectures at Universities, hospitals or national societies. He has authored or coauthored 75 scientific articles for professional journals and 23 chapters for books. He has THE BUFFALO PHYSICIAN �been principal or co-investigator for 13 research awards and grants. As a medical student he won several honors and awards.D Dr. Donald J. Drake, M'61, has been elected Chief of Staff at the Haag Memorial Hospital, Newport Beach, California - a 471 bed acute care hospital. He writes: "Don, his wife and 8 children live 'all over the place' in Costa Mesa, California. (1829 Tahiti Drive, 92626). Come visit!"O Dr. James R. Markello, M'61, has assumed a new position as professor of pediatrics and director of ambulatory pediatrics at the East Carolina School of Medicine. He has been a member of the Ambulatory Pediatric Association Board of Directors and chairman of regions for that association. Dr. Markello lives at 413 Longmeadow Road, Greenville, North Carolina 27834.0 Dr. John W. Cudmore, M'62, has been appointed commander of the 244th Medical Group, New York Army National Guard. A Colonel in the Guard, Dr. Cudmore now commands six medical units in the state. He is a clinical associate professor of surgery.D Dr. Edwin H. Jenis, M'66, has been named to a national faculty of medical laboratory experts. The clinical associate professor of pathology volunteered his teaching time for educational workshops and seminars during the joint meeting of the American Society of Clinical Pathologists and the College of American Pathologists in St. Louis. Dr. Jenis is director of pathology at the Millard Fillmore Hospital.O Dr. Joseph F. Martinak, M'66, is associated with the Family Health Center of Seven Lakes, West End, North Carolina 27376.0 Dr. Alvin J. Schachter, M'66, is in pulmonary medicine and associated with St. Michael's Hospital in Milwaukee. His home address is 9600 Juniper Trail, Mequon, Wis. 53092.0 Dr. Stanley M. Feldman, M'67, is in private practice of cardiology-internal medicine in Lauderdale Lakes, Florida. He is also chief of medicine at the Florida Medical Center of Fort Lauderdale.D Dr. Rae R. Jacobs, M'62, has been elected a Fellow, Ecologic Research Society and International Society for the Study of Lumbar Spine. He is chairman of a task force for this society. Dr. Jacobs is associate professor of surgery, chief of orthopedic surgery, VA Hospital, Kansas City, Mo. In 1979 he will be on a sabbatical fellowship to tour the Association for Osteosynthesis Trauma Centers in Europe; study the biomechanics of spinal fractures with physicians in Sweden and Switzerland. Dr. Jacobs' new home address is 7262 Mastin Dr., Merriam, Kansas 66203.0 Dr. Ronald Levy, M'67, a psychiatrist, has come up with a simple test using checkers to help determine the problems of disturbed children. Dr. Levy calls his method "statogram." He told about it at a recent meeting of the American Academy of Child Psychiatry. The "statogram" provides a pictorial representation of the child's perception of his closeness to - or distance from - each member of his family.D Dr. Arnold N. Lubin, M'62, is a Colonel in the United States Air Force. He is affiliated with the USAF Hospital, Mather AFB, near Sacramento, California. His home address: 6616 Chiquita Way, Carmichael, Ca. 95608.0 Dr. Nicholas L. Schenck, M'68, recently moved his practice of head and neck surgery from Melbourne, Florida to San Diegod-- SPRING, 1979 47 �California. Dr. Schenck is assistant clinical -professor of surgery at the University of California at San Diego.O Dr. Julian R. Karelitz, M'68, is in private practice in California. His specialty is nuclear medicine. He is living at 2420 Duxbury Place, Los Angeles, 90034.0 Dr. John E. Shields, M'68, has accepted a position as gastroenterologist with the Hampton Medical Group, a multi-specialty group. His home address is 237 Main St., Westhampton Beach, N.Y. 11978.0 Dr. John R. Fisk, M'69, has joined the Loyola University faculty in the department of orthopaedic surgery. Recently he was affiliated with Emory University. His address: Loyola University Medical Center, 2160 S. 1st Avenue, Maywood, Ill. 60153.0 Dr. David Schreiber, M'69, is assistant professor of medicine at Harvard Medical School. He is also chief of gastroenterology at the West Roxbury VA Hospital. He lives at 55 Cushing Road, Westwood, Massachusetts 02090.0 Dr. Robert J. Gibson, M'69, is an assistant professor of preventive medicine at the Emory University Medical School, Atlanta, Ga. He is also associate chief, department of family practice at the Medical Center, Columbus, Ga. His home address is 7858 Flat Shoals Dr., Columbus, Ga. 31904.0 The Classes of the 1970's Dr. Dennis DuBois, M'70, is the new director of the Coronary Care Unit at the Buffalo General Hospital. He succeeds Dr. Joseph Wanka, clinical associate professor of medicine, who is moving to Florida. Dr. DuBois joined the BGH staff in 1977. He is a clinical instructor in pediatrics at the Medical School. From 1975 to 1977 he was director of the coronary care unit for the USAF Medical Center at Wright-Patterson Air Force Base in Ohio.O 48 Dr. Roger A. Forden, M'70, was recently promoted to clinical assistant professor of pediatrics at U/B. He lives at 106 Patton Place, Williamsville, N.Y. 14221.0 Dr. Thomas V. Krulisky, M'70, is assistant professor of psychiatry at the USC School of Medicine. He has been certified by the American Board of Psychiatry and Neurology (June, 1978). Dr. Krulisky was appointed to the USC Department of Psychiatry Graduate Education Committee as coordinator of 1st year Psychiatry Residency Program. His home address is 3306 Haven Way, Burbank, California 91504.0 Dr. Robert E. Lee, M'70, is a Fellow (faculty and staff position) at the Child and Adolescent Psychiatry Division, Langley Porter Neuropsychiatric Institute, UCSF Medical Center, San Francisco. He is a recent recipient of a three-year American Psychiatric Association-National Institute of Mental Health research fellowship. Dr. Lee writes that he "strongly desires to hear from former colleagues (who are greatly missed!), especially those of Class of 1969." Dr. Lee and his wife, Amy, live at 1279-C Lendrum Court, San Francisco, California 94129.0 Dr. Jan M. Nowak, M'70, recently joined the department of medicine in the section of gastroenterology at the Veterans Administration Hospital of Buffalo as an assistant professor of medicine at the Medical School. Dr. and Mrs. Nowak have three children, David 7, Judith 4, and Josh 1.0 Dr. David A. Bloom, M'71, is associated with the department of surgery at UCLA as chief resident in urology. He recently returned from London where he spent a year as Registrar in Pediatric Urology. Dr. Bloom is a diplomate, American Board of Surgery.O Dr. Kenneth J. Clark Jr., M'71, is an attending for the Mountain Area AHEC Family Practice Program in Asheville, North Carolina. He lives at 27 St. Andrews Road, Ardent, N.C. 28704.0 THE BUFFALO PHYSICIAN �Dr. Stanley B. Lewin, M'71, completed cardiology fellowship training at the University of Michigan, Ann Arbor and has entered private practice as a member of a multispecialty internal medicine group in Harrisburg, Pennsylvania. He plans to participate in the teaching program of the Hershey Medical Center. Dr. Lewin's home address is 6306 Stephen's Crossing, Mechanicsburg, Pennsylvania 17055.0 Dr. Stephen R. Marder, M'71, is an assistant professor in residence (psychiatry) at UCLA. He spent two years at NIH doing research on schizophrenia and is now continuing research at UCLA and Brentwood Veterans Administration Hospital. Dr. Marder and his wife, Paula, (married in 1976) live at 442 Avenue E., Rodondo Beach, California 90227.0 Dr. Neil N. Senzer, M'71, practices pediatric hematology oncology in Miami, Florida. His home address is 13711 SW 90th Avenue (33176).0 Dr. Robert Einhorn, M'72, has been appointed attending radiologist of the Perth Amboy General Hospital Medical Staff in New Jersey.D Dr. Richard N. Warnock, M'72, an orthopedic and hand surgeon, is living at Five Greenbriar Estates, North Reading, Mass. 01864.0 Dr. Lawrence Zerolnick, M'72, is living at 3803 Seven Mile Lane, Baltimore, Md. 21208.0 Dr. Sanford Holland, M'72, is assistant professor and medical director of respiratory therapy at The New Jersey Medical School in Newark. His specialty is anesthesiology and critical care. Recently Dr. Holland presented papers at the Second World Congress on Intensive Care in Paris and at the 7th annual meeting of the Society of Critical Care Medicine in New Orleans. He has also authored or co-authored several articles for professional journals. He is living at 770 Ocean Parkway, Brooklyn, N.Y. 11230.0 Doctors Bill and Donna Hrushesky, M'73, are now living at 5049 Colfax Avenue South, SPRING, 1979 Minneapolis, Minnesota 55419. Donna entered group practice and Bill will be junior staff at the University of Minnesota in oncology.D Two 1973 graduates, Drs. Dexter (Butch) Levy and Frederick Buchwald are clinical instructors at Mercy Medical Center, Denver, Colorado. They are also partners in family practice at the Stagecoach Family Health in Evergreen, Colorado. Dr. Levy lives in Conifer, Colorado, Rt. 2, Box 263-C, 80433. Dr. Buchwald lives in Idaho Springs, Rt. 1, Box 404, 80452.0 Dr. James S. Marks, M'73, began a Robert Wood Johnson Clinical Scholars Fellowship at Yale University School of Medicine (July, 1978). He lives at 134 Dyer Street, New Haven, Connecticut 06511.0 Dr. Charles John McAllister, M'73, has formed Nephrology Associates in Clearwater, Florida. He is also Director of the Kidney Care Dialysis Center. Dr. McAllister has published articles (or in press) in such publications as Clinical Nephrology, JACEP, Journal Tennessee Medical Association, and the Southern Medical Journal. He lives at 2433 Fairbanks Drive, Clearwater 33416.0 Dr. Patrick L. O'Connor, M'73, is associated with the Northwest Medical Center, St. Albans Hospital, St. Albans, Vermont 05478. The O'Connor's have two children, Carey Michele, 6, and Jill Elizabeth, 1. They are living at 20 Berkley Terrace.O Dr. Ira H. Pores, M'73, is finishing his cardiology fellowship at Johns Hopkins Hospital and will be going into private practice in Milburn, New Jersey. His present address is 9454 Kilimanjara Road, Columbia, Maryland 21045.0 Dr. Robert J. Schulman, M'73, recently completed two years in the National Health Service Corps. He is an assistant clinical professor of pediatrics in community pediatrics at U/B and is associated with Deaconess Hospital and the Health Care Plan, Inc.D d- 49 �Dr. Daniel Botsford, M'74, is living in Bangor, Maine where he is in private practice in neurology.D Doctors Johri and Kathleen Braico, M'74, are the proud parents of a son, Christopher, born last Halloween. They moved to Glens Falls (12 North Road), New York 12801, in July to open a private practice in pediatrics.D Dr. Elaine M. Bukowski, M'74, finished a residency in anesthesiology at the Buffalo General Hospital in June and has been staff anesthesiologist at Western Pennsylvania Hospital since July, 1978. She is board certified by the American Board of Anesthesiology. Dr. Bukowski's home address is 6 Bayard Road, Apt. 657, Pittsburgh, Pa. 15213.0 Dr. George M. Kleinman, M'74, has been appointed to the staff of the pathology department, Massachusetts General Hospital, as assistant neuropathologist, and instructor in pathology at Harvard Medical School. His wife, Jettie Hunt Kleinman, is a fourth year pathology resident at the Massachusetts General Hospital, and clinical fellow in pathology at Harvard Medical School. They reside at 99 Pond Avenue, Brookline, Massachusetts 02146.0 Dr. Hing Har Lo, M'74, is assistant professor of radiology/nuclear medicine at Emory University Medical School, Atlanta, Ga. 30303.0 Dr. Sarah E. Moore, M'74, is in private practice of Family Practice and Internal Medicine. Her home address is Mile Stretch Road, Biddeford Pool, Maine 04006.0 Dr. Diane Peters, M'75, a surgical resident at the Buffalo General Hospital, is a Captain in the National Guard. She was recently appointed commander of the 243rd medical company, the first woman physician to command such a unit. Dr. Peters is a clinical assistant instructor in surgery at the Medical School.D 50 Dr. Lawrence G. Millhofer, M'75, has moved to Connecticut from San Francisco after completing his medical residency in internal medicine. He lives at Juniper Farm, RFD #4, Colchester, Connecticut 06415.0 Dr. Thomas C. Rosenthal, M'75, opened a private family practice in Perry, New York in July and joined the staff of the Warren Community Hospital. He is also a clinical instructor at the Medical School (Deaconess Hospital) in family practice.D Dr. William I. Cohen, M'75, has completed his pediatric residency at Pittsburgh's Children's Hospital. He has joined the pediatric staff of the Penn Group Health Plan, Western Pennsylvania's only federally qualified HMO. He is living at 6351 Douglas St., Pittsburgh, Pa. 15217.0 Doctors Linda Shriro Schenck, M'77 and Carlos Schenck, M'76 are medical fellows in psychiatry at the University of Minnesota, Medical Center at Minneapolis. They also announce the birth of Carlin Klarissa last winter. They write "there is quite a Buffalo enclave here in the Twin Cities: Bill and Donna Hrushesky, M'73 (Bill is an Oncology Fellow and Donna just went into private practice with an HMO-type group). Jim Kern, M'76 is a third year resident in internal medicine; Darryl Leong, M'76 is a medical fellow in pediatrics; Ira Salam, M'77 and Richard Terry, M'77 are medical fellows in internal medicine." The Schencks live at 4715 Girard Avenue South, Minneapolis, Mn. 55409.0 In Memoriam Dr. John Ellis, M'35, an Albion, N.Y. physician and his wife were killed September 16 when the light plane he was piloting crashed near a rural road at Venice Center. The 67year-old Dr. Ellis apparently was trying to land the four-seat Cessna in the road when it crashed. Dr. Ellis had been active in several professional and civic organizations. He practiced in Holley, N.Y. before coming to Albion in 1943. He was a former chief of staff of the Arnold Gregory Memorial Hospital in Albion and served many years as an Orleans County coroner. He served in the Navy during World War II.D THE BUFFALO PHYSICIAN �Dr. Howard G. Dayman, M'34, internationally known in the field of respiratory diseases, died July 25. The clinical assistant professor of medicine was 67 years old. After serving as a staff physician at the Raybrook State Hospital at Saranac Lake from 1935 to 1946, he was director of pulmonary diseases at the E.J. Meyer Memorial Hospital from 1946 to 1953. Dr. Dayman was also director of pulmonary diseases at the Rehabilitation Institute of Chronic Diseases at the Medical School. He joined the faculty in 1947. He was a Fellow, American College of Chest Physicians and the American Thoracic Society. He was a clinical associate at the Buffalo General Hospital. Dr. Dayman wrote many articles on the effects of ventilation in medical journals and textbooks.D Dr. Richard B. Bean, M'31, died suddenly June 25 near Saranac Lake, N.Y. of heart disease. His age was 70. He interned and was house surgeon at Children's Hospital. Dr. Bean was a general practitioner in Castile, N.Y. for 10 years. He was a past president of the Wyoming County Medical Society and served in the Navy during World War II. After the war he joined the Veterans Administration and held various positions - chief medical officer of the Buffalo Regional Office and assistant chief of staff at the Buffalo VA Hospital; chief of staff and director at Albany VA Hospital and area chief of staff in Boston for New York and New England. In 1969 he retired to Winter Park, Florida. Dr. Bean was active in several professional and civic organizations.D Dr. Herbert K. Wittig, clinical instructor in family medicine, died July 11 of a coronary. His age was 63. He had been a general practitioner for 30 years in the Bailey-Kensington area. He did his undergraduate work at U/B and received his M.D. from Middlesex College in Massachusetts.D Dr. Edmund A. Biniszkiewicz, M'28, died August 18 at the age of 75. He retired in 1974 after 59 years as a general practitioner. He was a past president of the Deaconess Hospital medical staff, where he had been since graduating from U/B. He interned at Our Lady of Victory Hospital in Lackawanna. He was a member of the Medical Arts Society for 50 years and at one time served as its president.D SPRING, 1979 Editor's note: Dr. Samuel Sones, M '30, died July 10, 1978. He requested that this quotation from a Jetter by Dr. John H. Waite, M'47, professor and chief of surgery, Earl K. Long Memorial Hospital, Louisiana State University, Baton Rouge, La., Nov. 21, 1977, be his obituary in the Bu ffalo Physician.D When my classmates and I went out to the Meyer Hospital, your Surgical and Autopsy Pathology Conferences were like a spot of sunshine in a stormy week. Your humorous and live way of bringing out a point and keeping our attention interested me in teaching, and influenced my style, even now. (I remember how you accused me of being cocksure about my diagnosis of a penile lesion, to the loud guffaws of Hal Peskowitz and Charlie Ross!) Surgeons like Anatomic Pathologists, who are unfortunately being outnumbered by Clinical Pathologists these days. Another thing: You knew and recognized us as individuals, even by name, frequently. Some of us even felt familiar enough with you to call you by your first name, Sam, or Sam·my, a very rare thing in medical studentprofessor relationships! At any rate, the memory of your warm, loving and lovable relationships with your students does continue to inspire me. That a person such as you should get the disease you have is ironic, and makes me sad and angry. I am sure you have been angry too, to say the least, and I personally happen to think that may explain the remarkable success you have had in your long fight. Fight on! We are all pilgrims through life. You're making the most of your pilgrimage, even though the way has been pretty rocky during the past few years. As a matter of fact, in my estimate you are making more out of your pilgrimage because the way is rocky. Comfort is very important, and I wish that for you.D Dr. Spencer Z. Selleck, M'15, died November 22, 1977 in Bath, N.Y. of acute pulmonary embolism. His age was 84.0 Dr. Robert J. Sickles, M'48, died December 27, 1977 in Pasco, Washington of hepatic coma. His age was 54.0 Dr. Stanislaus Nowak, M'19, died October 31, 1977 of arteriosclerotic heart disease in Lansing, Illinois. His age was 81.0 51 Dr. Sones �U/B ALUMNI ASSOCIATION 1979 Travel Program SAN FRANCISCO/ HAWAII/ LAS VEGAS May 14-25 SWISS ALPS/ FRENCH RIVIERA June 24 - July 9 DANUBE CRUISE & VIENNA/ ISTANBUL September 29 - October 13 $747leaving from New York City or Syracuse $862 leaving from Buffalo (United Airlines; 2 nights in San Francisco at the San Francisco Hilton; 7 nights in Honolulu at the Holiday Inn Waikiki; 2 nights in Las Vegas at the Aladdin Hotel, half day sightseeing tours of San Francisco and Honolulu) $650 leaving from Buffalo (Capitol International Airways - DC 8; 7 nights in the Swiss Alps at the Swiss Alpine Village of Thyon 2000; first-class accommodations for 7 nights on the French Riviera; Continental breakfast daily) $1549 leaving from New York City (Pan American Airlines 707 Jet Clipper; 2 nights at the Istanbul Sheraton; Danube Cruise including Izmail, Soviet Union, Bucharest, Romania , Belgrade, Yugoslavia, Budapest, Hungary, Bratislava, Czechoslovakia; three full meals (aboard ship); 2 nights Vienna Hilton, Full American breakfast in Istanbul and Vienna) The General Alumni Board- ERNEST J. KIEFER, B.S.'55, President; MICHAEL F. GUERCIO, A.S.C.'52, President-Elect; CONSTANCE M. GICEWICZ, Vice President for Activities; DOROTHEA W. STERNE, Vice President for Administration; RUSSELL J. GUGINO, A.S.C.'52, Vice President for Athletics; JOHN R. VONA, D.D.S.'61, Vice President for Constituent Alumni; SUSAN D. CARREL, Ph.D.'76, Vice President for Continuing Education; ROGER P. KRUEGER, B.S.'51, Vice President for Development and Membership; M. DOLORES DENMAN, J.D.'65, Vice President for Legislative Relations; STEPHEN C. TOWNSEND, J.D.'74, Vice President for Young Alumni; WILLIE R. EVANS, Ed.B.'60, Treasurer; Past Presidents, PHYLLIS M. KELLY, B.A.'42; GIRARD A. GUGINO, D.D.S.'61; GEORGE VOSKERCHIAN, B.A.'54; MORLEY C. TOWNSEND, J.D.'68; EDMOND J. GICEWICZ, M.D.' 56; M. ROBERT KOREN, L.L.D.'44.D Medical Alumni Association Officers: Drs. Edmond J. Gicewicz, M'56, President; W. Yerby Jones, M'24, Vice President; Lawrence Carden, M'49, Treasurer; Michael A. Sullivan, M'53, Immediate Past President. Board Members - Robert Schultz, M'65; Norman Chassin, M'45; Charles Tanner, M'43; Eugene M. Sullivan, M'26; Nancy Nielsen, M'76; Robert Baumler, M'52; George W. Fugitt Jr., M'45, Program Committee Chairman; Carmela Armenia, M'49, Exhibits Committee Chairman; James F. Phillips, M'47, Past President.D 52 THE BUFFALO PHYSICIAN �I A Message from Edmond Gicewicz, M'56 President, Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Gicewicz -------------------------------------------------------------------------------------------------- Ill II I BUSINESS REPLY MAIL FIRST CLASS PERMIT NO. 221 0 POSTAGE WILL BE PAID BY ADDRESSEE Buffalo Physician 28 Diefendorf Annex 3435 Main Street Buffalo, New York 14214 BUFFALO, N.Y. NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435· MAIN STREET, BUFFALO, NEW YORK 14214 ORe ROBERT L• BRO~N 156 BRANT~OOD ROAD BUFFALo 1~226 NY THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) N a m e - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Year MD Received---Office Address--------~---------------------------------­ HomeAddress------------------------------------------1{ not UB, MD received f r o m - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - In Private Practice: Yes~ In Academic Medicine: Yes No~ SpecialtY----------------------------~ ~ ~ No Part Time 0 Full Time ~ School--------------------Title Other: NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, e t c . ? - - - - - Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Spring 1979 Subject The topic of the resource State University of New York at Buffalo. 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Class Reunions Dean Naughton's Message The Follies The 1982 Class Dr. Marconi Faculty Retire Dr. Ogra Dr. Gonder/Dr. Dewitz Lithopedion Profile by Drs. Progoy, Korenyi-Both Primary Ambulatory Care Physicians Honored Dr. Melant/Dr. Coventry Dr. Herz/Residents Graduation Martinique MECO Colon Cancer Tennis Tourney Drs. Herbert/Seibel/Culver 42nd Annual Spring Clinical Days Deep Sea Diving Dr. Ettinger Erie County Medical Center Physicians Honored/Faculty Promotions Transfer Students Dues Paying Alumni, 1978 Continuing Education Programs Inner-City Well Health Clinic People The Classes In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-12-20 Is Part Of A related resource in which the described resource is physically or logically included. 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School of Medicine State University of New York at Buffalo \ \ �Dear Alumni and Alumnae, Dean Naughton From the desk of John Naughton, M.D. Dean, School of Medicine T his issue of THE BUFFALO PHYSICIA represents a slight departure from previous publication in that its conten~s .refle~~: report on the current status of the School of Med1cme. dedication of a single issue for this report seemed timely ?ec~us~ of the many significant changes that have transp•re : SU Y/Buffalo in a relatively short span of time and because t. e school will shortly embark on a prolonged period of self-stu~y Ill . f or Its . accre d'Itahon . . Committee preparation visit b y T h e L'Iaison on Medical Ed.ucation in October, 1980. d Mr. In preparmg and organizing the present report l aske !late Robert McGranahan and Dr. John Richert to assemble and co 1 the available material. Input was obtained from departmenf chairmen, hospital directors, faculty, and student lead.er~ 0 f organizations, administrative staff, and from the mynac ~ periodic reports submitted to my office during the past thre~ to four years. Many aspects of the reported activity going on hac 0 be restricted or minimized in order to synthesize a single, cohm-t . · t a prehens1ve report. The staff and I apologize for any deletwns individual contributors might detect, yet think important. On behalf of the administration faculty and students l hope that the readers find this report i~formative and contributo~·· Hopefully, it will serve to convey a sense of satisfaction that. t. e SU Y/Buffalo School of Medicine is meeting its responsibiht•~s in preparing physicians to serve the needs of society, ~n promoting teaching effectiveness and in participating in 1 e nation's biomedical research mission. �Winter 1978 Volume 12, Number 4 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo EDITORIAL l.lOARlJ IN THIS ISSUE Dean Naughton's Message (inside front cover) 2 I TRODUCTION 2 MEDICAL SCHOOL ADMISSIONS Editor First Year Class, Advanced Standing, COTRANS, Fifth Pathway, CU Y Biomedical Sciences, Admissions Policy Committee. ROBERTS. MCGRA1'\AIIA:\ Dean, School of Medicine DR. jOHN NAUGHTON 4 Overview, Office of Medical Education, Integration of ew Programs, Adviser Programs, Preceptorship Program, Summer Fellowship Program, MECO, Year Committees, Student Performance, ational Board Examinations, Graduate Medical Education Placement, Financial Aid. Photography HUGO H. UNGER EDWARD NOWAK Visual Designers RICHARD MACAKAN)A DONALD E. W ATKI S Associate Editor FLORE CE MEYER EDUCATIO AL PROGRAMS 10 STUDE T HONORS A D AWARDS Alpha Omega Alpha, Medical Assistance Program, CIBA Award, Who's Who Among Students, james A. Gibson Anatomical Society, Thesis Honors, Awards for Academic Excellence. 11 STUDE T GOVER ME T A D ORCA IZATION Polity, Organization of Student Representation, Student National Medical Association, American Medical Student Association. CONSULT ANTS President, Medical Alumni Association DR. EDMOND GICEWICZ Vice President, Faculty of Health Sciences DR. F. CARTER P ANN ILL President, University Foundation jOHN M. CARTER Director of Public Affairs ]AMES DESANTIS Teaching Hospitals The Buffalo General Children's Deaconess Erie County Medical Center Mercy Millard Fillmore Roswell Park Memorial Institute Sisters of Charity Veterans Administration Medical Center 13 13 13 13 GRADUATE MEDICAL EDUCATIO CONTI UI G MEDICAL EDUCATION GRADUATE STUDE T EDUCATIO ORCA IZATION, GOVER A CE Governance, Executive Committee, Facul!y Council, Pre-clinical Council, Clinical Council, Administrative Committees. 15 ASSOCIATED ORGANIZATIO S Alumni Association, University of Buffalo Foundation, Inc., Research Foundation of the State University of ew York, Annual Participating Fund for Medical Education. 17 SPECIAL PROGRAMS Buswell Fellowship, Biomedical Research Support Grant, Harrington Lecture. 18 FACULTY A WARDS FOR EXCELLE CE I PURSUIT, SERVICE A D TEACHING ACADEMIC Stockton Kimball Award, Dean's Award , Siegel Teaching Awards. 19 TEACHING HOSPITALS Buffalo General, Children's, Deaconess, Erie County Medical Center, Mercy, Millard Fillmore, Roswell Park . Memorial Institute, Sisters, Veterans Administration Medical Center. 28 MEDICAL SCHOOL DEPARTME TS 38 38 39 THE RESEARCH MISSION PHYSICAL F AGILITIES HEALTH SCIENCES LIBRARY Dr. Gicewicz's Message (inside back cover) Basic Sciences Units, Clinical Sciences. The cover by Barbara Evans and Donald Watkins, visual designers, depicts the academic life of medical students. THE BUFFALO PHYSICIA , Winter, 1978 - Volume 12, Number 4, published quarterly Spring, Summer, Fall Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, ew York. Please notify us of change of address. Copyright 1978 by The Buffalo Physician. WINTER, 1978 1 �Medical School Admissions is directed by Dr. Harry Metcalf. The Director is responsible for the activities of the admissions staff, and he is ably assisted by the Coordinator, Dr. Phyllis Blazer. In addition he chairs and coordinates the work of the Admissions Committee. This committee's membership is recommended to the Dean by the Admissions Policy Committee, a standing committee of the Faculty Council, and is appointed by the Dean. Since 1976 the committee has had representation from the student body as well as from full-time and voluntary faculty. T HE OFFICE OF MEDICAL SCHOOL ADMISSIONS Introduction T his report is designed to summarize the many and varied medical education activities currently conducted either under the auspices of or in collaboration with the SU Y/Buffalo School of Medicine. A status report to the alumni and friends of the school seemed particularly appropriate at this time because the institution is about mid-way between accreditation visits by The Liaison Committee on Medical Education (LCME). a substantial number of changes in faculty, administration and facilities have occurred within a relatively short span of time, and because the faculty, administration and student body will soon embark on a self-study in preparation for the next accreditation visit by the LCME in October, 1980. Although historically such a report must be viewed as a cross-sectional analysis of the life of the institution, it is hopefully coordinated in such a manner that the longitudinal nature of the enterprise can be appreciated by those who have been associated with the School of Medicine for a period of years and so that future change can be appreciated in proper context by those who have become a part of the institution only recently. The contents of this report were sought from and contributed by a large number of individuals. The necessity to limit the size of the report required a great deal of collation and synthesis, and unfortunately, a considerable amount of deletion. Hopefully, those individuals whose submissions were altered will understand this need and will appreciate that such decisions were not based on any differences in personal points of view. The present report serves to present a coordinated view of the School of Medicine and enables the school's alumni and friends to comprehend the enormity and complexities of its present responsibilities and programs. 2 Med1col School Applicol1ons, committee Accepts, and Enrollment, 1964-1978 55 45 I 390 Comm111ee Acceptances I 35 340 25 290 I ~ I I i!': 1 5 f 1\ ~ "" ~ Appltconts ,' ' v ,/ 240 I 05 / ____,,r--"' ,... t90 / I ~ 140 .• ···········•••·····•····•• Enrollment 90 6~ ... -~~·····;;;;··· 70 72 74 76 78 Year of AdmiSSIOn Figure I Figure I depicts the activity of the Admissions Office from 1964 through the summer of 1978. The number of applicants increased significantly from 1964 through 1974, and since 1974 there has been a decrease in the volume of the applicant pool. The sharpest decrease was from 1976 to 1977, and this was related in large part to the institution of an application fee of $25.00. An application fee was necessitated at each of the four SUNY Schools of Medicine because the resources required to staff and equip this important function were no longer available from state funds. The institution of an application fee did not detract from the quality of the applicant pool. The Admissions THE BUFFALO PHYSICIA �Committee found that a greater proportion of the applicants reviewed and interviewed during 1977-78 represented individuals with a strong desire to study at SUNY /Buffalo. The number of committee acceptances to actual student placements has increased significantly during the past four years. This change reflects the competitiveness of the pool. The entering class in 1978 had a mean science grade average of 3.54. The mean MCA T Science and total MCAT scores for the entering classes from 1964 through 1977 are depicted in Figure II. The School of Medicine enrollment totals 570 students. MCAT Science and combined total scores for UB and all U.S. medical school odmittees; 1964-1977 ...... ~ ~ 700[ UB ..... ~ ::.: .I 1978- Introduction 500 of new MCAT UB 700[ ~ ..... ~ :a; 500 ~G7 4_L~6~6-L~G~a-L~7=o~~7=2~~~~~76~ Entering Class Figure II The average age of the 1978 entering class is 22.4 years, up slightly from the figure of 21.4 years for the 1977 First Year class. The total applicant pool was composed of 21 per cent women; the class composition is approximately one-third women and two-thirds men. All applications, regardless of program, are processed through the single Admissions Committee. Thus, this committee is responsible for selecting a core class each year of 135 students, the few students who can be accepted into advanced placement should vacancies occur in the second or third years, COTRA S students, Fifth Pathway students, and those students in the CU Y Biomedical Science Program who will do their clinical training at Buffalo and receive their Doctor of Medicine degree from SUNY /Buffalo. WI TER, 1978 The School of Medicine began accepting ew York students enrolled in foreign medical schools into the third year class in 1969. From 1969 to 1977 at least five students were accepted via COTRANS each year and the class size was expanded from 135 to 140. In order to comply with Federal Capitation guidelines for 1978 the class size was expanded to 141. These students must pass all parts of Part I of the National Board for Medical Examination (NBME) and are accepted on a competitive basis. The Doctor of Medicine degree is awarded upon satisfactory completion of the clinical work. The school accepts 21 students each year for a year's clinical training into The Fifth Pathway Program. These students have completed the requirements for the Doctor of Medicine degree at the time of acceptance into the program, but must perform a period of supervised clinical training in order to qualify for acceptance into an American Graduate Medical Education Program. Satisfactory completion of the program is accompanied by certification by the School of Medicine. The School of Medicine upon authorization by its Executive Committee in 1969 made a commitment to participate fully and to the best of its ability in providing educational opportunities for students of minority or disadvantaged status. Since the ince,ption of that commitment SUNY / Buffalo has been regarded as a leader in the field. Under the leadership and direction of Mr. Rudy Williams the school has received extramural support to provide the necessary prerequisites of a viable and meaningful educational experience. Despite a laudable record in this area the number of minority applicants decreased significantly in 1977 to 290. The 1978 entering class has 11 minority students. In 1978 the Faculty Council and the Executive Committee approved participation of the School of Medicine in the program conducted by the CUNY School of Biomedical Sciences. This program admits high school graduates from urban environments who will complete their education in a period of six to seven years. CUNY is not accredited for granting the professional degree. Schools of Medicine which accept CUNY students participate in their selection for the CUNY portion of the educational experience and those 3 d- �students then do their clinical work at the selecting medical school. The first six CU Y students will be processed through SUNY /Buffalo's program in 1980. High school principals in Buffalo and Erie County have been made aware of this program and are encouraged to have qualified students apply to CU Y for admission to this special and unique program. Admissions Policy Committee The Admissions Committee is the operational committee of the School of Medicine. Matters of policy are developed by the Admissions Policy Committee. Any major changes in policy are recommended by this committee to the Faculty Council for review and approval, and ultimately to the Executive Committee. Educational Programs OverviewThe curriculum offerings are structured so that a medical student can proceed through the School of Medicine either in a series of four 10-month yearly sequences or in an accelerated program designed to permit graduation after three complete years of academic work. This latter program is open to a limited number of students. The opportunity to combine the required educational experience with preparation for basic research and training is also available to a limited number of students; these students can earn both the Doctor of M.ed~cine a~d Doctor of Philosophy degrees Withm a penod of six years. . The Offic~ of Medical Education, working m concert With the faculty, received two extramural awards from the Department of Health, Education and Welfare for the funding of (1) a Summer Enrichment Program which is made available on an option to all students during the summer prior to their entrance into the First Year; (2) a ten-week pres cri p tio n-e nri chm en t pre-en trance program for those United States citizens (foreign medical students] who have made application through the Coordinated Transfer Application System (COTRANS] and have been admitted into the school's third year curriculum. 4 In general, the medical school curriculum is structured as two years of pre-clinical basic science training and two years of clinical training. The school introduces clinical experiences during the first year. The core didactic material is complemented with a series of elective experiences. The third year is comprised of a 12 week rotation in general surgery and the surgery specialties, 11 weeks of medicine, six weeks in pediatrics, gynecology-obstetrics and psychiatry, and one week in neurology. In addition, students obtain a limited third year experience in dermatology. With the exception of a mandatory four-week experience in Primary Ambulatory Care Medicine, the fourth year is an elective experience. Reviews of the student electives during the past three to four years indicate that each class elects to spend about half of its senior year in programs offered by the Department of Medicine, and that each elects the equivalent of a month's experience in pediatrics, surgery and radiology, about two weeks equivalent per student in neurology and dermatology and approximately a oneweek experience in the remaining disciplines. In excess of 90 per cent of the fourth year students do their fourth year in Western New York. · Self study in th e health sciences learning resources center. THE BUFFALO PHYSICIA �Office of Medical Education The Office of Medical Education (OME) was established in 1975, bringing into being an idea formulated by the Special Curriculum Committee Report of 1967. The OME brings together all the functions of undergraduate medical education: academic, student affairs, advisement, records, financial aid, minority affairs and educational evaluation and research. Dr. Leonard Katz, Associate Dean for Student and Curricular Affairs, heads this office. Dr. John Richert, is Assistant Dean for Records, Student Affairs and Curriculum. Mr. Rudolph Williams, Assistant Dean for Financial Aid, is also actively involved in student affairs and minority student activities. The newest component of the office is the Educational Evaluation and Development Unit formed in 1976 with the recruitment of Dr. Frank Schimpfhauser. Dr. Schimpfhauser has been joined by Mr. Randy Sarnacki, a doctoral candidate in educational psychology and Ms. Klara Papp, also an educational psychology major. The Education Evaluation and Development Unit has as its major goal assisting individual faculty departments and various committees of the School in providing improved curriculum and instruction. In addition to heightening the faculty's awareness of the sensitivity toward the teaching-learning process through existant and newly implemented committee structures, the unit has made significant progress in upgrading the many educational programs and course offerings of the School. The unit has provided faculty and department expertise in designing and implementing evaluation procedures, planning and developing proposals which have secured extramural support for new and innovative curricular programs and has provided several members of the faculty instructional improvement opportunities in areas such as lecturing, student assessment, and curriculum materials development. For purposes of conducting educational and behavioral research, the unit has fully implemented a computer accessible student data base. The new student data base contains medical school performance data, entering student achievement characteristics, and over 200 non-cognitive variables now collected at specific points throughout the student's undergraduate and graduate WINTER, 1978 program. Questions related to curricular impact on medical student values, professional behaviors and career choice and practice location are among those currently being studied for purposes of curricular planning and longitudinal research. Integration of New Programs Dr. Leonard Katz, working with the Curriculum Committee of .the Faculty Council, has coordinated the development and implimentation of a number of new educational programs, each designed to reflect the school's awareness and responsiveness to needed change and to provide integration of necessary educational content without educational disruption. Education committees are appointed by the Dean to bring together faculty members and students interested in these areas. They include: Alcoholism and Substance Abuse Education Committee: Drs. Peter Gessner, Chairman; Marvin Block; Lucille Lewandowski; William Webster; Stephen Stayer; Marcia Russell; Cedric Smith; Michael oe; Robert Whitney; Frank Schimphauser; Students: John Bahouth, Sylvia Turner. Cancer Education Committee: Drs. Edward Henderson, Co-Chairman; John Wright, Co-Chairman; Nancy Stubbe; John Gaeta; Richard Johnson; ~ames Humbert; Myroslaw Hreshchyshyn; Richard Cooper; H. James Wallace; Alan Reynard; Marjorie Plumb; Gerard Burns; Edwin Mirand; Frank Schimpfhauser; Leonard A. Katz; Student: Monica Spaulding. Cost Effectiveness and Quality Assurance Education Committee: Drs. Paul Davis, Chairman; Michael Anbar; Raymond Bissonette; Alexander Brownie; Edward Carr; Elliot Ellis; Glen Gresham; Milford Maloney; John Wright; Robert Kohn. 5 d- �Environmental and Occupational Health Committee: Drs. Harry Sultz, Chairman; Paul Kostyniak, Acting Chairman; Marvin Amdur; John Gentry; Monte Blau; Beverly Paigen; Mitchell Zavon; Elizabeth Macintyre; Students: Geralyn Kahn; Terence Chorba; James Miller. Human Values and Medical Ethics Education Committee: Drs. Norman Solkoff, Co-Chairman; Robert Dickman, Co-Chairman; Robert O'Shea; Donald Becker; Peter Gessner; Leonard A. Katz; Norman Chassin; Henry Staub; Mila Aroskar ( ursing); Louis Swartz (Law); R.T. Hull (Philosophy); Father Jack Chandler; Rabbi Martin Goldberg; Rev. Charles Bachman; Students: M. Werick Paroski; John DeBerry; Archimedes Thomas; Mark Hagen. Geriatrics Committee: Drs. Evan Calkins, chairman; Harold Brody, J. Warren Perry, John Robinson, John Border, John Bozer, Ferdinand Paolini, John Hodson, S. Mouchly Small, Mr. Rudy Williams. Soon to be established will be a Nutrition Educational Committee. Each of these committees has approached its responsibility somewhat differently but there has been a great deal of creative activity generated. Alcoholism and Substance Abuse, for example, has been successful in stimulating an increase in the teaching of these problems within existing required courses. It has brought together some of the teaching activities in the second year into an "Alcoholism Week." A highly successful elective was developed to take students into clinical settings as well to introduce them to some of the various facets of the problem of alcoholism. Dr. Peter Gessner won a Career Teaching Award from NIAAA ( ational Institute of Alcoholism and Alcoholism Abuse) and has attracted financial support from the ew York State Division of Alcoholism, Department of Mental Hygiene. The Human Values and Medical Ethics group, led by Drs. Robert Dickman and Norman Solkoff, has developed a series of exciting offerings, many of which are given as noon time seminars. In addition, there has been a distinct increase in the amount of re6 quired course time devoted to these areas, both in the basic sciences and in the clinical courses. For the coming year, the following topics are being presented as part of the noon time seminar series: Fall Theme: Utilitarian and deontological patterns of decision-making in medicine. The seminar topics were: Informed Consent and the Right to Withdraw Consent to Treatment; The Right to Psychiatric Treatment; Involuntary Sterilization of the Retarded; Euthanasia and the Dying Patient; Issues in Abortion. Spring Theme: Conflicts between the Hippocratic/free enterprise and the civil service views of the profession. The spring seminar topics are: Justice and Health Care Delivery; Allocation of Scarce Medical Resources; Confidentiality of Psychiatric Information; Incompetent Practice; Nontherapeutic Medical Experimentation. Dr. Richard Hull, associate professor of philosophy, helped prepare a syllabus for the seminars and participated in some of the sessions. The Cancer Education Committee under the leadership of Drs. Edward Henderson and John Wright has been actively reviewing the content of courses related to cancer. There have been applications for support submitted to the National Cancer Institute to promote cancer education in Buffalo. Dr. Paul Kostyniak is acting chairman of the Environmental and Occupational Health Education Committee while Dr. Harry Sultz is on sabbatical leave. This committee is looking into expanding teaching resources and offerings to students. The Committee will bring a number of speakers to the campus to discuss this highly relevant subject. Two medical students, Mr. Terence Chorba and Ms. Geralyn Kahn received fellowship support to prepare materials for the committee. The Cost Effectiveness and Quality Assurance Education Committee is chaired by Dr. Paul Davis. This work is supported by a grant from the National Fund for Medical Education to assist its efforts to introduce these issues into the medical students' program. Dr. Ben Sanders, Chairman of the Multidisciplinary Graduate Group on Nutritional Sciences, has received local support from Tops Foods for a utritional THE BUFFALO PHYSICIAN �Seminar series. This year an ambitious program is planned and includes the following topics: Pathophysiology of Intestinal Absorption; Current Clinical and Research Trends in Fat Soluble Vitamins; Relationship of Cancer and Cancer Therapy to utrition; Vitamin Facts and Fictions: Science Versus Anecdote. Adviser Program During the first semester each first year student is assigned an academic adviser from the basic science faculty. The purpose of the Adviser Program is to provide guidance to the student in the development of his/ her curriculum. This function includes advisement on elective courses, academic progress and other matters relating to the educational programs of the School of Medicine. The program functions in concert with other programs of the school and the University to provide personal services to the student, thereby helping to bridge the gap between college and medical school. Preceptor Program Concomitantly, each student is assigned a clinical preceptor. The Preceptor Program provides the student with an early introduction to the clinical setting and an opportunity for discussion of relevant issues in the practice of medicine. During the first year the preceptor and the assigned group of students are expected to meet on a regular basis in relation to patient contact in a clinical setting. It is anticipated that the preceptor will continue with each student until and beyond graduation from medical school. Dr. Robe rt Patterson is coordinating the program for 1978-79. He is assisted by Dr. Stephen Barron. Dr. Robe rt Patte rson with first year students at the preceptors' luncheon. Summer Fellowship Program Funds from a number of organizations national, local and private - are used to promote student research and training during the summer months between the first and second and second and third year. The particular work to be pursued by a student is determined by his/ her interest and specific arrangements are made with a faculty adviser. The selection of students is based on competition for the limited funds available and is done by the Summer Fellowship Committee, currently chaired by Dr. John Edwards. MECO Program Since 1976, members of the student body working through the American Medical Student Association (AMSA) and the American Medical Association have sought and obtained funds to provide summer preceptorship-employment opportunities for students. This program has been successful in obtaining support from several sources including the Annual Participating Fund for Medical Education (APFMEJ, The Lamb Endowment Fund, and the Gebbe Foundation in Jamestown, New York. During 1978, 40 students participated and were placed in sites in Buffalo, Jamestown, Salamanca, as well as in other communities in Western New York. The student coordinators are Donald Switzer and Robert Shalwitz. Year Committees Year Committees were formed in 1977 to provide a forum for the regular review and discussion of curriculum improvements , academic policies and student performance standards. Each Year Committee is comprised of the course coordinators for that year and includes in its membership representation from the ranks of the preclinical and clinical faculty, volunteer faculty, and designated r epresentatives from the Dean 's staff. From the activity reports submitted to the Dean, it has become clear that significant teaching-learning issues have been addressed in the Committees' first year of operation and that a numb er of new policy recommendations have b een provided to the appropria te committees of the Faculty Council for furth er considera tion and action. The chairmen are: Drs . Alexander Brownie Thomas Flanagan, Philip Morey and Kamai Tourbaf. dWI TER, 1978 7 �Student Performance The program of each medical student is monitored by the departmental faculty responsible for a curricular offering, by the committees assigned to coordinate each year's program and the Executive Committee of the School of Medicine. Each year the evaluation program has been revised and upgraded to ensure the student a fair and objective appraisal of his/her effort and to ensure evolution of a strong faculty committed to sound pedagogical principles. Student feedback is encouraged and sought through course evaluation and by participation in committee work. While it is difficult to determine all the parameters of medical student performance the School of Medicine has used two as indices of relative performance. These are the results of participation in the National Boards and placements in graduate training, i.e., internships and residencies. Student Performance on Part IT NBME, 1973-1978 550 525 Notional Mean ------------------------ ., 500 ~ ~ 475 c:: ~ 450 425 400 Number of Students 90 86 92 108 114 122 Percent Passing 98 94 90 95 94 98 2 6 5 7 76 77 78 Percent Honors 4 73 6 74 75 Graduating Closs Figure IV Student Performance on Part I NBME, 1972-1978 550 525 ., ~ ~ 500 - - - - - - - ~·.!·~·.! ~..!_n- - - - - 475 g 450 ~ 425 400 Number of Students 119 120 Percent Posstnq 75 78 Percent Honors 9 74 75 119 131 117 122 79 73 93 90 93 12 19 15 78 79 80 10 76 77 111 (June only) similar upward trend is reflected by the performance of the graduates of 1977 on Part II of the exam (Figure IV). Although the School of Medicine does not place great emphasis on the BME in its educational mission there is little doubt that overall medical student performance on these exams provides one of the few external indices of how SUNY /Buffalo students perform in relation to students throughout the United States. Students who take the examination, even though done voluntarily, should be motivated to perform up to their abilities and capacities. Graduating Closs Figure ll I Figure V Percent of First and Second Choice Placement for Internships, 1967-1978 NBME The ational Board Examinations are not required, but approximately 95 per cent of SUNY /Buffalo's students take Parts I, II and III. Figure III depicts the mean scores on Part I from the graduating classes from 1974 through 1980. The classes from 1977 through 1980 have scored well above the National Mean and from 12 to 19 per cent of those taking the examination in these graduating classes have achieved Honors status. A 8 85 ~ <:: 80 {: ::, ~ '.... <> 75 ~ ~ ~ 70 65 78 Year of Graduation THE BUFFALO PHYSICIA �Since medical school education is one part of the educational spectrum, placement in graduate medical education programs serves as another marker of student performance and acceptability. Figure V indicates the per cent of graduates who received either their first or second choice placement from 1967 through 1978. In 1978, 89 per cent of 139 graduates received either their first, second or third place choice. The per cent distribution who chose to remain in Western ew York and ew York State is depicted in Figure VI. Many of the school's graduates Internship Location for Classes 1972 - 1978 0 Western New York rlJ Other New York 40 II) ~ ~ ..... ~ ..... ~ 20 ~ ~ 10 Year of Graduation Figure VI continue to be accepted in programs regarded as among the most prestigious in the country. Advisement on graduate opportunities is provided largely by faculty members within the clinical departments of the school. Some departments, like the Department of Medicine, have developed an adviser program whereby students may work closely with a senior faculty member in choosing programs. The departmental efforts are supported by a team within the Office of Medical Education. Recently, this team has bee n expanded to include Dr. Thomas G. Cummiskey, clinical assistant professor of radiology, who provides support for applicants in pediatrics, gyn/ob and radiology; Dr. Joseph Caruana, assistant WINTER , 1978 professor of surgery, who aids students applying to surgery and the surgical specialties; Dr. Leonard Katz works with students seeking positions in medicine, family medicine, psychiatry and the remaining disciplines. Assistant Deans, Dr. John Richert and Mr. Rudy Williams, have ably assisted the effort in providing each student the opportunity to review their academic record and to gain a good sense of overall personal performance in Medical School. Dean's letters are prepared for each student and sent to each of the programs to which the student applies, leading to over 1300 letters per year. Ms. Mary Shapiro and her staff, including Ms. Doreen Miller and others, have provided the service with good spirit as reflected by the fact that both received plaques of appreciation from recent graduating classes. Financial Aid The School of Medicine's current financial aid policy provides for 100 per cent of a student's need to be satisfied. The budget reflects the total cost of attending this medical school at approximately $7,000 per year with tuition and fees accounting for $3,115 of the total aid provided. All financial aid administered by the University is in the form ew York State Higher of loans with the Education Services Corporation (NYHESC) Loan providing the foundation for the total aid program. Interest rates vary from a low of three per cent for University-sponsored programs to a level of seven per cent for NYHESC funds to a high of 10 and possibly 12 per cent on funds provided by the American Medical Association, Robert Wood Johnson and Health Education Assistance Loan Programs. Under the present economic climate student debt levels are rising rapidly commensurate with the cost of attending medical school. It is the philosophy of the School of Medicine that financial aid be awarded solely on the basis of financial need. Where resources are available parents are expected to assume the financial responsibility for the student's education. In all cases, parental income information is required regardless of dependency status. Several Emergency Loan Funds are functioning at maximum capacity and are providing valuable assistance in emergency 9 d-- �situations. These include the Clara March Fund, the Botsford Fund and the Medical Emergency Loan Fund established by faculty contribution in 1975-76. A long term loan fund has been established by a member of the community. The Dr. Pasquale Greco Loan Fund provides low interest loans to third and fourth year students from Western ew York. Student Honors are selected, on a national competitive basis, to participate in the Medical Assistance Program-Readers Digest International Fellowships (MAP-ROlF). After the student is awarded the grant he/she is obligated to spend a minimum of ten weeks at the place of assignment which is in a carefully planned and well supervised clinical setting in one of 82 developing countries. While working in these rather primitive settings, the student becomes familiar with the cultural, social and medical problems characteristic of the host country. Each year the student body selects a sophomore student to receive the CIBA Awa~d in r~cognition of outstanding commumty serv1ce in such activities as the F OURTH YEAR MEDICAL STUDE TS Dean Naughton and two honor students. organization and staffing of neighborhood health clinics or the development of, and participation in, efforts ranging from tutorial to disease screening programs. In October of each year, the School selects eight students from the junior and senior class for nomination to WHO'S WHO AMO G STUDE TS IN AMERICA UNIVERSITIES A D COLLEGES. The selection is based on scholarship ability, participation, leadership, academic and extracurricular activities, citizenship, service to the School and potential for future achievement. Alpha Omega Alpha The Buffalo Chapter of Alpha Omega Alpha, Epsilon chapter in ew York, was founded in 1924. Each year students are selected for scholastic excellence as well as "integrity, capacity for leadership, compassion and fairness in dealing with one's colleagues." Limited to a maximum of one-sixth of the graduating class, the new members are inducted in a solemn ceremony. The current officers of the chapter: President, Dr. Ronald Boersma; Vice President, Dr. Nancy Nielsen; Sec'y.-Treas., Dr. James Brennan; and Councillor, Dr. Wilmot Jacobsen. James A. Gibson Anatomical Society The James A. Gibson Anatomical Society was founded by the classes of 1919 and 1920 in honor of Dr. James A. Gibson, late Professor of Anatomy and Secretary of the Medical Faculty. Its object is to promote high scholarship and to stimulate interest in investigation among medical students of the University. The Society also sponsors an annual lecture by a prominent scientist. Thesis Honors Thesis Honors is awarded for a meritorious thesis based on an original contribution to medicine by a medical student working under the sponsorship of a faculty member. While this recognition usually implies original laboratory or clinical research, contributors to the ethical or historical aspects of medicine may also qualify. The possible field of subjects is wide, but emphasis is placed on evidence of creativity THE BUFFALO PHYSICIA �and originality. All medical school students are encouraged to take a special study with the guidance of a faculty sponsor, which is then submitted to the Thesis Honors Committee. The Committee, composed of representation from the clinical and basic science faculty and administration, appoints a suitable review sub-committee to review the thesis. The student must defend the thesis and on the basis of attainment, the Committee recommends to the Dean the awarding of Thesis Honors to the student. Awards for Academic Excellence Members of the graduating class and their colleagues in the second and third years are recognized for outstanding achievement in the clinical sciences, basic sciences and service to the School and community at the School's commencement exercises. An Awards Committee composed of clinical and basic science faculty, administration, and students determines the recipients of many of the awards with the advice of appropriate departmental faculty; other awards are made directly by departments under whose aegis the award is provided. The individual awards are listed below. Senior Class THESIS HO ORS Baccelli Award Gilbert M. Beck Memorial Prize i~ Psychiatry, Buffalo Surgical Society Prize in Surgery, Children's Hospital Prize, Dean's Award, Bernhardt & Sophie B. Gottlieb Award, Dr. Heinrich Leonhardt Prize in Surgery, Lieberman Award, Hans J. Lowenstein Award in Obstetrics, Maimonides Medical Society Award, Medical Alumni Association Award, David K. Miller Prize in Medicine, John R. Paine Award in Surgery, Mark A. Petrino Award, Clyde L. Randall Soc.iety Award in Gynecology-Obstetrics, Emily Davis Rodenberg Memorial Award, Philip R. Sang Memorial Award, Morris & Sadie Stein Neuroanatomy Award, Upjohn Award, John Watson Award in Medicine. Sophomore and Junior Classes Charles Bauda Award, Edward L. Curvish, M.D. Award, James A. Gibson & Wayne J. Atwell Award, Douglas S. Riggs Award Westwood Pharmaceuticals, Kornell L. Terplan Award, Ernest Witebsky Memorial Award, Farney R. Wurlitzer Award. WI TER, 1978 Student Government Organization I Polity is the sole student government in the medical school. It was formed in order to govern student affairs, to promote more efficient communication among students, faculty and administrative officers, and to facilitate student participation in the deliberative and policy-making processes of the school. Polity is composed of 20 voting members, five elected representatives from each of the first through fourth year medical school classes, and of an Executive Committee of a President, Vice President, Secretary, and Treasurer. Elected class representatives also serve as co-equal class officers. Polity's activities are quite diversified. Polity is responsible for the allocation of the mandatory medical student fees. The requests for funding are many and varied, and Polity representatives must judge the merits of each request and allocate the money to the student body's best advantage. · Polity also acts as a liaison between students and the administration of both the medical school and the University at large. Student representatives and the medical school administrative staff meet several times a semester to discuss problems concerning such matters as curriculum, student representation on committees, parking, exam policies, health insurance, and financial aid. Many problems are solved immediately. Others are referred to the medical school's many active committees for resolution and action. Polity is also involved in trying to bring students closer together and making medical school fun. A school-wide activities budget line has financed such functions as the Annual Tennis Tournament, a skating party, and the very successful Med School Follies held each spring. Plans are already being made this year for a school-wide dance and Spring Sports Day. Polity is also responsible for coordinating student representatives to medical school committees. Student representation on these 11 �committees is constantly expanding and Polity is making a real effort to get feedback to the students. This year a new "Communications" budget line was opened to finance class newsletters. Polity, as the sole student government of the medical school, represents the will and opinion of the students. Polity spends much time debating issues in the medical school, and attempts to formulate a well reasoned opinion to be presented to the administration for consideration. Polity also deals with much of the day-today medical school business-running committee elections , dispensing information to students, dealing with drug and equipment salesmen , and setting up parties, etc. The Organization of Student Representatives The Organization of Student Representatives (OSR) was established in 1971 by the action of the Assembly of the Association of American Medical Colleges. Each medical school is allowed to select one representative from its student body as an institutional representative to the OSR. The OSR meets once a year at the AAMC Annual Meeting and on a regional basis with the Group on Student Affairs (GSA) each spring. At these meetings the representatives become informed of national medical education issues and have an opportunity to interact with other constituent members of the Association: In between the annual meetings, the busmess of the OSR is carried out by the Administrative Boards of the three AAMC Councils . The chairperson and chairpersonelect of the OSR are voting members of the Executive Council. Peter Shields, a member of the Fourth Year Class, is currently chairperson of the National OSR. Student National Medical Association The goals of the Student National Medical Association are: 1) increase the public awareness of the medical needs of the minority communities, 2) supplement the education of medical students who are particularly interested in the health care needs and problems of the minority communities, 3) provide programs for the recruitment and retention of minority medical students, 4) provide social outlets for its members to relieve the pressures and anxiety of medical school. The SNMA of Buffalo has pursued these goals with a wide array of programs and activities .· The SNMA sponsored Well Health Clinic is a facility in Buffalo where the medically indigent may receive physical examinations and primary screening for diabetes mellitus, hypertension, and various anemias. This clinic is free of charge and staffed by students and residents under the supervision of voluntary physicians in their spare time. A monthly journal club and guest speakers provide supplementary education. Faculty members are honored with awards for teaching excellence in both basic sciences and clinical areas. The SNMA provides students to speak to elementary and high school classes. Pre-medical college students are actively encouraged to apply to medical schools. Picnics, parties and group outings constitute the social activities . American Medical Students Association The American Medical Students Association (AMSA) is an independent national organization of medical students dedicated to the improvement of health care, medical education and health care delivery. AMSA is not affiliated with the American Medical Association (AMA). There are over 130 local chapters throughout America. The New Physician and Infusion are the organization's official publications . Students at the SUNY /Buffalo School of Medicine founded the Medical Education and Community Orientation Project (MECO); Women in Medicine; and Humanistic Medicine which are particularly popular AMSA activities. THE BUFFALO PHYSICIAN �Graduate Medical Education coordinates and supervises a vast array of internship, residency, and fellowship programs. The clinical departments through the hospital system supervise the training of 475 to 500 interns, residents and fellows each year. Approximately one-third of the graduate trainees are alumni of the SUNY /Buffalo School of Medicine and the remainder are recruited from the other schools of the United States. While there are s~ill a fe·w· non-integrated University super~Ised trammg programs the vast majority are mtegrated by the responsible departmental faculty. ~radua.te trainees at all levels participate actiVely m the educational process of medical students. T HE SUNY/BUFFALO SCHOOL OF MEDICINE Continuing Medical Education SUNY / Buffalo has long been an acknov.:-ledged leader in Continuing Medical EducatiOn (CME). During the 1978 academic y~ar Dr. Martin Wingate was appointed Dire~tor and A~sistant Dean of Continuing Medical Education in addition to his duties in the Department of Gynecology/Obstetrics. He has appointed an Advisory Committee to develop the institution's program in CME. As the need for on-going physician education and recertification expands this educational unit w~ll concentrate on supporting and encouragmg the University departments to organize educational programs on a con~inuing basis to meet the needs of physicians m Western New York. CME will expand and refine its evaluation capabilities in accordance with the accreditations provided by the Liaison Committee on Continuing Medical Education (LCCME). WINTER, 1978 Graduate Student Education T he educational quality of Master's a d D~ctor of. Philosophy students in the Hea~h Sciences IS coordinated through the Office of th~ Dean for Graduate Studies. Each basic science depar.tment offers strong graduate student expenences which are designed to prepare outstanding scientists and teachers. Some of SUNY /Buffalo's programs are included among the leaders in their fields throughout the United States. These programs are reviewed for content and quality by outside consultants every five years. Organization, Governance L ike all schools of medicine in the United States the SUNY /Buffalo institution is a complex structure whose functional organization does not fit readily a rigid or stagnant organizational chart. The SUNY /Buffalo School of Medicine administratively resides in the Faculty of Health Sciences of SUNY /Buffalo together with its sister schools of Dentistry, Nursing, Pharmacy; and Health Related Professions. The Dean reports to the President of the University through the Vice President for Health Sciences. Internally, the school is structured with a core administrative staff responsible for faculty affairs and promotions, budget and facilities, curricular development and implementation, student affairs, educational evaluation, financial assistance, university affairs, admissions, hospital and clerical affairs, and continuing medical education. These functions are performed and executed, for the most part, in the administrative and executive offices located in Farber Hall on the Main Street Campus. The actual operational implementation of undergraduate medical education, graduate student education, and of graduate medical education is carried out through the departmental structure. Each department chairman has major responsibility for development and implementation of the specific curricular offerings assigned to the department and for coordinating and deploy13 d- �ing the available resources used in the conduct of the particular program. The school's educational, research and patient care programs are administered through 25 departments and their sub-units located throughout the City of Buffalo and Erie County. Governance The School of Medicine is governed by a dual governance with an Executive Committee and a Faculty Council. Executive Committee The Executive Committee is chaired by the Dean. Its membership includes the chairperson of each department, President of the Faculty Council and nine elected representatives of the Faculty Council. The Vice President for Health Sciences or his designee serves as an ad hoc member of the committee. The Executive Committee is charged with the ultimate responsibility for decisions related to faculty and student affairs. It meets at regular monthly intervals, and can be called into special session if and when warranted. Faculty Council This governing body was constituted in its present form in 1971. Its function is to encourage and assure participation by the faculty in initiation, development and implementation of the educational programs of the School of Medicine with respect to policies and procedures governing the curriculum of the school, students, admissions, academic programs, awarding of degrees, faculty appointments, promotions and tenure, grievance procedures, and organizational structure of the School of Medicine. The Faculty Council's activities are coordinated and directed by an elected President. Its business is conducted through a Steering Committee composed of the elected officers, eight standing committees, and a monthly · business meeting of the total Council. Actions of the Faculty Council which imply policy change within the school are referred to the Executive Committee for further review and acceptance or rejection. 14 The standing committees of the Faculty Council are: 1. Curriculum; 2. Admissions Policy; 3. Appointments, Promotions and Tenure; 4. Elections & By-Laws; 5. Affiliated Institutions; 6. Facilities Planning and Budget; 7. Student Affairs and Academic Standing; and 8. Economic Status. The Faculty Council is involved at multiple levels with the functions of the school. Through its various committees the Faculty Council has initiated, developed, and suggested many of the policies currently governing the day-to-day operations of the medical school. Presently the admissions policies of the school, the curricular policies, the guide lines for Faculty promotions and tenure as well as the procedures for student grievances and promotions have been discussed, debated, and approved by past and present councils. Policies and guidelines that affect student and faculty alike are continuously being revised and updated through this mechanism. The faculty through this governing body has had a continuing and influential role in policy matters affecting the school. Pre-Clinical Council This ad hoc body is membered by the Basic Science Department chairpersons and meets at periodic intervals to advise the Dean in matters related to basic science education. It is chaired by a chairperson selected from within the group. Clinical Council This ad hoc body of Clinical Department chairpersons meets at monthly intervals with the Dean to advise that office on matters related to clinical affairs and graduate Many memorial plaques are in the main lobby of Farber Hall. THE BUFFALO PHYSICIAN �medical education. It is chaired by an individual selected from the membership of the group. Administrative Committee The academic work of the Dean's office is conducted through the appointment of committees. Appropriate work is delegated either through the Executive Committee or the President of the Faculty Council for assignment to standing committees. Despite these mechanisms, at least 22 other committees are required to conduct the ongoing affairs of the School of Medicine. Associated Organizations works with many health related organizations to facilitate its educational and research programs and to help the quality of their services. There are several autonomous organizations with which the school enjoys an ongoing relationship. Among these are the Alumni Association of the School of Medicine, the University of Buffalo Foundation, Inc., the Research Foundation, and the Annual Participating Fund for Medical Education (APFME). T HE SCHOOL OF MEDICI E Alumni Association The school's alumni association is among the most active and vigorous in the United States. Its President relates directly to the Dean's Office in matters of mutual concern and its administrative offices are located on the Main Street Campus. The Dean or his designee meets with the Alumni Board at its monthly meetings. The association participates actively in a number of important fund raising functions each year, including the Century Fund and the Class Reunion Gift Programs. The annual Spring Clinical Days (medical school homecoming) is always well attended. A nationally prominent speaker is invited to give the Stockton Kimball Memorial Lecture. Another feature of the two-day conference is the 50-year class reunion dinner and several other five-year class reunions. "What's Right With Medicine" is the theme of the 42nd annual Spring Clinical Days, May 11 and 12, 1979. On February 13, 1979 the association WI TER, 1978 will co-sponsor a medical/dental symposiumexcursion to Tahiti. Every year the association sponsors a senior class reception; awards preceptorships to medical students; contributes to the Medical School Yearbook and Register. University of Buffalo Foundation, Inc. This organization is the private fund raising arm of the University. Its officers and staff work closely with the President of the Alumni Association and the Dean in coordinating fund raising activities such as the annual Phonothon Century Drive Campaign and Class Reunion Gift Programs. In addition, the Foundation solicits private donors and administers some of the endowment funds of the School of Medicine, most notably the Gordon Heyd and the Clara March endowments. Research Foundation of the State University of New York This organization administers the research grants received by many of the faculty of SU Y/Buffalo. In some instances, some federally granted programs are administered directly by the hospital system. Annual Participating Fund for Medical Education In 1953 a group of physicians, alumni of the School of Medicine, having in common a loyalty to the school and a concern for its many pressing problems, began a series of intense discussions which resulted in the for15 �·I mation of an organization that became the Annual Participating Fund for Medical Education (APFME). The primary objectives of the Fund in its formative period were to provide supplementary financial support for the grossly inadequately funded basic science departments (recently moved into new facilities in Capen Hall) and to improve the relationships of the faculty and administration of the school with the area physicians and the community at large. The School of Medicine in common with many private schools of the time was experiencing increasing difficulty in providing the essential resources to maintain educational, research and service programs of high quality, and the slowly increasing numbers of the full time clinical faculty were sharing in the widely experienced problems of many schools. The initial members included Drs.: Edgar C. Beck, Grant Fisher, Henry Kenwall, Stockton Kimball, Harry LaForge, and Marvin Bloom. They were soon joined by Drs. John L. Donahue, Kenneth H. Eckhert, Donald W. Hall, Thurber LeWin, Leo M. Michalek, John J. O'Brien, Kevin M. O'Gorman, Harold K. Palanker, Victor L. Pellicano, Bertram A. Partin and William J. Staubitz. Within a short period the Fund developed a large group of devoted physician members who formed the nucleus of the active fund raising organization, soliciting annual pledges from all physicians of the region (alumni and non-alumni) and from other graduates wherever they might be geographically located. In the March 12, 1955 issue of the Journal of the American Medical Association, a highly complimentary report on the background and activities of the APFME appeared, and in 1957 the officers and executive committee of the Fund received an honorable mention from the distinguished Lane Bryant Awards Committee for their volunteer efforts in service to the community and the family of man. The 1956 report of the reaccreditation survey by The Liaison Committee on Medical Education specifically identified the importance of the Fund as a factor in achieving many improvements over the conditions existing at the 1945 survey. With the advent of the merger of the University of Buffalo with the State University of ew York in September 1962 the need for the Fund to continue its salary support 16 terminated. The Fund, however, recognizing along with the University the continuing requirement for flexible funds for the support of activities not directly appropriate for state tax support, or for those situations which required quick decisions incompatible with the bureaucratic process, began in consultation with the school to develop alternative programs. Since 1962, for periods of varying duration the Fund has supported student scholarships directed to strengthening selective and competitive recruitment of outstanding student candidates, summer clinical practice fellowships, a medical newsletter and some of the expenses associated with the annual alumni Spring Clinical Days. For a period it contributed to the publication costs of the Buffalo Medical Journal, the predecessor of the currently published The Buffalo Physician. THE BUFFALO PHYSICIA �Special Programs Buswell Fellowship T he funds for the Buswell Fellowship program are provided by the Ralph Hochstetter bequest to the School of Medicine in Buffalo. The bequest was given in the name of Bertha and Henry Buswell, his sister and brother-in-law. Henry Buswell was a physician in Buffalo. The funds are to be used for the purpose of the support of Doctors of Medicine who have completed the necessary preliminary training to enable them to engage in research in their chosen field. The funds are administered by the Dean of the School of Medicine who appoints a Buswell Committee composed of representatives from the Basic Science and Clinical Faculty of the Medical School to advise on the selection of Fellows. The committee receives applications from faculty sponsors on behalf of each Buswell applicant. The sponsor and the department chairman describe the role of the applicant in the ongoing research program as well as his/her participation in the department programs. The committee ranks applications numerically on the basis of scientific merit. The quality of the Buswell Fellowships awarded has become comparable to that of an IH Research Fellow. Reading X-rays is an important part of the clinical experience. Buswell funds are used to attract Fellows of excellent quality who will be likely to remain in this Medical School or to be d- WINTER, 1978 17 �recommended to another as Academic Faculty. This is a particularly valuable mechanism with which to strengthen faculty especially, when extramural research funds are diminishing. The committee also selects Fellows who are outstanding, mature, research scientists who come to Buffalo to collaborate with a particular research program of our faculty, but will subsequently return to their permanent appointments elsewhere. An Annual Buswell Research Day has provided a forum at which Fellows present the current developments in their research programs which were achieved during the tenure of their Buswell Fellowship. An afternoon scientific program attended by the faculty is followed by a reception. Buswell Alumni speak at a dinner meeting after the reception. In 1978, Dr. Robert Klocke discussed the continuation of his pulmonary research at the Buswell Day Dinner meeting. When Dr. Klocke was a Buswell Fellow he began the studies that culminated in his current research program. A fourth year student, John Canty, was invited to present his work this year for the first time. Biomedical Research Support Grant (BRSG) This program is made available through funds provided by the federal government. The amount of medical funding is based on the level of participation by the faculty of the School of Medicine in the nation's biomedical research mission. The funds are used to help newly recruited faculty initiate their research efforts in the interim between beginning their duties at SU Y/Buffalo and the time at which they can compete favorably for extramural research support. The funds are also used to equip unique or especially promising research programs. Like the Buswell Fellowship Program faculty compete for funding support by submitting a grant proposal. A faculty committee reviews the application and awards them on the basis of merit for funding. As the available pool of federal research has become more and more fixed the number of faculty seeking BRSG support has increased. Unfortunately, the requests each year far exceed the funding capacity provided by this program. 18 Harrington Lectureship Dr. Devillo White Harrington (1844-1905), a member of the clinical faculty of the U/ B School of Medicine, was professor of genitourinary and venereal diseases from 1886 to 1905. In 1896, to commemorate the 25th anniversary of his graduation from the School of Medicine (1871), he made the initial gift to establish the endowed lecture fund which bears his name. The fund was supplemented by a bequest on his death in 1905. The terms of the gift specify that "these lectures are to be given by men chosen by the medical faculty in such subjects as shall interest not only the advanced students in the university, but the medical profession generally." Since 1967, under the authority of a continuing resolution of the Executive Committee of the School of Medicine, a committee composed of students, faculty and administrators select Harrington Lecturers to speak on subjects of particular interest to students. Faculty Awards For Excellence In Academic Pursuit, Service And Teaching I n 1963 Dr. Douglas M. Surgenor, then Dean of the School of Medicine, initiated two awards to recognize unusual faculty contributions to the school. One, named the Stockton Kimball Award in honor of the former faculty member and dean, acknowledged outstanding contributions in the areas of research, teaching and service. The other, the Dean's Award, reflected the unusual and important qualities of great value to the school not recognized by other existing awards. The recipients since the founding of the awards are: The Stockton Kimball Award 1963 Dr. John D. Stewart Dr. Ernest Witebsky THE BUFFALO PHYSICIA �The Teaching Hospitals conducts its clinical education in nine teaching hospitals located throughout the City of Buffalo and Erie County. Each provides varied relationships with the school and together they supply the faculty and students with an extraordinary amount of teaching material and resources in which to conduct programs in primary, secondary and tertiary patient care. Hospitals in which clinical education research and care activity related to th~ school's mission are: The Buffalo General Hospital, Children's Hospital of Buffalo, Deaconess Hospital, Erie County Medical Center, Mercy Hospital, Millard Fillmore Hospital, Roswell Park Memorial Institute, Sisters of Charity Hospital, and the Buffalo Veterans Administration Medical Center. Together these hospitals provide the resources and facilities to maintain a graduate medical education program which approaches a total of 500 interns, residents and fellows and they provide educational experiences for 270 to 300 third and fourth year medical students. In addition, most of the full time clinical faculty are located in these institutions. The major teaching hospitals coordinate the education, patient care missions either through Hospital-University Education Committees or in the case of the Veterans Administration Medical Center through the mechanism of a Vice President's Committee. THE SCHOOL OF MEDICINE Dr. David K. Miller Dr. S. Mouchly Small Dr. Mitchell I. Rubin Dr. John R. Paine Dr. Hermann Rahn Dr. Oliver P. Jones Dr. Samuel Sanes Dr. Kornel L. Terplan 1977 Dr. Carl E. Arbesman Dr. Erwin eter 1978 Dr. Leon E. Farhi 1964 1965 1966 1967 1968 1976 The Dean's Award Dr. Samuel Sanes Dr. Oliver P. Jones Dr. Stuart L. Vaughan Dr. Charles E. May Dr. Robert L. Brown Dr. Kenneth H. Eckhert Dr. Robert L. Brown Dr. Edward F. Marra Dr. John B. Sheffer 1976 Dr. James P. olan 1977 Dr. Douglas M. Surgenor 1978 Dr. Clyde L. Randall 1963 1964 1965 1966 1967 1968 1973 1974 In 1977 Dr. Louis A. Siegel, a former volunteer faculty member of the Department of Obstetrics and Gynecology, and now a resident of Southern California, endowed a series of three awards to be given for excellence in teaching by members of the preclinical, clinical and volunteer faculty. The awards based on student nomination and student committee review have been given to: 1977 Dr. John Wright Pre-clinical Dr. Margaret MacGillivray Clinical Dr. Henry Black Volunteer 1978 Dr. John Wright Pre-clinical Clinical Dr. Sattar Farzan Volunteer Dr. Stefan Madajewicz WI TER, 1978 The Buffalo General Hospital Since its opening in 1858 as a private, nonprofit institution, The Buffalo General Hospital has been a major teaching hospital for the School of Medicine. Recently, the Board of Trustees reaffirmed, as part of the missions and goals of the hospital, the conduct of appropriate educational and research activities and have developed Principles of Affiliation between The Buffalo General Hospital and the SUNY/Buffalo Faculty of Health Sciences. These principles will be the basis of updating the hospital's current affiliation agreement to reflect current programs in the medical, dental, nursing, pharmacy and health related professions. The hospital contains 749 licensed adult beds, all of which are considered suitable for 19 d- �teaching. The hospital admitted in excess of 20,000 patients and provided 225,000 patient days of service in 1977. In addition, the ·I Emergency and Ambulatory Care Clines recorded 75,000 visits. All physicians on the active staff of the hospital hold faculty positions at the University, and the great majority are involved in the hospital's teaching programs. About 200 medical students participate in the educational activities in the hospital during the year. Buffalo General maintains a House Staff of about 125. In all, nearly 200 residents and interns receive a portion of their training here each year. The services include all major medical and surgical sub-specialties except pediatrics and obstetrics, which are provided by affiliation with the Children's Hospital of Buffalo. Clinical departments-many with fulltime heads, and all with teaching programs-include ambulatory services , anesthesiology, dentistry, dermatology, family practice, medicine, neurology, neurosurgery, nuclear medicine, obstetrics and gynecology, ophthalmology, orthopedics, otolaryngology, pathology, pediatrics, psychiatry, radiology, radiation therapy , rehabilitation medicine, surgery and urology. Training is also conducted in such areas as allergy, angiology, cardiology, endocrinology, gastroenterology, hypertension, infectious disease, liver disease, medical genetics, nephrology, and open heart surgery. Students will find active clinical programs in these areas, supported by fully-equipped laboratories. Research training is provided in modern laboratories located in three research buildings, and continuing education is also available in a full complement of wellequipped diagnostic laboratories. Units for acute care include a Coronary Care Unit, Intensive Care Unit, Cardiorespiratory Unit, and a Special ICU for physiologic monitoring of selected, criticallyill patients where modern computer technology is being applied to patient care. There is a well-equipped medical library with approximately 4500 current monographs and texts, about 145 current subscriptions to journals, and a complete audiovisual learning center. 20 Children's Hospital of Buffalo Since its founding in 1892, the Children's Hospital of Buffalo has been devoted to providing the ultimate in pediatric and maternal health care. As a regional referral center and the only pediatric hospital in the country with a maternity unit, the hospital is equipped to provide unique patient care. The hospital has 199 pediatric beds, 67 beds for obstetrical/gynecological patients, 18 beds in the Intensive Care Unit, and 29 beds in the Intensive Care ursery. In 1977, 21 ,000 patients were admitted to Children's, including more than 12,000 in pediatric service and more than 6,000 in obstetrical/gynecological service; more than 1 ,200 general surgical procedures were performed, and there were 2,565 babies born at Children's. In addition, more than 113,000 outpatient visits were recorded. Five hundred and sixty physicians serve on the medical staff. Members of the medical staff also hold positions on the faculty of the University, thus maintaining a dual responsibility of academic activity and hospital and community service. As a tertiary care facility, Children's offers a wide range of advanced care. The Regional Intensive Care ursery serves as the major center for the care of sick and premature newborns in Western New York. ewborns from across the seven-county area are brought to the ursery, often, in a special high-risk infant transport unit which is staffed by a team of respiratory therapists and infant intensive care nurses. The Nursery, under the supervision of Dr. Edmund Egan, has four neonatologists. The Children's Lung Center, established in 1976, is one of the few such pediatric centers in the Northeast. Here, children with pulmonary diseases are evaluated and therapy is recommended. Expanded computerization is allowing the Center to increase the number of patients it serves. As a perinatal center, the hospital provides specialized care to high-risk mothers. This superior level of care is made possible through utilization of the many general and specialized facilities available within the hospital and through the combined skills of physicians , nurses and technicians. The Rehabilitation Center, located on Delaware Avenue, is also an important part THE BUFFALO PHYSICIAN �' I of Children's Hospital. In 1977, 13,956 visits were recorded, and another 14,641 outpatient visits were registered in the Center's Speech and Hearing Clinic. Diagnostic evaluation performed at the Center deals with such diseases and disorders as cerebral palsy, pediatric amputeeism, birth defects and neuromuscular problems. The Department of Cardiology and the Division of Cardiovascular Surgery at Children's Hospital is world renowned. Children from across the United States and five foreign countries were treated here in 1977 for heart diseases or defects, and members of the cardiology and cardiovascular surgery teams frequently travel to other hospitals to share their experience and knowledge with students and colleagues. Other areas in which the medical staff has particular expertise include allergy, genetics, virology, neurology, radiology, pedodontics, gastroenterology, and child psychiatry/behavioral sciences. The Children's Hospital serves as a center for instruction and research in problems relating to the care and maintenance of maternal and child health, and maintains a working relationship with the School of Medicine. The School's Department of Pediatrics, Pedodontics, and Obstetrics/Gynecology are physically located within the hospital, as well as offices for such specialties as Pediatric Surgery, Pediatric eurosurgery and Cardiovascular Surgery. In May 1977 the Hospital and the University entered into a formal affiliation agreement which recognized the common purposes and objectives of the two organizations. It was agreed that each institution was organized for the goals of furnishing essential and related community services which could be developed more completely and efficiently through joint cooperation. The agreement also called for the provision of equipment, laboratories, seminar rooms and related facilities by the Hospital for use in affiliated programs. Second year students at the University study physical diagnosis at Children's Hospital, while third year students undertake studies in clinical pediatrics. In this area, students work directly with patients and assume responsibility for follow-up work. During their fourth year, medical students are offered elective studies. It is during this WINTER, 1978 time that they may concentrate in subspecialty areas such as neurology, gastroenterology or ambulatory pediatrics. Students who are interested in surgery may also study pediatric procedures under Dr. Theodore Jewett or Dr. James Allen. Interns and rotating students spend as long as one month or as little as two weeks in the Department of Pediatric Surgery learning necessary techniques. As teaching institutions, Children's Hospital and the University provide an atmosphere in which theory and practical experience overlap, and medical education is an ongoing opportunity. Numerous programs are co-sponsored not only for students, but for non-students as well. Continuing Medical Education programs provide up-to-date information to all physicians who wish to stay abreast of rapidly changing technology, and seminars and clinical conferences are held so that specialists may share their knowledge dA clinical experience. �and expertise with their colleagues. Special lectures and postgraduate programs are also scheduled. The Department of Pediatrics, under the direction of Dr. Elliot F. Ellis, is particularly active in coordinating ongoing training programs for physicians throughout Western New York. Research facilities in the hospital allow University personnel to conduct studies in many pediatric areas such as virology, cardiology, bacteriology, neonatology and pedodontics. This research has led to advances in the detection, treatment and/or prevention of childhood disorders. Deaconess Hospital Established in 1895 by a group of German "Deaconessess" as a home for the aged, Deaconess Hospital has grown to a 428-bed, 44-bassinet non-profit general hospital serving a wide spectrum of patients from Western New York. Specialized units and services include a 20-bed ICU-CCU, a hemodialysis unit, premature nursery, in-out surgery unit, orthopedic center, radiation therapy and nuclear medicine departments, the Wettlaufer Eye Clinic, Family Planning Project and the only university-affiliated Family Practice Residency Program in Western New York. Services rendered in 1977 include 13,323 in-patient admissions, accounting for 128,916 patient days of care; 70,433 out-patient visits, and 32,767 emergency room visits. In response to state legislation requiring family practice residencies at all State University medical schools, Deaconess Hospital and SUNY /Buffalo School of Medicine introduced a jointly sponsored Family Practice Program in 1969. The hospital's Family Practice Center opened its doors at 840 Humboldt Parkway, Buffalo, that same year, one of just 45 such centers in the entire country. More than 200 medical students participate annually in ophthalmology, surgery, cardiology, radiology, gyn/ob, family practice, medicine and anesthesiology. The students are assigned a preceptor their first year of training here. This physician/advisor, who is a faculty member at the School of Medicine and a practitioner at Deaconess, guides the student throughout his/her four years of medical school. 22 The hospital's departments of Medicine and Family Practice participate in the physical diagnosis training for second year students. Also in the second year, the Department of Surgery offers "Introduction to Clinical Surgery" as an elective course. Third year medical students receive routine assignments in surgery and gyn/ob departments while fourth year students rotate among seven departments. Every year the hospital employs third and fourth year students as externs. This year 36 students will serve as externs. There are 74 residents and fellows in family practice, medicine, urology, radiology, otolaryngology, surgery and gyn/ob. Deaconess Hospital conducts university grand rounds in obstetrics and gynecology (city-wide), and surgery, on a rotating basis with other university-affiliated hospitals. Family Practice grand rounds, held weekly at Deaconess Hospital, are sponsored by the Department of Family Medicine and involve faculty from all university departments. The hospital also offers several residencies and training programs not affiliated with SUNY /Buffalo School of Medicine, including ophthalmology and pathology. The hospital's Department of Anesthesiology offers elective experience for residents of other specialties, as well as a course for extern students. Deaconess Hospital and The Buffalo General Hospital are presently in the process of merging their facilities, staffs and resources. Formal approval of the merger is expected by January 1979. Erie County Medical Center The relationship between the new Erie County Medical Center and the University of Buffalo School of Medicine is a unique one. The Center, opened in July, 1978, replaced the old E.J. Meyer Memorial Hospital. With the support of the County of Erie and because of the diversity of its patient population, the "Meyer" has long been a focus for the training of health care professionals. THE BUFFALO PHYSICIAN �1"- \1EMOR'r OF DR. EDWARD J. MEYER '-., 1~6t)-19V) THE GF EROUS BFOUEST OF WHOSE WIDOW S. MARGARET BERRIC K MEYER PROVIDED 1 HE \ ATOMY LABORATORIES OF THIS BUILDING ..____.__.. __ > :t T The Hospital provides clinical facilities for all of the Health Sciences schools and accounts for 42 per cent of the clinical activity for these schools. Providing the new Center with an optimum educational environment are 70 conference rooms, an amphitheater which seats 180, a library equipped with 13 study carrels and a complete self-study syllabus for third and fourth year medical students as well as professional office space. Clinical Services are enhanced by an active program of research located in five onestory wings built by the County of Erie on the hospital campus and leased to the University. Patient care, teaching and research are integrated throughout the new Medical Center. All Center physicians and dentists hold faculty positions at the University of Buffalo School of Medicine or Dentistry. About 110 faculty are full time; most funded bilaterally by County and University. This mutually beneficial relationship also serves the best interests of the Western New York community, since it attracts large numbers of skilled health professionals to the area, and ensures a high standard of care to its citizens. The Erie County Laboratory which is located in the Center is heavily service oriented. It provides all laboratory services for the Center and also serves as a reference facility for state and public health laboratories and is a major national training site for clinical biochemists and clinical microbiologists. Among others who receive training here are medical/laboratory technologists and a wide range of clinical inWINTER, 1978 vestigators. Senior staff also have research projects under way. A complete general hospital, the Center is owned and operated by the Couty of Erie to serve all of its residents. Its patient population is accounted for by the usual range of services that are offered for the care of inpatient adults and children, as well as: extensive outpatient Medical/Dental clinics; emergency psychiatry services round-theclock; a comprehensive physical rehabilitation center; a hemophilia center operated and funded by the Hemophilia Foundation of Western New York; an inpatient and outpatient alcoholism service; chronic renal disease and transplantation center; treatment of tuberculosis and chest disease; drug detoxification; medical/rehabilitation care for children attending School 84 adjacent to the Center; and a high security area of 20 beds for inmates of the Erie County Holding Center and area County/State correctional institutions in need of medical treatment. The advanced design and technology of the Center not only makes it a modern teaching hospital, but provides a new patient care atmosphere. There is: a unit dose pharmacy system for safety and efficiency; total separation of soiled and "clean" systems; more patient-nurse contact; more privacy for patients; a new dietary system; and more convenient work space for physicians and nurses. Patient care systems are supple'mented by complex mechanical and electronic devices. A monorail network delivers supplies throughout the 12-story tower and returns used materials to the ground level supply department. A computer monitors systems critical to hospital operation and patient care, while a pneumatic tube system whisks records, laboratory specimens, between hospital departments. An administrative control center on each floor of 80 patients serves as the heart of the patient communications system, relieving nurses of much pap~rwork. The new Medical Center requued 10 years of planning and seven years to build. With experience gained over the more than half a century as the old "Meyer" in meeting changing demands for service, teaching and research, plus one of the most modern and sophisticated facilities in the nation, the hospital looks to the future with optimism and confidence. 23 d- r I I I �Mercy Hospital Mercy Hospital, owned and operated by the Sister of Mercy, is a 413 bed, community teaching hospital, serving the Southtowns area. It employs the "Friesen" architectural and health care delivery concept, which has also been adopted by the new Erie County Medical Center. When the present construction is completed in October, 1980, all patient care will be rendered in a facility which is less than 11 years old. The ground level of this building consists of clinics and support service divisions which include the Emergency Room. Differing from other hospitals, the large Coronary Care Unit is also on the ground level for easier access from the Emergency Room and these services. The clinic areas on the ground level also include private physicians' offices in pediatrics, orthopedics, Ob/Gyn, endocrinology, pulmonary disease and cardiology. This permits house staff participation in a private practice setting. The hospital also has a 30 bed unit devoted to rehabilitation. Mercy Hospital has been actively involved in Medical Education since 1950 when it sponsored an affiliation with the Georgetown University Medical School, which continued until 1969. At present, Mercy is participating with the SUNY/Buffalo residency programs in medicine, obstetricsgynecology and nuclear medicine. There is active rotation of these residents between Mercy Hospital and the teaching Hospital System . In addition, four University orthopedic residents rotate through the Mercy Orthopedic Service each year. Mercy Hospital also has approved free-standing residencies in plastic surgery and pediatrics. Approximately 50 per cent of the Mercy To The Memory: Of Dr. James A. Gibson 3, 1867 O clober 4, 1917 June Dedicaled Bx: The Medical Class Of \9\8 24 pediatric residents training time is spent in the University Program at the Children's Hospital. Approximately 100 members of the active staff at Mercy hold faculty appointments in the University. There is an assigned active rotation of the University junior medical students through the pediatric and obstetrical services. Each year the Department of Medicine trains approximately 28 first and second year students in physical diagnosis. Electives in endocrinology, gastroenterology, nuclear medicine, orthopedics, internal medicine, pediatrics, cardiology and plastic surgery are ALUMNI ROOM IN LOVING MEMORY OF GROVER W. WENDE~ M.D. DEDICATED BY HIS SON DAVID T. WENDE AND THE MEDICAL ALUMNI 1928 frequently pursued at Mercy by the students. These disciplines are under the direction and supervision of board certified or subspecialty certified staff physicians, who also are members of the University Medical Faculty. Mercy Hospital also owns and operates Trocaire Junior College. The hospital is a resource training center for the associate degree nursing students, the operating room technician and X-ray technician students from Trocaire College; graduate nursing students from SUNY/Buffalo and D'Youville College; and for laboratory technology students from Daemen College. The hospital also offers clinical experience for West Seneca Adult Education BOCES Practical Nursing Program and medical record administration students from Alfred University. The Mercy Emergency Room personnel is active in the Advanced Emergency Medical Technicians Training Program (Paramedics) . This involves the life support system of the Mercy (LaSalle) ambulances in the prehospital management of acute coronary and severe trauma victims. THE BUFFALO PHYSICIA �CHARLES GORDON HEYD 1885 -1970 M.D. UNIVERSITY OF BUFFALO 1909 DISTINGUISHED ALUMNUS AND BENEFACTOR OF THE SCHOOL OF MEDICINE Millard Fillmore The Millard Fillmore Hospital system is a voluntary, non-profit group of two general hospitals. It is an affiliated teaching hospital of the SUNY /Buffalo School of Medicine. The hospital at Gates Circle has 560 beds. Included are a 10 bed Intensive Care Unit and a four bed open heart Intensive Care Unit, a six bed Respiratory Care Unit, two Coronary Care Units totaling 28 beds and a 16 bed Intermediate Coronary Care Unit, and a 12 bed Intermediate Care Unit for medical and surgical patients. Special features include the Harry M. Dent Neurologic Institute with two CT brain scanners, the only civilian hyperbaric chamber in Upstate New York, the only computerized pulmonary function laboratory with five outside terminals, and a new comprehensive laboratory with the only hospital-based sequential multiple analyzer with computer in Western New York. As a teaching hospital students at the Medical School participate in the hospital as follows: First year students take elective courses at the hospital; second year students are taught physical diagnosis; junior clerkships are offered in medicine, neurology, obstetrics/gynecology and surgery (Fifth Pathway); senior elective courses are offered in anesthesiology, radiology, pathology and urology as well as the above departments; also in the medical sub-specialty areas of cardiology, respiratory disease, nephrology, gastroenterology and hematology; and in surgical sub-specialty areas of orthopedics, plastic surgery, ophthalmology, E. .T., cardio-vascular and thoracic surgery. The hospital offers approved programs of post-graduate training in medicine, surgery, neurology, urology, anesthesiology and pathology. The departments of Obstetrics/Gynecology and Radiology participate in the School-sponsored city-wide residencies in their respective fields. WI TER, 1978 The new Suburban Hospital is located in Amherst just two miles from the new university campus. This 151-bed (expandable to 700 beds) general hospital was opened in August 1974. The hospitals combined admit over 25,000 patients a year, including almost 3,000 newborns, record almost 50,000 emergency department visits per year and almost 20,000 outpatient visits a year. Roswell Park Memorial Institute Roswell Park Memorial Institute is the New York State Department of Health's cancer research, treatment and education center. The dedication of the Institute to "investigate the cause, nature, mortality rate, treatment, prevention and cure of cancer and allied diseases" provides the Buffalo community with a unique resource for instruction related to scientific methodology, preclinical research,and the clinical care of cancer. The establishment of educational activities as an integral component of the Roswell Park program has been recognized through federal designation of the Institute as a comprehensive cancer center. Formal education at Roswell Park began in the early 1940's with the inauguration of residency programs. Today there are 80 residents and clinical fellows training in 17 clinical areas. These clinical programs also are set now in the context of a multi-faceted curricula including postgraduate, graduate, and undergraduate offerings as. well as programs in allied health and p~bhc education. The more formal academiC programs are conducted by senior staff personnel who also hold professional appointments at SUNY/Buffalo, Niagara University, Canisius College, D'Youville College, Daemen College, Erie Community College and other academic institutions. Over 100 members hold appointments to external academic faculties. 25 d- �The educational collaboration between the School of Medicine and Roswell Park Memorial Institute includes (1) curriculum offerings for second and fourth year students, (2) affiliated residencies, and (3) clinical fellowship opportunities. These programs are strong in terms of patient load, contact with senior staff, access to Ph.D. faculty, and an opportunity to observe the vertical integration of comprehensive cancer care in a multidisciplinary team focused upon a particular disease site. Roswell Park faculty are responsible for offerings in the School of Medicine curriculum in the following academic programs: anesthesiology, biochemistry, biophysics, gynecology, medicine, microbiology, pathology, pediatrics, pharmacology, radiology, and surgery. Senior medical school electives provided at Roswell Park include clerkships in: radiation therapy, outpatient, surgical pathology, head and neck surgery, Medicine A, B, and C, general surgery, breast surgery, gynecology, nuclear medicine, urology, and rehabilitation medicine. Also electives in biological research: clinical pharmacology, biological research: cell culture, cell biology, pathophysiology, endocrinologic and metabolic problems. These electives provide medical students with a special exposure to management of cancer patients and clinical investigative research. Resident physician training programs are conducted in 12 clinical areas. These programs are approved either independently or in conjunction with the School of Medicine and other area institutions. Clinical fellowship opportunities are offered in five additional areas: ·. CLARA· A. ·MARCH 1883 --1967 M.D. UNIVERSITY OF BUFFALO 1907 LOYAL ALUMNA AND PHILANTHROPIST THE SCHOLARSHIP FUND WHICH SHE SO GENEROUSLY ENDOWED WILL BENEFIT GENERATIONS OF STUDENTS TO COME 26 anesthesiology, breast surgery, medical viral oncology, neurosurgery, and thoracic surgery. Participants in clinical training programs on the Roswell Park campus also benefit from close interaction with Roswell Park Graduate Division of SUNY/ Buffalo and its ten academic departments in the life sciences. These resources provide opportunity for interdisciplinary training and incorporation of relevant aspects of preclinical studies. The national trend toward continuing medical education has been addressed at Roswell Park in collaboration with the SUNY/Buffalo Office of Continuing Education. Since 1975 the Institute has offered a four-track program [i.e. extensive course, specialty seminars, visiting clinicians, and interdisciplinary conferences) on its campus. These programs, through the joint sponsorship of the Office of Continuing Education, achieved American Medical Association approval for Category I credit. Sisters of Charity Hospital In the early years, Sisters of Charity Hospital was U/ B's main teaching hospital. Some of the hospital's physicians have been Deans at the Medical School. Dr. Austin Flint was the most notable. Recently there have been new affiliation agreements developed between the hospital and the medical school. Two full time faculty members, Dr. John Lore, chief of otolaryngology and head/ neck surgery, and Dr. John Edwards, chief of medicine, are based at Sisters. These two physicians and others serve on medical school committees. All attending pathologists at Sisters Hospital hold clinical appointments and are active in weekly classroom instructions of medical, dental and graduate students in the Department of Pathology at the medical school. Dr. John Sheffer is responsible for design and coordination of the Pathology Laboratory Course. Dr. Paul Milley conducts a course on Head and Neck Pathology for third and fourth year medical students on Dr. Lore's elective otolaryngology program. The Hospital pathology department participates in the program for elective assignment in pathology for third and fourth year medical students. THE BUFFALO PHYSICIAN �Residents in the Medical School Otolaryngology and Head and eck Surgery Program receive part of their training at Sisters Hospital and plans are being considered to extend this aspect of the Medical School/Sisters Hospital relationship to the residency program in Internal Medicine. Full time faculty participate as Grand Rounds speakers in the hospital's CME program and as conference speakers in the hospital's Internal Medicine residency program. Sisters Hospital medical residents do subspecialty electives at the University's other teaching hospitals. Last summer, Sisters Hospital provided four medical student fellowships, two of which were awarded to SU Y/Buffalo students. In September 1978, the hospital and its medical staff participated in the physical diagnosis for second year medical students. The University supports a study of "Hyperlipidemia in Diabetes Mellitus." Another research program is "Total Parenteral utrition as an Adjunct to Head and eck Cancer Patients." Veterans Administration Medical Center The Buffalo V.A. Medical Center, located in close proximity to the SUNY /Buffalo School of Medicine, represents a full range medical facility of 858 inpatient beds, 36 nursing home beds and a large ambulatory care program. The Buffalo V.A. Medical Center is committed to quality patient care, educational opportunities, including clinical experience for students in the health sciences and research efforts geared toward the advancement of health science knowledge. Because of its fully developed special medical programs, wealth of resources and educational affiliation potentialities, it operates as the key support hospital for other V.A. Medical Centers in a wide medical geographic district. The long standing affiliation between the V.A. Medical Center and the School of Medicine and other SU Y/Buffalo Health Sciences Schools continues to be of mutual benefit. Responsibility for meeting educational standards rests with SU Y/Buffalo Schools of Health Sciences. This mutually advantageous and interdependent affiliation has developed in an exceptionally fine manner in Buffalo, resulting in enriched WINTER, 1978 resources and outcomes for both institutions. The strength and intensity of the affiliation has increased substantially in the past five years, and many more students are assigned to this hospital for clinical training. Each year several thousand Health Sciences students receive educational experiences at the V.A. Medical Center. This mutual venture has facilitated the successful use of multidisciplinary ventures in education, training and delivery of health care among the various components of the medical community. The V.A. Medical Center provides the basic support systems for these training programs and contributes substantially to the graduate continuing medical education programs. The V.A. Medical Center is committed to a strong multifaceted research program. Funds for the various projects typically come from the V.A. merit review system, .I.H. research grants, and other federal granting agencies. Several research investigators with joint university and V.A. appointments are represented in active research programs in the V.A. Center (e.g. endocrinology, rheumatology, immunology, nephrology, etc.). The intensification of this research affiliation trend has been notable in the past few years. The V.A. Medical Center - SUNY /Buffalo affiliation relationship is guided by the Vice President's Committee which is composed of the Deans of the Schools. of Health Sciences Faculty, several department chairmen of the School of Medicine and key V.A. representatives. The Committee is chaired by the SUNY /Buffalo Vice President for Health Sciences. The Committee reviews all matters of policy that relate to the eff.ective affiliation commitments of educatiOn and research, reviews and approves all professional staff appointments. The committee has been effective as a working body to insure that the mutual resources of each affiliation unit are utilized to the maximum benefit of each group, thereby enchancing the ultimate goals of quality patient care, high level education opportunities and visionary research efforts. d27 �Departments DEAN'S STAFF coordinates and administers the educational and research functions of the School of Medicine. The operational activity is conducted through 25 departments, seven basic science and 18 clinical science. Most departments, but not all, are structured along disciplinary identifications. Larger departmental units conduct their programs through a divisional structure, each directed by a head responsible to the department chairperson. The Dean and his staff relate to chairpersons on a one-to-one basis or in group forums such as the Pre-Clinical Council , Clinical Council, Executive Committee and Faculty Council. The basic science departments are responsible for the education of all Health Sciences students, the conduct of graduate programs at the Master's Degree and Doctor of Philosophy Degree levels, and for providing required educational and research support to the clinical units. The clinical departments participate principally in medical student and graduate medical education, (interns and residents), and many provide required clinical supervision and training for other Health Sciences students. Continuing medical education is conducted through the departmental structure and coordinated through the Office of Continuing Medical Education. THE Interdepartmental Studies Under the joint auspices of several of the departments of the school, several courses are offered which provide a collaborative approach to medical education integrating basic medical science and clinical science material. It is anticipated that this " team approach," in each course adds depth and breadth to the students' curriculum. SUNY /Buffalo, like other American medical schools, is a complex and diversified organization. Thus, it mirrors most medical schools in many aspects and has some programs not found at most institutions. Table I depicts the departmental comparison of SUNY /Buffalo with two of its sister schools in the SUNY system. SUNY /Buffalo has 25 departments compared to 22 at School A and 18 at School B. In the basic science structure SUNY /Buffalo has a 28 Table I Comparative Departmental Structure of SUNY / Buffalo and Two Sister Medical Schools Department Anatomical Sciences ........ . Biochemestry ............... . Biophysical Sciences ........ . Microbiology ........ .. ..... . *Center for Immunology .... . . Pharmacology ....... .. ...... . Pathology . . . ................ . Physiology .................. . *Neurophysiology ....... ... . . Social, Preventive Medicine .. Anesthesiology ..... . ... . ... . . Clinical Pathology ........... . Dermatology ................ . Family Medicine . .. .... ... .. . Medicine .. . ................ . eurology . ... ........ . ..... . SUNY/ Buffalo School A School B X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Neurosurgery ...... .. ....... . Nuclear Medicine . .. . . .... .. . Obstetrics/Gynecology ...... . Ophthalmology ............. . Orthopedics .. . .. . .. . .. . .... . X X X Otolaryngology .............. . Pediatrics ................•... Psychiatry . ... ........ . . . .. . . *Clinical Psychology ......... . Radiology ................... . Rehabilitation Medicine ..... . Surgery ... . ................. . Urology . ... . ............... . Totals . . . .. . .. .. .... . X X X X X X X X X X 23 X X X X X X X X X 25 X X X X 18 "'Umts Department of Biophysical Sciences , a large Division of Neurobiology and a Center for Immunology, not found at the other two schools. In the clinical organizational structure, SU Y/Buffalo has departmentalized all surgical specialties whereas the other two schools have not, and SUNY / Buffalo conducts specialty programs in Dermatology and Nuclear Medicine. THE BUFFALO PHYSICIA �A basic science lab. Biochemistry Dr. Alexander Brownie was appointed Chairperson in 1977. This department has a SUNY allocation of 18.7 faculty and 11.5 nonteaching positions. During his first year in the chair Dr. Brownie has revitalized the department and has recruited four new faculty members to strengthen its educational and research program. This department is one that has been reunited on the Main Street Campus in refurbished quarters. Previously its faculty was divided between the Main Street Campus and the Bell Plant. The medical student course is taught over the entire two semesters of the first year. The department's research efforts include a bioinorganic research group dedicated to the study of metalloenzymes, especially copper-containing proteins; collaborative studies in Human Critical Illness between Dr. Rapier McMenamy and Dr. John Border ; allergenicity of patients stung by insects or snakes; gene expression ; hemoglobin synthesis and hemoglobinpathies; membrane synthesis ; biochemical endocrinology; and neurochemistry. dBasic Sciences Anatomical Sciences This department is chaired by Dr. Harold Brody. Its present SU Y funding provides for 17 faculty positions and 14.8 non-teaching positions. The department conducts all education in Gross Anatomy, Embryology, Histology, and Neuroanatomy for medical, dental, and other health sciences students. During Dr. Brody's tenure as Chairperson, the department has initiated research programs in reproductive biology, cell biology and electron microscopy. These programs are in addition to the chairperson's own program in the area of aging. The initiation of the new investigative programs was made possible through the recruitment of new faculty personnel and through the remodeling of the quarters in which the department is housed. The latter was managed through the utilization of available federal Capitation Funds, state allocated resources, and the generosity of the Class Reunion Gift Program sponsored by the alumni association in 1976. WI TER, 1978 A typical lecture. ~ - ._ -14' t.;..;4.,.- - ..... ~.. ~-- ~_,._.., 29 . ~ �A seminar. Biophysical Sciences Dr. Michael Anbar assumed direction of this department in 1977. It is supported with 7.7 faculty and 2.8 non-teaching positions. Since Dr. Anbar's arrival, most of the department has been relocated from the Ridge Lea Campus to Cary Hall on the Main Street Campus. In addition, the School of Medicine developed a Mass Spectrometry Center which now houses four units. These units provide a research capability which permits in the diagnosis of metabolic disorders by multi-component analysis; the detection of stable isotopics in pharmacological and oncological studies; and study of multiple organ failure. The departmental faculty is reorganizing its medical student curricular offerings to provide students with the nature and basis of clinical biophysics. The topics included are diagnostic imaging; measurement of blood flow and pressure; radiation therapy; hemodialysis; cardiac pacemakers and electro-rescissi tation; and the clinical implications of regulation and control of biological systems. 30 Microbiology Dr. Felix Milgram is Chairperson. Its funding support includes 19.9 faculty and 14.2 non-teaching positions as well as 2.0 teaching positions administered through the Center for Immunology. Both the department and the Center were initially headed by Dr. Ernest Witebsky. Today, the Center for Immunology is directed by Dr. James Mohn. The department has maintained and expanded in the rich tradition in immunology which has been synonymous with its long history as well as providing basic educational and research activity in bacteriology and virology. The department has maintained its strong tradition of combining laboratory and lecture in its educational format. Its graduate program is the largest of its type in the United States. The department has been a world leader in continuing medical and graduate education, and has become well known for the international convocations it conducts on regular intervals. Although its research contributions and research programs are too numerous to summarize in a short space, there is virtually no area dealing with tissue specificity or the immunopathological process that its faculty either has not contributed to or made a substantial initial contribution. During the 197778 academic year $823,000 in research funds was generated by the microbiology faculty. THE BUFFALO PHYSICIA �Pathology This department which spans the basic and the clinical sciences is supported with 16.6 faculty positions and 14.7 non-teaching positions. The unit is directed by Dr. John Wright. He directs and coordinates a large educational effort for undergraduate medical students, residents and graduate students, ensures the quality of service delivery in the teaching hospitals, and large research enterprise. The department's research efforts have often been of a collaborative nature and thus its programs have often been joined to the immunological efforts of Microbiology and the endocrinological programs in Biochemistry. Pharmacology and Therapeutics Dr. Edward Carr, nationally recognized leader in clinical pharmacology, assumed direction of this unit in 1976. Since that time he has reorganized the department and has produced a strong academic program which supports both the basic sciences and the clinical sciences. He has recruited several new faculty members, and Dr. Peter Gessner and Dr. Paul Kostyniak have provided invaluable faculty leadership in the areas of alcoholism and of environmental health, respectively. SU Y support provides 12.1 faculty and 5.5 non-teachings positions. The department provides significant educational support to the Departments of Medicine and of Pediatrics in addition to its normal medical, health sciences and graduate student responsibilities. Its research programs span a number of important areas including toxicology, alcoholism, behavioral effects of drugs, the role of cardiac receptors and betablockade, calcium transport in the myocardium, role of the endothelium in drug metabolism, and the role of the kidney in metabolyzing drugs. The contributions of its faculty to the discipline are legendary. It is supported by 21.4 faculty and 11.8 non-teaching positions. The department receives two NIH sponsored Program Project Grants, one to determine the effects of high and low pressure, temperature, water immersions, and exercise stress on the oxygen delivery systems of the body, and the second to coordinate the work of the five respiratory physiologists in the department. Each is funded at a level of $2 million for five years. Dr. Claes Lundgren directs the first effort and Dr. Leon Farhi the latter. In addition to the above significant research areas the department has a cellular physiology program directed by Dr. Suk Ki Hong, and a large neurobiology program. The latter was directed by Dr. Werner Noell until recently when Dr. Donald Faber assumed its leadership with Dr. Noell's retirement from administrative duties. This unit, still split between the Main Street and Ridge Lea campuses, once housed the Nobel Laureate, Sir John Eccles. A physiology experiment. Physiology The Department of Physiology, under the direction of Dr. Donald Rennie, represents one of the largest and strongest applied physiology departments in North America. WI TER, 1978 31 �Clinical Sciences Anesthesiology This department, one of four presently directed by an acting chairperson, is headed by Dr. John Lauria. A search committee led by Dr. Eugene Mindell, is at work screening candidates, and a permanent chairperson should be on board for the 1979 academic year. The faculty provides selected third year medical students with a two-week clinical experience and offers a month's elective experience to fourth year students. Its research program concentrates on the pulmonary effects of agents which are used to induce hypotension. Dermatology SUNY/Buffalo has the only free standing department in the state system. It is ably led by Dr. Richard Dobson. During his tenure the department has developed a balanced program of education, research, and patient care, and has established a position of national leadership in the area of academic faculty development and of dermatological continuing medical education. Its annual national meeting each spring in Buffalo has consistently been oversubscribed. The department strength includes a Division of Pediatric Dermatology directed by Dr. James Rasmussen, a Division of Dermatopathology directed by Dr. John C. Maize, and an active investigative and service program in its Psoriasis Research Center. Family Medicine L i .k e . D e r m a t o I o g y , t h e S u r g i c a I spec1alt1es, Nuclear Medicine , and Rehabilitation Medicine, this unit, directed by Dr. Robert Seller, is a young free standing departmental partner in the programs at SUNY /Buffalo. Its departmental headquarters are housed at the Deaconess Hospital and in a model Family Medicine Center located near the hospital on Humboldt Parkway. The department trains a total of 36 residents, and contributes to medical student education throughout the four years. Its offerings include a formal preceptorship program in the second year and an Ambulatory Care experience during the fourth year. 32 General Surgery Six teaching hospitals provide the base for most of the departmental teaching, research and service functions. The department is chaired by Dr. Worthington G. Schenk, Jr. Medical students take their clinical surgical clerkships at The Buffalo General Hospital and the Erie County Medical Center, with elective rotations at Children's, Deaconess, Millard Fillmore and VA. The first six weeks of the clerkship is in general surgery, the last six weeks in one of the nine specialty areas. Fourth year students may choose from several one-month sur~i~al electives. The Surgical Residency Trammg Programs are considered nationally competitive. A computer program, developed under the leadership of Dr. John Siegel, is used to improve the care of the critically ill patient at the Buffalo General; and a major trauma research center, funded through support from the ational Institutes of Health and directed by Dr. John Border, is housed at the Erie County Medical Center. The department's research efforts include the internationally acclaimed Trauma Research Center (Dr. John Border), a comp~terized intensive care unit (Dr. John S1eg~l), development of techniques for impro~mg m~ocardial preservation during penods of 1schemia (Drs. George Schimert, Thomas Lajos and Arthur Lee), and advances in cryosurgery (Dr . Andrew Gage) . lts educational programs have been coordinated principally by Drs. Donald Becker and John Cudmore. A p hysician and resident examine a patient. �The Westside Clinic. Gynecology/ Obstetrics This department, directed by Dr. Wayne Johnson, conducts its program in seven area teaching hospitals which provide support for one of the largest ob/gyn teaching programs in the country. In association with the Department of Pediatrics and Children's Hospital it conducts a Perinatal Regional Care Program with Dr. Edmund Egan, associate professor of pediatrics, directing the Neonatal Intensive Care Unit and Dr. Martin Wingate, professor of ob/gyn, directing the Maternal-Fetal Unit. The department developed with the aid of Federal Capitation funds, the Clyde L. Randall Learning Center in honor of his many contributions to the department, the discipline and the medical school. Two important programs are the Oncology program directed by Dr. M. Hreschyshyn and the Urodynamics Laboratory directed by Dr. David ichols. WI TER, 1978 Medicine Dr. James Nolan has served as Acting Chairperson since January 1, 1978, succeeding Dr. Evan Calkins, who during 17 years as chairperson built a strong academic unit. This department by far the largest and most complex in the medical school, conducts its educational and research activities throughout the teaching hospitals and on the Main Street Campus. Its medical student educational offerings include faculty participation in the first year clinical preceptorship program, direction and implementation of the Introduction to Clinical Medicine course, an 11-week clerkshop experience and approximately 50 per cent of the fourth year learning experience. The department has fostered a strong research emphasis and many of its investigative efforts complement the work of the basic science departments. There are strong clinical investigative programs in cardiology, respiration, allergy and immunology, infectious diseases, gastroenterology, hypertension, prostaglandins, and renal disease. SU Y resources provide 23.3 teaching and 12.3 non-teaching positions and a total annual budget slightly in excess of $1 million . The academic programs are directed and coordinated through the chairperson with the aid of divisional leaders. Several of these individuals are nationally and internationally recognized leaders in their fields. Included among them are Drs. Francis Klocke (cardiology), Robert Klocke (pulmonary disease), Evan Calkins (geriatrics), Milton Weiser (gastroenterology and nutrition), Elliott Middleton (allergy), Morris Reichlin (immunology), Paul J. Davis (endocrinology), James C. Allen (infectious disease), Carl Bentzel (nephrology), Floyd Green (rheumatology), Robin Bannerman (genetics), and Edward Carr, Jr. (clinical pharmacology). d33 �Neurology Dr. Jerry Chutkow assumed direction of this department as its first full-time University Chairperson in 1977. Since that time he has reorganized the faculty, created a division of Pediatric Neurology, headed by Dr. Michael Cohen, and strengthened the teaching program. During 1979, efforts will be directed toward initiating and adding significant research activity to its programs. Medicine Technology, medical students and graduate students. It operates a Radiopharmacy Center which supplies high-quality short-lived radiopharmaceuticals to many of the Buffalo area hospitals. Its research activities are concentrated on the improvement of nuclear medicine imaging techniques with new radiopharmaceuticals and improved instrumentation. Ophthalmology Neurosurgery This unit is directed by Dr. Louis Bakay. The departmental faculty have been leaders in cerebrovascular and neurosurgery, pediatric neurosurgery, and the care of head injuries. Nuclear Medicine Dr. Monte Blau serves as the first fulltime University Chairperson of this specialty department. Although a new Medical School department, its members have long been numbered among the leaders of this field in the United States; a great deal of their pioneering work was performed at the Roswell Park Memorial Institute. The department provides educational opportunities for undergraduate students in Nuclear Removing a vial of radioactive drug from the autoclave in the nuclear medicine lab. This department has been without a fulltime chairperson, and a search committee will be convened in 1979. Faculty of the department conduct three free standing residency programs. The department through a University appointed committee, bestows the prestigious Howe Medal to a leader in the field under the auspices of the Buffalo Ophthalmological Society. Orthopaedics This department is chaired by Dr. Eugene Mindell. It participates actively in the Anatomical Sciences program, and has major research programs in bioengineering and bone pathology. The department's patient care mission stresses management of the injured patient by caring for the musculoskeletal problems and emphasizes multidisciplinary care in the treatment of the arthritic patient. Otolaryngology Dr. John Lore chairs this department. Its faculty is responsible for preparing medical students to perform examinations on the head and neck and to conduct graduate training in otolaryngology. Although staffed by a limited number of full-time faculty it has a heavy research commitment as exemplified by its participation in a ational Cancer Institute sponsored clinical trial on Total Parental Nutrition as an Adjunct to Head and eck Cancer Patients; a chemotherapy trial on the treatment of squamous cell carcinoma of the head and neck; direction and coordination of a Regional etwork Demonstration Project for Head and Neck Cancer; and the establishment of a microvascular laboratory. 34 THE BUFFALO PHYSICIA �Pediatrics Like the Department of Medicine, this department is quite large and extensive with many sub-specialty divisions and groups, and a large research program which supports and complements its educational-patient care program. The department is chaired by Dr. Elliot Ellis. While the majority of its functions are housed in the Children's Hospital of Buffalo its faculty fulfills obligations to existing programs in the other teaching hospitals especially Mercy and ECMC as well as to various community clinics and organizations. The department has spawned two highly innovative teaching programs; one is the information retrieval and utilization program coordinated by Mrs. Carol Wargula, and the second, a pediatric interview program headed by Dr. Harry Beirne. Its major research programs are conducted in juvenile diabetes; developmental aspects of intestinal enzymes; enzyme replacement therapy in genetic disorders· immunologic aspectic of hepatitis B infe~tion· neutrophil functions; and immunotoxicology.· The department has a long tradition of academic excellence. It flourished for many years under the direction of Dr. Mitchell 1 Rubin. Some of th~ earlier faculty recruits: notably Drs. Erwm Neter, Erika Bruck Robert Warner and Robert Guthrie are stili active contributors to advances in 'pediatric care. Under the direction of Dr. Elliot F Ellis, a number of new leaders have bee~ recruited; among these are Drs. Gerd Cropp (pulmonary disease). Emanuel Lebenthal (gastroenterology), Edmund Egan II (neonatology). James Humbert (hematology/ oncology). Mary Voorhess (endocrinology) and B.H. Park (allergy/immunology). Dr. Pearay Ogra won the prestigious E. Mead Johnson Award in 1978. WI TER, 1978 Eye testing. Psychiatry Dr. Marvin Herz assumed leadership of this department in 1978. He replaced Dr. S. Mouchly Small who chaired the department for 26 years. The department has the major responsibility for most, if not all, of the behavorial, psychological and psychiatric education of medical students and a graduate education program. It developed, under the leadership of Dr. Gloria Roblin, one of the first courses in Human Sexuality in the United States. It has a strong Division of Community Psychiatry, headed by Dr. Frank Baker. The department's research activities span a wide range of areas including the relationship of the delivery of mental health services to the treatment of schizophrenia. 35 �Rehabilitation Medicine Dr. Glen Gresham assumed direction of this department in 1978. A university residency program in physical medicine and rehabilitation directed by Dr. K. H. Lee offers four years of training. There is also a federally-supported summer elective program for 12 second year students, and year-round clinical electives. Medical rehabilitation is a university-affiliated clinical and teaching program offered at four teaching hospitals. There are special outpatient programs for handicapped drivers and cardiac rehabilitants. Radiology This department is chaired by Dr. Eugene Leslie. It offers a full spectrum of educational activities for medical and graduate students, and resident-in-training in diagnostic imaging and therapeutic radiology, continuing education and in-service programs for technicians and nurses. Residency training is enriched by campus visits of outstanding radiologists from other cities. The Radiologic Learning Center is located at the Erie County Medical Center. It is a nationally organized teaching file that originated at the University of California and is available through the American College of Radiology. The U/B radiology department contributed to the head and neck portion of this file. Patient care includes the full spectrum of diagnostic imaging and of therapeutic radiology in the participating hospitals. Major research includes: the effects of alcohol on the gastrointestinal tract; diagnostic imaging techniques and devices; computerized tomography (C.T.) applications in clinical medicine; cardiac nuclear imaging and clinical uses of Gallium scanning; and clinical radiation physics and radiobiological studies. 36 Rehabilitation of patients is important. THE BUFFALO PHYSICIAN �A typical te aching hospital situation. Social and Prevantative Medicine This department stresses the development of the medical students' understanding of the role of the physician in the resolution of the many pressing current health and medical care problems which exist in the modern community. It is directed by Dr. Harry Sultz, acting chairperson. During the last academic year major changes have occurred in both content and format of courses. A unit on the organization of health care was shifted to the second semester of the freshman year; the subject matter of epidemiology and biometry was integrated into a 17-week unit offered during the sophomore year and; the unit on cost effectiveness and quality assurance was expanded and placed at the end of the sophomore year. Human Values and Medical Ethics has been expanded as a component of undergraduate and graduate medical education, continuing medical education and education of nurses and other health care personnel. Two research grants which total more than one million dollars provide support for the study of functions and education of nurse practitioners and social epidemiology of cancer. WI TER, 1978 Urology This department uses the facilities of six hospitals to teach medical students, surgical and urology residents, nurses and technicians and other paramedical personnel. Dr. Maurice Gonder, acting chairperson, directs this unit. It coordinates its research activities with other basic science and clinical departments. Some projects include: the evaluation of prolactin and androgen receptors in prostatic cancer; the use of cryosurgery and chemotherapy for the locally invasive prostatic cancer; the role of prolactin in prostate metabolism; the use of cytoxan - 5 fluorouracil (FU) in advanced prostatic cancer; the adjunctive chemotherapy of bladder carcinoma using diamino-dichloro platinum; fluorouracil and adriamycin; and the use of Sinmet and Lergotril in the treatment of advanced prostatic carcinoma. 37 �Physical Facilities The Research Mission SUNY/Buffalo's faculty has always accepted the premise that an excellent educational program requires a strong research effort to sustain and nourish it. A recent review of the research funding from 1962 through 1978 included a per annum accumulative growth of approximately 162 per cent with the Health Sciences Faculty accounting for 59 per cent of the total extramural funds recruited to the SUNY/Buffalo Campus in 1977. The research support administered by the Research Foundation on behalf of the School of Medicine approximated $7.8, $8.2, and $8.1 millions in 1975-76, 1976-77, and 1977-78 respectively. These amounts do not reflect resource funding administered through the teaching hospitals nor faculty participation in the Veterans Administration research mission. In reviewing the 1978 entitlement for the Biomedical Research Support Grant, the SU Y/Buffalo School of Medicine ranked 42nd among the 109 medical schools which qualified for this award. SU Y/Downstate, a school with a much larger faculty, ranked 57th and SUNY /Upstate, a school of comparable faculty size ranked 74th. It is apparent that SU Y/Buffalo's faculty are viable and vital partners in the nation's biomedical research mission. The school's research mission is enhanced internally by the Buswell Fellowship Program and by an active summer research fellowship program for medical students. Although the school ranks among the nation's leaders in quantity and quality of research support and activity, it is a mission which cannot be taken for granted. Not only is a medical school's internal vitality nourished by this mission, but its visibility and reputation externally are dependent on it. Thus, an ongoing commitment to this important mission by the faculty must be sustained and the University must provide the necessary facilities and support structures in which the work can be conducted. 38 T he tremendous expansion of the Buffalo campus which accompanied its joining the SUNY system created horrendous problems for virtually every segment of the University. The School of Medicine faculty was seriously impacted by this situation, and for years its basic science faculty was located on the Main Street Campus, at 2211 Main Street, the Bell Plant, and the Ridge Lea Campus. The development of the new University Campus in Amherst will eventually make adequate room and facilities available on the Main Street Campus to house the Health Sciences Programs including many of those in the School of Medicine. Unfortunately, the ew York State fiscal crisis delayed the time table for the completion of the Amherst campus, and thus the envisioned rehabilitation of the Main Street Campus. evertheless, opening some of the Amherst Campus has made it possible to relocate many of the off-site programs. During the 1977-78 academic year the School of Pharmacy and the Department of Biology vacated Cary Hall and moved to Amherst. The vacated facilities were refurbished and those units of Biochemistry, Microbiology and Pathology located at the Bell Plant were moved back. For the first time in SUNY /Buffalo's history these three departments are united in a single complex. During the same period a major portion of the Neurophysiology program which had been located at 2211 Main Street near Sisters Hospital was relocated in Cary Hall. Most of the Biophysics Department was relocated from the Ridge Lea campus to Cary Hall. Concurrently, the Stockton Kimball Tower was being renovated to house many of the programs of the School of Nursing and the School of Health Related Professions. Completion of this project will make some additional space available for the School of Medicine to house some of its administrative and other academic functions. While these developments are helpful and encouraging, there will still be fragmentation of some basic science programs for an indeterminate period of time, and it will not be possible to upgrade all of the facilities that require elimination of obsolescence until additional space becomes available on the Main Street Campus. Since it is apparent that it may be several more years before total renovation of the THE BUFFALO PHYSICIAN �Health Sciences facilities will be completed on the Main Street Campus, the school has worked with the departments to upgrade as many facilities as it can. Major projects, each of which have facilitated the work of the School of Medicine, have been completed since 1974. Included among these are the development and equipping of three new laboratories in the Department of Pharmacology; the total renovation of the environmental laboratories in Physiology; renovation of a new laboratory suite in Microbiology; construction of a learning center; construction of a reproductive biology center and new electron microscopic suite in Anatomical Sciences; and the renovation and reorganization of the administrative offices. These projects were completed through joint cooperation and assistance with the Facilities Planning Office of SU Y/Buffalo, and the ability of the school to utilize resources made available from a number of programs, including the generous support of private donors and the Alumni Organization. There is still great need to upgrade and develop student support facilities on the Main Street Campus. The lecture rooms in particular do not lend themselves to the ultimate in modern teaching techniques. In order to accomplish required renovations the School of Medicine has submitted a proposal to the APFME for renovation of a major lecture room. This proposal is in the process of appraisal and review, and hopefully, will be found worthy of this organization's support. The third and fourth year medical students and the clinical faculty are dispersed throughout the region in existing clinical facilities. Each teaching hospital provides office, laboratory and teaching facilities. In 1977, the SUNY system completed negotiations with the Children's Hospital of Buffalo which made it possible for the institution to be reimbursed for the cost of supporting the faculty's academic efforts. Similar agreements will eventually be developed with The Buffalo General Hospital and the Erie County Medical Center. At the present time many of the academic activities at ECMC are housed in facilities leased by SUNY /Buffalo. The Veterans Administration Medical Center has renovated many areas of their physical plant to accommodate and support the teaching mission, and during 1977-78 added 2,500 more square feet of research laboratory space. WINTER, 1978 Health Sciences Library The Health Sciences Library in Stockton Kimball Tower serves the faculty, students, and staff of the Schools of Medicine, Dentistry, Nursing, Pharmacy, and Health Related Professions. It also serves to back up the libraries of the teaching hospitals in Erie County. Its collection is comprehensive, including materials on all the subject fields of interest in the teaching, research and clinical programs of the units which it serves. About 2,700 current periodical ti ties are received and more than 180,000 books, bound periodical volumes and audiovisual items are available. The library is a member of MEDLINE and TOXLINE and Bibliographic Retrieval Services (BRS) Networks, all online computer information retrieval systems for searching over 3,000 international health science journals and thousands of other scientific books, reports and journals. The library's facilities are available for reference use and a trained professional staff is on hand to assist the reader. The library is one of the designated resource libraries in the program of the New York and ew Jersey Regional Medical Library, and serves health professionals of the eight counties of Western New York, through hospital and health institution libraries. Many local physicians have allied themselves with the Library by joining the Friends of the Health Sciences Library. The Friends meet at the Library at least once a year, hear speakers on research topics and HSL innovations, and in general help maintain interest in Library developments. This year, the Friends are sponsoring the second annual Rudolph E. Siegel Student Essay Contest on the History of the Medical Sciences. The Library's History of Medicine Collection which includes a number of early (17th and 18th century) medical classics and an excellent overview of 19th century medicine has recently added several early medical instruments and, among others,: 39 �Wier, Johann, 1515-1588. Opera omnia. Ed. nova ... Amstelodami: Petram VandenBerg, 1660. Wier is considered the founder of medical psychiatry. Contained in this edition is his De praestigiis daemonum, first published in 1563, in which he opposed the current belief in demons and denounced witchcraft as crude superstition. Willis, Thomas, 1621-1675. Cerebri anatome: cui accessit nervorum descriptio et usus. Landini, John Martyn & James Allestry, 1664. First ed., -2nd issuance. This excellent edition contains 15 folded copperplates after the drawings of Sir Christopher Wren fl£-3~-1-9-a} and Richard Lower {-l-635-1700}. This work is considered one of the greatest aR€1 most--desirablt! books in the history of the brain and neurology. Alpini, Prosper, 1553-1616. De praesagienda vita et morte aegrotantium. (The passages of life and death in disease]. Venice, Heirs of Melchio Sessa, 1601. First ed. This is the greatest- Renaissance classic on prognosis which concentrates on .the pa 1 ieoot::s mental state and its bearing on health as well as the usual physical and diagnostic signs. Last spring, the Health Sciences Library dedicated the Bernhardt S. and Sophie B. Gottlieb Collection in the Behavioral Sciences and Psychiatry. Bernhardt Gottlieb, M'21, is a psychiatrist. His late wife, Sophie, was a psychologist. The endowment fund will be used to enrich the Health Sciences Library's Collections in the fields of psychiatry and psychology. The materials purchased with this money will be integrated into the collection, but it will be easily recognized by the unique Gottlieb Collection bookplate each will carry. Because of Dr. Gottlieb's generosity HSL already has a number of precious volumes on neurology and psychiatry, several new journal subscriptions and many current books in behavioral sciences and psychiatry. These additions to the Library and all the purchases to be made in future years will be of immeasurable value to present and future physicians in the Buffalo area. The Library's Media Resources Center, which houses a collection of audiovisual materials (slide, video cassettes, filmstrips, audio cassettes) in the basic and clinical sciences has continued to improve and expand its services to students and faculty. Among the titles which have been added to the collection in resent months are: The Psychiatry Learning System, a 38-part video 40 cassette series produced at the Medical University of South Carolina; Basic Diagnostic Radiology, a 16-part slide/audio cassette series by Lucy Frank Squire, M.D. and Alice Ettinger, M.D.; Gross Anatomy,a 13-part slide set produced by the National Medical Audiovisual Center; and the American Physiological Society's Illustrated Lectures in Acid/Base Physiology, Cardiac Physiology, Renal Physiology, and Renal Pathophysiology. The materials, cataloged and arranged according to the National Library of Medicine's classification system, are located on the third floor of the Library, Stockton Kimball Tower. Facilities and equipment for individual and group use of the materials are also available. The Information Dissemination Service (IDS) of the Health Sciences Library is designed to expedite the dissemination of information to the faculty and practicing physicians. The service is available through the hospital library or by calling 831-4937 to receive computerized literature searches, photocopies of articles, loan of books, or reference service. As the library's "thankyou file" indicates, the ever-increasing variety and flexibility of data bases have proved invaluable in retrieving information tailored to specific clinical or research problems. Sameday service insures that faculty receive the information rapidly for timely application in the patient care setting. ACKNOWLEDGEMENTS The staff of the BUFFALO PHYSICIA wish to express its gratitude to the many contributors who made this issue possible: Drs. Guy S. Alfano, William Kinnard, Gerald Murphy; Sister Sheila Marie, Sister Mary Charles; Frank Crane, Benjamin Webster, john Jeffries, joseph Paris. Drs. Martin Wingate, Donald Rennie, Harold Brody, Alexander Brownie, Michael Anbar, Felix Milgram, john Wright, Harry Sultz, john Lauria, Richard Dobson, Robert Sellers, jerry Chutkow, Louis Bakay, james olan, john Lore, Eugene Mindell, Eugene Leslie, Marvin Herz, Maurice Gonder, G. Worthington Schenk, Jr., Wayne johnson, Glen Gresham, Monte Blau, Edward Carr, Elliot Ellis, Edmond Gicewicz, Marvin Bloom, Robert Brown, Frank Schimpshauser, Leonard Katz, john Richert, Harry Metcalf; C. K. Huang, Rudy Williams; Students - john and Margaret Paroski, john DeBerry, james Bracikowski. THE BUFFALO PHYSICIA �A Message from Edmund Gicewicz, M'56 President, Medical Alumni Association Dear Colleague: You all have received brochures on the alumni tour to Tahiti, February 13, 1979. The Medical Alumni is sponsoring a medical symposium during this event and, as in the past, topics of general interest will be presented. Continuing Medical Education (C.M.E.) credit will be offered to those who attend this symposium, which primarily is offered several mornings during the course of the trip. I have been told that the excursion is rapidly selling out, so those of you who have any intentions of attending this event, please make plans with the general alumni office . Past Medical Alumni trips to the Caribbean and elsewhere have been well attended and thoroughly enjoyed. We urge a good medical turnout. Dr. Gicewicz --------------------------------------------------------------------------------------------------- IIIII I BUSINESS REPLY MAIL FIRST CLASS PERMIT 0 . 2210 POSTAGE WILL BE PAID BY ADDRESSEE Buffalo Physician 28 Diefendorf Annex 3435 Main Street Buffalo, New York 14214 8 HALO, N.Y. NO POSTAGE STAMP NECESSARY IF MAILED IN THE u ITEDSTATES �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) 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Dean Naughton's Message Introduction MEDICAL SCHOOL ADMISSIONS First Year Class, Advanced Standing, COTRANS, Fifth Pathway, CUNY Biomedical Sciences, Admissions Policy Committee EDUCATIONAL PROGRAMS Overview, Office of Medical Education, Integration of new Programs, Adviser Programs, Preceptorship Program, Summer Fellowship Program, MECO, Year Committees, Student Performance, ational Board Examinations, Graduate Medical Education Placement, Financial Aid. STUDENT HONORS AND AWARDS Alpha Omega Alpha, Medical Assistance Program, CIBA Award, Who's Who Among Students, james A. Gibson Anatomical Society, Thesis Honors, Awards for Academic Excellence. STUDENT GOVERNMENT AND ORGANIZATION Polity, Organization of Student Representation, Student National Medical Association, American Medical Student Association. Graduate Medical Education Continuing Medical Education Graduate Student Education ORGANIZATION, GOVERNANCE Governance, Executive Committee, Facul!y Council, Pre-clinical Council, Clinical Council, Administrative Committees. ASSOCIATED ORGANIZATIONS Alumni Association, University of Buffalo Foundation, Inc., Research Foundation of the State University of ew York, Annual Participating Fund for Medical Education. SPECIAL PROGRAMS Buswell Fellowship, Biomedical Research Support Grant, Harrington Lecture. FACULTY AWARDS FOR EXCELLENCE IN ACADEMIC PURSUIT, SERVICE AND TEACHING Stockton Kimball Award, Dean's Award, Siegel Teaching Awards. TEACHING HOSPITALS Buffalo General, Children's, Deaconess, Erie County Medical Center, Mercy, Millard Fillmore, Roswell Park . Memorial Institute, Sisters, Veterans Administration Medical Center. Medical School Departments: Basic Sciences Units, Clinical Sciences. The Research Mission Physical Facilities Health Sciences Library Dr. Gicewicz's Message Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-12-12 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v12n04 Extent The size or duration of the resource. 44 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/c43c592a3124cc7e47142531f92ecff6.pdf bd767c9ff96da79c7983ae7dbf3b903b PDF Text Text �Medical Alumni Officers Dr. Gicewicz Dr. Edmond Gicewicz is the new president. He is a 1956 Medical School graduate and a clinical assistant professor of surgery. He has been on the faculty since 1966. Dr. Gicewicz did his undergraduate work at U/B. He is on the medical staff at the Millard Fillmore Hospital, director of medical services at General Mills, and Erie County Medical Examiner. In June, 1978 Dr. Gicewicz received the U/B Alumni Association's Samuel P. Capen Alumni Award, for exceptional contributions to the University and its alumni. It is the Association's highest honor. Dr. Gicewicz is a Fellow, American College of Surgeons, and the American College of Sports Medicine. He is also a Diplomate, American Board of Surgeons, and a member of the Academy of Sports Medicine. He is a member of the U/B Athletic Hall of Fame and has devoted much of his personal time to the University as athletic team physician. He is a past president of the Williamsville Central School Board and the U/B Alumni Association.D Dr. W. Yerby Jones was reelected vice president. He is a 1924 Medical School graduate and has been on the faculty for 25 years. Since 1946 Dr. Jones and the E. J. Meyer Memorial Hospital have trained about 85 percent of the ophthalmologists in the Buffalo area. He retired in 1971 as clinical professor of surgery ~ophthalmology). Prior to joinmg t?e l!niversity faculty he was m pnvate practice and affiliated with the Meyer Hospital and the Buffalo Eye and. Ear Hospital as pathologist/ophthalmologist. He has also served as an attending physician at the Gowanda State Hospital. Dr. Jones is a Fellow of the American College of Surgeons and the American Academy of Ophthalmology and Otolaryngology. In 1949 he received the Urban League Award for occupational and professional achi~v~ment as the only black physiCian on the University faculty and one of 14 to be admitted to membership in the American College of Surgeons. Dr. Jones is the author of several articles relating to his specialty. He is also active in several professional organizations. He is Emeritus.D Dr. Jones Dr. Carden Dr. Lawrence M. Carden is the new treasurer. He is a 1949 Medical School graduate and clinical assistant professor of surgery (urology). He has been on the faculty since 1955. Dr. Carden received his bachelor's degree from the University of Notre Dame in 1945. He took his internship and residency at the E. J. Meyer Memorial Hospital. He also had a fellowship at the Roswell Park Memorial Institute. He is chief, department of · urology, at Buffalo Mercy Hospital ; attending physician at the Meyer; and consultant at Bertram Chaffee in Springville. Dr. Carden is a Diplomate, American Board of Urology, and a Fellow, American College of Surgery (Governor). He has been an officer and a member of several professional societies. Golf sailing and jogging are am on~ his hobbies.O �Fall1978 Volume 12, Number 3 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARIJ editor R OBERT S. MCGRANAHAN Dean, School of Medicine DR. }OHN NAUGHTON Photography HUGO H . UNGER EDWARD NOWAK Visual Designers RICHARD MACAKANJA DONALD E. WATKINS Associate Editor FLORENCE MEYER CONSULT ANTS President, Medical Alumni Association DR. MICHAEL SULLIVAN Vice President, Faculty of Health Scien ces DR. F. CARTER PANNILL President, University Foundation }OHN M. CARTER Director of Public Affairs }AMES DESANTIS I THIS ISSUE New Officers (inside front cover) 2 Dean Naughton's Message 3 Dr. Gicewicz's Message 4 Spring Clinical Days 14 Classes Give $20,800 20 Commencement 21 Students Honored 27 Dr. Calkins Honored 28 Physicians Give $146,608.65 31 Dr. Francis Klocke 32 Faculty Honored 34 Reception for Seniors 36 Summer Programs 37 Senior Citizens/Medical Costs/Dr. Jason 38 Erie County Medical Center 39 Summer Fellowships 40 Evaluation Committee 41 Medical Education Programs/Medical Problems 42 Dr. Bosu 43 Dr. Hashim/Dr. Weiser 44 Congenital Hypothyroidism 45 Tay-Sachs Disease 46 Aging Study 47 Patient Package 48 A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (Part VII). Response of Readers to Dr. Sanes' Article VI. by Samuel Sones, M.D. 54 People 56 Letter from Dr. Calkins 59 People 63 The Classes 67 In Memoriam 68 Alumni Tours Photographer Dennis Atkinson and Donald Watkins, visual designer, combined th eir talents to produce the cover picture. For story on the new Erie County Medical Center please turn to page 38. THE BUFFALO PHYSICIAN, Fall, 1978 - Volume 12, Number 3, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1978 by The Buffalo Physician. FALL, 1978 1 �Dear Alumni and Alumnae: Dean Naughton From the desk of: John P. Naughton, M.D. Dean, School of Medicine I am pleased to report that the School of Medicine has been successful in its attempt to recruit a Chairman and Professor of Psychiatry capable of filling the void created by the mandatory retirement of Dr. S. Mouchly Small. As each of you know, Dr . Small served the institution faithfully and well as Chairman and Professor of Psychiatry for twenty-six years. During that lengthy tenure he guided the department through the transition from a private medical school to a state operated school; emphasized and acted out a primary emphasis on the importance of medical student teaching; became a recognized leader and authority in the areas of Continuing Medical Education and physician recertification; and developed a significant number of well trained psychiatrists who are making their contributions on the local and/ or national mental health scene. Dr. Marvin Herz will move to Buffalo from the Georgia Mental Health Center in Atlanta, Georgia where he has been Director of Research for the Georgia Mental Health Institute. (It's good to know that not all Atlantans must derail themselves in Washington, D.C.!) Prior to his Atlanta experience Dr. Herz was in the Department of Psychiatry at Columbia University for ten years. There he established himself as a teacher, clinical investigator, clinician and administrator. His contributions to the field of Mental Health Services Delivery are particularly noteworthy. I hope that each of you is as enthusiastic and supportive of Dr. Herz's coming to SUNY-Buffalo as I am. He will uphold the tradition of excellence championed by Dr. Small, and be instrumental in moving the department another step forward into its rightful place as one of the major departments in the state and nation. Before closing, it might be encouraging and reassuring to you to review the School of Medicine's record in recruiting new departmental chairmen during the past three years. They include Dr. Elliot Ellis, Pediatrics from the University of Colorado; Dr. Theodore Carr, Pharmacology and Therapeutics, University of Louisville; Dr. Michael Anbar, Biophysical Sciences, Stanford Research Institute; Dr. Glen Gresham, Rehabilitation Medicine, Tufts; Dr. Jerry Chutkow, eurology, Mayo Medical School and Mayo Clinic; and Dr. Monte Blau, Nuclear Medicine, Roswell Park Memorial Cancer Institute. Sincerely, JOHN NAUGHTO , M.D. Dean 2 THE BUFFALO PHYSICIA �A Message from Edmond Gicewicz, M'56 President, Medical Alumni Association Dear Colleagues: Your alumni embarks on the new year with a good deal of optimism and enthusiasm for the future. We intend for Spring Clinical Day, which will be held in late April or early May, 1979, to become a bit more aggressive in our response to the bureaucrats and other self serving groups who make a habit of attacking medicine. Our plans call for the Spring Clinical Day scene to be, "What's Right In American Medicine." We plan to emphasize the quantum jumps that medicine has made in the past fifteen years for the benefit of our citizens. We also plan to indicate how bureaucracy hinders the practice of medicine in our country. With these thoughts as an introduction to our coming year, might I encourage you to respond promptly when your dues letters are received, since plans must be made for the smooth running of our medical alumni office. We will continue to serve our Medical School with continued dedication. Sincerely, Edmond J. Gicewicz, M.D. Dr. Gicewicz FALL,1978 3 �The medical ethics panel: Drs. Robert Dickman, H.T. Englehardt, Jr. , Dean John Naughton, David M. Klein and Margaret Werick, sophomore medical student. MEDICAL ETHICS AND HUMAN VALUES Spring Clinical Days Dr. Sullivan, Sue Halpern , acting alumni secretary. By Dean John Naughton I am pleased to have been invited to participate in this important and timely seminar on Medical Ethics. The panel that has been assembled is indeed an impressive one, and the range of topics listed is certainly broad enough to highlight and emphasize the fact that there is virtually no area of medical education or medical practice which does not have an ethical consideration related to it. Obviously, in contrast to the remaining speakers I am neither expert nor specialist in any aspect of ethics. However, as a physician, an investigator, an educator and an administrator, I certainly must deal with many matters in a rational and correct manner. In these roles, I am concerned that today 's medical students and practicing physicians are provided the necessary opportunities to explore those issues which concern them and are helped to achieve that sense of security which is required when arriving at difficult decisions without being unjustifiably burdened by unnecessary guilt feelings or other consequences. The question that I have been asked to address relates to the interaction of the medical education system with the areas of ethics and human values. If one evaluates the title, it is apparent that several questions may have been suggested simultaneously by the program committee. Among them might be: 1. Is there a role for ethics and human values in medical education? This question suggests a yes or no outcome, when you and I know there is only a single correct conclusion. 2. Does medical education have a role for ethics and human values? Again, there is no alternative answer to an affirmative response. 3. Do medical schools in today's situation, in particular, SUNYBuffalo, include or encourage the development of ethical behavior among its students? There are probably a number of alternative responses for this question. 4. Is medical education in 1978 devoid of ethical material in its educational programs? Certainly, a question which deserves explanation. The above are four examples of questions that the program committee may have had in mind when they set up today 's agenda. There could be others as well, and members of that body can 4 THE BUFFALO PHYSICIA �probably state them with greater clarity and more preciseness than I. That is beside the point. The salient fact is that your program committee has seen fit to emphasize a need to explore questions of whether your School of Medicine sees a role for giving conscious and overt priority to the areas of medical ethics and human values, and if it does what are some of the conceptual needs and goals that should be met. I am delighted to report that the faculty and student body of SU Y-Buffalo's School of Medicine does acknowledge a need and a responsibility to provide an emphasis on and an intellectual experience in the areas of medical ethics and human values. This has been amply demonstrated during the past three years by the gradual, yet sustained, evaluation of formalized sessions on problems in medical ethics; the creation of a multidisciplinary, inter-school committee whose charge is to bring a structure, program objectives, and a body of content information to the faculty and students, and as you will hear from Margaret Werick in the next talk, by active participation by the students in guiding the faculty on the specifically perceived needs of the students. The administration of the School of Medicine has aided these efforts through inspiration, the provision of necessary fiscal support to carry out many of the objectives of the committee, and by recruiting outside experts and professionals from agencies such as the Endowment for the Humanities to serve as expert consultants to the administration, faculty and students. It is my belief from traveling to other medical schools throughout the United States and from my meetings with the Deans of the other eleven medical schools in New York State that SU Y-Buffalo is doing as good a job in this area as many schools with slightly more structured programs, and a better job than are a vast majority of American Medical Schools. It is far too early to explore all the reasons for this judgment, but there are two factors worth reporting: 1. SUNY-Buffalo, in contrast to many medical schools, has a stronger, more visible interface with the problems of the practicing physician, and thus, his problems quickly become the student's problems. d- FALL, 1978 5 Dr. James R. Nunn chats with a colleague. �SUNY-Buffalo, while maintaining most of the elements of a traditional medical education experience, has developed a capacity for flexibility and the initiation of new programs. Now, having arrived at the point where it is apparent at SUNY-Buffalo, at least, that students, faculty and administration are in agreement that consideration of and education in medical ethics and human values is important; that there is a role for such information in medical education, and that medical educators have a role to play as well, it seems necessary to relate one to the other. As an individual, I became aware of this role in the mid1960's. Interestingly enough, neither because of the conflict related to Viet Nam nor the counter-culture, but because of a single, dramatic event which was destined to change many, if not all, of the relationships of society to the medical world; namely, the first successful cardiac transplantation by Christiaan Barnard. At that time, I was numbered among the seemingly dying band of human clinical investigators. During the week immediately preceding this amazing feat, I had reviewed Dr. Shumway's paper on cardiac transplantation in animals and his concluding speculation that cardiac transplantation in humans was at least ten years away because of the lack of acceptance by the medical community, and more importantly, by the society. Then, like the precipitous force of a tornado spawned from out of the blue, Barnard accomplished and acknowledged this feat almost as if it were accomplished overnight. He proved Shumway's speculation wrong in every way. The medical profession was stunned, but accepting; patients with cardiovascular disease throughout the world were volunteering to be subjects for transplantation; and the society was filled with new hope that life, at whatever costs, risk and inconvenience, could and should be maintained. I was directing an experimental cardiac rehabilitation program at the time, and even some of the best performing patients queried me as to when they should have a transplantation. I bring this event to your attention, because from my perspective it was at this point in modern medical history that society handed to the medical profession a warmth that it was not prepared to accept. 2. Drs. Pannill, Naughton The 50-year class reunion Brock, and Floyd C. Bratt. Drs. Joseph M. Hill, Bruno Schutkeker, Thelma Spring Clinical Days 6 THE BUFFALO PHYSICIA �Nevertheless, the medical profession's role formally assumed some of those functions which are still probably best left with other noble professions such as theology, and law. In fact, even though still young and naive, I predicted to myself that in future years we would be exploring problems such as we are today. During the dozen or so years that have transpired since that historic event we have experienced the gradual, yet obvious, vocal and intellectual concern about ethics and human values in medicine . My prediction is that the depth of interest and concern will intensify, because the problems and dilemmas with which we deal will become more complex. As a medical educator I welcome the formalization of a body of knowledge dealing with the areas of ethics and human values. But, I also feel that just as we approach other areas of medical education with a critical appraisal, we do the same in this area . Among the reasons for today's symposium must be listed a need for knowledge on how to deal with difficult issues which bring science into conflict with human need. As these conflicts are identified and explored, there can be a tendency to do harm either to needed and justified scientific inquiry advances in the name of human concern and dignity, and thus human need could be rendered a disservice. This can be prevented if the faculty charged with developing the program applies the same critical standards to its content and productivity as do other faculties. Let me dwell on a couple of examples which demonstrate my concern: 1. Many advances in medicine have been thwarted out of misplaced concern for human values. As an example, postinfarction care highlights this situation. Many of you in this room, as was I, were raised with the concept that for the myocardial infarction patient, activity in excess of normal walking was harmful. We were taught that the heart required at least six weeks of complete bedrest if it was to heal properly. Today, we know that such advice for most myocardial infarction patients was unwarranted and that in fact, such advice was harmful in all aspects of recovery and rehabilitation. Why have our attitudes changed? Because through the careful and critical acquisition of knowledge we discovered that properly applied, physical activity is beneficial, not detrimental, for cardiac patients. Today, I ask you, what were and ardFALL, 1978 7 Dr. Carmela Armenia �the ethical considerations in this matter? Similar examples could be presented in regard to the use of coronary care units, invasive cardiology, and coronary by-pass surgery. 2. I am pleased to have been among the first to use "informed consent," and am of the belief that in time we will all find that properly and judiciously used, it is a tool which will facilitate communication between physician and patient. But, for many, informed consent is seen as a primitive tool, a barrier to communication rather than a facilitator. In my opinion, this unfortunate situation has not been created by the medical profession, per se, but rather by a lack of understanding on the part of many ethicists who perceive the medical scientific community as oblivious to the advisability and desirability of this procedure. Obviously, the medical schools must strive to educate future physicians on the value, and implementation of informed consent, but just as importantly, we must educate them to relate their concern and acceptance not only to patients but to the society at large. From the above, I hope it has become apparent, that as an educator and physician, I see a role for education in medical ethics and human values for medical students and physicians, and could elaborate in still other areas of concern. But you have many experts with you today to help you in these matters. I would like to complete my presentation by presenting just one more area for your consideration. It is easy to accept a need for education in medical ethics when one is faced with the difficult life and death issues presented to the profession by the patient in chronic renal failure, the child with acute leukemia, or the results of an acute injury- a Karen Ann Quinlan. We cannot, in my opinion, allow these issues to be the sole focus of the profession's concern with medical ethics and human values. To be sure, they are important issues, but they are tertiary level The winning exhibit: Hemodynamic Monitoring in Acute Myocardial Infarction by Drs. Goldfarb, Conti, Yaung, and Golden af department af medicine, Millard Fillmore Hospital. �Spring Clinical Days Alumni are honored at the luncheon issues and comprise a small fraction of the areas with which we must concern ourselves. In the years ahead the Western world, the United States in particular, will undergo dramatic change in its social priorities and health care needs. As resources become more limited the medical profession will be faced with the need to make difficult decisions that would be avoided and even ignored during the years of an expanding economy and population base. Schools of Medicine must prepare future physicians to deal with these problems through the development of the adequate knowledge base, critical analysis, and proper discussion and evaluation. We must accept and be prepared to deal with the fact that as resource limitations increase, yet technological advances continue, physicians as individuals and as a profession will be faced with the task of making serious ethical decisions which will place us in ever increasing dilemmas, but because the choices will not be between good and bad, but rather which good will best serve the needs of the profession and of the society in the years ahead. Thus, our tasks will become even more complex and difficult, and our need for a sound foundation in ethical decision making will be even greater.D Margaret Werick, a second year medical student, suggested that the physicians think about the advances that have been made in medicine since they graduated. "These changes have brought ethical dilemmas in recent years. Today there are many problem areas - abortions, sexual therapies, drugs, test tube babies, and alcohol. These problems must not be sidestepped. "Medical students want to observe erhics around the clock, not just one hour a day or week. You as physicians must have a sincere interest in ethics as well as clinical problems." Ms. Werick reviewed the early history in medical ethics at the Medical School. In 1976 an ad-hoc student-faculty committee was formed and a symposium on Humanistic Medicine followed. Then d- FALL , 1978 9 Medical Ethics �Dean John Naughton named the Human Values and Medical Ethics Education Committee. Several seminars followed and more are planned for next year. In conclusion Ms. Werick said, "no one can give you your morals, but physicians can give you guidelines and teach you how to handle ethical dilemmas." Ethics means customs and habits, according to Dr. Robert Dickman. "It is a code of behavior or medical etiquette that covers everything from bedside manners to advertising to split fees." The assistant professor of social and preventive medicine, who was instrumental in putting this two-way program together, spoke about the rigorous discipline that is demanded of physicians. "Each of us must have a set of moral principles that has universal appeal. These principles will tell us how to act in certain situations." Dr. Dickman mentioned the intense four-week medical ethics seminar that he attended in 1977 at Georgetown University's Rose Kennedy Center for Bioethics. "I was one of 15 physicians from around the country at this seminar. Only one other person was from academic medicine. "To understand medical ethics it is important to understand what it is not. It's not just putting humanism in health care. It's not family medicine. It is not medical sociology. Rather it is an approach, a way of negotiating or talking about various moral intuitions we have which refer to specific dilemmas in the health care field." Dr. Dickman asked, "how do we distribute health care goods and values- in our society?" He spoke of two philosophies- doing the greatest good for the greatest number of people; and actions taken regardless of consequences. Drs. Venkayaraman Balu, Elaine Bukowski and David Dean at one of the winning exhibits {3rd place tie) during Spring Clinical Days. �Spring Clinical Days "What about individual freedom and the rights of the patient? The rise in medical technology has placed before us a variety of ethical dilemmas which never existed - such as our ability to preserve life which also may entail considerable suffering. The Hippocratic Oath tells us we have to preserve life, prevent suffering and promote well being. But now with the expanded technological bases, the first two come into conflict and we have many ethical dilemmas involving them," Dr. Dickman said. "There is also the doctor-patient relationship. It used to be a very private affair in the home. Today the decisions are made in the hospital and held up to public scrutiny." In conclusion Dr. Dickman said, "ethics is a precise approach to problems. To many, ethics and medicine should be more closely related." There are many value judgments that are important in decision making, according to Dr. H.T. Englehardt Jr. "Ethical values are not the only values that guide us in making decisions." The professor of bioethics at the Rose Kennedy Center for Bioethics, Georgetown University, suggested that physicians should conduct themselves "in a way that isn't private to their own views. If we are going to talk about ethics we must understand what we mean by it. Ethics is not coercion but only a suggestion of how to negotiate a problem. Ethics attempts to achieve clarity." The physician-philosopher noted that ethics won't tell you which decision is best. "But it helps us get along with our patients, with society and with our colleagues. Ethics is a form of putting all issues on the table for negotiation." Dr. Englehardt pointed out that the AMA had its first code of ethics 130 years ago. Ethics is definitely tied to history, he said. Medicine is free pursuit, the educator asserted. "But how do you balance goods and values as they relate to health care?'' FALL, 1978 11 �Dr. Englehardt asked the physicians how they viewed medical practice? Is it acute care, preventive medicine or ordinary health care? He mentioned brain death vs body death; being alive as a person and being alive as a human. In conclusion Dr. Englehardt suggested that only recently has medicine viewed itself. Sensitivity and humanism are essential, according to Dr. David M. Klein, associate professor of neurosurgery at U/B. "People either care about people or they don't. We must find medical students who care about people." Dr. Klein noted that he and most people in the audience have always been faced with ethical problems. "I have always discussed problems with the patient and the immediate family . Sometimes the family seeks the advice of the clergy, a social worker, a nurse or a close friend. But then the dilemma : which advice to take?" Dr. Klein went on to say that it is important to educate the patient and in the case of children the parents. " This makes decision making easier. " He also suggested that the concern of the physician for the patient's sensitivity should be divorced from ethical principles. "Our chief concerns evolve around the right to know, the right to live, the right to die. " Dr. Klein touched briefly on government influence at the national and state levels. Different states have different laws regarding treatment of certain diseases. And in some cases a physician must refer to the courts and seek their help. "We as physicians should participate more and get out into the community among our patients and friends and make them understand our problem. We must have practical solutions without too much dialogue. "The delivery of good care is most important. Philosophers can provide us with a better ethic, but not necessarily with the best ethic," Dr. Klein concluded. S econd place exhi bit: Long-te rm Survival after Coronary By-pass Surgery by Drs. Green e, Bunn eJl, A rani, Schimert, Lajos, Lee, T andan, Z imdahl, Bozer, Kahn , and Smith [R.N.) of Buffalo General Hospital. GERY G.:rERM SIIMVAL AFTER C ---- I ------- i .. �Spring Clinical Days .. The health services distribution panel: Drs. Howard M. Spiro, Sidney Anthone, Mila Aroskar. Distribution of Health Services The panel moderator for the Friday afternoon session, Dr. Mila Aroskar, associate professor of graduate nursing education at U/8, said "money and lots of it won't solve all our problems. We must learn how to distribute the money we have to provide the best health care." Dr. Howard Spiro announced that he had devoted his life to the gut. The Yale University professor of medicine suggested that we humans must share medical resources. "We can't do everything we would like to all at once. Medical paraphernalia is costly. Insulin and digatalis is cheap; plastic surgery, artificial hearts and drugs for cancer are costly." The Yale physician indicated that there will soon be some new disorders that "we will have to treat and hopefully cure. As practicing physicians we must decide who will be treated for what. The central, hard decisions of the past 30 years have not changed. We are concerned with medical care and returning the sick to good health." Is it right to sacrifice lives today in hopes of saving future lives? Dr. Spiro noted that physicians aren't trained to allocate resources for patients. "Time as a resource is very short for the physician. He is always under 'the gun of time.' How we spend our time is very important." The physician-educator told his colleagues that life is sacred. "No human should make life or death decisions; this belongs to God." d- FALL,1978 13 �Ten Classes Give $20,800 to Medical School Drs. Thelma Brock, Harold Stoll A.; ..J.29>.' p;. r •l\11.\ FOliNli\TI0\1 ·~ 00 ~ .d ' f..,W& ;:/ p Clockwise from lower left: Drs. William Georgi, John Donohue; Peter Monsky, Robert Milch, John Bivona; Michael Sullivan, Robert Maynard; Norman Paul, Lester Schiff, Daniel Fahey, Donie/ Miller, Norman Minde, Leon Grof; Franklin Campagna, Alfred Stein, Irving Waldman, Gory Cohen, Reinhardt Wende, Michael Genco, Melvin Brothmon, Richard Romanowski; Amos Minkel, John Williams; Charles Tirone, Anthony Foti; Russell Cotolono, Clarence Stroubinger; Norbert Rausch, J. Curtis Hell riegel. 14 THE BUFFALO PHYS ICIAN 3~ �Dr. Spiro believes that patients should be selected on a "first come, first served basis" when limited resources are involved. But often the emergency patient is treated before the routinely ill patient, he said. "The economist has all of us in the palm of his hand because of the rapidly rising health care costs. But if we put the cost of preventive medicine (smoking and drinking) into the system, the price will rise even more," Dr. Spiro concluded. Justice must be included as a goal in health planning of the future, according to Dr. Robert M. Veatch. "But there will have to be a compromise between freedom and justice. We don't want justice to sacrifice our freedom." The senior associate, Institute of Society Ethics and the Life Sciences, The Hastings Center, Hastings-on-the-Hudson, noted that physicians are trapped between their Hippocratic Oath commitment and the allocation of scarce resources. "Equality, freedom and efficiency are very important to our health care system. Physicians are perplexed by the difficult choices that they face . Most of their decisions have social implications." Dr. Veatch noted that cost containment was a problem. The cost for artificial hearts and kidneys is staggering. "We just can't afford to pay for everything that it would be nice to have." He agreed with Dr. Dickman on the conflicting philosophies of the Hippocratic Oath. "There is no guidance as to which patient comes first. Do we assist one patient in great need or several with lesser problems? "Physicians can stay loyal to the Hippocratic Oath or they can abandon this tradition and get involved with social ethics and the allocation of scarce resources. These two choices are perplexing to many physicians," Dr. Veatch said. On medical research Dr. Veatch believes there is nothing morally wrong so long as the subject is made aware of the risks and benefits. "Tension between justice and freedom will intensify. And the allocation of scarce resources will continue to be a problem," Dr. Veatch concluded. As a surgeon Dr. Sidney Anthone, M'50, has been making ethical and moral decisions for many years. About 40,000 Americans are suffering from acute kidney disease. Some legislators and administrators in this country, who supported the kidney dialysis program for humanitarian reasons when it was first enacted six years ago, are having second thoughts about it because the costs are becoming enormous. "It is likely that the Federal Government will be paying $1 million in the next fiscal year to keep sufferers of incurable kidney disease alive, an amount that is from three to six times the cost that dFALL, 1978 15 Spring Clinical Days Dr. Ro be rt Ve at ch �Spring Clinical Days Facing Death One of four seminars: Drs. David M. Klein, Jr., Edmund Egan. H.T. Englehardt, was anticipated when Congress enacted the program in 1972," Dr. Anthone said. An estimated 55,000 Americans may require dialysis treatment by 1984. How many such programs can the government afford? The clinical professor of surgery at the Medical School noted that at least 16,000 people are waiting for kidney transplants. Who should get them- a child or an adult? "The best results come from a live, relative donor." In conclusion Dr. Anthone said, "physicians must use their own good judgment and stay within the law. "0 In his second panel appearance Dr. Englehardt talked about death and dying. "It is possible to call someone dead when actually he isn't. There is the operational and conceptional definitions of death. Karen Quinlan is probably dead but there is no way we can fashion an operational death, but conceptionally she is dead." The bioethics professor suggested that freedom- the right to refuse treatment - must be respected. "Common law has recognized the sense of privacy. The respect for people and the value for human life is important. But how much do we want to invest in the treatment of people and the preservation of life? Sometimes the cost of treating a terminal disease is too much." Dr. Englehardt mentioned several court cases on suicide and death in Texas, New York and Massachusetts. "Individuals have different interests in the way they live, so they probably have different ideas on how they want to die," he concluded. Dr. Edmund Egan believes newborn children are real people even though they can't make decisions and should be treated as such. But he admits that the role the physician has in arriving at decisions is different than with older children or adults. "The role of the physician must be that of a child advocate. The infant is the patient, not the parents," the associate professor of pediatrics said. "Treatment must have a goal. If treatment is instituted or continued without a goal it can be considered torture. The decision must be made in the infant's interest even though it affects the parents' life style. However, the parents must be involved," the chief of neonatology said. "The physician must explain all of the options, state his recommendations and explain why. Total honesty and candor are important." Dr. Egan cited a case history of two children born with brain damage. Both had a 50 percent chance of survival at a hospital cost of $50,000 each. The mother of baby A didn't want the baby; the mother of baby B wanted her baby. Should they both be treated at society's expense? Should these babies be treated because they deserve a chance in life even though they will be retarded?, Dr. Egan asked. 16 THE BUFFALO PHYSICIA l �l Third place (tie) exhibit: Dr. Gresham, department of rehabilitation medicine, E.J. Meyer Memorial Hospital/SUNY! Buffalo. "At what point does an infant become the property of parents or a chattel of the state?" Dr. Egan asked. "We are faced with a society that is 'biased for life' and forbids suicide as a way of dying. Because of our investment in technology and life support paraphernalia we have built into our thinking additional biases," Dr. David M. Klein, associate professor of neurosurgery at U/B, said. "There is no good or bad way to die, but there should be free choice. It is difficult to terminate life support because you are bucking tradition." Dr. Klein noted that there is disagreement among the courts in the various states about a person's 'right to live.' "When you think your patient is going to die plan ahead. Sit down and think about your approach to the family. Don't walk away. You have a responsibility to the family. Do everything you can to make the patient and survivors comfortable," Dr. Klein said. In conclusion he reminded his colleagues that "dying is an individual thing and should be so treated. " D "Stockton Kimball played an important role in my career of medical education." This is what Dr. George E. Miller told his colleagues at the annual Stockton Kimball Memorial luncheon as he reviewed his 16 years in Buffalo (1943-1960). "This is homecoming for both me and my wife." The professor of medical education and the coordinator of international activities for the University of Illinois Medical Center noted that Stockton Kimball's work had gone around the world. "It was Dr. Kimball who gave us encouragement, support and leadership to consult experts in the education department at U/B that resulted in changes in medical education. Because of this enFALL, 1978 d17 A Tribute to Stockton Kimball �Mrs . Geo rge Mill er, Drs. John Ri chert, Lawrence M. Carden, Edm ond J. Gi cewicz . Dr. Ge orge Mill e r, lunche on speake r. counter, a major new program was developed at U/ B in medical education, " Dr. Miller said. In the early 1950's a group of 'Young Turks' at the U/ B Medical School were stimulated by Dr. Edward M. Bridge, professor of pharmacology, to engage in regular debate about medical education. The medical students and faculty collaborated with professors in other disciplines at U/ B in what was called "Project in Medical Education. " The main question 25 years ago was: Are medical educators going to restore order to education? When these two unacquainted disciplines - education and medicine - came together at U/B for the first time things begin to happen. The two groups slowly identified what practices would be most useful to the medical educators . "It was Dr. Kimball 's quiet influence and advice that was helpful and made this a unique university experience," Dr. Miller said. A year-long teacher training program with medical students and faculty (both basic science, clinical and education) participating in seminars was one result. Dr. Miller spoke of a paper he had written, on the Buffalo medical education program, "Adventure in Pedagogy. " Nine months later the New England Journal of Medicine condemned his article as a " Disaster in Pedagogy." The Illinois educator paid tribute to Nathaniel Cantor, a behavorial scientist. "He was a very controversial man, who made us look at ourselves and examine how we applied learning techniques to others. He was an educator who sought continuing knowledge. Dr. Cantor gave us a 'once in a life-time experience' in his seminar sessions in 1954. He proved to us that what we were doing as teachers often got in the way of the learning process. Dr. Wm. Carlos Williams, a physician-poet, was a major contributor to our seminar sessions." Dr. Miller mentioned others who contributed to the "Project in Medical Education." They are- Drs. Edwin F. Rosinski, Robert S. Fisk, G. Lester Anderson, Ivan Bunnell, Philip Wels, David Greene, Lawrence Golden, and John Boylan, all U/ B faculty members. Hilliard Jason, a medical student, at that time took a year off his studies to help on the project. 18 THE BUFFALO PHYSICIA �From the Buffalo program Dr. Miller authored a book, "Teaching and Learning in Medical School." It has been reprinted three times. Recently the book was printed in a fourth language. Contributing editors were Drs. Ira S. Cohen, psychology; Harold P. Graser, psychiatry; Stephen Abrahamson, RobertS. Harnack and Adelle Land, education. The book is dedicated to the memory of Nathaniel Cantor, Ph.D., "who pointed the way" and Stockton Kimball, M.D., "who provided the encouragement." In 1959, one year after Dean Kimball's death, there was a decline in medical education in Buffalo. "The transplant was cut off, but the colonization began," Dr. Miller said. Many of the people in Buffalo that were associated with this new medical education program went to other medical schools in Michigan, Virginia, California, Illinois, Ohio and to Canada, Australia and the Philippines and initiated this new approach to medical education. "This was the kind of a bountiful harvest - that started from a small beginning at U/B 25 years ago under a visionary man, Dean Kimball," Dr. Miller said. "Today," Dr. Miller asserted, "the lecture is widely used. Is it used skillfully? Does the instructional program match the objectives? The only purpose to be served by teaching is to make individual learning more efficient and more effective. Unless this belief permeates a school an educational program becomes a mockery of education." He asked his colleagues how many have tried to improve your teaching skills through better preparation? Are you effective and efficient? What is our responsibility as educated physicians in this contemporary society? He challenged the students to develop skills in critical thinking. Dr. Miller recalled what John Gardner once said, "whenever reorganization is proposed people will object because they have become attached to the old arrangements. I advise against all such attachments. Put your faith in ideas, ideals, movements and goals. Don't put your faith in organization forms." In conclusion Dr. Miller said, "there are many battles ahead. I would hope for a dean that would tolerate and support thoughtful research as Dean Kimball did 25 years ago. I have nothing but respect, admiration and gratitude for him."D Dr. George E. Miller, Mrs. Stockton Kimball, Drs. Michael Sullivan, Norman Chassin. Spring Clinical Days Presented to Mrs. Stockton Kimball by Dr. Robert Brown, associate dean, was a rubbing of a model of a cast that will be placed in the main lobby of Farber Hall. "In Fond Memory of Stockton Kimball 1902-1958 M.D. University of Buffalo, 1929 Dean, School of Medicine, 1946-1958 Whose Vision, Sincerity and Integrity so Distinguished The Office of the Dean" FALL, 1978 19 �132nd Annual Commencement A total of 5,500 degrees were conferred this year during the General Commencement and 12 additional individual commencement ceremonies. Since its founding in 1846, the University has awarded nearly 100,000 degrees. The 1978 class was awarded 3,607 bachelor's, 1,485 master's, 445 academic or professional doc- torates, and 25 associate's. Chancellor Clifton R. Wharton of State University delivered the major address at the 132nd General Commencement in Memorial Auditorium.D Dean John Naughton welcomed the graduates and their families to the 132nd commencement. He praised the 139 graduates (116 men, 23 women) for being an active and innovative class. "You have made significant contributions to the medical school and the community. You have been interested in our admission policies and in primary care. You performed well in your externships and in the clinical process. You have been accepted as interns and residents in good medical centers of this state and the nation." Dr. Naughton also complimented the editors of The Iris, Medical School yearbook. Class representative Clifton Peay said, "we can no longer afford to pay lip service to the concept of preventive medicine. It must become a reality if we are to pass life on to our offspring. We must all work toward providing quality health care as a human right. Doctors must refrain from the habit of unrestrained prescribing of chemical agents. They must re-educate our people who feel there is a chemical answer to each problem." Class representative Mary Carnes said, "we have been a family the last four years. We have shared many feelings, experiences, joys and frustrations. When we leave here today we will carry with us as our family name this university." In dedicating the yearbook to Dr. Evan Calkins, professor of medicine and head of the division of gerontology, Salvatore DelPrete, co-editor, praised Dr. Calkins for being a personable man dedicated to his profession. Dr. Calkins said, "I hope I can live up to this honor. This most distinguished class has worked hard and inspired us to be better teachers." He charged the graduates to "set good goals for yourselves; be good physicians; take good care of your patients, your family, friends and colleagues. Money and social status aren't everything; happiness is more important. "0 20 THE BUFFALO PHYSICIA �26 Students Honored Twenty-six medical students (19 seniors, 7 sophomores and juniors) won special honors and awards at the 132nd annual commencement. Seniors Fred Geisler, Kenneth Glick, and Michael Wolff each won two awards. Dr. James F. Phillips, chairman of the awards committee, presented the awards. Dr. F. Carter Pannill, vice president of the Faculty of Health Sciences, conferred medical degrees on 139, the Ph.D. degree on 19, and the Master's degree on 11. Dr. John Naughton, dean of the School of Medicine, administered the Oath of Hippocrates to the new physicians and Dr. Leonard A. Katz, associate dean, led them in the Charge of Maimonides. The awards and honors: Alpha Omega Alpha (Honorary Medical Society) Robert Anolik, Carl J. Bodenstein, Christopher T. Burn, Irene A. Burns, Daniel P. Cannucciari, Molly L. Carnes, Richard R. Curran, Salvatore A. DelPrete, Elizabeth A. Doherty, Edmond S. Fries, Mark S. Glassman, Kenneth L. Glick, elson B. Isada, Joyce R. Leslie, Gary A. Merrill , Dean Mitchell, Lynnette K. ieman, Lois A. Polatnick, Barry I. Rosenberg, George E. Ruta, Paul Summergrad, Bennett S. Vogelman, Michael L. Wolff 1'hes1s Honors - Fred H. Geisler Baccelli Award- (Academic excellence in the clinical years) -MarkS. Glassman Gilbert M. Beck Memorial Prize in Psychiatry - (Academic excellence) -Susan L. Kraus Gillette Buffalo Surgical Society Prize in Surgery - (Academic excellence- junior, senior years) - Elizabeth A. Doherty Childrens Hospital Prize- (Excellence in understanding disease in childhood)- BennettS. Vogelman d- FALL, 1978 21 L ynn elle Nieman �Dean's Award - (Participation in extra-curricular activities in the Medical School while maintaining a high standard of academic excellence)- Salvatore A. DelPrete Bernhardt & Sophie B. Gottlieb Award - (Expertise in areas outside of medicine)- Franklin G. Gillig Dr. Heinrich Leonhardt Prize in Surgery - (Academic excellence) -Alan R. Koslow Lieberman Award - (Interest, aptitude in the study of Anesthesiology)- EdmundS. Freis Hans f. Lowenstein Award in Obstetrics - (Academic excellence) - Joyce R. Leslie, Nelson B. Isada Maimonides Medical Society Award - Proficiency in the basic sciences)- Kenneth L. Glich Medical Alumni Association Award- (Community commitment)- Franklin Marsh, Jr. David K. Miller Prize in Medicine - (Demonstration of Dr. Miller's approach to caring for the sick - competence, humility, humanity) -Paul Summergrad Bennett Vogelman, Dean Naughton, Dr. James Phillips Dr. Eugene Mindell, Iris Buchanan, Dr. John Wright John R. Paine Award in Surgery - (Research of merit in the general field of surgery) - Fred H. Geisler Mark A. Petrino Award - (Demonstrated interest and aptitude for the general practice of medicine) -Gary E. Eggleston Clyde L. Randall Society Award in Gynecology-Obstetrics(Academic excellence)- Lynette K. Nieman Emily Davis Rodenberg Memorial Award - (Academic excellence in study of diabetes, its complications) - Kenneth L. Glick Philip P. Sang Memorial Award - (Ability to relate well to patients, faculty and staff)- BennettS. Vogelman Morris & Sadie Stein Neuroanatomy Award- (Excellence in neuroanatomy) -Gary A. Merrill Up john Award - (Research Ability) - Michael Wolff John Watson Award in Medicine - (Enthusiasm for and commitment to scholarship in medicine) - Michael Wolff Charles Bauda Award- (A third year student who has best demonstrated a superior fund of knowledge and personal sensitivity for the practice of Family Medicine) -Frank J. Bottiglieri Edward L. Curvish, M.D. Award - (Highest record in Biochemistry in first year) - DavidS. Duani James A. Gibson & Wayne J. Atwell Award - (Highest record in anatomy in first year) - Cynthia J. Parlato Douglas S. Riggs Award - Westwood Pharmaceuticals (Academic excellence in Pharmacology) -Edward L. McCleary Kornell L. Terplan Award - (Demonstration of the best knowledge of Pathology in the sophomore year) - Edward L. McCleary Ernest Witebsky Memorial Award (Proficiency in Microbiology) - Jamie E. Kerr Farney R. Wurlitzer Award (Outstanding work in Psychiatry) - Randy L. Levine 22 THE BUFFALO PHYSICIA �Dean Naughton, Sal DelPrete, Franklin Marsh The following basic science students participated in the School of Medicine Commencement: Master of Arts - (all from the department of microbiology) Pamela J. Baker, Anne Fagundus, Tanveer F. Haider, Paula S. Hochman, Karen A. Olson, David C. O'Neil, Joseph P. Portanova, Timothy R. Sinship, Kathryn Zadarlik. Master of Science - (from department of biophysical sciences) Henry Manuel, Taquia Mehdi. Doctor of Philosophy - Henry M. Bartkowski, M.D. (anatomical sciences), Maria M. Chan (microbiology), Tina C. Chow (microbiology). Robert A. Cunningham (physiology). Philip Dembure (biochemistry). Bonni S. Dutcher (pharmacology and therapeutics). Marie R. Gallagher (microbiology), Stevan Jacobs (pathology). Christopher Jones (biochemistry). Ching-Lung Ko (biophysical sciences). Renee LeBoeuf (biophysical sciences). Steven A. Lobel (microbiology]. John M. Markinko (microbiology]. Friedl Muller-Landau (biochemistry), Michael D. Rudnick (anatomical sciences). Richard A. Smith (anatomical sciences). Christine Szymanski (pathology]. Matthew Witten (biophysical sciences). Yee Pang Yung (microbiology).D d-- FALL,1978 23 �Mary "Molly" Carnes Reflections by Mary Carnes I am really honored to be speaking to you tonight. I thought you might like to hear some rousing, inspirational words about how you should all go out into the world and "make like good doctors" - work hard, do good, be honest, make people well, and uphold the high standards of medicine in this country. But then I thought more about you people whom I have come to know over these past four years, and I decided you would probably do all that anyway. So I want to say something a little more personal. When we started medical school four years ago, we were 135 or so individuals. We were very different people. We came from different backgrounds, ideas, and perspectives. Some of us were from the country, some from the city; we were veterans, college radicals, jocks, and hippies. But over these four years we have shared many experiences and feelings. This has created a band among us, making us sort of like a family. We dissected cadavers together; mastered Krebs Cycle together; histology, pathology and microbiology. These are no longer just words or names of courses to us. They are a stream of feelings and memories. We share so many common memories. Surely you all remember the pain of watching one of your fellow classmates give his first patient presentation in front of grand rounds. Remember standing in surgery for hours, with tired feet and wandering mind and being brought abruptly from your reverie by the surgeon's third or fourth impatient cry of Cut! Cut! Remember the joy of participating in your first delivery in obstetrics. And how those babies kept coming and coming and coming all night long. We have shared much - times of incredible joy, times of bitter frustration. But tonight is our graduation, and the last time we will all be together as a family. Tonight is the night to be sure and give a warm hug to those people with whom you dissected a cadaver, to the person with whom you studied the convolutions of the brain, to your drinking buddies, to those people who had to listen to you give your first patient presentation, and to everyone else in our family. ext year, and in the future, when you are all in different places and in different specialties, you will carry with you almost as part of your family name - the State University of ew York at Buffalo School of Medicine; and that you all graduated in the class of 1978. I'm going to miss you all.D Certainly in this Class of 1978 there is a large percentage of persons who were active in this past era known as the '60s. Many of us here were outspoken advocates of the numerous social issues that have reshaped the thinking and policy of our country forever. The underlying thesis of these activities of the 60's was the infusion of moral and human ethics into our world but particularly human conduct. We as remnants of that era, who have now entered the profession of medicine, must infuse this system 24 THE BUFFALO PHYSICIAN .. �.. with those beliefs that can benefit mankind. 1. We must recognize that the issue of a clean environment is important to us as physicians as those new, early biochemical markers of disease in persons who are with or without any symptoms. I ask, what good will suffice for us if we continue these technological miracles of diagnosis but yet fail to support efforts to eradicate environmental risks that threaten our very existence . We must coalesce with elements in our world to reduce our risks to these environment causes of disease as diverse as chemical contamination of our world; to support for gun control legislation. After all, homicide is a major cause of death. We must as physicians support progressive legislation thus to enact standards of "preventive health " or else our hospitals will forever be museums - populated by those " interesting cases " derived from man's misuse of his world. 2. One of the most current problems staring at 20th century man is drug abuse. Physicians are targeted by various groups rightly or wrongly - as being the prime stimulus for this problem. Too often physicians have prescribed chemical agents at their patients' insistence and despite their suppressed better judgment. We cannot allow this habit of unrestrained prescribing of chemical agents be they sedatives, tranquilizers or whatever, to continue with our generation. We must seize the initiative to reeducate our people to break this mental dependency of chemicals. There must be an end to our existence as a pilloriented society with the false belief there exists a chemical answer to every problem. I challenge my classmates to explore other areas as viable alternatives to human conflict than the easy availability of a prescription pad. 3. Health care , as we now approach the 21st century, is no longer a privilege but a human right. Good health care should not be a commodity available to the highest bidder or purchaser . or should be it reserved for those with higher social incomes or social privy but its access to all people should forever be our vow. We must continue to democratize health care delivery to guarantee each person of high quality, affordable health care. There must be plans and efforts made to develop an equitable health care system or else "health care as a right" will remain only a slogan. Our responsibility as physicians is to provide each resident of the United States with the same high quality health care which the great from all over the world come here to receive. 4. Another problem to be resolved is the high cost of a medical education. The physician-to-be finds himself overwhelmed and heavily indebted with the huge expense from his medical education. The effect that this has on the delicate doctor-patient relationship is frightening. The rising cost of a medical education has rapidly emerged as a new discriminator as well as penalizer of those who desire to pursue a career in medicine . A solution must urgently be found or we will produce an elite corps of affluent physicians drawn from upper-income persons who only can afford the cost. FALL, 1978 25 Remnants of the Sixties by Clifton Peay Cli fto n Peay, Dr. Harr y M etcal f �I have deliberately used ideas that hold great significance to me. However, I challenge this class that in addition to the practice of medicine, to maintain a strong sense of social commitment. Finally, we can no longer afford to pay lip service to the concept of preventive medicine, it must become a reality if we are to pass life on to our off-spring. We must never forget this.D Dean Naughton's Address Louise Barbieri, Dr. Harry Metcalf Lois Palatnick, Dr. Pannill On behalf of the faculty of the School of Medicine I welcome the parents, relatives and friends of the candidates who will receive either the Doctor of Medicine, Masters of Science, Master of Art or Doctor of Philosophy degree. It is an honor to present these candidates to you for the bestowing of their degrees. The medical school class of 1978 is 139 strong, the largest single class graduated by this school during any of its 132 years. This class has proven itself particularly innovative, fertile and active. During its forty-five month association with SUNY-Buffalo its members, either as individuals or as an organized body, have made significant contributions to our institutional life. While too numerous to mention, some should be recalled because they exemplify each of our commitments to scholarship, patient care, institutional life and community interest. When the present era of the School of Medicine is reviewed, it is my opinion that your class more than any other will be credited with providing the necessary impetus for reforming a sense of espirit de corps and institutional identity within the school; and for making a commitment to and demanding a high level of academic excellence. The latter has been demonstrated by your performances on internal and external measures of intellectual achievement. While you were doing that, members of your class were making substantial contributions to other programs. Most significant of these should be considered your interest in the admission process and in opportunities to work in areas of primary patient care. Your class developed, pursued and implemented a program for student participation in the work of the admissions committee, and others sought and obtained sufficient funding which made it possible for medical students to work productively in an externship capacity during vacation time . There is no doubt that these two programs and others with which you were associated will continue for many years beyond your departure from SU Y-Buffalo . By all accounts you have performed well on the clinical services and you have shown a capacity for combining intellectual growth with compassion for patient problems. Your recognition as mature 26 THE BUFFALO PHYSICIAN �students of medicine could not have been any better signified than through your nearly total acceptance to a large number of excellent medical centers throughout ew York State and the nation. Your acknowledgement of quality, dedication and the pursuit of excellence as important attributes of accomplishment is clearly demonstrated by your choice for this year's Iris Dedication. For all of your achievements the faculty and I offer our congratulations; for your promise in the future comes our expression of best wishes and good luck. Mr. Vice President, based on their accomplishments during the past four years, the faculty of the School of Medicine is fully satisfied that these graduates are prepared for, capable of and ready to assume the responsibilities entailed with the requirements of graduate medical education, and we are completely satisfied that each member of the class will exemplify the characteristics of dedication, charity, compassion, scholarship and understanding in the years ahead. More importantly, we are confident that they will place their responsibilities as physicians and citizens above their individual self-interests. For the faculty I am pleased to welcome them to a profession which so sorely requires their energies and talents.O Mr. and Mrs. Simon Shaham Dr. Calkins Honored Dr. Evan Calkins was honored by the 1978 yearbook, The Iris. He has been chairman of the Medical School's department of medicine for the last 17 years. He is heading a new division of gerontology that will focus on medical care of the aging. Dedication to Dr. Calkins: "Dr. Calkins, over the last several years, we have watched you walk down hospital corridors with your characteristic 'Calkins stroll,' and we have been amazed that despite the deep concern for often seriously ill patients, and for the future of medical education in Buffalo, you somehow managed to have a warm smile and perhaps a few encouraging words for those of us you met on your way. Many of us have seen you at a patient's bedside and have watched you instill in that patient a sense of warmth and reassurance simply by showing honest concern for his well-being. Those of us who have seen this have also noticed that when you leave a patient's room you somehow manage to leave behind a part of yourself that seems to give the patient peace in knowing that you truly care not about 'the gallbladder in 319' or about Dr. Y's review of the literature, but about him as a person. "Dr. Calkins, we the Class of 1978 acknowledge the concern you show for our education and for the welfare of our patients. Therefore, we would like to take this opportunity to thank you, and to publicly dedicate this, the third edition of The Iris, to you for exhibiting the qualities which we believe are the signs of a truly outstanding physician - amiability, compassion, concern, courage, knowledge and understanding."D FALL, 1978 27 Sal DelPre te , Dr. Evan Calkins �Physicians Give to the Medical School In 1977 the Medical School received gifts from 790 physicians (through the U/B Foundation) totaling $146,608.65. The average gift was $185.60. We at the Medical School appreciate your support. Without your support many programs would have to be curtailed or eliminated.D Stanley Abo Charles G. Adams Donald J. Adams Albert J. Addesa Richard H. Adler Carlos C. Alden, Jr. Edward C. Alessi GuyS. Alfano J. Edwin Alford Kenneth M. Alford James C. Allen Clara M. Ambrus Julian L. Ambrus Richard Ament Wendell R. Ames William S. Andalaro S. Y. Andelman Murray N. Andersen Charles L. Anderson John R. Anderson Sidney Anthone Djavad Arani Carl E. Arbesman John F. Argue Carmela S. Armenia John V. Armenia Glenn R. Arthurs Julian J. Ascher Thomas W. Atkins Irwin J. Averbach Sidney J. Axelrod Bruce D. Babcock George R. Baeumler Robert C. Bahn William C. Baker William L. Ball John J. Banas Robin M. Bannerman JohnS. Barany Jared C. Barlow Donald L. Barone Robert M. Barone Stephen Barron Richard C. Batt Horace L. Battaglia Charles A. Bauda Richard A. Baumler Thomas R. Beam, Jr. Richard B. Bean Ralph T. Behling David M. Bendich Craig L. Benjamin Lawrence D. Henken Leland R. Bennett Robert M. Benson Bronson M. Berghorn Robert E. Bergner Richard Berkson Leonard Berman Harold Bernhard William H. Bernhoft Charles Bernstein Mark L. Bernstein Herbert T. Berwald Ernst H. Beutner Theodore S. Bistany James R. Blake LaMoyne C. Bleich Marvin A. Block Willard H. Boardman Virgil H. F. Boeck Vincent J. Bonafede Germante L. Boncaldo Raymond G. Bondi Lawrence B. Bone Anthony J. Bonner, Jr. James G. Borman Sogba K. Bosu Mary Henrich Botsford John W. Boylan John Bozer Brendan C. Brady Clifford G. Bramer James J. Brandl Edward S. Breakell Robert J. Brennen Thelma Brock Harold Brody Melvin M. Brothman AI ta K. Brown Alvin J. Brown Kent L. Brown Robert L. Brown August A. Bruno Richard J. Buckley James T. Bumbalo Thomas S. Bumbalo Ivan Bunnell James P. Burdick Gordon H. Burgess John B. Burns 28 Alan G. Burstein Paul N. Burstein Grace L. Busch Evan Calkins Earl K. Cantwell Lawrence L. Carlino Nicholas C. Carosella Edward A. Carr, Jr. Samuel J. Castilone Mary L. Catalano Benny Celniker Frank J. Chafe! Nathan W. Chaikin Ralph R. Chapman Norman Chassin Joseph A. Chazan C. James Chen Seibert G. Chernoff Alfred Cherry Erwin Chillag Eugene A. Cimino Eugene E. Cisek Alice L. Clark Daniel H. Clark John M. Clarke Thomas B. Clay Mary Clemens Marshall Clinton Arthur H. Cohen Gary N. Cohen Victor L. Cohen Benjamin Coleman James R. Collins Robert J. Collins Mario L. Collura Thomas E. Comerford, Jr. John L. Conboy Bruce F. Connell John J. Connelly John M. Constantine Richard Cooper Barbara G. Corley Robert F. Corretore Vicent S. Cotroneo Paul B. Cotter, Jr. Martin Cowan Alexander R. Cowper Frank M. Criden John P. Crosby Richard P. Cudahy Julia Cullen Gordon J. Culver Thomas J. Cumbo Daniel E. Curtin Richard H. Daffner PeterS. D'Arrigo Bernie P. Davis Faith B. Davis Harvey D. Davis Paul J. Davis Roger S. Dayer Lang M. Dayton Philip C. Dennen Mark A. Dentinger Carl J. DePaula Geraldine F. DePaula Robert L. Dickman Gerald J. Diesfled Frederick W. Dischinger Samuel A. Dispenza Lawrence J. Dobmeier Alfred H. Dobrak Richard Dobson Thomas D. Doeblin Donald F. Dohn Charles Donatelli Donald Doni us S.M. Doubrava Ronald I. Dozoretz Maier M. Driver Adelmo P. Dunghe James C. Dunn Nancy L. Dunn Clarence J. Durshordwe Melvin B. Dyster Michael Dzubaty George L. Eckhert Kenneth H. Eckhert WilliamS. Edgecomb Robert W. Edmonds John A. Edwards Robert J. Ehrenreich Jonathan S. Ehrlich Marvin N. Eisenberg George M. Ellis Nitza F. Ellis Rose Ruth Ellison Charles M. Elwood Eli Engel George M. Erickson Edward G. Eschner George F. Etling Italo A. Evangelista Jay I. Evans Daniel J. Fahey Alfred E. Falcone Dominic F. Falsetti Jason E. Farber Leon E. Farhi Joseph V. Farugia Sattar Farzan Sebastian S. Fasanello Joseph A. Ferlisi THE BUFFALO PHYSICIAN �Willard G. Fischer Grant T. Fisher Jack C. Fisher Wilbur J. Fisher William A. Fleming Theodore C. Flemming Marshall Fogel Sander H. Fogel William J. Follette Roger A. Forden Francis A. Fate Albert A. Franco Hal A. Franklin Paul D. French Bernard B. Friedman Irwin Friedman Ronald J. Friedman Frank T. Frost David J. Fugazzotto eal W. Fuhr Arthur Funk ..... Timothy F. Gabryel Richard R. Gacek Andrew A. Gage Matt A. Gajewski Henry S. Gardner Richard M. Gardner Myron Garsenstein Albert A. Gartner Michael T. Genco Joseph E. Genewich Byron A. Genner III George A. Gentner Thomas G. Geoghegan Alfred L. George Joseph R. Gerbasi Eli Germanovich Henry Gerwitz James P. Giambrone John W. Gibbs Edmond J. Gicewicz Irwin A. Ginsberg William L. Glazier Franklin Glockner Chester A. Glomski George R. Glowacki Joseph D. Godfrey Peter F. Goergen Arthur C. Goetzman Lawrence H. Golden Allen L. Goldfarb Frederick Goldstein Henry N. Goldtsein Carlon H. M. Goodman Sol! Goodman Myron Gordon Fred E. Gorman · Bernhardt S. Gottlieb Solon H. Gottlieb Adele M. Gottschalk Edward J. Graber James E. Graber Harold L. Graff Seymour D. Grauer James H. Gray, Jr. FALL,l978 Joseph M. Greco Pasquale A. Greco Floyd A. Green Harvey Greenberg Lawrence S. Greene Myron C. Greengold Richard M. Greenwald Joseph E. Griffin Bernard F. Groh Victor Guarneri Lorie A. Gulino Robert Guthrie Thomas J. Guttuso J. Rothery Haight Henry W. Haines Donald W. Hall Frank M. Hall Robert J. Hall Eugene J. Hanavan MarkS. Handler Florence M. Hanson Warren J. Hanson Nedra J. Harrison Sami A. Hashim Donald R. Hauler Vincent A. Hawro Mark E. Heerdt Ellwyn E. Heier Mark P. Heilbrun Norman Heilbrun Irving Helfer! Burton L. Herz Barbara J. Hetzer Louis Hevizy William J. Hewett Frank C. Hoak Thomas C. Hobbie Marion E. Hodes John M. Hodson Hugh B. Hoeffler David E. Hoffman Leon Hoffman Walter D. Hoffman orman E. Hornung Hanley M. Horwitz William J. Howard Murray S. Howland, Jr. Thomas R. Humphrey Jerome E. Hurley Eugene C. Hyzy Jacqueline Ihrig John R. Ingall Charles G. Jackson Stanley J. Jackson Rae R. Jacobs Evelyn H. Jacobsen Robert M. Jaeger Kenneth G. Jahraus Gary H. Jeffrey Kenneth L. Jewel Irving B. Joffe Curtis C. Johnson James H. Johnson Ronald P. Josephson Peter J. Julian Richard F. Kaine Ernest G. Kane Harris H. Kane! Kyoichi Kano James G. Kanski James R. Kanski Z. Micah Kaplan Leonard A. Katz Donald J. Kelley John P. Kelly Peter M. Kelly John H. Kent Howard C. Keyes William J. Kibler Joseph F. Kij, Sr. John L. Kiley William R. Kinkel John C. Kinzly Hans F. Kipping Scott B. Kirsch David M. Klein Harvey Z. Klein Jennie D. Klein Morton P. Klein Michael M. Kline Robert A. Klocke Russell G. Knapp Wallace A. Knight Romesh Kohli Louis Kolbrenner Leo E. Kopec John T. Korn Ludwig R. Koukal JacobS. Kriteman Melvin R. Krohn Harold P. Krueger Robert J. Krug Norbert W. Kuch John R. Kuhl Joseph L. Kunz Alan S. Kuritzky Paul Kuritzky Sharon Kuritzky Bertram G. Kwasman John N. LaDuca Harry G. LaForge Vito P. Laglia S. Joseph LaMancusa RobertS. LaMantia Bernard R. Landau Gordon R. Lang Milton C. Lapp Andre D. Lascari Louis Lazar Alfred Lazarus Richard J. Leberer Herbert E. Lee Edward A. Legarreta Jack Lemann, Jr. Melbourne H. Lent AbrahamS. Lenzner Angelo F. Leone 29 Charles R. Leone Frank G. Leone John A. Leone Eugene V. Leslie Paul A. Lessler Lloyd H. Leve Eli A. Leven Daniel B. Levin Warren Levinson Harold J. Levy Lucille M. Lewandowski Thurber LeWin W. Reese Lewis Seymour J. Liberman Heinz Lichtenstein Bert A. Lies, Jr. Jeffrey E. Lindenbaum William F. Lipp Jack Lippes Eugene J. Lippschutz Robert W. Lipsett Richard C. Lisciandro L. Maxwell Lockie Marilyn A. Lockwood Eugene W. Loeser Lawrence Loewinthan Anthony J. LoGalbo Alice Challen LaGrasso H. Paul Longstreth Alvah L. Lord Paul J. Loree Charles E. Lowe Ulana Loza J. Richard Lundquist Thomas J. Luparello James D. MacCallum WilliamS. MacComb Michael M. Madden Niels G. Madsen Federico J. Maestre William K. Major, Sr. David N. Malinov VincentS.Mancuso Karl L. Manders Leo E. Manning Calvin Marantz Charles H. Marino Anthony P. Markello Ross Markello Eugene M. Marks Joseph F. Martinak Kenneth W. Matasar Charles E. May Arthur E. Mays, Jr. Michael A. Mazza Robert C. McCormick Daniel J. McCue Sue A. McCutcheon James L. McGrane Robert G. Mcintosh Pravinchandra Mehta Joseph M. Mele John P. Menchini Winifred Mernan Sol Messinger d- �Harry L. Metcalf Herbert Metsch Patricia A. Meyer Leo M. Michalek, Jr. Charles H. Michalko Bruce F. Middendorf Dugan Middleton RichardT. Milazzo RichardT. Milazzo, Jr. Felix Milgram Donald E. Miller Richard F. Miller Roy D. Miller Mona T. Milstein Richard L. Miner Amos J. Minkel, Jr. Alfred A. Mitchell F. Douglas Mitchell Arthur Magerman Jeffrey Magerman James F. Mohn Hallie Buchanan Mont Mario Montes Shedrick H. Moore Raymond L. Moreland Philip D. Morey Lyle . Morgan Askold D. Mosijczuk Robert M. Moskowitz Frederick E. Mott Philip C. Moudy Joseph R. Mullen Richard W. Munschauer Gerald E. Murphy Peter J. Murphy Alice B. Murray Robert C. Myers Kathleen W. Mylotta Richard J. Nagel Masao akandakari Richard B. Narins Ian athanson Lawrence J. Nemeth Erwin Neier Lillian V. Ney Robert G. Ney David H. Nichols Ellen M. Nicholson EarlW. oble Michael Noe N. Allen Norman William C. Noshay Donald C. Nuwer Oscar R. Oberkircher Ralph M. Ohler Benjamin E. Obletz John J. O'Brien John D. O'Connor Kevin M. O'Gorman Pearay L. Ogra Bronislaus S. Olszewski Walter A. Olszewski Dean E. Orman JamesM. Orr Marvin G. Osofsky J. Frederick Painton Harold K. Palanker Milton A. Palmer Victor A. Panaro JohnS. Parker Vincent J. Parlante Jacqueline L. Paroski Thomas E. Pastore Gerald E. Patterson orman L. Paul Victor L. Pellicano Raymond C. Perkins John D. Persse Harold Pescovitz Diane Peters Frank A. Pfalzer, Jr. James F. Phillips Michael M. Phillips Doris MacKay Pieri Steven E. Pieri Herbert S. Pirson John T. Pitkin David E. Pittman Adrian J. Pleskow Marvin J. Pleskow Sanford R. Pleskow Warren Pleskow Robert E. Ploss Alan L. Pohl orbert W. Pohlman David W. Potts Robert J. Powalski Herman M. Presant Thomas F. Pres tel John E. Przylucki Francis J. Pschierer David G. Publow Dennis R. Pyszczynski Eugene H. Radzimski Richard A. Rahner John Y. Rancholl Bert W. Rappole Edward A. Ray hill Erick Reeber Roy E. Reed Peter F. Regan III John F. Reilly Victor Reinstein Robert E. Reisman Albert C. Rekate Barbara R. Rennick Charles C. B. Richards Harr:y B. Richards Earle G. Ridall M. M. Riddlesberger Frank T. Riforgiato Norman I. Ristin Meyer H. Riwchun Douglas L. Roberts Trevor Robinson William G. Rocktaschel Robert D. Rodner Richard R. Romanowski Paul C. Ronca 30 Myron G. Rosenbaum Thomas C. Rosenthal Douglas R. Rosing Edward W. Rosner Sheldon Rothfleisch Richard N. Rovner Albert G. Rowe John C. Rowlingson Stuart Rubin Gerald T. Rutecki Joseph E. Rutecki Gerald L. Saks Alan R. Saltzman George M. Sanderson, Jr. Samuel Sanes Clarence Sanford Frances Marie Sansone Leland E. Sargent Phoebe Saturen Richard L. Saunders Barbara Blase Sayres Vincent Scamurra Thomas R. Scanlon Arthur J. Schaefer Leomard R. Schaer Sudney M. Schaer Worthington G. Schenk, Jr. William P. Scherer III Anthony B. Sciavi Ray G. Schiferle Edward G. Schnake Robert N. Schnitzler Robert W. Schuktz Bruno G. Schutkeker Edward L. Schwabe Paul Schwach Harvey Schwartz Wilbur S. Schwartz Robert Secrist Ray E. Seibel Arthur M. Seigel Elizabeth G. Serrage David J. Shaheen Fred Shalwitz Jacob B. Shammash Edward Shanbrom BernardS. Shapiro Marvin Shapiro Norton Shapiro Koorosh Shariat Thomas P. Sheehan Byron E. Sheesley John B. Sheffer Gene D. Sherrill Louis A. Siegel Herbert Silver Sigmund B. Silverberg Herbert W. Simpkins S. Aaron Simpson Bernard H. Sklar Alexander Slepian S. Mouchly Small Eugene Smith James A. Smith Vernon G. Smith Wilbur L. Smith Bernard Smolens Joseph M. Smolev RobertS. Sobocinski Joseph E. Sokal Yale Solomon Russell C. Spoto Donald H. Sprecker John J. Squadrito Walter F. Stafford, Jr. James F. Stagg Richard I. Staiman George Starr Alfred M. Stein William J. Stein George L. Steiner Oliver J. Steiner James G. Stengel Irving Sterman Carl A. Stettenbenz Rocco L. Stio Edward R. Stone StevenS. Stone John N. Strachan Clarence A. Straubinger Evan H. Strong Burton Stulberg Eugene M. Sullivan Michael A. Sullivan Robert B. Sussman Sylvia W. Sussman Stanley J. Szefler Carl F. Szuter John Talbott Joseph Tannenhaus Charles J. Tanner Richard G. Taylor Joseph C. Tedesco Eugene M. Teich Richard N. Terry Hyman Tetewsky John B. Theobalds Roy J. Thurn Donald J. Tillou Charles S. Tirone Carl A. Todaro R. Ronald Toffolo Edwin B. Tomaka W. William Tornow Andrew V. Tramont August J. Tranella Hazel J. Trefts Anthony C. Trippi Joseph C. Tutton George R. Tzetzo S. Jefferson Underwood Robert M. Ungerer Morris Unher Edward L. Valentine J. Theodore Valone Joseph A. Valvo Russell J. VanCoevering II Rocco Venuto THE BUFFALO PHYSICIAN ., �Ronald A. Vidal Myrtle Wilcox Vincent Peter Vlad Albert J. Voekle Barbara von Schmidt Marvin Wadler Coolidge S. Wakai Paul M. Walczak Irving Waldman Irma M. Waldo Helen G. Walker Eugene W. Wallace Walter Scott Walls Joseph Wanka Robert B. Ward Robert Warner Richard D. Wasson Franklin E. Waters Kurt Wegner James W. Weigel Morton B. Weinberg Sidney B. Weinberg PaulL. Weinmann Barry A. Weinstein David H. Weintraub Charlotte C. Weiss Robert M. Weiss Mark W. Welch Philip B. Wels Reinhardt W. Wende David F. Weppner Everett H. Wesp James J. White, Jr. William F. White Frederick D. Whiting Eugene B. Whitney Charles E. Wiles Jane Brady Wiles Howard C. Wilinsky Robert G. Wilkinson James S. Williams John R. Williams Richard W. Williams Marvin N. Winer John A. Winter Allan S. Wirtzer Herbert W . Wittkugel Charles J. Woeppel Sherman Waldman Herbert S. Wolfe Leonard Wolin Everett A. Woodworth Donald A. Wormer John R. Wright Leon Yochelson Murray A. Yost Ronald F. Young Floyd M. Zaepfel James F. Zeller Richard Zeschke Edward J. Zimm Harold B. Zimmerman Despite our every effort to avoid errors, they sometimes do occur in the process of annual reporting. If your name has been accidentally omitted or misspelled, please notify the U/ B Foundation and accept our sincere apologies. This listing reflects individuals whose gifts were given during the 1977 calendar year.O Dr. Francis Klocke Dr. Francis J. Klocke, professor of medicine and chief of the Division of Cardiology, has been elected a member of the prestigious Association of American Physicians. Only 500 senior academic physicians specializing in internal medicine are members of the Association which was founded in 1887 to advance scientific and practical medicine. Election to membership is based on candidates' distinguished activity in patient care, teaching and research. Dr. Klocke is the second Buffalo area physician currently a member of the Association; the other is Dr. Evan Calkins, chief of U/B's Division of Gerontology. A native of Buffalo and a graduate of Manhattan College and the U/B School of Medicine (1960). Dr. Klocke joined the medical faculty at U/B in 1965 as assistant professor of medicine. He was named chief of U/B's Division of Cardiology in 1976 and is currently professor of medicine and assistant professor of physiology. Dr. Klocke is currently chairman of the Policy Advisory Board of the Coronary Artery Surgery Study involving 17 medical centers FALL, 1978 nationwide and funded through the National Heart, Lung and Blood Institute (NHLBI). The Study's primary goal is to evaluate surgical or medical treatment on long-term survival of selected groups of patients suffering from coronary artery disease. Last year, the NHLBI funded a $2.5 million grant at U/B to increase basic knowledge of cardiopulmonary dysfunction and improved diagnosis and treatment of heart/lung diseases. Dr. Klocke is the chief investigator of the five year grant which involves some 20 U/B researchers in five programs and nine projects ranging from basic cellular research to clinical treatment. A research group headed by Dr. Klocke five years earlier received a similar grant for $2 million. Prior to joining the U/B faculty, Dr. Klocke, based at E.J. Meyer Memorial Hospital, was a clinical associate at the then National Heart Institute as well as chief resident physician. He has authored or co-authored some 40 professional articles in the area of coronary disease and has served on the editorial board of the American Journal of Physiology and Journal of Applied Physiology.D 31 �Faculty Honored Dr. Farhi Dr. Randall SEVEN FACULTY MEMBERS were honored at the annual Medical School faculty meeting. Dean John Naughton presented the Dean's Award to Dr. Clyde L. Randall for his "outstanding contributions" to the School of Medicine. Dr. Leon E. Farhi received the Stockton Kimball award for his contributions to teaching, research and service. The Louis A. and Ruth Siegel awards ($500 each] for distinguished teaching went to Drs. Sattar Farzan, Stefan Madajewicz and John Wright. Two special House Staff Teaching Awards went to Drs. ancy Nielson and Richard M. Lewis. Dr. Randall ended 38 years of service to the Medical School in 1975 when he retired and went to Johns Hopkins University to coordinate a new international program of education in gynecology/obstetrics. In his career at U/B Dr. Randall served as professor of Gyn/Ob since 1942 and as chairman of the department for more than a decade. He was also vice president for the Health Sciences, acting dean of the Medical School and chief executive officer. In 1971 he was cited by the School of Medicine "for 34 years of devoted service to medicine and this school." Dr. Randall has headed the department of obstetrics/gynecology at three Buffalo Hospitals - Buffalo General since 1942, the E. J. Meyer Memorial and Children's since 1960. He has also served as a consultant in ob/gyn at Douglas Memorial, DeGraff, and Gowanda State Hospitals. In 1948, when cytological testing for uterine cancer was in its infancy. Dr. Randall supported the development of the first local laboratory to do such testing for obstetric and gynecological patients. Dr. Randall has contributed to the knowledge of uterine and ovarian neoplasms through publications, discussions and as a member of the editorial board of OBSTETRICS A D GYNECOLOGY. He is a Fellow of the American Association and the American College of Obstetricians and Gynecologists, the American College of Surgeons, American Gynecological Society, Royal College of Obstetricians and Gynaecologists (England]. New York Gynecological Society, Dallas SW Clinical Society, and Kansas City Academy of Medicine. Dr. Farhi, who is internationally known for his work in the field of respiration, joined the faculty in 1958. The professor of physiology received his M.D. degree from the Universite of St. Joseph, Beirut, Lebanon, in 1947. He did his internship and residency at Hadassah University Hospital. From 1952 to 1955 he was a postdoctoral fellow at Trudeau (NY) Sanatorium, University of Rochester (NY) and the Johns Hopkins University. Before coming to Buffalo, Dr. Farhi headed the respiratory research laboratory at Hebrew University. He was also an assistant professor of physiology there. Dr. Farhi was the project director of the $1.5 million Environmental Physiology Lab that includes centrifuge, building, related laboratories and computer system. Dr. Farhi has written extensively for scientific journals. He has served as editor or on the editorial boards of four others. He is invited regularly to participate in international symposia. Dr. Farhi has been a consultant to the United States Public Health Service and a member of the cardiovascular and pulmonary study section, National Institutes of Health. 32 THE BUFFALO PHYSICIAN } J �Dr. Farzan, clinical associate professor of medicine, was graduated Summa Cum Laude from the Tabriz Medical School in 1956 and served in the Iranian Army. He came to the Medical School in 1968. He was an intern and resident at the Washington (D.C.) Hospital Center (1960-62). From 1962-64 he was a second year resident in medicine at the University of Louisville Hospital. The following year he was chief resident physician at the B.S. Pollack Hospital for Chest Diseases, in Jersey City. From July 1965 to December 1966 he was senior staff physician and assistant medical director of the Kentucky State Tuberculosis Hospital. Currently, Dr. Farzan is an attending and consultant for the Meyer, Children's, Veterans and Newfane Intercommunity Hospitals. He has been assistant medical director of Mount View Hospital in Lockport since 1966. Dr. Farzan was named an "outstanding teacher" in 1975 by the graduating residents in internal medicine at the Meyer Hospital. Dr. Madajewicz is a research cancer clinician at Roswell Park Memorial Institute. He has taught many third and fourth year medical students. Dr. Wright has been professor and chairman of the department of pathology at U/B and the Buffalo General Hospital since 1974. The 1977 yearbook, The Iris, was dedicated to him for his "teaching excellence." The 1978 class honored Dr. Wright "for his constant service to them when they were sophomores." The Canadian-born physician graduated with honors from the University of Manitoba's School of Medicine in 1959. He completed a rotating internship at the Winnipeg General Hospital and a year's residency in medicine there before switching to pathology at the Baltimore City Hospitals in 1961-63 and the Buffalo General Hospital (1963-64). Dr. Wright was a Fellow in endocrinology at Buffalo General Hospital for a year (1965-66) before joining the U/B faculty as instructor in pathology. Two years later, in 1967, he went to Johns Hopkins School of Medicine as assistant professor of pathology, where he also served as visiting pathologist at Baltimore's Union Memorial Hospital and as assistant chief of pathology for Baltimore City Hospitals. The 44-year-old pathologist, who is noted for his studies in the amyloid-aging link, is a member of the Maryland Association of Pathologists, the Medical!Chirugical Faculty of the State of Maryland as well as the American Society of Clinical Pathologists and the International Academy of Pathology. Dr. Lewis will be chief resident in medicine at the Meyer Hospital next year. He has been chairman of the House Staff Association this year. He did his undergraduate work at the University of California, Santa Barbara and received his M.D. from the University of Vermont in 1976. He worked as research assistant in the infectious disease unit for 18 months at the Vermont Medical School before entering medical school. Dr. Nielson is a 1976 graduate of the U/B Medical School, and has been teaching medical students at the Meyer while continuing her post graduate education. Thirteen other faculty members were acknowledged for teaching excellence- Drs. John Bracio, Harold Brody, Alexander Brownie, Don Collure, Jules Constant, Murray Ettinger, Leon Farhi, Margaret MacGillivray, Herman Mogavero, Henry Polin, Thomas Raab, Ramanujapuram Ramanujan, and Alan Reynard.D FALL, 1978 33 Dr. Farzan The Stockton Kimball Award, an eight inch Steuben Crystall Plaque, with the inscription from the Hippocratic Oath, was awarded to Dr. Farhi. Dr. Wright �Clockwise from lower left: Dr. O.P. Jones, M'56, Wynne Kulick; Dean John Naughton, Drs. Erwin Neter, John Wright; Jeffrey Pitts, Gary Merrill; John Valvo, Clifton Peay, Doreen Miller, Doug Powell; Drs. Robert Kahn , Jules Constant; Mr. and Mrs. Richard Angelico and friend. ' It was a fun afternoon for the 200 students, faculty, alumni and their spouses who attended the fifth annual cocktailreception for seniors at the Frank Lloyd Wright House (alumni association headquarters] on Jewett Parkway. For the graduating seniors it was one of the last social get-togethers.O 34 Medical Aluni Hosts Fift: Reception j THE BUFFALO PHYSICIAN �\ rini Association :th Annual for Seniors FALL, 1978 Clockwise from lower left: a friend chats with David Rohrdanz and Henry Wilamowski; Drs. Lawrence Golden, M'46, Norman Chassin, M'45; Dr. john Richert, Michael Blume, Steve Stone; Drs. Evan Calkins, Thomas Flanagan; Benedetto Tarantino and friend; Dr. and Mrs. Michael Sullivan, M'53, Dr. and Mrs. Edmond Gicewicz, M'56; Drs. Robert Schultz, M'65, Norman Chassin, M'45; Marc Daniels and friend. 35 �Summer Programs The histology/ embryology lab . Dr. Joseph Tomasulo, clinical assistant professor of anatomical sciences, and a first year medical student. Graduate and first year students participated in special summer programs in the medical school, according to Dr. John Richert, assistant dean. Seven incoming medical/dental students and six graduate students got a head start in their education by completing histology/embryology during the summer. This was the fourth year for this special preparatory support program for credit. During the afternoons (June 5-July 28) the students took special courses in anatomy, biochemistry, biophysics and skills development. The professors involved were: Drs. E. Russell Hayes, Michael Meenaghan, Chester Glomski , Joseph Tomasulo, Harold Brody, Murray Ettinger, Michael Anbar and Ms. Meryl McNeal. ine medical students enrolled in the 9-week accelerated program so they could graduate in three years. They each received 12 hours of credit. Dr . Jerry Roth directed the program in pharmacology and therapeutics and Dr. Arlene Collins was in charge of microbiology. Each student spends approximately 15 hours daily reading, listening to taped lectures, in labs or doing other types of self-study. Other professors involved in the accelerated program were: Drs. John Wright, Elliott Middleton and Alexander Brownie.D Dr. David Mount, clinical assistant professor af microbiology, and four second year students- Dennis Smith, Kenneth Kuchta, Steve Sparr, and Don Cohen- in the accelerated program. 36 THE BUFFALO PHYSICIAN �Forcing senior citizens to lower their heat may cause them irreparable harm, according to Dr. Harold Brody, professor and chairman of the anatomical sciences department. "One danger, just beginning to be recognized, is accidental hypothermia," he said. Dr. Brody's words on the subject are part of the written testimony submitted to the Public Service Commission (PSC] in opposition to the National Fuel Gas (NFG] Co.'s proposed 16 per cent rate increase. Dr. Brody also pointed out the tendency of senior citizens to pay a utility bill even when a Social Security or pension check cannot cover the cost of food and medicine as well. "There is a possibility that some senior citizens may be denying themselves proper diets in order to pay energy bills," he testified.D Senior Citizens The outgoing president of the Medical Society of Erie County suggested that the medical and patient communities and industry join in a partnership to hold the line on medical costs. Dr. Anthony J. Federico, clinical assistant professor of surgery, urged the society to take a leadership role in the medical community to curtail spiraling costs by supporting local health maintenance organization involving an independent practitioners association. "I believe we are on the threshold of a major change in the way we practice our profession. We must guide our patients responsibly through the best of quality medicine with regard to the most economical manner in achieving it." In conclusion, Dr. Federico said, "I would rather see the physician community join in partnership with industry and our patients rather than with the federal government through a national health insurance program."D Medical Costs Dr. Hilliard Jason, a 1958 Medical School graduate, is the director of a new National Center for Faculty Development at the University of Miami Medical Center. On July 1 the Association of American Medical Colleges terminated their operation of the Faculty Development Division. Dr. Jason and his colleagues expect to continue to offer a variety of workshops on faculty development. Dr. Jason has been with AAMC since 1974. Before 1974 he was a full -time educational consultant to the Lister Hill National Center for Biomedical Communications of the National Library of Medicine since July of 1972. From 1966 to 1972, he was the Director of the Office of Medical Education, Research and Development at Michigan State University where he was Professor of Medical Education, Professor of Psychiatry and Professor of Educational Psychology. Dr. Jason is a Canadian by birth. He received his Bachelor of Science degree at McGill University and his Doctorate of Education at UB.D Dr. Jason FALL, 1978 37 �Th e N e w Hospital Erie County Medical Center A 17-year dream has come true . The new air-conditioned Erie County Medical Center that took seven years to build after 10 years of planning opened July 15. The $113 million facility, dedicated July 9, is among the most modern medical centers in the nation. The new Grider Street facility is twice the size of the E.J. Meyer Memorial Hospital, but has the same number of beds, 785. Under the 12-story tower is the three-story main building housing the clinics, radiology therapy, surgery, rehabilitation medicine , medical records and supply processing. Patient rooms are located in the four-wing tower. Each wing is equipped with a team conference center that replaces the traditional nurses' station. Each patient room has a "nurse-server" containing patient supplies and medications, a patient's chart and a space for storing fresh and soiled linens. Charts will be locked in the patient's room. At the center of each floor is an administrative control center designed for hospital personnel to clear entering patients, staff, visitors and supplies. Pneumatic tubes will link most hospital departments. Written messages, medications, specimens and false teeth can be sent through the tubes. Telephone-style button controls and an automatic empty carrier tube return gives greater efficiency to the hospital operation. Automated carts, running on a monorail system, distribute new supplies throughout the hospital. An ambulance ramp leads directly into the emergency room area and computerized patient monitoring systems. Menu items are prepared in a conventional manner in the hospital kitchen and blast-frozen for future use. Meals are not prepared for serving until they are delivered the the galley section designed to serve a 20-patient area. Visitors and staff members eat in the cafetorium, a combination cafeteria and auditorium.D 38 THE BUFFALO PHYSICIAN �Summer Fellowships TWENTY MEDICAL STUDENTS participated in the annual summer fellowship program, according to Dr. John Edwards, associate professor of medicine, who is program chairman. Each student received from $800 to $1,000 for eight or nine weeks of work in medical research in the basic sciences and community health problems. The program is funded by the American Cancer Society, Annual Participating Fund for Medical Education, and the bio-medical general research support grant. Four students, John Canty, Alan Smith, David Lipman and Jonathan Felsher, are continuing their research that they started in 1976 and 1977 when they won a summer fellowship. Others in the program include 12 first year students and 6 second year students. Student Eric Berger, '81 john Canty, 79 joseph Caprioli, '79 jonathan Felsher, '80 Marshall Goldstein, 81 Nancy Keller, '81 David A. Kolb, '80 David Lipman, '80 Deborah Malamed, '81 Patrick Marabella, '81 Thomas D. Masten, '80 john Monaco, '81 Gerald Peer, '81 Evan Schwartz, '81 Heidi Shale, '81 Alan Smith, '80 joseph Tabone, '80 Peter Yang, '80 Peter Yeracaris, '81 Kevin Welch, 81 FALL, 1978 Other committee members Drs. Michael Anbar, biophysical sciences; Gerard Burns, surgery; Murray Ettinger, biochemistry; Floyd Green, medicine; Diane Jacobs, microbiology; Edwin Mirand, Roswell Park; John Richert, assistant dean; John Seigel, surgery; and Mary Voorhees, pediatrics.D Sponsor Dr. Harold Brody, Anatomy Dr. Robert E. Mates, E.j. Meyer Hospital, Cardiology Dr. Frank B. Cerra, Surgery, Buffalo General Hospital Dr. F. Sachs, Pharmacology Dr. Edward B. elson, Pharmacology Dr. Howard Faden, Virology Lab, Children's Hospital Project Lipofuscin in Relation to Age in Brain Stem Transmural Variations in Myocardial Resistance and Blood Flow Further Investigations into the Nutritional Basis of Energy in Cancer Voltage clamp studies on isolated cardiac Purkinje cells A Therapeutics Approach to Aceteminophen Hepatotoxicity Effect of Hydrocortisone on Phagocytosis & Superoxide Production by Polymorphonuclear Leukocytes Clinical Application of Neurophysiologic Techniques: Investigation of the Fresponse in patients with amyotrophic lateral sclerosis Antigenic Variation of HA Protein and Base Composition of the HA Gene of Influenza A Virus Intrafamilial Factors in the Placement of the Elderly Effects of Chemotherapy on Immune Status: "Unblocking" The Management of the Complaint of Headache in a University Hospital Emergency Room and Walk-In Center Sweat Electrolyte Measurements in Premature and Full-term Infants Low tidal volumes and the penetration of gases of various diffusivities into the human lung Using the Dynamic Center of Mass as a Mass Screening Technique in Scoliosis Dr. S. Barron, Dent. Neurologic Inst., Millard Fillmore Hospital Drs. Thomas Flanagan/ Edward iles, Microbiology Dr. Evan Calkins, Medicine; Dr. orman Solkoff, Psychology Dr. Hiroshi Takita, Roswell Park Memorial Institute Dr. Robert L. Dickman, Social & Preventive Medicine 2211 Main Street Dr. Gerd Cropp, Children's Hospital Dr. Hugh VanLiew, Physiology Dr. Sheldon R. Simon, Children's Hosp. Med. Center, Boston, Mass. Dr. j.C. Winter, Pharmacology/Therapeutics Morphine and Endorphin-induced analgesia and stimulus control: Influence of serotonergic agonists and antagonists The Relationship of Early Membrane Effect of TPA and PGF' to Cell Cycle Kinetics Carcinoma of the Esophagus Dr. Charles E. Wenner, Roswell Park Dr. Hussein Abdel-Dayem, Radiology, E.j. Meyer Hospital Dr. Paul Berger, Radiology, Children's Hospital Measurement of Normal Ventricular Size in Children Utilizing Computed Tomography Patient Compliance and AppointmentKeeping Bahavior at the West Side Health Center Effect of Hemorrhage on the Cerebral Vasculature Dr. Robert Dickman, Social & Preventive Medicine Dr. Louis Bakay, Neurosurgery, Meyer Hospital 39 �Evaluation Committee I I Fifty-four medical school faculty members and students are serving on four "year committees" to review students' academic progress, evaluation procedures and the academic program. There is one committee assigned to each of the four years, according to Dr. Leonard Katz, associate dean for student and curricular affairs. Dr. Harold Brody, professor and chairman of anatomical sciences, is chairman of the first year committee. Serving with him are: Doctors Alexander C. Brownie, Biochemistry II; Murray J. Ettinger, Biochemistry I; E. Russell Hayes, Histology/ Embryology; Frank C. Kallen, Gross Anatomy; Donald W. Rennie, Physiology; Gloria L. Roblin, Human Behavior; Norman Solkoff, Human Behavior; Harry Sultz, Social and Preventive Medicine; C. Richard Zobel, Biophysics. Dr. Richard H. Adler is clinical sciences representative; Dr. Henry E. Black, volunteer faculty representative; and Rudy Williams is the office of medical education representative. Student representatives are Vivien Carrion, ancy Keller and Dennis Smith. Dr. Thomas D. Flanagan, professor of microbiology, is chairman of the second year committee. Others on the committee are: Doctors Robin M. Bannerman, Medicine General; Raymond P. Bissonette, Gyn/Ob; Robert L. Dickman, Social and Preventive Medicine; Richard V. Lee, Diagnostic Skills; Robert J. Mcisaac, Pharmacology/Therapeutics; Gloria L. Roblin, Human Behavior and Sexuality; Norman Solkoff, Human Behavior and Sexuality; John R. Wright, Pathology. Dr. Roger S. Dayer is the volunteer Faculty representative; Dr. Pearay L. Ogray, the Clinical Sciences representative; and Dr. John A. Richert is the Office of Medical Education representative. Student representatives are Joseph Gagliardi and John D. Mageli. Dr. John W. Cudmore, clinical associate professor of surgery, is chairman of the third year committee. Serving with him are: Doctors Harry J. Alvis, Fifth Pathway; Joseph T. Aquilina, Medicine; Evan Calkins, Medicine; Ellen S. Dickinson, eurology; Marcos B. Gallego, Gyn/Ob; Wayne L. Johnson, Gyn / Ob; Stanley Levin, Pediatrics; Seung-Kyoon Park, Psychiatry. Dr. Robert J. Grantham is the Basic Sciences representative; Dr. Philip D. Morey is the Volunteer Faculty representative; and Dr. Frank T. Schimpfhauser is the Office of Medical Education representative. Student representatives are Andrew Costarino and Lynnette Nieman. Dr. Raymond P. Bissonette, assistant professor of family medicine and clinical assistant professor of social and preventive medicine, is chairman of the fourth year committee. Serving with him are: Doctors Harry M. Beirne, Pediatrics; Burton S. Belknap, Dermatology; John I. Lauria, Anesthesiology; Eugene V. Leslie, Radiology; Kamal Tourbaf, Medicine; Richard W. Williams, Surgery. Dr. Edward W. Hohensee is the Volunteer Faculty representative; Dr. Leonard Katz represents the Office of Medical Education; and Dr. Barbara R. Rennick is the Basic Sciences representative. Student representatives are Terrance Chorba, Franklin Marsh, and Paul Paroski.D 40 THE BUFFALO PHYSICIAN �Continuing Medical Education Several Continuing Medical Education Programs are scheduled for Fall, 1978, according to Mr. Charles Hall, director of the programs. The dates, titles and chairmen of the programs are: September 16-0bstetric Anesthesiology and Perinatology, Dr. Richard Ament, clinical professor of anesthesiology. September 22-Mental Health Planning and Evaluation, Dr. Barry S. Willer, assistant professor of psychiatry (psychology). September 22-Division of Community Psychiatry, Colloquium with Professor Gerald Caplan, Dr. Don Bartlett. October 5-6-Division of Community Psychiatry, Rural Mental Health, Dr. Don Bartlett. October 7-Electrocardiography: Diagnosis of Chamber Overloads, Dr. Jules Constant, clinical associate professor of medicine. October 12-13-The Uncompensated Hypersensitive, Dr. Robert Schultz, clinical associate in medicine. Treatment of Coronary Artery Disease, Dr. Lawrence Golden, clinical professor of medicine. October 14-15-Advances in Pediatric Endocrinology and Diabetes (to be presented by the pediatrics department). October 26-27-Clinical Dermatology (at Hilton Head, South Carolina), Dr. Richard Dobson, professor and chairman, department of dermatology. October 27-28-Radiology of the G I Tract, Dr. Eugene Leslie, clinical professor and chairman, department of radiology and clinical professor of nuclear medicine. November 16-17-Minimal Cerebral Dysfunction (with CIBAJ, Dr. Michael E. Cohen, clinical associate professor of pediatrics and neurology. November 27-28-Massive Blood Replacement. There will be no major reform in the nation's medical schools until educators admit that there are significant problems, the chairman of medical education at the University of Southern California's Medical School said Monday. "We have five major problems, and perhaps the most significanL.one is an unwillingness to look at the problems," Dr. Stephen Abrahamson said at the President's Dinner of the Buffalo Academy of Medicine. Addressing about 90 persons in the Statler Hilton's Georgian Room, Dr. Abrahamson said educators should be concerned about the cost of medical education and the medical schools' dependence on federal grants and financing from other outside sources. Other major problems, he said, are administrative structures that place too much power in institutions' medical departments and pressure from outside groups with specialized interests. "Unfortunately, there probably won't be another major reform in the field of medical education until the problems become quite acute," Dr. Abrahamson concluded.D FALL, 1978 41 Medical Problems �Dr. Bosu Wins Award Dr. Bosu Dr. Sogba K. Bosu, M'69, won the exceptional employee award (1977) of the Memorial Hospital Medical Center, Long Beach, California. He is a clinical assistant professor of pediatrics (neonatology) at the University of California at Irvine Medical School. In making the award, the medical director of Miller Children's Hospital, Dr. Harry Orne, said "Dr. Bosu is my concept of the ideal physician. He is an unusually dedicated, caring, warm person who gives freely of himself in time and skills to patients, parents and the Center's staff." The sentiment was echoed by a member of Infant Special Care's nursing staff, who said, "He is the most wonderful man. He comes here at 4 a.m. even when he's not on call. He's here seven days a week, always." "I stay until my work is finished," Dr. Bosu explained his daily long hours which begin well before dawn and extend until late in the day, usually between 7 p.m. and 9 p.m. The native of Nigeria came to the United States sixteen years ago to pursue his studies. He received his bachelor's degree from Cornell University, Ithica, .Y. Dr. Bosu took a three-year pediatric residency at Children's Hospital, Buffalo, and a neonatology fellowship at Children's Hospital, Montreal. He then served as research instructor in pediatric hematologyoncology at the Roswell Park Memorial Institute, Buffalo, the oldest cancer research institute in the world. Before joining Memorial, Dr. Bosu took up private practice in Long Beach with the Family Health Program, a prepaid medical group. He is secretary/treasurer of the Long Beach Pediatric Society and active in the Los Angeles and Orange County Pediatric Societies. In his limited spare time, Dr. Bosu swims, plays tennis and is an avid reader, particularly of military history. His greatest avocation, however, is politics. Fully versed in international politics, he intends to pursue a second career in this field if, upon his return to igeria within two years, the climate is right. His native country is currently undergoing a constitutional change from military to civilian government. If the new leaders fail to chart a course for Nigeria that Dr. Bosu believes is in the best interests of his people, then he will first seek political office as a congressman or senator and "someday will go for the presidency," he says.D 42 THE BUFFALO PHYSICIAN �Obese people tend to eat more when the amenities of the dinner table are plush, according to Dr. Sami A. Hashim, a 1955 Medical School graduate. An attractive goblet and a bit of candlelight tend to make obese people eat beyond their physiological needs. Dr. Hashim said that lean and obese volunteers were brought to the St. Luke's Hospital Center in New York City. It was here that the volunteers ate tasteless though fully nutritious food served in a variety of ways. First, the food was offered through a tube. "The obese patient reduced his intake drastically," Dr. Hashim said, "consuming about one-tenth of the calories he needed to maintain his weight." However, the lean subjects ate just enough to maintain their body weight. In this case both the obese and lean subjects consumed just the number of calories their bodies required. That meant that the obese were eating far less than usual because they were drawing upon excess reserves. Then the situation was changed to make eating the same food somewhat more attractive. Although nothing the researchers did to make the formula seem more appealing seemed to have any effect on the lean people, the obese subjects changed their eating habits drastically. "When we switched the automatic feeding from a tube to a paper cup," Dr. Hashim said, "the obese adult would consume twice as much. We put the formula in a crystal goblet and he doubled his intake again." The researcher went on, "We put a candle in the room and he consumed even more." When the obese subjects were told the feeding machine had broken down and were introduced to regular food, they ate still more. The hopeful note is this: The responses to those influences appear to be learned responses- and so they can be unlearned. "We've got to make the obese person less aware of the external, train him to listen to his internal and physiological voices," Dr. Hashim said.D Dr. Hashim Dr. Milton M. Weiser has been named professor of medicine. He comes to Buffalo from the Harvard Medical School where he has been since 1967. He has also been an associate physician at the Massachusetts General Hospital. In 1973 he was professor-incharge of gastroenterology at the Harvard-MIT program in health sciences and technology. Dr. Weiser received his M.D. from the University of Michigan in 1959. He did his undergraduate work at Wayne State University, Detroit. He interned at Southern Pacific General Hospital, San Francisco and was a resident at the University of Michigan Medical Center. In 1965-67 he was a postdoctoral special fellow (auspices of IH gastroenterology section) in the molecular biology department, Albert Einstein College of Medicine , Bronx, N.Y. He is a Diplomat, American Board of Internal Medicine , and is a member of several other professional associations. Dr. Weiser has authored or co-authored 30 scientific articles; seven abstracts; one book and chapters in four other books.O Dr. Weiser FALL, 1978 43 �Congenital Hypothyroidism Two PEDIATRICIANS are doing their part to minimize the effect of Dr. MacGillivra y Dr. Voorhees congenital hypothyroidism. Both Drs. Margaret MacGillivray and Mary Voorhess are trying to recognize the problem as close to birth as' possible. They are co-directors of the division of endocrinology at Children's Hospital and professors at the Medical School. Most affected children have subtle signs of the problem at birth, according to the two pediatricians. "We look for these signs during routine nursery examinations, but diagnosing the problem does not always mean mental retardation will not occur. Similarly, delayed diagnosis does not always result in retardation," Dr. MacGillivray said. A technique for screening newborns wasn't available until 1973, although methods to screen for less common problems causing mental retardation previously existed . The test is based on one developed in 1961 by Buffalo's Dr. Robert Guthrie, professor of microbiology and pediatrics, to detect phenylketonuria (PKU), a disease which often leads to mental retardation. A drop of blood from a newborn is collected on a filter paper and a small piece of it undergoes a process called radioimmunoassay. If the first test shows the presence of thyroid hormone is below a certain level, a second test using a drop of blood taken at a later date is performed. In the second test radioimmunoassay is performed to measure thyroid hormone and also thyroid stimulating hormone. Only a handful of states have yet to mandate screening using radioimmunoassay to test for congenital hypothyroidism. New York State 's Public Health Law was amended effective last July 6 to order screening of all newborns for the condition. However, because of state fiscal problems, statewide screening is not yet mandated. In Erie County local resources and CETA funding is being used for a pilot program to screen newborns at Children's and Mercy hospitals.D 44 THE BUFFALO PHYSICIA �Dr. Rattazzi holds a cat just before an enzyme infusion experimen t, while Ms. Catherine Dawning, a technician, and ,\ lark Glosenger, second year medical and summer ,\larch of Dimes Fellow, look on. A cure for Tay-Sachs disease is theoretically possible, according to Dr. Mario Rattazzi, research associate professor of pediatrics. He has been encouraged in his research by the recent discovery of a breed of domestic cat that manifests a genetic disease analagous to Tay-Sachs. He recently received a $160,000 grant from the ational Institutes of Health to develop an "animal model" of Tay-Sachs and related diseases that could eventually lead to an effective therapy for human victims. Tay-Sachs disease is a storage disease, an inherited metabolic disorder that inevitably results in blindness, retardation and death before the age of five. This disorder strikes more Jewish families, especially those with ancestral roots in Central and Eastern Europe. Ashkenazi Jews run a far greater risk of carrying the potentially deadly gene, according to Dr. Rattazzi. "Everybody is a carrier for about six deadly genes. We don't know it and live happily. These genes are part of our makeup just like the genes for red hair or blue eyes," Dr. Rattazzi said. "All Jewish couples who want to have children should be screened," Dr. Rattazzi said. Children's Hospital offers this service for a nominal fee. If the couple both carry the gene, they are advised. They are told that, should the woman become pregnant she has recourse to amniocentesis, a procedure in which the amniotic fluid surrounding the fetus is tapp ed. If the lysosomal enzyme Hex A is not found in this sample of amniotic fluid, the parents are advised that the fetus has Tay-Sachs disease. "If the fetus is affected we present the parents with the options. We, as geneticists, do not try to tell parents that they have to have an abortion. The decision is up to them. As genetic counselors, we have to take into account the moral and religious points of view of our counselees," Dr. Rattazzi said. The peditrician-researcher believes eventual treatment of Tay-Sachs disease based on enzyme replacement is possible, at least in principle. But a cure may be years of work away.O FALL, 1978 45 Tay-Sachs Disease ,\Is. Elizabeth ,\1. Villari, o technician, is separating leu k ocytes from the blood of a jewish co uple fo r ToySachs disease tes ting w hile Dr. Rattazzi abser\'es. �Aging Study Dr. Brody There is a long road ahead for solutions to problems of aging and the elderly, according to Dr. Harold Brody, M'61, acting director of the Multidisciplinary Center for the Study of Aging. "But we are making progress because government policy makers are taking notice." The Internationally-known gerontologist notes that there are more elderly people today and they are gaining political clout. Dr. Brody is also professor and chairman of the department of anatomical sciences at the Medical School. He is past president of the American Gerontological Society and a member of the advisory council to the National Institute on Aging of NIT. As a participant at an international meeting in France which attracted scientists in biology, medicine, sociology and psychology, voluntary retirement, financial security and other topics affecting the elderly were discussed. There were also reports dealing with anatomical and physiological process of aging, according to Dr. Brody. He notes that while senile dementia-a condition with symptoms that include loss of recent memory-is tied to morphological changes in the brain, and while aging causes a decrease in the number of cells in certain parts of the brain, scientists still don't know precisely what changes occur in the brain during various stages of aging. "Part of the basic researcher's problem is a lack of suitable animal models by which the aging process can be studied from birth to old age," Dr. Brody points out. Rats, for instance, must be more than 24 months old to be considered 'elderly.' But most grant monies are given for a limited three-year study which means that by the time the rat is at a prime age for study, the money may no longer be available. And although certain primates might be more ideal as animal models, it takes them 22 years to reach 'old age.' A hopeful note, however, is an ongoing NIA study of men who will have extensive medical and psychological tests during a 35-year period. A similar study with women is being planned by the Institute. Gerontologists, Dr. Brody explains, are interested in helping people live better, not necessarily longer lives. Some people may be disappointed that the scientists aren't instead seeking keys to immortality and eternal youth. "Our society is so obsessed with youth that it's a natural response for people to dread growing old. But no diet or quasi-medical regimens touted for wrinkle-free skin or eternal youthfulness exist today.'' There is no scientific evidence that massive amounts of Vitamin E, food combinations or injections of local anesthetics will deter aging. Dr. Brody believes heredity, more than diet or exotic panaceas, will be discovered to have more bearing on the speed and degree to which we age. "While it's good for people to practice preventive medicine through careful diet and exercise to perhaps lessen chances of debilitating medical problems, there's no evidence these measures slow down the aging process of body organs," Dr. Brody notes. While as a basic scientist, he's concerned with the physiological process and causes of aging, he is also concerned with the non-medical problems of old age. 46 THE BUFFALO PHYSICIA �"Some obvious things aren't being done nationally," he points out, "especially in the areas of transportation and security of the elderly." Assuming health care were readily available to all senior citizens, the problem of how they can get to this care is an enormous one, for many can't physically navigate even the steps of a public transit system. "The elderly are afraid of being 'ripped off'-a real and disturbing problem especially in urban areas. They're afraid to leave home, they're afraid to go shopping and they're afraid to be at home alone. What kind of life is that?" he asks. Dr. Brody concedes that in the area of building access, recent legislation mandating that all HEW-funded buildings be adapted for use by the handicapped will benefit many elderly as well. "But if public transportation isn't equipped with fewer steps or hydraulic lifts to enable the wheelchair-bound to get on the bus, the advantage of remodeled buildings will have been lost," the educator notes. "But we don't know how many people would choose voluntary retirement if they had no worry of how to pay utility and food bills, or the impact of delayed retirement on the overall job market. We also need to know what type of review system could be developed to determine employees' productivity so retirement, or continued employment could perhaps be based on the results," he says. "Is the 77-year-old physician who began jogging at 67 and has set new track records in his age group atypical or could others do the same? Or would many even want to?" Dr. Brody asks. The answers to these and other questions require more research, but the gerontologist says now we're looking at the problems and hopefully the answers will follow.D The Department of Pharmacology and Therapeutics tried an experiment this year with the sophomore medical class. The purpose of the experiment was to make the students more aware of FDA drug regulations as well as help them develop communicative skills with patients, especially in regard to drug effects. Students were given the opportunity to write a Patient Package Insert for Meperidine Hydrochloride (Demerol) for extra credit on the final Pharmacology Examination. The Inserts were intially evaluated by departmental faculty, and the best were submitted to the FDA for an unofficial evaluation by Dr. Lloyd G. Millstein, Acting Director, Prescription Drug Labelling Staff, Bureau of Drugs, and Dr. Louis Morris, Supervisor of the Patient Package Insert Program, FDA. Dr. Robert Mcisaac, Pharmacology Coursemaster, announced that in the opinion of the evaluators, the best insert was written by David Duani, and the second best insert was prepared by Mary Anne Kierman. Honorable mention was awarded to Katherine Jasnosz, Thomas Masten, and Thomas Pullano. Fifty-nine students took part in the exercise this year. Dr. Millstein expressed great interest in the project and urged that it become a regular part of the department's educational program.D FALL, 1978 47 Patient Package �A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself Part VII Response of Readers to Dr. Samuel Sanes' Article VI By Samuel Sones, M.D. And so, almost from the beginning, I came to see myself writing as an advocate of fellow patients and their families, even if, in doing so, I ended up as an adversary of physicians and other professional members of the medical team. Indeed, I feel so deeply about other cancer patients, especially those in the leukemia-lymphoma group, and so close to them and their families, that I am seized with a sense of guilt that- limited by my literary skill - I haven't written as clearly, strongly and empathically in their behalf as I should. * Writing for The Buffalo Physician means different things to me. * * * At best, it is a mental and emotional tonic. Anticipating my articles, planning and executing them, submitting them on time for press deadlines strengthens my morale and selfesteem against the depressive effects of my cancer and its treatmen!. * * * At worst, in writing my articles I impose upon myself (it may be the masochist in me) a couple of negative feelings, one of fear and one of guilt. * * * As for the feeling of fearOriginally I saw my articles telling simply the story of my own cancer and my own response to it. Hence the title of the series, "A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself." But I have always been afraid that readers brought up on comprehensive reviews of the literature and reports of randomized studies on numerous patients will find my personal and anecdotal, selective and impressionistic narrative lacking in scientific significance and clinical relevance. * * * I soon realized that I was not alone - that I was not merely an individual physician-patient with my own disease and my own response to it, but one of many cancer patients facing similar problems. "Rehabilitation" and "Reconstruction" are recent concepts in the treatment and care of cancer patients. Progress in surgical, radiation, chemo- and immunotherapy has prolonged survival and increased chances for personal, social and occupational activities. Stroke patients have always been thought af as stereotypes for rehabilitation, particularly physiotherapy. Today rehabilitation may be becoming more indicated, applicable and productive in cancer patients. The Roswell Park Memorial Institute runs a busy Physiotherapy Department for both inpatients and outpatients. The department was set up with its present facilities just two years ago with Susan Barr as director. The photograph shows a practice staircase for patients in the RPMI Physiotherapy Department. Rehabilitation As for the feeling of guiltBefore I learned that I had disseminated cancer I had been a physician for 43 years and a volunteer in the American Cancer Society for 25. Yet until I was a cancer patient myself, I never really grasped all that it means for a person and his family to face cancer, particularly cancer of an incapacitating, painful, incurable type. * * But let's put aside discussion of my self-imposed fear and guilt. The basic question about my articles on communication in cancer is this: Does what I have written, in a personal and anecdotal, selective and impressionistic way (I've tried to be fair, though, by choosing positive and negative examples) possess validity for the every day practice of medicine - does it have meaning for the average physicianmember of the medical teampatient-family relationship? One source for an answer to that question is the comments which I have received from readers physicians and non-physicians - by word of mouth, telephone and mail. These comments answer a unanimous "Yes." (Readers with adverse criticism of my articles don't get in touch with me. Perhaps they don't consider it worth their time to criticize me.) You can judge for yourself. The editor of The Buffalo Physician has kindly decided to publish readers' comments to my six articles on communication as he did to my first five articles in the series. Here they are. COMME TS FROM PHYSICIA S From a UB senior medical student (now a physician) with Hodgkin's Disease Stage JIB, who was chosen by his fellow seniors to give a class address at the 1977 Commencement of the School of Medicine (excerpts from the address) Thank you all who made it possible for me to speak tonight and a special thanks to Dr. Sam Sanes and his articles on communication in The Buffalo Physician for helping me to formulate the following ideas. THE BUFFALO PHYSICIA RECONSTRUCTION �At his admission to the RPM! Feb. 7, 1978, Dr. Sones' anemia, recurring fever and chills, muscular weakness and pain, etc., had made him an invalid. He couldn't dress himself in street clothes. He couldn't walk upstairs without help and support. He couldn't turn in bed from side ta side. One afternoon he slipped and fell to the living room floor. His wife had to telephone the police rescue squad to get help in lifting him up. On being admitted to the RPM!, Dr. Sones was placed in a daily physiotherapy program. When I started medical school I often joked with a friend of mine, a fellow orderly at a local hospital, on how we fought disease and death by collecting dirty linen from various floors. To say the least, the battle against disease and death is quite a bit more complicated and difficult .. Today 140 of us - as new physicians - will embark upon that battle with a measure of scientific competence certified by our diplomas. Yet as we leave here tonight there are two essential elements, besides scientific competence, of our profession which we must attain, which are not really taught in any formal lecture setting. Nor is any clinical rotation especially designed to provide these interpersonal skills and attitudes - the capacities to communicate with and have compassion for our patients and their families. Our exposures in medical school to these skills and attitudes have been varied depending upon certain faculty members with whom we have worked in school and hospital, clinic and office ... Becoming scientifically competent in the management of disease is a function of lecture halls and laboratories, clinical rotations, textFALL, 1978 books. Communication and compassion depend upon our personal orientation to the physician-patient relationship and the examples set for us by other physicians-faculty members ... Each of us has seen some physician proficient in his ability to communicate, to be compassionate. He or she is easily recognized by the medical student, house staff, nurses and above all by patients and their families ... The doctor who, in addition to making a diagnosis and prescribing treatment, finds time to sit down and openly discuss the diagnosis and its implications, or who will explain upcoming procedures and answer questions to release anxiety and doubts, is a complete physician. This completeness ought not to be excluded by the practice of a specialty or subspecialty ... As physicians we must realize that as individuals performing our scientific tasks we are replaceable. (i.e. Someone else can read that EKG, remove that gall bladder, or whatever.) What is unique to all of us is our personalities and the interpersonal dynamics which we apply to the physician-patientfamily relationship ... Tonight we leave here 140 strong - with a scientific competence for which our diploma certifies us - to pursue further training. We will need to add to the competence we've acquired in medical school the skills of communication with and compassion for the patient and family. This will require much effort, constant trial and error and self-discipline until each one of us can become the house officer or attending physician who is the complete doctor - a medical scientist and an empathic physician in one. * * I was on duty in the emergency room. An elderly black man about 70 years of age, retired but working part time as a security guard, came in with his middle-aged daughter. His only other close relative was a blind wife who lived as a recluse with him in a small rural town about 15 miles from Buffalo. The patient's chief complaint was severe pain in the lower back. The prostate gland was "frozen." X-ray films of the lumbo-sacral spine showed osteoblastic metastases. Neither the patient nor his daughter knew anything about a diagnosis of cancer of the prostate. Some time before, however, the patient had gone to a general practitioner in Buffalo with a complaint of difficulty in voiding urine. I telephoned the general practitioner from the emergency room. He had referred the patient to a urologist in a suburb adjacent to Buffalo who had done a transurethral resection. The pathological diagnosis was carcinoma. As far as I could find out over the phone, the urologist had not told the diagnosis to the patient or his daughter. (In this instance there was no question of talking to the blind, reclusive wife, but the daughter was Dr. Sones lifts weight with leg to strengthen quadriceps muscle (under supervision of Susan Barr]. Dr. Sones had severe quadriceps weakness which prevented him from getting out of a chair, walking independently and climbing stairs. * From a resident at a voluntary teaching hospital in Buffalo affiliated with the UB Medical School [word of mouth). Some of the residents, especially the foreign graduates, think your articles in The Buffalo Physician are classics. Residents not on the mailing list of the journal read the articles in the hospital library. Here's an example of fouled-up physician-patient-family communication which I ran into recently. I wonder about the factors involved. 49 d- �Dr. Sones strengthens arms with pulleys. His arms were weak from disuse, and with the weakened quadriceps he needed to rely on his arms more than ever. available for communication of the diagnosis.) He had referred the patient back to the general practitioner in Buffalo, who told me over the phone that he had informed the patient that he had cancer. The patient and his daughter vehemently denied having received this information. The fact is, however, that the patient was never scheduled for a follow-up visit with either the urologist or the general practitioner and received no treatment. I must mention that about this time in the relationship between the general practitioner and the patient the physician became ill with coronary heart disease and was off practice for some time. Of course both the patient and the daughter were most angry in their expressions to me that they had apparently not been told of the cancer. The daughter was especially so. I admitted the patient to the hospital for hormonal control of his cancer. What factors really went wrong here in the general practitionerurologist - patient - family communication? Whom to believe? * * * From a Buffalo physician who overheard an attending surgeon during a conversation in a hospital coffee shop complain about a newly-built surgical suite. (word of mouth) Why did they locate the new operating rooms so that the surgeon, after completing an operation, upon leaving "surgery," can't avoid encountering the patient's family in an adjacent waiting room? * * * From a Buffalo physician whose wife had recently died of carcinoma of the breast with metastases. (a phone call) Maybe you'll convert a few before the day of reckoning. For goodness' sake keep on writing. The Buffalo Physician arrived this afternoon and this evening I read your Article VIC. I just had to telephone you immediately. I have been reading your articles and should have been in touch with you before, but after my wife died I just couldn't come to terms with the subject of cancer. Her illness and death were too much for me. I want to tell you that everything you said about communication in Article VIC is the truth. I can't tell you the problems my wife and I had communicating with her physician. He had absolutely no empathy with us or our problems. Even though I myself am a physician, he would never take time out in the hospital to sit down and talk to me. I had to invite him to lunch to get enough of his time and attention to learn what I needed to know. Toward the end my wife confronted him with his lack of compassion. "Don't you ever think of me as anything more than a blood count?" she asked. From a general practitioner, not a UB graduate, in Massachusetts who is under treatment for histiocytic lymphoma (a letter) * * * From a general surgeon in New York State (a letter) I continue to enjoy your articles in The Buffalo Physician. Your complaints about physicians and malignant disease could be extended across the whole spectrum. I think a great many doctors are insensitive - mercenary - gods, etc., and it's always been something like that. I am particularly struck with the ones who are gods. When a situation gets out of control they have to get out so it will not come to their attention that they are ordinary persons. I have just finished reading "Informed Consent." It's really just about breast surgery but is something for a surgeon to think about. Somewhat more pessimistically than you, I think that many physicians are tradesmen - not very kind or concerned, many on ego trips and just can't stand anything that threatens them. I think that Medicine generally is in for a big kick in the ass. The days of the god-like physician are coming to an end. 50 * * * After reading about you and your fine work (on communication with families of cancer patients) in the October, 1977, Medical World News, I feel prompted to write. I also have histiocytic lymphoma - abdominal -discovered in July, 1976. Surgery was performed followed by 21 radiation treatments, then 6 weeks of induction drug therapy vincristine, streptomycin and prednisone. Since then I have been on maintenance of cytoxan, B.I.D. and prednisone for the first 7 days of each month. When I saw my oncologist about 10 days ago he informed me that he will stop my medication at the end of 18 months - March 31, 1978 - because it has been found that to extend medication beyond 18 months results in leukopenia, perhaps pancytopenia. My oncologist also informed me some time ago that I was in remission. I advised him to put on his records that it's a cure. He laughed and said, "I hope so." I am 67 years young, married and have 5 children. I am a GP and a Regional Medical Examiner. I would greatly appreciate hearing from you, telling me everything you possibly can about our histiocytic lymphomas. Dr. Sones strengthens trunk and hips through resistive exercise (proprioceptive neuromuscular facilitation techniques) to enable him to turn over more easily in bed. �(Dr. Sanes' note: Physicians with the same cancer sometimes communicate with each other. It's interesting that in corresponding with this physician I learned that he had been on the staff of J.N. Adam Memorial Hospital at Perrysburg, N.Y., in the late 1940s. His first son was born in Buffalo.] * * * From a family practitioner in Indiana (a letter) Your article Part VI Dis excellent. "Pathology" and "Psychiatry" are surely at opposite ends of the spectrum as far as objectivity and subjectivity- the concrete and abstract - are concerned. And yet you would have made an excellent psychiatrist or family doc. * * * From a family practitioner in New Mexico (a letter) I've been following you through The Buffalo Physician. I think often of your attitude and approach to your illness. My father had "microscopic" prostatic CA diagnosed when having a TUR done for BPH 3 years ago. No gross abnormalities. Received radiation treatment and just this winter presented with osteoblastic lesions. His attitude is good and I really think that is helping. His internist is wonderful, but the urologist is a non-feeling, callous person. He is a "good" doctor as far as his strict medical responsibilities are concerned but he really flunks as a doctor when you really look at the patient. I think my father is about to switch physicians. It really is a humbling experience and makes you wonder why people like that urologist would even want to be in our profession. * * * From a public health physician in California whose wife had a coronary by-pass operation (a letter) I am stimulated to write of your articles Parts VIC and Din The Buffalo Physician. They are very good, to the point, and you do get your message across. I think sometimes that we physicians do not like to be associ a ted with "failure." This applies to chronic disease including cancer. FALL, 1978 Dr. Sones begins to walk in parallel bars when he is very weak. The failure will be a reflection on our professional ability. Thus when the point is reached when "nothing can be done" the physician tends to retreat just when he is needed more. You are so right- communication between physician, patient and family is crucial and in my experience not very well done by many physicians. For my wife's surgery, our chief communicator was a nurse in the surgeon's office. She reviewed things pre-operatively thoroughly. She communicated with me about every half hour while my wife was in surgery for 8 to 9 hours and postoperatively she was the one who talked to us specifically. Without her I think that I would have floundered dreadfully and I would not have been prepared for how ~ru­ ly waxy the patient looks Immediately post-op. * * * From a missionary physician in the Philippine Islands (a letter) Every time I read another of you.r installments in The Buffalo Physlcian I resolve to write my appreciation for each one. Then I lay the magazine aside and don't do anything about it. . I appreciated the articles on "communication." It takes on a different tone in different cultures, but still most patients and families want to know what to expect, etc. So when I feel a "lump" in the breast and take it out for a biopsy, and wait on the laboratory technician to freeze it and stain the tissue, "read" the lesion through our binocular microscope picked up in Buffalo 51 and come up with a diagnosis and decision of what to do, I usually tell the patient and husband why a radical mastectomy (or whatever] must be next. Perhaps the communication is less detailed and technical than back in western culture. Certainly it seems to be accepted with less outward show of emotion- not always, but usually. I'm sure it's because there is a very broad acceptance that God is still in charge and has reasons for the illness. He certainly is as far as our lives are concerned. It seems to me that one of the reasons the patient and family aren't clued in on such problems is that in the western society so many doctors are involved in a case that no one takes the initiative or feels responsible or expected to tell them. Of course there is the occasional attending MD who warns the others, "No one tells anyone anything. I'll do it." Then he does what he feels best and junior physicians feel bound to keep quiet. * * * From a professor of surgeryoncology in Louisiana (a letter) As a former student of yours who currently spends much of his time practicing and teaching the management of patients with malignant disease, I greatly appreciate your point of view and eloquent expression in The Buffalo Physician articles. If dDr. Sones walks in parallel bars against resistance (proprioceptive neuromuscular facilitation techniques) to strengthen his gait pattern. �Dr. Sones walks up regular stairs with assistance of physical therapist after being graduated from practice staircase. there is a special emphasis in my teaching it is along the lines of "caring" for the patients and families as you express in such depths. You may be sure that your poignant, eloquent, beautiful remarks and stories will survive my teaching and those of my students and that your name will survive them. * COMME * * TS FROM PHYSICIANS NO From a retired public health nurse, also a wife, mother and cancer volunteer, with a 12-13 year survival from Stage IV lymphosarcoma and 1 112-year survival from cancer of the colon (a letter) When The Buffalo Physician arrived, I immediately read your article VI B. I liked your handling of that difficult subject. I found it straightforward. The case examples you used were evidence of the complexity of the problems. I found them easily understandable and wished cancer patients and their families could see the articles. Certainly you should not fear offending any physicians who do. ow for a little on communication on my side. I realize daily how much more complicated it is to communicate than we realize. Can anyone not afford really good communication? If you can use my material on communication you are more than welcome. In 1966 at the initial diagnosis of lymphosarcoma my internist told my husband and me that I would be dead in three years. I think my internist who gave me three years to live was very uncomfortable with the subject of lymphosarcoma because he thought that medical intervention is rarely helpful, does not influence the course of the disease and sometimes makes problems for the patient and family. In 1976 when I had my second primary cancer, adenocarcinoma of the colon, removed surgically, I had another experience with physicianpatient-family communication. The internist always made the prognosis sound rosy. I guess his intention was to be reassuring. At first my husband liked his approach. I learned to distrust the internist. The surgeon was informative, shared his evaluations, discussed alternatives freely and prepared me for the worst. It was the surgeon who convinced me that I ought to get well. Strange to say my husband in time learned to trust the surgeon more than the internist, who was a personal friend for many years. * * * From a former Buffalo nurse who became a nursing missionary and an ordained minister in her denomination and served many years in the Kentucky hills. Now retired and living in a small town in New York State (population 500), a town which has no physician, she is still ministering as a volunteer to the needs of the sick and their families including some with cancer. The nearest voluntary teaching hospital in 25 miles distant. (a letter) I received the 1977 Fall edition of The Buffalo Physician with Article VIC, so I had some interesting reading. It would seem to me that the doctors who read your articles should be alerted to better communication between doctor and patient and family. I learned something that I was not aware of ... that provision of the New York State Hospital Code on Patient-Family rights. I don't know whether Pennsylvania has the code incorporated into law 52 or not, but I have been amazed how careless doctors have been about telling patients and families what is taking place. I can understand that there is the "other side" of overconcern by patients and families and demanding calls, etc. My latest experience involved a great niece in Pennsylvania (a thirdyear college student] who wasn't feeling well. Her parents made an appointment for a medical checkup. She went into the hospital for a complete GI series, intravenous pyelography and all kinds of lab work. They had her in the hospital 10 days. The urologist scheduled her for a cystoscopy under anesthesia. Her parents were told that he would just work her in the next day as they had a heavy schedule (any time from 8 AM to afternoon). The parents went into the hospital and waited until their daughter was taken to the OR at 2 PM. They were not told that there was a place for them to wait outside of the OR. The daughter got into the recovery room at 4 PM and then to her own room about 5:30 PM. No doctor had showed up. So the mother asked the nurse on the floor why she and her husband hadn't had any word from the physician as to what had been found. By this time it was about 6:30-7 PM. The nurse said that she would call the resident. He didn't know anything as he hadn't been in on the case. The nurse suggested to the mother that she see if she could get hold of the urologist. She finally did, at his home. He inquired, "Hasn't the resi- Dr. Sones walks on level without devices or assistance. �dent seen you?" "But he hasn't been on the case," she replied. The urologist said he would call the resident and have him see the parents. All the resident had was a tape recording made at the time of cystoscopy but he did come and tell the mother and father that there had been no left ureteral orifice in the bladder. That meant the daughter "had been born with no left kidney." By that time the mother was really upset. She was told to return in the morning to see the urologist. She was at the hospital by 8 AM but the urologist had already been there and discharged the daughter to the care of the "medical man." I have kept my big mouth shut but I'm glad I wasn't in on the situation. I did say that I couldn't have imagined any urologist or surgeon whom I had known not making certain that parents knew what he had found. The interesting part is that the urologist had seen the daughter several times over the years since she was a small child because she had an occasional recurrence of a mild cystitis. So he knew the family. (He has never had to wait for payments of his bills, either.) I'll write later about my neighbor with Parkinson's Disease and poor communication. I get calls, "Ethel, what should I expect from this or that medicine my doctor just gave me?" If my old PDR doesn;t have the answer, I telephone the pharmacist about 11 miles away. * * * Besides physical advantages, the Physiotherapy Department at the RPMI provides psychologic benefits. Hope and optimism pervade the atmosphere of the department. The therapists are encouraging, supportive, personal in their attention and concern for the patient. Their lively, buoyant spirit is contagious. Patients find themselves looking forward to their therapeutic sessions as a pleasure rather than a workout. They take on a feeling of confidence, of determination to keep going and improving "day by day" as this poster on the wall of the Physiotherapy Department advises. From a Protestant minister in New York State, an American Cancer Society volunteer who has served as bishop of his denomination [a letter) It was in mid-October 1977 that I attended a Cancer Care and Clergy Workshop sponsored by the American Cancer Society. I carried away a portfolio of valuable material and in particular I was interested in the series of papers that you had prepared for The Buffalo Physician in respect to your own experience, no longer as "a potential cancer patient" but an actual one. Before I had the chance to read any of the papers, I was conversing with a neighbor who had just discovered that his sister-in-law had been diagnosed as a cancer patient, and hoping to be helpful to him and members of his family, I turned over the entire folio to him, "on loan." It was only yesterday that he returned it with much thanks. It was, therefore, only last evening that I read your exceptional papers. I thank you for them, and for the honesty and insight they reveal. I shall cherish the possession of them and hold them for frequent future re-reading. How very deeply your colleagues in the profession must feel an indebtedness to you for the perceptive and comprehensive way you have outlined problems and possible therapy as you have encountered them. As a non-medic, I certainly have gained much from your observations and comment. SPECIAL ACKNOWLEDGMENTS May Sherman Rosen, UB, MD'41, and Lily Gordon, R.N., for originally prompting the writing of Articles VIA- VIF. ACKNOWLEDGMENTS (photographs, drawings, captions in margins] -American Cancer Society; R. Abbey; S. Barker; Buffalo Evening News; M.D. Diedrick; E. Mirand; New York State Division, American Cancer Society; New York Times; M.D. Spencer. BIBLIOGRAPHY (Articles VI E-F] Abrahams, R.D., Nat Alone With Cancer, Charles C. Thomas, 1974; American Cancer Society, Cancer Facts and Figures, 1977-78; Belsky, S., and Ryan, L., How To Choose Your Doctor, Fawcett Publications, 1957; Casterline, R.L. (excerpted], Federation Bulletin, 1977; DeVries, P., The Blood of the Lamb, 1962, Madder Music, 1977, Little Brown & Co.; Forbes Magazine (Sept. 1, 1977, March 6, 1978); Highet, G., The Immortal Profession, Weybright and Talley, 1976; Holland, J., Psychologic Aspects of Cancer - Cancer Medicine, Holland, J.F. and Frei III, E., Lea and Febiger, 1973; James, A.C., Cancer Prognosis Manual, American Cancer Society, 1967; Kelly, 0., and Becker, R., Make Today Count, Del a corte Press, 1975; Rosenbaum, E.H., Living With Cancer, Praeger Publishers, 1975; Rosenfeld, S.S., The Time of Their Dying, W. W. Norton, 1977; Roswell Park Memorial Institute, Regional Report, 1977; Sabov, S.E., and Brodsky, A., The Active Patient's Guide to Better Medical Care, David McKay Inc., 1976; Salmon, S.J., Personal Communication, 1976; University of Rochester School of Medicine and Dentistry, Clinical Oncology, American Cancer Society, 1974; Weineman, B. H., et al, JAMA v. 237, p. 2403, May 30, 1977. FALL, 1978 53 �Of course it was with a frequent use of the dictionary that I made my way through them, but that was not too difficult, and as they were addressed to professionals it is quite appropriate that medical usage should characterize them. But it has occurred to me that what you have to say certainly merits a much wider circulation than simply the local medical fraternity, important as that is. Why not ask your wife to re-edit some parts of your observations in good newspaper English , as she is so well able to do, and to make your observations widely comprehended? I, for one, know a large number of People ministers who could profit enormously thereby, and as for men in our Seminaries, I should make your papers "required reading." And as one who has some appreciation of the Boston-Peabody tradition, I know how much they would be welcomed. Perhaps this note is already too long, and that was not my intention originally. It was rather to salute you as a wise and consistent teacher, physician and friend. Perhaps you are now doing some of the best teaching you have ever done -and hopefully it may be to a wider audience than you ever expected to reach, and with an ex- Dr. Erwin eter received The Golden Medal of Merit and a Diploma from the German Government of the State of BadenWurttemberg at the Castle Ludwigsburg, Stuttgart, in April. Several other people were also honored by the President of the State at a special ceremony. The Mayor of Strasbourg was the main speaker. Dr. eter is professor of microbiology and professor of clinical microbiology in the department of pediatrics.D Drs. eter, Filbinger cellence of quality hardly to be surpassed. A tip of my hat to you, Sir, and my sincere best wishes to the very end here, in Buffalo. Beyond that we each have our own convictions. * * * AUTHOR'S SUMMARY to Articles VI A-F on communication (and compassion) between physician and cancer patient's family: "Taking care of a cancer patient includes caring for the cancer patient's family." Two faculty members are new officers of the Buffalo Urologic Society. Dr. George Egri, clinical associate in urology, is the new vice president and Dr. George Schillinger, clinical instructor in urology, is secretary-treasurer. Dr. John P. Grimaldi is president. He is chief of urology at Our Lady of Victory Hospital, Lackawanna.D More than 300 scientists from 11 countries participated in the Sixth International Convocation on Immunology in June at the Center for Immunology at the Medical School. Dr. Philip Y. Paterson, professor of microbiology and immunology at Northwestern University, delivered an Ernest Witebsky Lecture as part of the fourday meeting.D Dr. Jules Constant, clinical associate professor of medicine, is the new president of the Buffalo Academy of Medicine.D Dr. Joseph J. Winiecki, clinical instructor in medicine, has been appointed to the Board of Trustees of St. Joseph Intercommunity Hospital, Cheektowaga. He is also president of the medical staff.D THE BUFFALO PHYSICIAN �Seven Buffalo physicians affiliated with the School of Medicine have been listed by Town & Country Magazine's national directory of the best medical specialists. More than 80 physicians across the country who represented some 40 institutions were interviewed by the magazine to determine the choices. All physicians listed in the directory were selected by other physicians within the same medical specialty. Two dozen specialists are represented in the directory. Area physicians named are: Cardiology, Dr. David G. Greene, professor of medicine; Heart Surgery, Dr. S. Subramanian, professor of surgery; Orthopedic Surgery, Dr. Eugene Mindel!, chairman and professor of orthopedic surgery; Skin Cancer, Dr. Edmund Klein, research associate professor; Dermatopathology, Dr. John D. Maize, assistant professor of dermatology; Allergy, Dr. Elliot F. Ellis, chairman and professor of pediatrics; and Diabetes, Dr. Alfred R. Lenzer, assistant clinical professor of medicine.D Two Buffalo professors are editors of a two-volume comprehensive text on allergies which has been published by the C.V. Mosby Co. Allergy: Principles and Practice deals with the basic science as well as clinical aspects and is the largest reference of its type dealing with allergy. Editors are Dr. Elliot F. Ellis, professor and chairman of pediatrics at U/B and pediatrician-in-chief at Buffalo Children's Hospital; Dr. Elliott Middleton Jr., professor of medicine and pediatrics as well as director of the U/B Allergy Division, Buffalo General Hospital; and Dr. Charles F. Reed, professor of medicine at the University of Wisconsin School of Medicine, Madison. The text features more than 100 recognized authorities as contribu tors.D Three alumni have been installed (twoyear terms) as officers in the Buffalo Ophthalmologic Club. Dr. Edward W. Hohensee, M'56, is the new president. He is a clinical assistant professor of ophthalmology. President-elect - Dr. Louis Antonucci, M'66, clinical assistant professor of ophthalmology; treasurer Dr. Kenneth Klementowski, M'66.D FALL, 1978 People Dr. Rune Grubb discussed "Implications of Advances in Knowledge on Genetic Markers of Human Immunoglobulin" at the 8th annual Ernest Witebsky Lecture. Dr. Grubb heads the department of medical microbiology at the University of Lund in Sweden.D Three alumni are the new officers in the Western New York Society of Internal Medicine. Dr. William J. Mangan, M'59, clinical associate in medicine, is president. The first vice president is Dr. Nicholas C. Carosella, M'54, and Dr. James Giambrone, M'67, clinical instructor in medicine, is treasurer. The 2nd vice president is Dr. Cornelius J. O'Connell, clinical associate professor of medicine and microbiology. The secretary is Dr. Jeremiah O'Sullivan.D Dr. John M. Lore, Jr., professor and chairman of otolaryngology, has been elected chairman of the Joint Council for Approval of Advanced Training in Head and Neck Oncologic Surgery. The Council consists of eight members, four from the Society of Head and Neck Surgeons and four from the American Society for Head and eck Surgery. Its function is to develop guidelines for the evaluation of Phase III Head and Neck Oncologic Surgeon Training Programs throughout the country. These are new post-residency programs now being established following the pioneering efforts of the two head and neck societies in defining a comprehensive curriculum for training head and neck oncologic surgeons. Phases I and II constitute the basic and intermediate surgical experiences, respectively, and are normally satisfied by two years of surgical residency, plus further residency in general surgery, o t o I ~ r y ~ g o 1. o g y , o r p 1a s t i c s u r g e r y , culmmatmg m board eligibility in one or more of these disciplines. Phase III Programs would be open to qualified candidates who have successfully completed Phases I and 11.0 55 �Letter The Editor Buffalo Physician Dear Sir: I was surprised to open the pages of the Spring issue of the Buffalo Physician and note the "spread" concerning my stepping down as Chairman of the Department of Medicine. I had not realized that this occasion would be memorialized in quite this fashion. Several months ago it occurred to me that someday someone might be interested in recalling the history of our department. While the events were still fresh in my mind I prepared some notes concerning two phases of our program which particularly interested me - the recruitment of research-oriented full-time faculty, and the development of our inter-hospital house staff program. When our office was contacted for some "background material" for the article, it was thought that this material might be helpful. I had never intended, however, that these comments would provide the basis for what might be interpreted as a review of the overall accomplishments of our department. As it stands, the article creates a decidedly odd and, I believe, erroneous impression, both of our history and our goals. I hope, therefore, that I might be permitted to provide these additional comments. There is no question that two decades ago the department was suffering from severe constraints of budget and laboratory facilities. As a result, the research effort was limited in scope. The quality, however, was good. In addition to strong, though focused, programs in cardiology, nephrology, and rheumatology, the department was distinguished by the presence of one of the country's strongest research and training programs in the area of allergy, under the direction of Dr. Carl Arbesman. The fact that this program was housed in a makeshift annex and received essentially no University support whatsoever conveys, I believe, an important lesson to those who attribute our present problems to shortage of University funds and space. The most unique characteristic of our department at that time, as it had been for many years, was its excellence in the teaching of clinical medicine. Under the leadership of my two distinguished predecessors, Drs. John Talbott and David Miller, our School had enjoyed the presence of two distinctive teaching services, each of which provided an excellent setting for the teaching of medical students Bottom row: Drs. Bernard Mazur, G. Lawrence Sheehan, john B. Burns, Donald Purple. Second row: Drs. George Guthiel, Wolter King {co-chairperson), Eugenia Bukowska, Harry Spiegelman, Thelma Brock {cochoirperson), Bruno Schutkeker, Floyd Brott, Albert j. Voeklle . Back row: Drs. Vincent Howro, Glenn Hatch, Raymond Rickloff, Howard Stoll, Martin Gerstner, Howard Keyes, Clyde George, joseph Hill, Frederick Lowe, julius Markovitz. Class of 1928 at Spring Clinical Days 56 THE BUFFALO PHYSICIA �Class of 1938 at Spring Clinical Days Bottom row: Drs. Richard N. Terry, Russell J. Catalano, Clarence A. Straubinger, Carl Hertz, Charles Donatelli. Back row: Drs. Alfred A. Mitchell, Leo J. Doll, Jr., John Goeckler, Harry C. Law, Walter L. Sydoriak, Norman J. Foit, Eustace G. Phillies, Chester J. Kaminski, Vincent L. Rutecki. and house staff. Throughout the decade of the 1950's, the Department of Medicine at the Buffalo General had attracted an excellent house staff, many of whom brought backgrounds of experience at a variety of different medical schools. With Dr. Talbott's encouragement, a number of the graduates of this program had gone on to fellowship training in some of the strongest specialty programs in the country. Some had already been "woo'd" back to the department; others were eager to return to make their careers here. These people have provided a wonderful reservoir of leadership and strength throughout the course of the past two decades. At the Meyer Hospital, despite its notable deficiencies in architecture, Dr. Miller had, through his personal example, developed a truly remarkable teaching program for students and house staff. To have served under his leadership has had a major impact on the lives and careers of everyone who had this privilege. A number of the graduates of this program have continued to devote their energies to patient care and teaching at this hospital and are recognized by the students and house staff of the present day as among the strongest and most helpful clinical teachers in our program. A number of other graduates have entered private practice in the Western New York area, and contributed very FALL, 1978 effectively to the level of patient care in this area. Thus, when I was asked to join the department 17 years ago, there was an abundance of strength upon which we could and did build. In particular, I acknowledge the privilege of sharing responsibility for department leadership with David Miller over a period of several years. He taught me much about people and academic medicine; the opportunity to work with him has been one of the happiest dividends of my "Buffalo adventure." I cite these points simply as illustrations of the obvious fact that while the researchoriented dimension cited in your article represented an interesting and important aspect of the life of our department, I do not think it should be regarded as the "central theme." If I were to characterize this theme, I would use the words "diversity" and "commitment to teaching and to patient care." I cannot hope in this letter to put in perspective the many developments in which I have been privileged to participate. As I view them now I believe that two deserve special mention. The first is the extension of our teaching activities to involve many institutions throughout the city. The first example, of course, was the increasing participation of the Department of Medicine at the V. A. Hospital under the able direction of Dr. J. 57 d- �Aquilina. This hospital, which served as the site of the initial subinternship program about 14 years ago, has played a role in several other innovative programs, notably the "Saturday morning clinics" and initial efforts at teaching the "Mechanisms and Manifestations of Disease." The V.A. Hospital has also served as the focal point for the Physical Diagnosis course, and now participates in all aspects of the teaching program. Other examples include the increasing involvement of faculty members at the Roswell Park Memorial Institute, the development of a broad range of teaching programs at the Millard Fillmore Hospital, the unique cooperation between the Departments of Medicine and Family Medicine at the Deaconess Hospital, the development of good programs in general medicine and in several subspecialty areas at the Buffalo Mercy Hospital, the establishment of the Maternal Health Service at the Children's, and, most recently, the decision to develop a teaching program at the Sister's Hospital, with the ap- pointment of Dr. John Edwards as chief of medicine there. Paralleling this has been a sustained commitment to student teaching. I believe that the two most important developments in this area have been the continued evolution of the third year clerkship, and the steady growth of the subinternship and elective programs in the fourth year. Thus, the Department of Medicine has attempted to achieve a healthy balance between a sound program of clinical teaching and a strong commitment to biomedical research. Both facets have been and are still important. We hope that future developments will permit us to continue to maintain this balance. If the "going" becomes difficult, however, we could not do better than to recollect the example of people like John Talbott, David Miller, Carl Arbesman, David Greene, John Boylan and many others, who showed us how much can be accomplished with limited resources and under difficult circumstances. Sincerely yours, Evan Calkins, M.D.D Bottom row: Drs. John Fenger, Thomas Geoghegan, Robert Maynard, Richard Nagel, Thomas Cumerfard, Jacob Shammash, Joseph Ruh, Herbert Constantine, James Orr. Second row: Drs. Donald Ehrenreich, Jacob Lenzner, Michael Sullivan, Donald Rachow, Stanley Cohen, Harley Lindquist, Sander Fogel, Howard Smith, Molly Seidenberg. Back row: Drs. Milford Maloney, Reinhold Ullrich, John Handel, Herbert Lee, Bertram Partin, John Strachan, Herbert Simpkins, Jerome Hurley, Jack Gold, Harold Smulyan, James Coleman, Thomas Atkins, James Carlin. Class of 1953 at Spring Clinical Days 58 THE BUFFALO PHYSICIAN �Class of 1958 at Spring Clinical Days Bottom row: Drs. Michael T. Genco, William Glazier, Samuel Shatkin, John Giardino, Michael Mazza. Second row: Drs. Irving Waldman, Gary Cohen, Franklyn Campagna, Melvin Brothman, Lloyd Leve, Alfred Stein, Gaspare Alfano. Back row: Drs. Frederick Dischinger, Robert Perez, Richard L. Taylor, Dominic Falsetti, John Armenia, Richard Wasson, Richard Romanowski, Reinhardt Wende, Elliott Rivo, Franklin Zeplowitz, Joseph Zizzi, Richard Boyle, Elroy Anderson, John Float, Joseph Bellanti, Richard Rohner. Dr. Om P. Bahl, professor and chairman of biological sciences and director of the division of Cell and Molecular Biology, received the 1978 Jacob F. Schoellkopf Award of the Western New York Section of the American Chemical Society in May. He was honored for his biochemical research, including the development of a highly sensitive, low-cost pregnancy test. Dr. Bahl's work has won acclaim worldwide and has been recognized as a significant breakthrough in determining the molecular structure of biochemical materials. The annual award, consisting of a gold medal and citation, was established by the society in 1930 in honor of the late Jacob F. Schoellkopf Sr., who pioneered establishment of the chemical industry in Western New York.D Dr. Emanuel Lebenthal, associate professor of pediatrics, and chief of the division of gastroenterology, has been appointed to the Federal Drug Administration Committee (FDA) which reviews chemically modified food starches in infants' food.D FALL, 1978 Four faculty members have been elected officers of the Millard Fillmore Hospital Medical staff. President- Drs. Gerald Swartz, clinical instructor in ophthalmology; President-elect - Frank J. Bolgan, M'51, clinical associate professor of surgery; Secretary - Victor C. Lazarus, M'45, clinical instructor in urology; Treasurer - Henry P. Carls, clinical associate in surgery.D Dr. Robert J. Kratzel, clinical instructor in microbiology, has been appointed director of technical services for the Greater Buffalo Red Cross.D Three faculty members have been installed as officers of the medical staff of Sisters Hospital. President-elect - Drs. John Q. Curtin, clinical instructor in medicine; SecretaryDonald 0. Rachow, M'53, clinical assistant professor of medicine; Treasurer - J. Theodore Schueckler, clinical assistant professor of anesthesiology. Anthony L. Manzella of Buffalo is the new president.D 59 People �Three alumni are newly elected officers of the Medical Society of Erie County. Dr. John J. Giardino, M'58, clinical instructor in orthopedics, is the new president. Presidentelect is Dr. George Fugitt, M'45, clinical associate in urology, and secretary-treasurer is Dr. Milford P. Maloney, M'53, clinical associate professor of medicine. The new vice president is Dr. Joseph A. Prezio, clinical assistant professor of medicine and clinical associate professor of nuclear medicine. Committee chairman: Ethics - Dr. James F. Phillips, M'47, clinical associate professor of medicine; Legislation - Dr. Edmond J. Gicewicz, M'56, clinical assistant professor of surgery; Public Health - Dr. Sherman Waldman, M'57, clinical assistant professor of pediatrics; Economics - Dr. Louis J. Antonucci, M'66, clinical assistant professor of ophthalmology; Medical education - Dr. Edward Hohensee, M'54, clinical assistant professor of ophthalmology; Peer review - Dr. William C. Heyden, M'63, clinical instructor in surgery.D People Bottom row: Drs. Wilfred H. Ferguson, J. Curtis Hellriegel, Louis A. Vendetti. Bock row: Drs. Norbert G. Rausch, Henry Haines, Ernest G. Homokoy, Louis Kolbrenner. A comprehensive, practical reference and teaching resource book dealing with detection, diagnosis and treatment of respiratory diseases has been written and illustrated by Dr. Sattar Farzan, clinical associate professor of medicine. A Concise Handbook of Respiratory Diseases was published in March 1978 by the Reston Publishing Company (Prentice-Hall). The book is written primarily for nurses, respiratory therapists and technicians and students in various allied health fields. The book discusses in detail all the common pulmonary disorders in a direct, easy-to-read and understandable graphic style. In addition it covers in similar depth all the important extra-pulmonary conditions that result in respiratory impairment, respiratory failure, and the care-andtreatment of these various conditions. The emphasis throughout is directed toward practical solutions and clinical importance. Dr. Farzan is medical director of the respiratory therapy department and attending physician in medicine and pulmonary diseases at the E.J. Meyer Memorial Hospital; special consultant at the Children's Hospital; attending and consultant at the V.A. Hospital; and visiting professor at the Buffalo General Hospital. In 1975 he received the Distinguished Teaching Award by the graduating University Medical House Staff.D Dr. Gerald P. Murphy has been named vice president and president-elect of the Association of American Cancer Institutes. He is director of Roswell Park Memorial Institute and research professor of urology.D Four faculty members are new officers in the Buffalo Gynecologic and Obstetric Society. Dr. Paul T. Buerger, M'49, clinical assistant. professor of Gyn/Ob, is the new president; vice president is Dr. John D. Bartels, M'56, clinical associate professor of Gyn/Ob; secretary is Dr. Wayne L. Johnson, professor and chairman of Gyn/Ob; treasurer is Dr. John H. Peterson, M'55, clinical assistant professor of Gyn/Ob.D Class of 1933 at Spring Clinical Days 60 THE BUFFALO PHYSICIA �Two clinical assistant professors of surgery were honored recently by Sister's Hospital. Dr. Anthony J. Federico was honored for his dedication, skills and accomplishments in treating the heart. Dr. James H. Cosgriff, Jr., was honored for his specialty in treating and writing about emergency medical services. He has been associated with the hospital since 1951.0 An extensive review on the mechanisms of action of sedative / hypnotics has been authored by Cedric M. Smith, professor of pharmacology and therapeutics, who also serves as Director of the Research Institute on Alcoholism. This review is a major chapter in the longstandard reference work in pharmacology, The Handbook of Experimental Pharmacology, in a special two-volume series on Addictions, edited by William R. Martin: Smith, Cedric M.: The Pharmacology of Sedative/ Hypnotics, Alcohol, and Anesthetics: Sites and Mechanisms of Action. In: Handbook of Experimental Pharmacology 45/ 1: Drug Addiction I, William R. Martin (Ed.]. Heidelberg: Springer-Verlag, 1977, pp. 413587. The editor of the series, Dr. Martin, is well-known to Buffalo medical students as a regular visiting professor in the sophomore course in Pharmacology.D Dr. Edmund A. Egan II, associate professor of pediatrics, and chief, division of newborn medicine, has been elected a member of The Society for Perinatal Research.D Dr. George Schimert, professor of surgery, and head of the Division of Cardiac Surgery at The Buffalo General Hospital, received a Community Service Award at the Sweetheart's Ball for Senior Citizens. Sheriff Kenneth Braun presented the heart-shaped plaque to Dr. Schimert on behalf of the Erie County Sheriff's Department Project Awareness. The plaque was inscribed "In grateful recognition of services rendered to the people of Erie County." Dr. Schimert was chosen by the awards committee because of his work with open heart surgery on Senior Citizens.D FALL, 1978 Class of 1948 at Spring Clinical Days Bottom row: Drs. Norman Paul , Norman Minde, Leon Graf, Allston Balie. Back row: Drs. Dan Fahey, Ansel Martin, Lester Schiff, Dan Miller. People A former Medical School faculty member, Dr. Jimmie Holland, has been appointed chief of psychiatric service at Memorial Hospital for Cancer and Allied Diseases, the treatment unit of Memorial Sloan-Kettering Cancer Center in New York City. She is past director of the E.J. Meyer Memorial Hospital psychiatry department and former associate professor of psychiatry at U/B. Her husband, Dr. James Holland, was head of Medicine A at Roswell Park Memorial Institute. He is now oncologist at the Mt. Sinai Medical School in ew York City.D Dr. John R.F. Ingall has assumed the position of associate medical director of the Michigan Cancer Foundation, Detroit. He was director of the Regional Medical Program of Western New York for a decade and clinical assistant professor of surgery. Mrs. Ingall was a research assistant professor of medicine and pediatrics at U/8.0 61 �Class of 1943 (December) at Spring Clinical Days Bottom row: Drs. Kevin O'Gorman, Morris Unher, Edmund Tederous, Harold Feldman , Thomas Heineman. Back row: Drs. John Williams, Joseph Ricotta, Amos Minkel, Marvin Bloom, Salvatore Colangelo. Dr. Eleanor A. Jacobs received the Equal Employment Opportunity award for "outstanding and dedicated service" from Joseph Paris, VA Hospital director. Dr. Jacobs is a research associate professor of psychology in the department of psychiatry.D Three alumni are new officers of the GILiver Society of Western ew York. Dr. James F. Phillips, M'47, clinical associate professor of medicine, is president; Drs. Elton Rock, M'59, clinical instructor in medicine, and Dean Orman, M'65, clinical instructor in medicine, are secretary and treasurer. Dr. Tarik Elibol, clinical assistant professor of medicine, is vice president and president-elect.D Dr. Joseph H. Kite, professor of microbiology, has been named by President Robert Ketter to chair the University-wide biohazards committee. Dr. Ketter said, "this committee will provide a most important service to campus researchers." Other Medical School faculty on the committee are - Drs. James F. Mohn, James C. Allen, Edward A. Carr Jr. , Michael oe and Anne M. Heide.D 62 Dr. Barbara R. Rennick, professor of pharmacology and therapeutics, has been appointed associate editor of Pharmacological Reviews for the years 1978-1981.0 Four faculty members have been installed as officers of the Buffalo Gynecologic and Obstetric Society. Dr. Paul T. Buerger, M'49, clinical assistant professor of Gyn/Ob, is the new president. Other officers are: vice president, Dr. John D. Bartels, M'56, clinical associate professor of Gyn/Ob; secretary, Dr. Wayne L. Johnson, professor and chairman of Gyn/Ob; treasurer, Dr. John H. Peterson, M'55, clinical assistant professor of Gyn/Ob.D Dr. S. Subramanian, professor of surgery and chief of cardiovascular surgery at Children's Hospital, was honored recently as "Citizen of the Year" by the orth Buffalo Jaycees. Dr. Subramanian was cited for "dedication to healing and his unselfish willingness to share the gift of medical skill with children who might not otherwise survive." The Honorable Edward V. Regan presented the award to Dr. Subramanian.D THE BUFFALO PHYSICIA �The Classes of the 1940's Dr. John Zoll, M'40, was honored by Sisters Hospital for "his skills as a surgeon and his exemplifying the Catholic physician." The clinical associate professor of neurosurgery was chief of neurosurgery at Sisters from 1952 to 1977. Dr. Zoll's research in neurosurgery and epilepsy is extensive.D The Classes The Classes of the 1930's Dr. Thomas S. Bumbalo, M'31, has been reelected to the Erie County Board of Health. He is a clinical professor of medicine.D Dr. Eugene W. Wallace, M'33, has retired from his position as Chief of Correctional Medicine for the County of Orange, California. He is a clinical assistant of family medicine at the University of California College of Medicine at Irvine.D Dr. Alfred V. Cherry, M'36, was honored as a "loyal, industrious, dedicated expert orthopedist devoted to quality patient care," by Sisters Hospital. The clinical assistant professor of orthopedics has been at the hospital since 1948 and chief of the orthopedics division since 1964. He is a Fellow, American College of Surgeons.D Dr. William J. Staubitz, M'42, has been elected president of the American Board of Urology. This board consists of 12 trustees who certify candidates who wish to specialize in urology. Dr. Staubitz is professor and chairman of the department of urology at U/B.D Dr. Thomas F. Frawley, M'44, is professor of medicine and chairman, emeritus, of internal medicine, at the St. Louis (Missouri) University School of Medicine. He was recently elected Regent, American College of Physicians and will serve on the Board of Regents policy-making body of the College. He was also appointed Commissioner, Joint Commission on Accreditation of Hospitals. Dr. Frawley's specialty is endocrinology and metabolism.D Bottom row: Drs. Alexander Slepian, William H. Georgi, Adrian ]. Pleskow, Victor Guarneri, Salvatore J. Brucato, Harald Graser, Alfred S. Evans. Back row: Drs. John M. Donohue, Robert]. Collins, Kenneth W. Bone, Robert D. Glennie Jr., Robert G. McCormick, Charles C. Richards, Gustave V. Mil key, Duncan K. MacLeod, John C. Ninfo, L. Waiter Fix, Ronald E. Martin. Class of 1943 (April) at Spring Clinical Days FALL, 1978 63 �Class of 1963 at Spring Clinical Days Bottom row: Drs. John Fanelli, Anthony Fati, Charles Tirone, Frank DeLaus, John Repicci. Bock ro w: Drs. Eugene Sullivan Jr., W illiam Heyden, Stephen Joyce, John Stumpf, Lawren ce Sobocinski, Ern est Fotta, Joseph Tutton. Dr. H. Paul Longstreth, M'45, has moved to Georgia where he is associated with the University of Georgia Health Service at Athens. He had been a clinical associate professor of medicine at the Medical School and past president of the Medical Alumni Associ a tion.D Dr. William R. Taylor, M'45, is emergency room physician at the Feather River Hospital, Paradise, California. He writes "In March 1978 I played the role of Emil deBecque in theatrical production of the Rodgers & Hammerstein version of South Pacific. A critic, who first saw it 26 years ago with the original cast said, 'His portrayal of the Frenchman was most adequate for the role, but he was not superior to Ezio Pinza.'" (Editor's ate: Touche!)O Dr. Albert G. Rowe, M'46, was honored by Sisters Hospital for "his philanthropic efforts for the medical community through contributions toward hospital equipment and medical education." He is a clinical assistant professor of anesthesiology at the Medical School.O 64 Dr. Fred Shalwitz, M'49, clinical instructor in family practice at the Medical School, is President of the Medical Staff of Lafayette General Hospital, Buffalo.D Dr. Harold Bernhard, M ' 49 , clinical associate professor of medicine , has been elected Governor for orthern ew York of the American College of Gastroenterology.D The Classes of the 1950's Dr. Edward Shanbrom, M'51 , practices Hematology - Research and Development, in Santa Ana, California. His address is 2242 Liane Lane (92705) .D Dr. M. David Ben-Asher, M'56, practices internal medicine in Tucson, Arizona. The former president (1976) of Pima County Medical Society was appointed to the Arizona State Board of Medical Examiners and is listed in "Who's Who in Western United States." Dr. Ben-Asher is a clinical associate in internal medicine at the University of Arizona College of Medicine.D THE BUFFALO PHYSICIAN �Dr. Oliver P. Jones, M'56, Distinguished Professor Emeritus, was a guest lecturer for the S.P.R. Medical Club meeting held at the Park Lane Manor House, in April. He spoke about "A Student's Impression of Austin Flint."D Dr. Erick Reeber, M'56, has been elected to a second term as Speaker of the House of Delegates of the Minnesota Academy of Family Physicians. He lives at 416 orth Red Lake Avenue, Bagley, Minn. 56621.0 The Classes of the 1960's Dr. Kenneth E. Bell, M'61, recently completed a term on the Board of Directors of the Southern California Permanente Medical Group and has been appointed Chief of Ob/Gyn at the new Kaiser-Permanente Medical Center in Anaheim, California. Dr. Bell is assistant clinical professor of ob/gyn at the University of Southern California and also the University of California at Los Angeles.D Dr. Martin Cowan, M'62, has been appointed chief of obstetrics/gynecology at the new 297-bed Community General Hospital of Sullivan County. Dr. Cowan lives at 13 Shelly Drive, Ellenville, New York.D Dr. Richard S. Merrick, M'64, has been with the Southern California Permanente Medical Group since 1970, department of internal medicine. He has been director of the Alcoholism Clinic since 1971. Dr. Merrick lives at 1970 Galerita Drive, San Pedro, California 90732.0 Dr. Cary Presant, M'66, is an assistant professor of medicine and assistant professor of radiology at Washington University School of Medicine in St. Louis. He is Director of the Oncology Clinic at The Jewish Hospital of St. Louis and is Chief of Medical Oncology, Division of Radiation Oncology at Mallinckrodt Institute of Radiology. He has been chairman of the Melanoma-Sarcoma Committee of the Southeast Cancer Study Group for the past 3 Bottom row: Drs. Anthony Bonner, Sara Sirkin, Robert Milch, Jonathan Reynhout , Thomas Cumbo. Back row: Drs. George Durger, Barry Shultz , Lawrence Dobmeier, Kenneth Matasar, John Bivona, Peter Mansky, Leonard Argentine. Class of 1968 at Spring Clinical Days FALL, 1978 65 �years, and is the author of over 50 articles and abstracts in the field of Medical Oncology, Hematology, Lymphocyte Biochemistry, and Kinetics of Cytotoxicity of Antitumor Drugs. He and his wife have 4 children, live at 440 West Point Court, University City, Missouri 63130.0 Dr. David J. Fugazzotto, M'67, is practicing with a four-man group in his specialty of pediatrics in Birmingham, Alabama. He is also an associate clinical instructor at the University of Alabama (Birmingham) Medical School. In January 1978 Dr . Fugazzotto was elected President-Elect of the Jefferson County Pediatric Society, after two years as Secretary-Treasurer. His home address IS 2708 Cherokee Road, Birmingham 35216.0 Dr. Arthur C. Sosis, M'67, practices dermatology in Allentown, Pennsylvania. He was recently promoted to assistant clinical professor of dermatology at Temple University Health Sciences Center, The Skin and Cancer Hospital of Philadelphian Dr. Robert J. Loweinger, M'69, is co-author of an article, "Maffucci's Syndrome: A Mesenchymal Dysplasia and Multiple Tumor Syndrome," that was published in the British Journal of Dermatology in 1977 (96,317). Dr. Loewinger has completed his dermatology residency at Washington University, St. Louis. He is now affiliated with the Doctors' Clinic in Vero Beach, Florida. His home address is 1360 White Heron Lane, 32960.0 Dr. Ronald F. Teitler, M'69, is now practicing colon and rectal surgery in Buffalo. He recently moved to 61 Wellingwood Drive, East Amherst from Chester, New York.D Dr. Richard A. Manch, M'71, became Board certified in Gastroenterology in 1977. He lives at 12240 N. 63rd Street, Scottsdale, Arizona 85254, and practices in Phoenix.D Dr. Paul A. Orens, M'73, is a Diplomate of the American Board of Family Practice. He practices in Latham, New York and is also a clinical assistant in Family Practice at Albany Medical School.D Dr. Daniel Pietro, M'73, completed a cardiology fellowship at Harvard-West Roxbury Veterans Administration Hospital and will re main on their staff as chief of cardiology. He is also an instructor of medicine at Harvard Medical School. Dr. and Mrs. Pietro now have two children - Terresa (three years old) and Michael, who was born in January, 1978. They live at 35 Willard Street, Dedham, Massachusetts 02026.0 Dr. John C. Rowlingson, M'74, is assistant professor of anesthesiology at the University of Virginia Medical Center, Charlottesville. He writes "as of July 1, 1978, I will be assuming the above position with my time split between operating room duties and the Pain Clinic." His memberships include the Virginia and American Society of Anesthesiologists, American Society of Regional Anesthesia, and the International Anesthesia Research Society.D Dr. William A. Bryant, Jr., M'75, is Chief Resident Designate in Pediatrics for 1978-79 at the University of Maryland Hospital, Baltimore.D The Classes of the 1970's Dr. Jan M. Novak, M'70, recently returned to Buffalo to join the department of medicine, division of gastroenterology, of the Medical School. Dr. Novak had been an assistant professor of medicine at the Medical College of Georgia in Augusta. His home address is 94 Exeter Road, Williamsville, New York 14221.0 66 Dr. Ronald Marconi, M'76, of Williamsville, N.Y. is the recipient of a $1,200 award from the American Academy of Family Physicians to help finance his graduate training in family practice at Deaconess Hospital. He was among 18 to receive the Mead Johnson Award for Graduate Education in Family Practice.D THE BUFFALO PHYSICIAN �In Memoriam Dr. Hiram G. Hotchkiss, M'14, died October 15, 1977 in Winter Park, Florida. His age was 87.0 Dr. Robert J. Michele, M'08, died October 19, 1977 of azotemia in Dansville, N.Y. His age was 92.0 Dr. Mildred K. Kamner, M'24, died last winter. She was a pioneer in the treatment of industrial alcoholism and retired as assistant medical director of the ew York Telephone Company. Her age was 73. Dr. Carl C. Koester, M'20, died December 22, 1977. The 81-year-old otolaryngologist lived in Batavia, N.Y.D Dr. Frederick B. Wilkes, M'43, died May 25 at his home after a brief illness. His age was 60. He had been a pediatrician for 29 years and former president of the Children's Hospital medical staff. He was a clinical assistant professor of pediatrics. Dr. Wilkes served in the Army Medical Corps as a captain for two years during World War II. He was stationed in England. He completed his internship and residency at Children's Hospital after the war. He was active in several professional associations.D Abigail Fillmore Chapter, National Society, Daughters of the American Revolution, dedicated a marker (in May) in memory of Dr. Albert James Myer at Forest Lawn. He was an 1851 Medical School graduate. General Myer established the Signal Corps of the Army and in 1870 founded the United States Weather Bureau under the supervision of the Signal Corps. He was born in ewburgh, .Y., in 1828, lived most of his life in Buffalo. He died in 1880.0 FALL,1978 Dr. Anthony C. Scinta, M'11, died September 11, 1976 in Rochester, New York. His age was 87. He was a general practitioner, and belonged to the Rochester Academy of Medicine and the Rochester Pathologic Society.D Dr. Henry J. Brock died April 8 in Buffalo General Hospital. The clinical professor of medicine retired in 1974 after serving on the faculty for 37 years. His age was 72. He had been on the Buffalo General Hospital staff since 1934. He was also an attending at the V.A. Hospitals in Buffalo and Batavia. From 1959 to 1975 he was a consultant on dust diseases for the ew York State Workman's Compensation Board. He was a diagnostician for the Erie County Chest Clinic from 1941 through 1975. Dr. Brock, a Harvard Medical School graduate, was a Fellow in the American College of Physicians, the American College of Cardiology and the American College of Chest Physicians. He served in orth Africa during World War II as a Major in the Medical Corps. He contributed articles to professional journals and presented papers at conferences and seminars.D Dr. Herbert W. Wittkugel, clinical instructor in family medicine, died April 15 in a swimming pool accident in Florida. His age was 59. He was on the medical staffs of Deaconess and St. Francis Hospitals. He was a Fellow, American Association of Family Physicians. Dr. Wittkugel came to Buffalo in 1952 from West Germany. He received his M.D. from Wuerzburg University in 1944.0 67 �U/B ALUMNI ASSOCIATION 1978 Travel Program INNSBRUCK/ ST. MORITZ/ MUNICH October 11 - 26 iagara Falls departure $746 (Capitol Airlines, DC-8 stretch jet- four nights Holiday Inn in Innsbruck, four nights Hotel Albana in St. Moritz, Arabellahaus in Munich - deluxe hotel option and dinearound meal option available). The General Alumni Board- ERNEST J. KIEFER, B.S.'55, President; MICHAEL F. GUERCIO, A.S.C.'52, President-Elect; CONSTA CE M. GICEWICZ, Vice President for Activities; DOROTHEA W. STERNE, Vice President for Administration; RUSSELL J. GUGI 0, A.S.C.'52, Vice President for Athletics; JOH R. VO A, D.D.S.'61, Vice President for Constituent Alumni; SUSAN D. CARREL, Ph.D.'76, Vice President for Continuing Education; ROGER P. KRUEGER, B.S.'51, Vice President for Development and Membership; M. DOLORES DENMAN, J.D.'65, Vice President for Legislative Relations; STEPHE C. TOW SEND, J.D.'74, Vice President for Young Alumni; WILLIE R. EVA S, Ed.B.'60, Treasurer; Past Presidents, PHYLLIS M. KELLY, B.A.'42; GIRARD A. GUGINO, D.D.S.'61; GEORGE VOSKERCHIA , B.A.'54; MORLEY C. TOWNSEND, J.D.'68; EDMO D J. GICEWICZ, M.D.'56; M. ROBERT KOREN, L.L.D.'44.0 Medical Alumni Association Officers: Drs. Edmond J. Gicewicz, M'56, President; W. Yerby Jones, M'24, Vice President; Lawrence Carden, M'49, Treasurer; Michael A. Sullivan, M'53, Immediate Past President. Board Members- Robert Schultz, M'65; Norman Chassin, M'45; Charles Tanner, M'43; Eugene M. Sullivan, M'26; George W. Fugitt Jr., M'45, Program Committee Chairman; Carmela Armenia, M'49, Exhibits Committee Chairman; James F. Phillips, M'47, Past President.D 68 THE BUFFALO PHYSICIAN �A Message from Edmond Gicewicz, M'56 President, Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically con tribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. ---- --------------------------------------------------------First Class Permit No. 2210 Buffalo, N.Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF" MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Buffalo Physician 28 Diefendorf Annex 3435 Main Street Buffalo, New York 14214 �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name - - - - -- - - - - - - - - - - - -- - - - - - - - - - -- - -- - Year MD Received _ _ __ OfficeAddress---------------------------------------------------------------------------------HomeAddress ---------------------------------------------------------------------------------If not UB, MD received from------------------------------------------------------------------------ In Private Practice: Yes 0 No In Academic Medicine: Yes 0 0 Speci~~-------------------------------------------------------­ No 0 Part Time 0 Full Time 0 School ---------------------------------------Title Other: Med~alSocietyMembersh~s:----------------------------------------------------------------------- NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? - - ------- Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Fall 1978 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1978-Fall Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1978-03-Fall Table Of Contents A list of subunits of the resource. New Officers Dean Naughton's Message Dr. Gicewicz's Message Spring Clinical Days Classes Give $20,800 Commencement Students Honored Dr. Calkins Honored Physicians Give $146,608.65 Dr. Francis Klocke Faculty Honored Reception for Seniors Summer Programs Senior Citizens/Medical Costs/Dr. Jason Erie County Medical Center Summer Fellowships Evaluation Committee Medical Education Programs/Medical Problems Dr. Bosu Dr. Hashim/Dr. Weiser Congenital Hypothyroidism Tay-Sachs Disease Aging Study Patient Package A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (Part VII). Response of Readers to Dr. Sanes' Article VI. by Samuel Sones, M.D. People Letter from Dr. Calkins People The Classes In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-12-12 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v12n03 Extent The size or duration of the resource. 72 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/1fdafcabfcc949735f48657ca95edc41.pdf b281f0ad1f976642fbdd36c149d4c669 PDF Text Text The Buffalo Physician Volume 12, Number 2 summer 1978 School of Medicine State University of New York at Buffalo �Dean Naughton From the desk of: JohnP. Naughton, M.D. Dean, School of Medicine Dear Alumni and Alumnae, Intern Matching Day has become one of the traditional events which highlights the fourth year. Dr. Leonard Katz and I have become intrigued by the excitement which this event brings to ou~ students as well as the significance it has for the School 0 Medicine. With the 1978 matching process completed, we have taken the opportunity to review the experienae of the past three years. Some of the comparative results are as follows: 1. In the years 1976, '77 and '78 respectively, 86, 83 and ~9 P.ercent of the participating students received one of theH h.rst three choices with 62, 56 and 66 percent of the respective classes receiving their first choice. . . . he 2. One hundred and sixteen students participated 1ll t match in 1978, and 22 of their classmates obtained graduate training opportunities outside the NIRMP system. 3. Seventy-three students will remain either in Buffal~ 0 ~ New York State while 65 will train in 23 other states. It IS 0 some interest that only 19 selected training sites in states that might be considered as comprising the Sun Belt of the United States. k 4. Since 1976 the number of students matched at New Y~r State medical centers outside the Buffalo area has mcreased from 16 in 1976 to 37 in 1978. Conversely. th~ number that remained in Buffalo decreased from a high 0 66 in 1976 to 36 in 1978. The latter decline is probably related to our students' increased acceptability for placed ment at the national level, and in part, to the yet unresolve teaching hospital situation in Buffalo. 5. Forty-four of the 1978 graduates selected training oppo.rtunities in Internal Medicine, 36 in Surgery, 12 In Obstetrics-Gynecology, 13 in Pediatrics, 14 in Family P~ac­ tice, with the remainder identified as orthopediCS, pathology, psychiatry, radiology, anesthesiology, neurology and ophthalmology. The alumni, faculty and student body can and should be pleased by the strongly competitive results of the 1978 match. Dr. Katz and I know that just as has been the situation with every other graduating class these graduates will represent the institution and the profession in fine fashion. Sincerely. JOHN NAUGHTON, M.D. Dean ------------------------~- �Volume 12, Number 2 Summer 1978 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD Editor ROBERTS. MCGRANAHAN Dean, School of Medicine DR. }OHN NAUGHTON Photography HUGO H. UNGER EDWARD NOWAK Visual Designers RICHARD MACAKAN)A DONALD E. WATKINS Associate Editor FLORENCE MEYER CONSULT ANTS President, Medical Alumni Association DR. MICHAEL SULLIVAN Vice President, Faculty of Health Sciences DR. F. CARTER PANNILL President, University Foundation }OHN M. CARTER Director of Public Affairs }AMES DESANTIS The Buffalo Physician Volume 12, N\UY\ber 2 Surnrno< 1978 IN THIS ISSUE Dean Naughton's Message (inside front cover) 2 Postgraduate Matching 9 Continuing Medical Education/Primary Care 10 Immunopathology of the Skin 11 Family Practice 12 A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (Part VI-F). Cancer: Its Effects on the Family of the Patient: Communication Between Physician and Patient's Family. by Samuel Sanes, M.D. 22 Cardio-Respiratory Function 23 Medical Ethics 24 Residents, Interns 26 Health Care Plan/WNY Group Health Plan 27 Photographic Hobby 28 President's Associates Dinner 29 The Gottlieb's Collection 30 Health Sciences Library/Admission Film 31 Dr. Bernardis/Anesthesiology Programs 32 Korean Volunteer 34 Nutrition Seminars 42 $58,532 Grant 43 VA Hospital Expansion 44 MECO Program 46 Dr. Dunn 47 $166,607 M/S Grant 48 Dr. Solomon 49 Harrington Lecture 50 Dermatology Conference 54 The Classes 57 People 59 In Memoriam 60 Alumni Tours The cover by Barbara Evans, graphic artist, focuses on postgraduate matching, pages 2-8. THE BUFFALO PHYSICIAN, Summer, 1978- Volume 12, Number 2, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class post~ge paid at Buffalo, New York. Please notify us of change of address. Copynght 1978 by The Buffalo Physician. SUMMER. 1978 1 �Post Graduate Matching Eighty-nine per cent of the senior medical students received their first, second or third choices in the annual National Postgraduate Matching Program. Two-thirds of the 138 students were matched with their first choice. Dr. Leonard Katz, associate dean, named several prominent hospital programs where the students were matched. They a . pathology and medicine at Boston City Hospital; primary medicre. at University of California (San Francisco); family practice n~ University of Arizona and Wilson Memorial; radiology at St a Memorial and University of California (San Die;~)~ anesthesiology at New York Hospital and Massachusetts General: pediatrics at Yale-New Haven Medical Center; psychiatry a; North Carolina and Massachusetts General; medicine at Pittsburgh University Health Center, Baltimore City Hospital Dartmouth Affiliated Hospital, Southwestern University of Texa~ Affiliated Hospitals at Dallas, Beth Israel in Boston, and Boston University. Dr. Richard Williams, Donald Hickey and daughter. Achtyl, Thomas R., Saint Claire's Hospital, Schenectady, N.Y. Family practice Agin, Elliot D., Baystate Medical Center, Springfield, Massachusetts, Medicine Aldrich, Cheryl M., Nassau County Medical Center, Meadow- brook, New York, Medicine Altm~yer, Stewart R., SUNY! Buffalo, Medicine A~b1s, Do~othy, Highland Hospital, University of Rochester, FamIly Practice Angelico, Richard, SUNY/ Buffalo I, Buffalo General Hospital, Surgery 2 THE BUFFALO PHYSICIAN �Anolik, Robert, Children's Hospital, Philadelphia, Pediatrics Arno, Tom, Syracuse Medical Center, Internal Medicine Barber, Nathaniel A., State University-Kings County Medical Center, Brooklyn, Medicine Barbieri, Louise T., Grady Memorial Hospital, Atlanta, Anesthesiology Baron-Stone, Judith L., Eastern Virginia Graduate Medical School, Norfolk, Pediatrics Bennett, Brenda A., Harlem Hospital, New York City, Medicine Bennett, Gregory J., Ohio State University Hospitals, Columbus, Surgery Bergenstock, Ray W. SUNY /Buffalo, Medicine Beverley, Mauvareen A., Harlem Hospital, New York City, Medicine Bezouska, Christine A., SUNY /Buffalo I, Buffalo General Hospital, Surgery Blume, Michael H., University of Maryland Hospital, Baltimore, Medicine Bodenstein, Carl, Phoenix Affiliated Hospitals, Arizona, Pedicatrics Bowers, Roger, University of Michigan Hospital, Ann Arbor, Radiology Boyle, John J., Hospitals of the University Health Center, Pittsburgh, Surgery Brower, Steven T., Boston University Affiliated Hospitals, Surgery Brown, Russell G., North Carolina Memorial Hospital, Durham, Psychiatry Buchanan, Iris D., Montefiore Hospital Center, New York City, Pediatrics Burn, Christopher T., University of California Hospitals, San Francisco, Primary Medicine Burns, Irene A., SUNY /Buffalo, Pediatrics Brenda Bennett, Or. Katz. d- John and Mrs. Valvo, Russell Brown, Bob Farkas (standing); Clifton Peay, Mrs. Brown (sitting). �Registrar Dr. John Richert, Dr. Katz congratulates a student. Mrs. Anolik, Mr. and Mrs. Paul Summergrad. Burns, Paul, The New York Hospital, New York City, Anesthesiology Busch, Richards, SUNY/Buffalo II, Meyer, Deaconess, VA Hospitals, Surgery Campbell, Deborah, Montefiore Hospital Center, New York City, Pediatrics Cannucciari, Daniel P., Strong Memorial Hospital, Rochester, New York Diagnostic Radiology Carnes, Molly, University of Wisconsin Hospital, Madison, Medicine Clarke, Cassandra, Harlem Hospital, New York City, Medicine Copoulos, Ellen J., Montefiore Hospital Center, New York City, Medicine Cordero, Pedro, Montefiore Hospital Center, New York City, Surgery Cummings, Rondie E., University of Maryland Hospital, Baltimore, Pediatrics Curran, Ricahrd R., SUNY/Buffalo, Medicine Daniels, Marc B. SUNY/Buffalo, Medicine Del Balsa, Angelo, National Naval Medical Center, Bethesda, Surgery Del Prete, Salvatore A., Dartmouth Affiliated Hospitals, New Hampshire, Medicine DiMino, Thomas J., SUNY!Buffalo, Ob/Gyn Doherty, Elizabeth A., Millard Fillmore Hospital, Buffalo, Surgery Dorfman, Stuart L., Community Hospital, Glen Cove, New York, Family Practice Eggleston, Gary E., Aultman Hospital, Canton, Ohio, Family Practice Elman, Richard S., University of Arizona Affiliated Education Program, Tucson, Family Practice .. Farkas, Robert, University of Texas Southwestern AffllJated Hospitals, Dallas, Medicine 4 THE BUFFALO PHYSICIAN �Franczyk, Chester F., Children's Hospital, Akron, Ohio, Pediatrics Freis, Edmond, Massachusetts General Hospital, Boston, Anesthesiology Gawronski, Stephen J., Millard Fillmore Hospital, Buffalo, Surgery Geisler, Fred H., SUNY /Buffalo I, Buffalo General Hospital, Surgery Gilbert, Lewis A., New Britain General Hospital, Connecticut, Surgery Gillette, Susan K., Cambridge Hospital, Massachusetts, Psychiatry Gillig, Franklin, Millard Fillmore Hospital, Buffalo, Surgery Glassman, Mark, Yale-New Haven Medical Center, Pediatrics Glick, Kenneth, Baltimore City Hospitals, Medicine Goldstein, Scott, Lenox Hill Hospital, New York City, Surgery Groves, Dennis P., Millard Fillmore Hospital, Buffalo, Medicine Gutman, Harvey, Montefiore Hospital Center, New York City, Surgery Haumesser, John C., SUNY /Buffalo II, Meyer, Deaconess, VA Hospitals, Surgery Heller, Andrew, Millard Fillmore Hospital, Buffalo, Surgery Hendrick, William J., University of Rochester Associated Hospital Programs, Ob/Gyn Hickey, Donald D., Medical Center Hospitals of Vermont, Burlington, Surgery Hoffman, Michael E., University Hospital Medical Center (University of California San Diego), Surgery Horn, Harvey, Lenox Hill Hospital, New York City, Surgery Isada, Nelson B., University Hospitals, Madison, Wisconsin, Medicine The reception . SUMMER, 1978 5 The Robert Anolik's. �Paul Paroski presents a class gift to Doreen Miller as Gary M errill observes. Jones, Sheryl, SUNY/ Buffalo II, Meyer, Deaconess, VA Hospitals, Surgery Kaplan, Steven J., SUNY/ Buffalo I, Buffalo General Hospital, Surgery Kaufman, Gary, Bronx Municipal Hospital Center, Surgery Kavanagh, Kevin, La Crosse Lutheran Hospital, Wisconsin, Surgery . Killian, Stephen, University of Virginia Hospital, Charlottesville, Family Practice Koslow, Alan R., Stanford University, Surgery Kramer, Mark J., Charles S. Wilson Memorial Hospital, Johnson City, New York, Family Practice Kulick, Eric, Menninger Clinic, Topeka, Psychiatry Kusalavage, John J., SUNY/ Buffalo, Ob! Gyn Lachman, Leigh J. , Georgetown University, Washington, D.C., Surgery Leslie, Joyce, Charles S. Wilson Memorial Hospital, Johnson City, New York, Family Practice Levinson, Bradley A., St. Vincent's Hospital, New York City, Surgery Marchetti, David L. SUNY/ Buffalo, Ob! Gyn Margolis, John L., Brown University Affiliated Hospitals, Providence, Surgery Marsh, Franklin, Harlem Hospital, New York City, Medicine Mattrey, Robert, University Hospital Medical Center (University of California San Diego), Diagnostic Radiology Mazzone, Thomas, Millard Fillmore Hospital, Buffalo, Surgery Meltzer, Roberta, Hartford Hospital, Connecticut, Medicine Merrill, Gary A., Children's Hospital of Northern California, Oakland, Pediatrics Miles-Matthias, Paul, Cincinnati General Hospital, Ohio, Surgery Minkoff, Peter J., Community Hospital, Glen Cove, New York, Family Practice Mitchell, Barry, SUNY/Buffalo I, Buffalo General Hospital, Surgery Mitchell, Dean, St. Josephs Mercy Hospital, Ann Arbor, Michigan, Flexible Morgan, Charles W., Genesee Hospital, Rochester, New York, Medicine Morris, Linda J., Georgetown V.A., Washington, D.C., Medicine Nieman, Lynnette K., SUNY / Buffalo, Medicine John Valvo, Steve Brower, Stephen Gawronski, John Boyle, Tom Arno. �Robert Anolik, Stephen Killian and friend, Michael Wolff. Mario Santilli, Barry R osenberg, Mark Glassman. O'Brien, Matthew, SUNY /Buffalo, Medicine O'Connell, David, SUNY/Buffalo, Pathology O'Gorman, Kevin, Mercy Hospital, Buffalo, Medicine Paroski, Paul A., Montefiore Hospital Center, New York City, Pediatrics Paul, Douglas P., University Hospitals Health Center, Pittsburgh, Medicine Peay, Clifton L., SUNY/Buffalo, Medicine Pitts, Jeffrey C., SUNY/Buffalo, Medicine Polatnick, Lois, SUNY/Buffalo, Medicine Powell, Douglass, Syracuse Medical Center, Ob/ Gyn Pszonak, Robert, University of Hawaii Integrated Residency Program, Medicine Reich, Joel J., George Washington University, D.C., Medicine Reinfurt, Frederick L. SUNY / Buffalo, Psychiatry Rey, Michael, Nassau County Medical Center, New York, Family Practice Rich, Kenneth J., University of Kentucky Medical Center, Lexington, Orthopedic Surgery Reynolds, James, Meyer Hospital, Buffalo, ophthalmology Roberts, Gregory, University of Miami Affiliated Hospitals, Surgery Rohrdanz, David, Memorial Hospital, Scottsdale, Arizona, Family Practice Rollo, Daniel P., Hershey Medical Center, Pennsylvania, Ob/ Gyn Rosenberg, Barry I., University Hospitals, Boston, Medicine Ruta, George E., University of Colorado Affiliated Hospitals, Denver, Pediatrics Rutecki, Paul, Baylor College Affiliated Hospitals, Houston, Neurology Sangster, David, University of Louisville Affiliated Hospitals, Kentucky, Family Practice Santilli, Mario D., Millard Fillmore Hospital, Buffalo, Surgery Scanlon, John P., University Hospitals of Madison, Wisconsin, Medicine d- SUMMER,1978 7 Mary Shapiro receives congratulations f rom Lynette Nieman and a gift f rom the fourth year class. �Dr. Williams, Dean John Naughton, Dr. Frank Schimpfhauser, assistant dean. Mark Glassman, Salvato re Del Prete, Dr. Katz . Schenk, Alan R., Mount Sinai Hospital, Miami, Medicine Seidman, Steven M., North Shore University Hospital, Manhasset, New York, Ob/ Gyn Seretan, Douglas, Stamford Hospital, Connecticut, Medicine Shaham, Elsagav S., SUNY / Downstate Medical Center, Brooklyn, Ob! Gyn Shaham, Simon Z., SUNY/ Buffalo, Ob/ Gyn Sharrieff, James R., Wayne State University Affiliated Program, Detroit, Medicine Smith, Claudette, SUNY / Buffalo, Ob/ Gyn Somogyi, Ronald M., SUNY/ Buffalo, Medicine Spector, Laurence D., Boston University Affiliated Hospitals, Flexible Stanley, Covia L., New Hanover Memorial, North Carolina, Ob!Gyn Steier, Jeffrey, University of Minnesota Hospitals, Minneapolis, Neurology Steinhart, Curt M., University of Southern Florida Affiliated Hospitals, Tampa, Pediatrics Stempsey, William E., Boston City Hospital, Pathology Sternberg, Richard J., New York Medical College-Metropolitan, Surgery Strader, Stephen E., St. Clare's Hospital, New York City, Family Practice Streit, Andrew W., St., Joseph's Hospital, Michigan, Family Practice Summergrad, Paul, Boston City Hospital, Medicine Tarantino, Benedetto, Rochester General Hospital, New York, Medicine Tedesco, Salvatore A., State University-Kings County Medical Center, Brooklyn, Surgery Tracy, Charles, Mount Auburn Hospital, Massachusetts, Medicine Valvo, John R., Strong Memorial Hospital, Rochester, New York, Surgery Vogelman, Bennett, University of Wisconsin Hospital, Madison Medicine ' Wilamowski, Henry, Meyer Hospital, Buffalo, Ophthalmology Wolff, Michael L., Beth Israel Hospital, Boston, Medicine Wopperer, Paul J., University of Rochester Associate Has ital Programs, Ob/Gyn P 8 THE BUFFALO PHYSICIAN �Continuing Medical Education Several Continuing Medical Education Programs are scheduled for spring and summer, 1978, according to Mr. Charles Hall, director of the programs. The dates, titles and chairmen of the programs are: May 11 - American College of Surgeons, Western New York Chapter, Dr. Frank Gerbasi. May 21-24- The Third Annual Westwood -Conference on Clinical Dermatology, Dr. Richard L. Dobson, professor of dermatology. June 1-2 - Coronary Artery Disease, Dr. Joginder Bhayana, associate professor of surgery, and Dr. David Dean, clinical associate professor of medicine. June 10, 11 - The Aneurysm Patient, Dr. Walter Grand, clinical assistant professor of neurosurgery. June 10- Gastrointestinal Bleeding, Drs. Syde Teheri, clinical instructor in surgery, and Leonard Berman, clinical associate professor of surgery; Buffalo District Medical Tennis Association. June 12-15- The Sixth International Convocation on Immunology, Dr. James Mohn, professor of microbiology. June 19-23- The Eighth Annual Conference on Immunopathology of the Skin, Dr. Ernst Beutner, professor of microbiology and dermatology. June 21-23 - Gynecologic Laparoscopy, Dr. Norman Courey, clinical professor of gynecology/obstetrics. Primary Ambulatory Care Rotation Fourth year medical students will be required to begin a one month primary ambulatory care rotation July 1 in one of four departments - family medicine, medicine, gynecology/obstetrics, pediatrics. This new program has been approved by the faculty council and the executive committee. During the rotation period, 75 per cent of the student's time must be spent in ambulatory or out-patient care. The .goal of the course is to train students in the full range of pnmary care delivery. The four faculty members, who will direct the p~ograms .. a.reDrs. Robert Seller, professor and chairman of fam1.l~ medicm.e, Faith Davis, clinical associate professor of mediCme, Dav1d Nichols, M'47, professor of Gyn/ Ob, and Henry Staub, associate professor of pediatrics. Members of the primary care subcommittee of the curriculum committee are- Drs. Evan Calkins, Richard Lee, James Nolan, Ray Bissone tte, Frank Cerra, Frank Schimpfhauser, Stanley Levin, Julie Nickelsen, David Nichols, Henry Staub, and student representative Celia Quinnonez. D SUMMER, 1978 9 �Immunopathology of the Skin heard about what is new in the field of immunopathology of the skin from a distinguished panel of experts. The participants in the seventh annual conference came from Europe, Canada and this countrty. Heading the list was persuasive histologic/immunologic/ultrastructural evidence by NIH's Dr. Steven Katz on the role of Langerhans cells as an epidermal form of macrophage. As such, he said, they may well be implicated in the reticuloendothelial system. Dr. Ernst Beutner's laboratory evidence that stratum corneum antibodies react at all sites of trauma to the skin was backed up by convincing clinical studies by Poland's Dr. Stefani a Jablonska of their involvement during the earliest changes in the Koebner phenomena, even before sciatic lesions become clinically or histologically evident. There is also wider use of immunofluorescence for diagnosis of vasculitis. Its promise for future development? Significant, according to Dr. Michael Fellner of New York Medical College. That the Braverman histamine injection test is useful to pinpoint immune complex involvement with this type of lesion was reviewed. How the Yale investigator's method works is to cause deposition of circulating immune complexes in vessels with histamine. Noted Dr. W. Mitchell Sams of North Carolina, "an injection of 0.051 m1 of a histamine solution containing 0.121 mg per m1 of histamine is adequate to elicit such a response." When it came to pinpointing the various types of bullous diseases, the debate raged unabated. For these diseases are not only distinguishable by immunological findings but by patient response to treatment as well. While Dr. Jablonska leaned toward patients with linear IgA deposits as having an atypical form of dermatitis herpetiformis, Dr. Katz reserved judgment. And when it comes to vasculities, a type of hypersensitivity itself, and other hypersensitivities, there was not much that was new to report. But that IgE class antibody may well be involved in producing bullous pemphigus lesions was suggested by Buffalo's Dr. Carl E. Arbesman, clinical professor of medicine and microbiology. Because the evidence is indirect at this time, he cautioned on the need for further proof. Turning to the laboratory production of pemphigus, Case Western's Dr. Beno Michel pointed to living skin explants but two milimeters square that develop lesions in the presence of purified pemphigus antibody. Originally produced by him, it is now being duplicated in the laboratories of Drs. John Schiltz, Beutner, and Chorzelski. Dr. Schiltz went on to demonstrate the activation of lytic enzymes with pemphigus antibodies. Tracing immunologic events in systemic sclerosis were Pittsburgh's. Dr. G. Rodnan an? Dr. Jablo~ska. Because of a greater understandmg of the underlymg mechamsms of immunologic dis- FIFTY PRACTICING PHYSICIANS The 8th annual conference on Immunopathology of the Skin will be June 19-23 at the U/B Medical and Dental Schools in Farber Hall. The five-day meeting is sponsored by the departments of microbiology and dermatology in cooperation with the Center for Immunology. Dr. Ernst Beutner, professor of microbiology and dermatology, will direct the conference again this year. There are seven visiting faculty members on the program and 10 from U/B. The Summerhill Foundation, the Immunofluorescent Testing Service and the Westwood Pharmaceutical Company are supporting the meeting. 10 THE BUFFALO PHYSICIAN �turbances and therefore more awareness of these diseases, they are being more closely identified with immune complex disease. Another important phenomena, that of the unified concept of autoimmunity, its pathologic as well as physiologic types, was presented by Dr. Beutner. Starting with pemphigus a pathologic type he noted its binding to normal skin invivo. Such is not the case for human autoantibodies, he said. They that fall into the physiologic class and participate in reactions when skin is damaged, aid in its removal. At times they even appear to participate in lesion development, he said. But due to the diversity of causes and reactions involved with physiological skin autoantibodies, Dr. Beutner was quick to point to the need for his theory to be proven. Turning to lesion development, he noted that Munro micro abscesses seen in all forms of psoriasis appear to be assured by a physiologic autoimmune response to the stratum corneum. What tests are best to pinpoint the various forms of connective tissue disease SLE, mixed connective tissue disease and 10-15 per cent of scleroderma cases that are seen was presented by San Francisco 's Dr. Denny Tuffanelli, as well as S. Jablonska, and U/ B's Peter Maddison and Morris Reichlin based on their respective patient populations studied. There was agreement on the sign for a different course of the disease for the clinical picture of scleroderma. Rather than contraindicating the use of corticosteroids, they pleaded for its use at this time . It produces remarkable improvement and the disease is more benign. Only rarely, they said, were they able to observe kidney changes and only when disease progresses did anti DNA antibody seem to occur. Among unusual circumstances not belonging to the disease were clinical signs such as scleroderma, no rnp, changes appearing with rnp antibody. Agreed was the prognostic value of these tests. The Conference was the seventh to be sponsored by the U/ B's department of microbiology as well as the Summerhill Foundation and the Westwood Pharmaceutical Corporation. It was run by Dr. Ernst Beutner, professor of microbiology and dermatology at U/B.O The family practice residency elective, com~unity-univ~rsity service , initiated in 1975 is popular and effective, accordmg to Dr. Robert H . Seller, professor and chairman, family m~d~cine d~part­ ment. Sixty-four percent of the graduates who participated m the elective are practicing in underserved areas. Of the 22 recent graduates, 16 (73 o/o ) are practicing in New York State, and 10 are practicing in medically underserve? areas. Four of the six others are practicing in underserved areas mother states. Dr. Seller is director of family practice at Deaconess Hospital. Since the family practice program started in 1971, 67 percent of the 36 graduates (excluding those in military service) are practicing in New York State.O SUMMER, 1978 11 Or. Beutn er Family Practice �A PHYSICIAN FACES DISSEMINATED RETICULUM CELL SARCOMA IN HIMSELF Part VIF Cancer: Its Effect on the Family of the Patient Communication Between Physician and Patient's Family By Samuel Sanes, M.D. Over the years cancer will strike in approximately 2 of 3 families . The patient may be a spouse, son or daughter, parent, brother or sister. At the Roswell Park Memorial Institute, Dr. Sones knew two male twins who had Hodgkin's Disease simultaneously. The father of a UB medical student who developed Hodgkin's Disease lived for years with follicular lymphoma until it turned fatal. Dr. Sones and his brother, at virtually the same age, showed lymphoma-leukemia of a related histopathologic type. The following illustrations call attention to the occurrence of cancer in families well known in politics and government. Editor's Note: Dr. Sanes wrote this article VIF on the "How" of physician-patient-family communication under considerable physical and psychological strain. Indeed, there was a question whether he would be able to start and finish it. Dr. Sanes had not been in satisfactory physical condition since his splenectomy in August, 1977. He had been housebound. His chief problems were: (1) an abnormal blood picture with anemia requiring transfusions, thrombocytopenia with agglutination of platelets, and leukocytosis with up to 42,000 white cells per cu.mm. uncorrected, with nucleated red blood cells, myeloid cells and giant platelets (conversion to leukemia was considered); (2) daily fever, often accompanied by shaking chills; (3) generalized muscular weakness and pain; and (4) dypsnea on exertion. In February, 1978, the muscular weakness and pain became so severe that Dr. Sanes required assistance to leave bed, to get off the toilet seat and to get out of the bathtub. Writing became difficult. He entered Roswell Park Memorial Institute Feb. 7 and remained there four weeks. During that time he had two transfusions of packed red blood cells, one of whole blood and one of platelets. Bone marrow biopsies were made. To determine the cause of the fever and chills he had numerous blood and urine cultures, surgical consultations, IVP, barium enema, total body gallium scan, ultrasonic scan, body CAT scan, intravenous therapeutic test doses of the antibiotics Carbenicillin, Keflin and Tobramycin. He also had oral Chloromycetin. For his neurological complications he had a neurologic consultation and electromyograms. [There was some question that a neuropathy might be related to the original lymphoma.] During his stay in the Institute, Dr. Sanes developed bronchopneumonia. He returned home March 10 with the same problems he had had when he entered the Institute. He required assistance to get up out of bed or a chair, and to get upstairs. But he had never missed a deadline for The Buffalo Physician previously and he was determined not to do so this time. Unable, because of his muscular weakness, to write his initial draft in longhand as he usually had, he dictated it while lying in bed. His wife typed it and returned it to him for editing, then retyped it with his suggested changes. In his previous articles relating to communication between the physician and the cancer patient and the family, Dr. Sanes had answered the "five Ws" of such communication - Why, When, Where, Who and What. In this one he discusses "How?" HOW? In answering the six questions involved in physician-patientfamily communication- "the five Ws and the H" - it is the "H" that is most important. The "five Ws" - the why, when, where, who and what discussed in previous articles - all lead up to the "H" -how to communicate. The "H" wraps up all the other elements of communication in one effective package. The way we tell the patient and the family is as important as what, why, when and where we tell them. 12 THE BUFFALO PHYSICIAN �"It isn't what he says that's the problem," one of President Carter's aides told a newspaper reporter earlier this year. "The problem is in the way he says it. " What is true for the President is just as true for the physician who wants to establish good communication with the patient and his family. I am sure that you have deduced from reading my previous articles that as a matter of principle I believe in telling the whole truth in complete honesty. And for telling not only the whole truth but the same truth to both patient and family. My wife and I both want to know the same truth. My physicians understand this. She tells me what she learns. I tell her what I think. We keep nothing from each other. Not all physicians, and not all family members, believe that this is a good idea. * * * But even when such an attitude prevails, it is my observation from the experience of my wife and me and that of others I have seen in the lymphoma-leukemia clinic that I attend, patients and families are better able to cope when there is free and open, equally-shared, communication. The chief of that clinic has a hard and fast rule that he will not accept patients unless both patient and family know the diagnosis. Sometimes either the patient or the family object to the other being informed. When a college student was referred by a private physician who had not told him that he had leukemia, the parents, who knew, asked that their son be kept in the dark. "It's so cruel to tell him that he has a fatal disease," the parents begged. "Please don't." "I must," the chief. of the clinic told them firmly. "Otherwise I cannot accept him as a patient." The parents gave in, but asked that the physician inform their son privately. They could not bear to be present. He refused. "I want to talk to the three of you together, " he told them. He took the patient and his parents into the small room in the clinic that is set up for just such purposes. "You've been pretty sick for some time," he told the student. "Do you know what you have?" "Leukemia," the boy responded calmly, without hesitation. Though no one had spelled his illness out for him he had known all the time. Getting everything out in the open made things easier for both the patient and his parents. They could talk to each other again without trying to hide what they knew or suspected. Treatment continued in a regular manner. As Roman Catholics - the son was particularly devout - they gained psychological and spiritual comfort from arranging for a priest to visit the patient regularlysomething they would have hesitated to do when they were trying to hide the truth from each other. * * * What I know or believe about the "how" of communication can be summed up in four maxims that I have learned from a journalist (my wife), a television producer, and two general authors. dSUMMER, 1978 13 JOHN V. LINDSA Y , fo rmer congressman from and ex-mayor of New York City. In 1977 his twin brother David di ed of cancer. �HUGH L. CAREY, present governor of New York. In 1974 his wife, Helen, aged 49, died of cancer when he was congressman from Brooklyn. In addition to Rep. Carey she left 12 children . • Upon entering office, Gov. Hugh Carey set up a Helen Carey memorial within the Patient Welfare Fund of Roswell Pork Memorial Institute. Money from this memorial, to which the governor makes periodic contributions, was used to refurnish and renovate a solarium named for the late Mrs. Carey on the fifth floor of the institute. Gov. Carey came here for the dedication. In 1977 the governor vetoed the bill passed by the State Legislature for permitting the use of Laetrile by cancer patients. Laymen as well as governmental figures may be moved, by the occurrence of cancer in their families, to enlist in the fight against the disease. 1. My wife, with 38 years of experience as a communicator, especially in writing about health problems, says that "the more and better the communication, the more and better information for making decisions." 2. When I first served as co-ordinator of a television program, Modern Medicine, the producer, a specialist in medical broadcasts for the public, told me: "Never underestimate the intelligence of your audience but never overestimate its information.'' 3-4. The two general authors wrote so as to qualify what some might find too harsh in my principle of the communication of the whole truth honestly. The first said: "Honesty doesn't mean cruelty when it's truth with emotional support." The second stated: "Painful truths should be delivered in the softest terms, and expressed no farther than is necessary to produce their due effect." It is with these four maxims in mind that I have formulated my own credo as to "how" to communicate with cancer patients and their families. * * * If I were a public relations man preparing a television program to dramatize perfect physician-patient-family communication, I should probably start with an archetypal physician like Marcus Welby. He would have a certain physique, beard and hair style, type of dress, voice, manner, knowledge and expertise in oncology, emotional stability, integrity, sensitivity, attentiveness to the individual and concern for the needs of others. Undoubtedly there are such physicians in real life. I myself have been fortunate enough to find some who come close to such an ideal. * * * But I have to admit that most physicians do not fall into this perfect pattern. Despite often superior academic records in school, scientific and technical success in postgraduate education and practice, many lack the ability to relate personally to patients and their families. Perhaps in some cases this trait has bEfen taken out of them by an education that stressed science and technology over humanistic medicine. (I was interested to read in the Spring issue of The Buffalo Physician that the School of Medicine is setting up a course in humanistic medicine. As a physician-patient with an end-state illness for which scientific medicine can offer little or nothing to help, I have certain feelings about humanistic medicine and medical students. At this time, however, I will not digress to discuss them.) Since we don't live in a world of idealized television programs, we have to work with what we have. * * * Doctors and patients and families are all human beings and all different. 14 THE BUFFALO PHYSICIAN �The doctor who meets the needs of one patient and one family, professionally and in communication, may have no rapport at all with another. I've seen this repeatedly during my five years of weekly or biweekly attendance at the lymphoma-leukemia clinic of the cancer institute. Most of the average 30 patients and their families who come to the clinic daily are happy with the regularly scheduled physicians. Some, however, are satisfied only with a specific doctor. If he is absent they see another only reluctantly or refuse to be examined or treated at all. I can cite two such cases, both patients in wheelchairs who had come a considerable distance to keep their appointments. The first, an elderly woman, agreed to see another physician when the receptionist informed her that the physician she considered "hers" had been called away on an emergency. But after she had seen the designated doctor she sat in her wheelchair waiting to be picked up muttering "I came all that way and then couldn't see my doctor- a fine thing!" The second, a younger man, obviously very ill, adamantly refused to accept a substitute when informed that his regular physician was out of town. "But all of our doctors are equally good," the receptionist told him. "I don't care about that," he rejoined, "If I have a choice I want to see my own doctor, and if I can't see him I'm going home. I'll come back tomorrow when he's here." * * * The doctor the patient or family member insists on seeing may be the one that another refuses to see. It isn't easy to meet the communicative needs of hundreds of patients with different problems and personalities, backgrounds and outlooks. This is particularly true when the doctor is dealing with persons facing and coping with a chronic incapacitating potentially fatal disease like cancer. But if a physician can't be all things to all people, there are steps that he can follow to communicate more effectively with all of his patients. Here are some of them. * * * Establish rapport. During the workup, the oncologist or specialist should establish a personal relationship with the patient and family. One of the advantages of having a primary care physician is that this rapport is already assured. * * * Be available and be on time. The family shouldn't have to run around the hospital looking for the physician. He should make an appointment to talk to them and then, if possible, not keep them waiting unnecessarily. A medical oncologist kept a newspaper editor waiting nearly two hours after the appointed time when he came in to talk about his sister's disease. d- SUMMER, 1978 15 BIRCH BA YH, U.S. Senator from Indiana. In 1971 his wife, Marvella, 38 years old, had a modified mastectomy for carcinoma fallowed by X-ray and chemotherapy. Her husband dropped out of the running for the Democratic presidential nomination to be with her. "My husband was marvelous and terrifically understanding," Mrs. Bayh recalled after the operation. "After I learned I had cancer I was crying and said to him, I'm only 38 years old and I'm going to go through the rest of my life with only one breast." He said, ''I'm five years older than you ore and I've gone through my life without any." He let me know that he married me and loved me - the 'me' that no bodily amputation can change." As for her husband's sacrifice of a try at the presidential nomination, she said: "I thought that it was a beautiful thing to do and the greatest gift he could give me. He was home every evening and I really appreciated it." �"I had cancelled some of my own appointments to go to the physician's office," the brother told me. "There was no one else in the waiting room. The physician was alone in his inner office and he remained alone. I heard him talking a couple of times on the telephone. The secretary informed him of my arrival and reminded him later, but he just didn't seem to realize that my time was valuable too." F. RAY MARSHALL, U.S. Secretary of Labor in President Carter's cabinet. In 1978 his 15-yeor-old son, second youngest of Mr. Marshall's five children, had his left arm amputated for bone cancer (sarcoma]. * * * Take time. This is especially important when first explaining the diagnosis, course and prognosis. Sit down with the family member. An elderly physician once told me, when I was a lot younger myself, "One minute sitting down is worth five standing up when speaking to a patient or a member of his family." This is as true when making rounds as it is in your office. * * * Go through the formalities of introduction. Be calm and poised, open but not casual, objective but not cold, warm and concerned. "Communion is vital in all true communication." A consoling hand on the arm or shoulder of the person to whom you are talking can mean more than words in helping him accept what you are saying. Your TQ (touch quotient) may be more important than your IQ (intelligence quotient). "He was all right, I guess, in giving information, but he was such a cold fish," a physician's widow said of the manner in which an oncologist who treated her husband during his terminal cancer communicated with her. One physician, acting on the advice of his clergyman father, started out in practice by greeting his patients and their family members with a warm handclasp when he saw them in his office or in the hospital. Now, he says, they often reach out to grasp his hand before he has extended it fully. Such gestures are particularly important in a university or governmental hospital or a cancer center where the patient may be assigned to a physician he has never seen or heard of. The physician will seem warmer and more concerned if he introduces himself by name, position and relationship to the patient or family member. * * * Your rapport with a cancer patient or a member of his family can be seriously damaged or utterly destroyed if you take too many "times out," even for professional purposes. And certainly they are not there to listen to a telephone conversation with your stock broker or a friend who wants to make a golf date. * * * Be truthful and honest within the limits of available knowledge. The family may press the physician for definite answers on treatment, course and prognosis. Their own future plans depend upon what happens to the patient. The physician should tell them honestly, when he cannot give guarantees, that medicine is not an exact science but remind them that research is constantly going on. A void interruptions. 16 THE BUFFALO PHYSICIAN �* * * Use simple, understandable English, not medical terminology or jargon. The medical term may be more precise, more part of the physician's speech, but it may mean little to the patient or the family. Don't talk as if you were delivering a paper on the subject at an international meeting of your professional society. This is true for even well-educated, otherwise sophisticated persons. My wife tells me of a general news reporter with a considerable reputation in other fields who filled in for her on the medical beat one day, covering a seminar on cancer. When he returned to the office to write the story, she asked him how things had gone. "Fine," he responded. "The seminar was interesting and I learned a lot. But they kept using one word I didn't understand." The word was "carcinoma." A UB student majoring in psychology asked to interview me on tape about my illness. The interview was to be his term project for a class on "Death and Dying." To his first question, about my diagnosis, I replied "histiocytic lymphoma." He stopped the tape. "Lymphoma," he asked, "is that cancer?" (Incidentally, he received an "A" on his project.) * * * Avoid expressing your thoughts and emotions in non-verbal forms which may upset the patient or family. Watch your facial expression, tone of voice, even bodily movements. "One's face ofttimes says more than one's tongue." And in speaking to a wife or mother, do not take a patronizing, male chauvinistic attitude. Incidentally, from·my personal experience and observation of other patients, I have the impression that women physicians are more empathic than most men. I remember one physician in his 40s with fatal cancer who derived most of his comfort, encouragement and support from the woman physician on the service where he was being treated. Perhaps he adopted her as a mother. * * * If the patient has cancer, say the word. And specify the type of cancer. Don't evade or equivocate by saying "tumor" or even "malignancy." If you use a term like "lymphoma," explain that it is a type of cancer. (Perhaps I have been remiss in this series by dropping the qualifying adjective "malignant" from before the words "lymphoma" and "hepatoma," but I have, after all, been writing for a medical readership.) A husband and wife interviewed on national television said that they went for months after being informed of the husband's diagnosis ignorant of the fact that he had cancer. "We thought it was only lymphoma," the wife said. Unless the physician is very plain-spoken, the family member may not grasp what he is saying, may shut out of his mind what he doesn't want to believe. He may accept "tumor" or "lymphoma" as something other than cancer. d- SUMMER, 1978 17 Former President GERALD R. FORD. In 1974 his wife, Betty, 56 years old, had a radical right mastectomy for carcinoma followed by chemotherapy. �But when you do give a verdict of cancer, explain it. All cancers are not equally life-threatening, and the patient and family should know that. Correct any misconceptions they may have. A young wife I know was thrown into hysteria when her physician told her that the small spot on her cheek was "basal cell cancer" and didn't explain anything more. ROSAL YNN CARTER, wife of Jimmy Carter, president af the USA. In 1940, when she was 13 years old, her father died of leukemia. She helped her widowed mother raise 3 younger children. Thirteen years later, in 1953, when she was married to Jimmy Carter, her father-in-Jaw died of cancer. * * * Use a printed sheet or diagram to help get the message across. The family and the patient himself may get more from an objective, illustrated statement about the type of cancer, stage, treatment, course and prognosis than from what the physician tells him face-to-face. They can read the statement at their leisure, when they are calmer- re-read it if necessary. Dr. Shirley Salmon's study indicated that pre- and postoperative information needs to be presented in writing as well as in conversation. This is also true of directions for therapy. The physician is not only the source of information but the source of instruction. When I returned from the cancer institute in March I was taking a total of ten drugs, some as many as four times a day. In my mental and physical state I was unable to keep them all straight. It was up to my wife to administer them. Some patients who aren't able to cope with the numbers and kinds of drugs prescribed have to be admitted to a hospital for treatment that might otherwise have been given at home. Repeated errors of administration when dealing with today's powerful drugs could be life-threatening. Many clinics, including Roswell Park Memorial Institute, prepare pamphlets for distribution to patients telling them everything possible about their type of cancer, including after care. * * * Listen to the questions the family member asks and then answer them to the best of your ability. Communication is aural as well as oral. It is important to listen as well as to talk in communicating with the family. No question is unimportant to the family member asking it. Answer as succinctly and briefly as possible, mentioning but not dwelling upon - every qualification and reservation (except where more emphasis is required legally). "Whenever I ask a doctor a straight-out question," one of my fellow lymphoma patients commented, "he takes 20 minutes to answer 'maybe.' " Some family members, even some patients, will write out their questions ahead of time. They may fear that, in the awesome presence of the physician, they will forget something that they want to ask. Or that the physician, busy and impatient, just won't wait for them to finish asking their questions orally. If a patient or family member comes to you with such a list, don't put him down as a neurotic. Save his list and those of others who question you in this way, and write a book of answers. It might be a best seller. * * * 18 THE BUFFALO PHYSICIAN �See that the family gets information, education, advice and counsel about non-medical problems that may arise as a result of the patient's cancer. That means that the physician himself must be familiar with hospital and community facilities and able to communicate the facts about them to the patient and the family. It would be most helpful if this could be done in written form, complete with addresses and phone numbers. * * * Give the family your telephone number. Assure them that they should feel free to call if the patient's condition changes, if there are unanticipated side effects to treatment - infection with fever, hemorrhage or other medical problems. A physician, particularly a medical oncologist, may want to set aside a "telephone hour" in the day during which he can take calls of a non-emergency nature without interrupting his regular office hours. The lymphoma-leukemia clinic that I attend encourages patients and their families to phone their physicians when they have questions about their condition, particularly when there is any change in it. I have done so myself on several occasions. When I developed shingles after radiation therapy, my fever continued to rise for several days. At that point I called the clinic and was given a special appointment in the afternoon to avoid infecting others during morning clinic hours. Another time I had a cold that hung on for several days with pharyngitis and laryngitis. Fearing tracheobronchitis, again in the face of a rising fever, I called my clinic physician at home at 7:30 a.m. * * * Assure the family that you will stick with the patient and with them for the duration of the illness and beyond, as emphasized in the section on "What?" * * * Don't try to give all of the information at once. Be prepared to repeat at future times some of the information given during the first interview and to expand upon it. The shock of learning the diagnosis may be all that the family can truly absorb at one time, even though they indicate that they want to know "everything." * * * Keep the family informed as to new developments, including changes in treatment and reasons for them. * * * Keep your promises to the patient and the family. If you promise a report on the outcome of a biopsy, blood test or X-ray study at a given time, don't keep the patient waiting or forget about it entirely. He and his family will be on tenterhooks until they hear, even if you told them that you wouldn't telephone unless there was something abnormal. Call them anyway, as soon as you know the results. * * * SUMMER, 1978 19 \ ~ • Education · -'" · "· • Service • Re c-e .:~rch ---- -., r-., \,} \J :-:. / >,.·... /- ,(: ,.("'": ,:·::':·< ..., -r.:. (->~~- ") ~~-7' ), I': ~.,_ _~, r~;::( t-.;;-~- (~\·"·1. r '' . :. ,c:-- \ --. ~r -,v ·t .. ~... ~ ":~ ~:. :...' .-\; --· ·~~ . t·''"'J'(j~$~~~1' 0:.. ~ ~ .. 'J5llr~r~J~\"-~l ·- /_\ ;: r,,:"M'S:r_4:tJ- ~ ,¥}1·,; -' I IJ('"~-: ,'·: ~<\>2 '~r~r·,,sr ·\ / ·-~· ~/ }('..J, .. \ !. I \J;~;-'l I \ ( I. A'- •,/ 1 ·: -1' ~· ~..,~ ) \ .':.,. . ;> ·"'!j~ I rf ----~- J~ ,/ J~ -/?. / {; \'1T~ r r l . ~ ~ ~ ~ r~ May the occurrence of cancer in a family influence the patient or relative to take a special interest in fighting the disease? Both Mrs. Bayh and Mrs. Ford participated in public education programs on cancer after their diagnoses. Mrs. Bayh became national co-chairman of the 1974 American Cancer Society Crusade. Mrs. Ford served as national honorary Crusade chairman in 1975-76. While his wife was in the hospital, President Ford appealed to those who might want to send flowers to contribute instead to the American Cancer Society. �Don't get angry if asked about a new proved or unproved treatment or procedure reported in the press or elsewhere and whether it could be applicable to the patient's case. The family is constantly reaching out for any hope that it can find. It has no way of judging newly-reported knowledge other than asking about it. If the physician has information, opinion or judgment on which to reply to their question, he should do so . If not, he should tell them that he will look into it. FRANK DILLON, a social science teacher from Beachwood, Ohio, won $50,000 in a contest and donated his entire winnings to the American Cancer Society. Before the contest, Dillon said: "My mather, her two sisters and my father have all died from cancer. Because my dearest family has been wiped out by cancer I am going to try my hardest to win the grand prize for the American Cancer Society." * * * Don't get angry if a friend of the family intervenes. This may happen when the patient and the family are passive persons who hesitate to trouble the physician because he is too busy or because of the awe in which they hold him. I'm not a very assertive patient myself. I don't like to complain. (I also fear being a neurotic.) Most often it is my wife who insists, when I have a problem, that I get in touch with the physician about it. When I have refused, or neglected to do so, she has sometimes gone to the physician behind my back. Without her, or a friend who would fulfill a similar function, often I would do nothing, perhaps brood and get worse. My physician in the lymphoma-leukemia clinic recognizes this. He recently told me not to withhold my complaints or kid about them, but to tell him about whatever was troubling me. * * * Preserve hope, encouragement and support as far as possible. * * * No matter how well a physician communicates, he must be prepared for a variety of reactions on the part of the patient and the family. Rarely, because of a family member's lack of knowledge and insight, he may not be able to communicate at all. Novelist Peter de Vries writes in "The Blood of The Lamb" of the father of a leukemic child who met a 300-pound woman in the hospital lounge. She was pacing back and forth in a rumpled house dress, a cigarette with an inch of ash hanging from her mouth. "Boy, dis place," she said. "When me and my little girl come in here she didn't have nothing but leukemia. Now she's got 'Ammonia.' " While the father listened unbelievingly she continued: "Ammonia, dat's serious. She's in an oxygen tent and I can't smoke there. It's a tough break for her because like I say at first she didn't have nuttin' but a touch of leukemia. I don't believe I ever heard of dat before. What is it?" For the patient and family who are capable of understanding, good communication will soften the blow, but it cannot assure the physician that they will always accept the news as he would have them accept it. 20 THE BUFFALO PHYSICIAN �Here are some of the reactions he can expect from families. No apparent reaction or denial. Some persons don't show distress at all. This may be because of their own inhibitions, their wish not to "bother the doctor," or their inward denial of what he is saying. Psychologic shock A wife's legs may collapse under her if she is standing when she learns that her husband has cancer. She may leave the hospital and go out in a snowstorm without her coat and boots. A man learning of a similar diagnosis in his wife may forget where he parked his car or be unable to drive it home when he finds it. The husband of a registered nurse was "numb for three days" after learning that she had lymphoma. When possible, it may be well to suggest that another member of the family or a friend who will be under better emotional control accompany the spouse to the interview. Tears. Even strong men may weep upon learning that a wife or child has cancer. A medical student told me that when he went to his father's place of business to tell him of his diagnosis of Hodgkin's Disease "my father broke down and cried." Anger or rage. The anger is against fate, but initially the physician may bear the brunt of it. He may be accused of delayed diagnosis, misdiagnosis, even malpractice. He may even be threatened physically. Be patient. The rage will abate. Insistence on more communication, a second or third opinion, referral to another physician or to a medical or cancer center, a written report. Don't respond angrily. Wouldn't you want to be sure if you received a diagnosis of cancer in a member of your family? An obsessive desire to know everything that is going to happen, and exactly how and when. A physician's wife with such an obsession made herself so disliked by the nursing and medical staff that eventually the floor nurses refused to have her husband admitted as a patient to their floor. They took her unsatisfied curiosity as obnoxious testiness. * * * In the foregoing article I have focused on physician-patientfamily communication at the initial diagnosis of cancer, the onset of treatment and throughout a relatively satisfactory course. I have avoided the "how" of communicating with the family of the patient facing impending or imminent death. I could have discussed this from personal experience. As a patient, I took a turn for the worse on February 19 at the institute. I remained semi-conscious - comatose with failing BP vital signs for some time. The attending physicians informed my wife that I might not pull through the day. She immediately telephoned my brother and sister. In 16 hours I rallied and recovered. If I live long enough, if my physical condition permits and if The Buffalo Physician is still publishing my articles, I shall write about the "how" of communication during this apparent terminal episode, of course based on my wife's observation and experience.c Acknowledgments and bibliography for Articles VI will follow the upcoming article. SUMMER, 1978 21 �Dr. Ge isle r condu cts preliminary testing on th e ne w servo ve ntilator. Cardia-Respiratory Function Dr. John H. Siegel, professor and head of the department of surgery at The Buffalo General Hospital, and senior medical student, Fred H. Geisler (Ph.D.) have developed a new, safer technique for the determination of cardio-respiratory function in critically ill patients. This technique, believed to be the first of its kind in the country, has been investigated in canine experiments in our Surgical Research Laboratories. The advantage of the technique is that it does not require the withdrawal of blood or the introduction of additional catheters into the circulatory system. To make it possible to carry this out in its clinical phase, the method requires two servo ventilator respirator units. This ventilator affords much greater control of the therapy available to the patient than standard respirators because it is electronically controlled. Thus, the patient's ventilator therapy can be specified with greater range and accuracy. Also two of these ventilators can be linked together so that the patient can be switched from one type of gas mixture to another containing some trace inert gasses, which make it possible to measure the respiratory functions, cardiac output, and pulmonary ventilation. Both units will send respiratory function information to be analyzed by the research computer facility in our Special ICU. Clinical application is expected to begin soon.O 22 THE BUFFALO PHYSICIAN �Medical Ethics What is medical ethics? It's about how to act in certain medical dilemmas, according to Dr. Robert L. Dickman, assistant professor of medicine and social and preventive medicine. "It's no different from moral philosophy, but it's applied to health care." Dr. Dickman's concern with medical ethics is as a physician and educator. He recently completed a four-week seminar in medical ethics at Georgetown University. "Medical ethics is based on a feeling that doctors are going to be faced with making these decisions and that some grounding in how to make them can serve them in good stead. Some physicians have made the decisions based on the approach we would like everybody to use in the future, but there was no guarantee," he explained. "Now we would like to make this kind of grounding part of the developing process of medical students," Dr. Dickman said. "To understand medical ethics," he said, "I think that it's important to understand in some ways what it's not. It's not just putting humanism in health care. It's not family medicine. It's not medical sociology. Rather, in the sense most people use it, it's an approach, a way of negotiating or talking about various moral intuitions we may have which refer to specific dilemmas we have in the health care field." The emergence of medical ethics as an important issue is related to many factors, but most closely to rapid advances which have occurred in medical technology. "The rise in medical technology has placed before us a variety of ethical dilemmas which never existed - such as our ability to preserve life which also may entail considerable suffering," Dr. Dickman said. "The Hippocratic oath tells us we have to preserve life, prevent suffering and promote well being," he said of physicians. "But now with the expanding technological bases, the first two come into conflict and we have many ethical dilemmas involving them." He added: "It seems to indicate we'd better get a clearer idea of what we're talking about." The Karen Quinlan case has quickly become a classic example of a dilemma involving medical ethics. Others involve more intangible ideas, such as the use of limited "medical resources." For example, what does a physician do when he has three seriously-ill kidney patients who need a transplant, but only one donor kidney which is available? Which patient gets the transplant? How do you select that patient? Dr. Dickman said the advent of medical ethics also has come hand-in-hand with stress on humanism in health care and discussion of such issues as the rights of the patient, physician and society and how they relate to one another.D SUMMER, 1978 23 Dr. Dickman �were awarded to 134 residents and interns who completed all or part of their specialty training at the University participating hospitals - Buffalo General, Deaconess, Children's, E.J. Meyer Memorial, Millard Fillmore, Veterans, and Roswell Park Memorial Institute. Chairing the University Residency Program Committee is Dr. Eugene R. Mindell, professor and chairman of orthopedics. CERTIFICATES Residents, Interns Honored Dermatology Residents - Drs. Anthony Vincent Amoruso, Jr., Gerald F. Foster, Steven Alan Franks, Garry Bruce Gewirtzman, Geraldine Mary Stapleton Family Practice Residents - Drs. Alan G. Burstein, Edward A. Langford, Isaiah Meggett, Daniel J. Morelli, Cynthia P. Northup, Susan M. Ostrowski, Jaime M. Revollo, Donald W. Robinson, Renee Samuelson, Reginald M. Sutton, Jon R. Yerby, James M. Wetter, Dennis C. Whitehead Gynecology-0 bstetrics Residents - Drs. John M. Antkowiak, Hassan Azadpour, Frederick K. Beck, Selfa D. Martinez, Orlito A. Trias, Thelma J. Yambao Medicine Internships- (categorical medicine) Drs. Martin M. Barron, Paul B. Cotter, Douglas E. Faig, Laird A. Findlay, Theresa Jen, Linda A. Marchetta-Wild, Thomas F. Tse, Peter J. Wolk. (categorical medicine-primary care) JohnS. Clarke Residents - Drs. Leonard B. Berkowitz, Robert P. Gatewood, John C. Giacomini, Ellie J. Goldstein, Andrew W. Green, Mark C. Hamilton, Michael B. Heller, Howard Hoffman, Lucien N. Jassy, Kevin T. Kollar, Dennis S. Krauss, Rachel G. NxumaloMohapeloa, Usha Mathur, Marvin A. McMillen, Michael C. Moore, Kathleen M. Mylotte, Paul M. Passamonte, Sanford R. Pleskow, Harley S. Schultz, Arthur C. Sgalia, Henry T. Shenfield, Eddie Skipper, David K. Smith, Frederic A. Stelzer, David Taylor, Charles A. Wasicek Neurology Residents - Drs. Randolph S. Geslani, Antonio Rosich Pla Neurosurgery Resident- Dr. Leonard Strichman Orthopaedics Residents- Drs. Peter James VanGiesen, Paul John Vilardi Otolaryngology Residents - Drs. Samir E.G. Elias, Howard M. Kaplan Maria Cristina Zepeda ' Anatomical Pathology Residents- Drs. John E. Asirwatham, Daya Balu, George Eugene Boldu~, Jr., Usha Chopra, Roseanne Cullen, Anupa R. Dalal, Antomo Teng Dy, Danilo Medina Giron, Gerald Grossman ~arbjit. Singh Hundal, Claudio P. Juarez, Byung Kyoo Lee, Nisha~ IJaz Mtan, Orner A. Oruc, Somboon Thamtakerngkit Clinical Pathology Residents - Drs. Daya Balu, Byung Kyoo Lee, Somboon Tham takerngkit 24 THE BUFFALO PHYSICIAN �Pediatrics Residents - Drs. David E. Arond, John H. Bartley, Sharon Buckwald, Stephen Commins, Atiya B. Khan, Henry I. Levine, Ian Thomas Nathanson, Anthony A. Portale, Gilbert M. Rose, Carlos H. Schenck, Stanley J. Szefler, Gerald John Tiberio, Donald P. Younkin, David M. Walter Physical Medicine & Rehabilitation Residents - Drs. Heung Chul Park, Hoon Kyou Whang Psychiatry Residents - Drs. Olga Cruz-Barrios, Balvinder S. Kang, Myong W. Kim, Mukhtar H. Shah, Sudha Krishna Swamy, Nageswara Rao Vallabhaneni Diagnostic Radiology Residents - Drs. Young D. Cho, Mitsuhiko Hirano, Lawrence D. Lubow, Ashok Nigam, Ronald Darcy Osgood, David Martin Wiechec Radiology Resident - Dr. Adel Mohammed Elkousy Surgery Residents (general surgery) Drs. Mohinder Paul Singh Ahluwalia, Robert Charles Brown, Jr., John R.N. Bulova, Joseph A. Caruana, Jr., Edward P. Dalton, Jose F.T. da Rosa, Luis Francisco Espaillat, Allen David Kemp, Jayesh Ramanial Modi, A. Mathew Philip, Syed Tasnim Raza, Marc D. Rudich, Paul P. Schwach, Michael Nicholas Skaredoff, Daniel R. Wild (plastic & reconstructive surgery) Dr. Gabriel 0 . Mooney (cardio-tboracic surgery) Drs. Bashir Ahmad Chowdhry, F. Mora Jara (colon & rectal surgery) Dr. Ghassan Khani Urology Residents - Drs. Peter E. Fujiwara, Gregory F. Kondray, Steven Warren Ross, Sami Kirollos Salib 0 Dr. Fogel Drs. Sander Fogel, M'53, and Spencer Raab, M'54, were nat identified correctly on page 54 of Vol. 12, No . 1, Spring 1978. We regret the error. SUMMER, 1978 25 �Health Care Plan A 1970 Medical School graduate is director of the Health Care Plan Inc. that will probably be open in late summer or early fall. Dr. Arthur Goshin, former assistant commissioner of the Erie County Health Department, has received a $999,606 grant from HEW for a pre-paid group insurance program which would cover physician and hospital services for subscribers. The clinic will be located at French and Union Roads, Cheektowaga. Dr. Goshin laid the ground work for the Health Care Plan several years ago before he left the county. Originally, plans called for the insurance program to be closely tied to the county government, by operating out of the county's network of clinics which are mostly in the inner city areas of Buffalo. " Because of the county's financial situation, we decided to move from the county government to the suburbs. Despite the site switch there will be a good mixture of people enrolled in the plan. We have a 'wide-open market' for picking up subscribers from all of Erie County, " the clinical assistant professor of social and preventive medicine at the Medical School, said.D W.N. Y. Group Health Plan Western New York Group Health Plan Inc. has received a $75,000 HEW grant to study the feasibility of establishing a form of health maintenance organization different from that proposed by Health Care Plan Inc. which received a grant of nearly $1 million recently. This grant may lead to offering services to the public in 1979. The involvement of an 'independent practitioners association' is a possibility under this plan, according to Mary E. Lundberg, executive director of Western New York Group H e alth Plan. Under this plan, physicians who have a contract with the program to provide services to members continue to practice independently in their established offices. "This approach broadens the physician base. It is similar to the Blue Shield organization in that independent physicians are participants and remain in their offices. Depending on the structure of the organization, it may or may not be attractive to physicians," Ms. Lundberg said. The executive director noted there is a 'guarantee' that subscribers will receive medical care, eliminating the problem which now exists when ill persons have difficulty finding a doctor who will accept new patients. The target population for the organization is Erie and Niagara Counties.D 26 THE BUFFALO PHYSICIAN �Red Rose in Blue Droplet is the 1975 Stereo Division Contemporary Medal winner from the PSA International Exhibition of Photography. The smallest droplet and most globular that Dr. Stell achieved. A. reproduction of Dr. Stell's original sl!de. Photographic Hobby A 1936 Medical School graduate is enjoying his photography hobby in Sun City, Arizona (16029 Meadow Park Dr.). Dr. Bernard S. Stell is involved in stereo, specifically stereomacrography. He has developed the technique of photographing droplets of water that refracted light the same as another lens on a camera. The color slides that he submitted to local and international photo contests earned him several silver and gold medals in slide competitions and stereo salons. Dr. Stell is author of an article, "Water Droplet Lens" that appeared with illustrations in the May, 1976 Photographic Society of America Journal. His color slide was reproduced on the front cover. Dr. Stell moved to Sun City in July 1975. He has been an officer and program chairman in the local photo club for two consecutive years. He said his teaching experiences at U/B and Canisius have been a great help. He has judged international stereo competitions in Prescott, Arizona and San Bernardino, California. At the PSA International Convention in Detroit in September of 1977 he presented a program, "Stereomacrography: Inferences and Calculations for Slide Bar and Flash." Dr. Stell had a severe myocardial infarction in May of 1972 while practicing in Eggertsville, New York. "Thanks to Dr. Walter Zimdahl, who took care of me and still examines and guides me, I am just as busy now as I was in my private practice and feeling fine, too." Dr. Zimdahl is a clinical associate professor of medicine at the Medical School. D SUMMER, 1978 27 Dr. Stell �President's Associates Dinner Several medical alumni attended the third annual President's Associates Dinner May 3. Convened annually each spring, this formal dinner acknowledges the tremendous efforts made by President's Associates in support of excellence at the University. To date, members of the President's Associates have donated over $5 million to assist the University in its continuing mission to provide outstanding education and research capabilities to faculty and students. A distinguished group of alumni and friends of U/B, the President's Associates have through their support assured the academic excellence of the University. Individuals become members of the President's Associates by outright cash gifts or by utilizing the appropriate deferred giving instruments. Further information may be obtained by contacting: Mr. Jonathan A. Dandes Director, The President's Associates University at Buffalo Foundation, Inc. 250 Winspear Avenue Buffalo, New York 14215 (716) 831-4234 Dr. and Mrs. Pasquale A . Greco, M'41, and Dr. and Mrs. Grant T. Fisher, M '25, at President's Associates Dinner. 28 THE BUFFALO PHYSICIAN �Announcing the creation of the Bernhardt S. & Sophie B. Gottlieb Collection in the Behavioral Sciences are: (seated} -Dr. Bernhardt S. Gottlieb, M'21, and President Robert L. Ketter. (standing from left}- John M. Carter, President, U!B Foundation, Dean John Naughton, and Saktidas Roy, Director, University Libraries. BERNHARDT S. AND SOPHIE B. GOTTLIEB COLLECTION IN THE BEHAVIORAL SCIENCES The Bernhardt S. and Sophie B. Gottlieb Collection in the Behavioral Sciences was dedicated on May 2. Made available through an endowment provided by Dr. Bernhardt S. Gottlieb M'21, through the University at Buffalo Foundation, the Collection will be housed in the Health Sciences Library. Dr. Gottlieb, a semi-retired psychiatrist, now does consulting work in New York City and Fort Myers, Florida. The Gottlieb family has a long and distinguished history at U/B. Dr. Gottlieb's son, Solon, graduated from U/B Medical School in 1952, and his grandson, Dr. Steven Weinstein, graduated in 1970 and is a practicing allergist in California.D SUMMER, 1978 29 �Health Sciences Library Report of the Annual Meeting of the Friends of the Health Sciences Library, 1977, by the President, John M. Hodson, M.D. The Friends of the Health Sciences Library marked their second anniversary on Wednesday, October 19th, 1977, at the Buffalo Academy of Medicine Room, at the library. The well attended meeting heard Dr. Hodson's report on the year's activities and accomplishments. There are now 160 members and four honorary members. During 1977, Dr. Oliver P. Jones, Dr. Robert L. Brown, Mrs. Stockton Kimball and Dr. Archibald Dean were made honorary members. This category of membership is restricted to individuals who in addition to having recognition for service in their profession have also demonstrated an active interest in the various activities of the Health Sciences Library. Perhaps the outstanding achievement of 1977 was the establishment of a student essay contest on any topic in the history of medical sciences, sponsored in memory of Dr. Rudolph E. Siegel. Dr. Siegel, a notable medical historian, was Emeritus Assistant Professor of Medicine at UB until his death in 1975. This contest is open to students currently enrolled in the pre-professional and professional health sciences programs at the University. The first winner of the $200 prize will be announced in May, 1978. During the year many gifts were made to the Friends of the Health Sciences Library for the History of Medicine Collection. Outstanding gifts were offered by the Craig Developmental School which transferred 750 volumes accepted into the collection. Other substantial donations were made by Dr. Martin J. Littlefield, Drs. Bernhard S. & Sophie B. Gottlieb, and by Dr. Berkeley Zinn. An interesting and informative program followed the Presidential address. Guest speakers for the evening were Susan Chamberlain, Assistant Health Sciences Librarian, who spoke on the Information Dissemination Services of the Health Sciences Library, citing interesting case examples, and Dr. Ronald Batt. Dr. Batt's subject was Mitchell Rubin, notable pediatrician, and the Buffalo Children's Hospital; this presentation was based on an oral history interview between Drs. Batt and Rubin. Discussion and questions followed each speaker's talk.O Officers re-elected for 1978. They are President, Dr. John M. Hodson; Vice-President, Dr. Oliver P. Jones; Treasurer, Dr. James D. Ritzenthaler; Secretary, Mildred F. Hallowitz. Admission Film "Admission Possible" is a 15-minute film strip about the Medical School. It gives potential students a birds-eye view of the academic life at UB. It shows several labs and classes in the basic sciences as well as the clinical activities of the several affiliated hospitals. It also shows some of the recreational and cultural and sporting activities available in Western New York. Dr. Harry Metcalf, chairman of the admissions committee, noted that the film is shown by members of the admissions committee to potential students who have been invited to the campus for interviews for admission to the Medical School.D 30 THE BUFFALO PHYSICIAN �Dr. Lee L. Bernardis, research associate professor of pathology and research professor of surgery, has received a new $99,000 three-year grant from the National Science Foundation. Dr. Bernardis plans to conduct further studies on the "weanling rat ventromedial syndrome" and intends to extend these investigations to explore the role of the dorsomedial nucleus and other hypothalamic and mescencephalis structures. In his 17 years at U/B he has published 184 papers and attracted (directly or indirectly] $2,829,419 in research and training support funds. He has worked with Drs. J. David Schnatz, V.K. Vance, Werner K. Noell, Lawrence A. Frohman, A.C. Brownie, J. Goldman, and W.G. Schenk, Jr. Dr. Bernardis has sponsored several Ph.D. graduates and postdoctoral fellows . He has been invited to participate in several national and international conferences. He has been a guest lecturer in biochemistry, anatomy, medicine and nutrition. Dr. Bernardis was born in Austria, educated there and in Canada. In 1945 at Franzens Universitat in Graz he worked under Karl von Fisch (Nobel Laureate, 1973) Wilhelm Goetsch and Karl Umrath. Dr. Bernardis received his Ph.D. in 1949. Two years later he emigrated to Canada and in 1961 he received another Ph.D. from the University of Western Ontario. The same year he joined the Urban Maes Research Foundation at the Louisiana State University where he worked with Dr. Floyd Skelton in experimental hypertension. When Dr. Skelton came to U/B in 1961 as chairman of pathology, Dr. Bernardis was invited to join the faculty. The educator-researcher is a member of 14 scientific societies; holds a Canadian private pilot license; and is a licensed glider pilot in Germany, Canada and the United States. Dr. Bernardis is also a boxing enthusiast, having coached and participated in the sport.O Dr. Bernardis As director of educational programs for the anesthesiology department and attending anesthesiologist at the Buffalo General Hospital, Dr. Richard Ament, M'42, clinical professor, has arranged a series of Visiting Professor Programs in the University affiliated hospitals. June 5,6 - at the VA Hospital: Dr. Stanley Deutsch, chairman, department of anesthesiology, University of Oklahoma. Nov. 27, 28 - at the E.J. Meyer Memorial Hospital: Dr. Howard Zaunder, chairman, department of anesthesiology, State University of New York at Syracuse. Dr. Ament also announced a continuing education program on September 16 at the Sheraton Inn-East on Obstetrical Anesthesia and Perinatology. Guest speakers will include Drs. Jess Weiss and Gerard Ostheimer from the Boston Hospital for Women and Dr. Mieczyslaw Finster, from the Obstetrical Anesthesia Service at Columbia-Presbyterian Medical Center.O Anesthesiology Programs SUMMER, 1978 31 Dr. Bernardis �Korean Volunteer • l -:::!!II From left to right, Drs. John R. Fisk, Duk, Y. Lee, Thomas E. Whitesides, Jr., professor of Orthopedics Emory University, and Y. Park. Dr. Lee and Dr. Park are participating Korean orthopedic surgeons assisting in the Children's Program. Dr. Fisk assisted by area Korean orthopedic surgeons at the operating table. A 1969 Me.dical School graduate, who is assistant professor of orthopedic surgery at Emory University in Atlanta, is treating handicapped Korean children. Dr. John Fisk was with the United States Army in Korea from 1974 to 1976 and during his off-duty time he performed corrective surgery on 67 children and examined 375 other crippled children at various clinics. Dr. Fisk worked with the Holt Adoption Agency of Eugene, Oregon and Seoul to organize a program that has continued to function in his absence. A year ago he returned to Seoul for 10 days with Dr. Thomas Whitesides, chairman of the section of orthopedic surgery at Emory University. Dr. Fisk performed surgery on six children with spinal deformities caused by polio at the Sam Yook Children's Rehabilitation Center. The American team saw 150 other children in outpost clinics. The two surgeons also presented lectures and participated in educational program sponsored by the Korean Orthopedic Society. Dr. Fisk plans to return to Korea at least once a year to perform surgery, lecture and examine children. "At the heart of the program are four hospitals in Seoul, which are donating physician time and space for the care of the children," Dr. Fisk said. The Korean orthopedic surgeons in these institutions, many who are United States trained, don't charge for their services and the hospitals keep costs at a minimum. "It costs about $250 to treat each child," Dr. Fisk said. These medical expenses are met through donations. In 1975 and 1976 the program was supported by contributions from multi-national industries in Korea and by the Officers Wives Club of the United States Army in Korea. "This year we expect to meet approximately 60 per cent of our annual $35,000 budget through donations made by the Korean Chamber of Commerce and Industry. It is encouraging to see able Koreans striving to support social service programs in their own 32 THE BUFFALO PHYSICIAN �country, but outside support is still needed. The Depuy Surgical Supply Company has donated $1,400 worth of surgical tools for spinal operations," Dr. Fisk said. Within the last 10 years, polio in certain regions of Korea has been epidemic. It is estimated that in one province there are 5,000 children with crippling deformities resulting from polio. There are active vaccination programs, but these have often been ineffective because of the absence of regulations requiring vaccination and the remoteness of some communities. Crippled children are frequently abandoned to institutions in hopes that the children will receive better care than their families can provide. The Holt office in Seoul suggested that if care could be provided for these children before they were abandoned the orphan situation would be assisted, according to Dr. Fisk. "There are 44,000 crippled children in the public schools of Korea. This does not include those not able to go to school. The crippled children in Korea have a much tougher time than in the United States. To get into college, a child has to take an examination. Part of the examination, about 20 points, is in physical fitness. Crippled children can waive this part, but are given only 10 points. So academically, they have to do much better from the very beginning," Dr. Fisk said. Through Holt's social service contacts around Korea, children from indigent families are brought together for screening clinics. To date 450 have been examined and 75 received corrective surgery. The Holt Children's Service was established by an Oregon farmer after the three-and one-half year war. The Emory University Clinic has initiated a fellowship program for Korean orthopedic surgeons to study for one year in the Atlanta clinic. In 1975 Dr. Fisk met a Korean crippled orphan and took him to the American Army hospital for surgical treatment and eventually adopted him. He and his wife adopted another Korean child during his military service.O Clinic crew for a ru ral visit to the island of Cheju Do, including the governor of the province, spring 1976. SUMMER, 1978 33 The first clinic crew on the rural island of Cheju Do, fa ll1 975. �Nutrition Seminars "If you have a drug-induced nutritional problem you better look for signs of nutritional deficiencies in your patient." This is what Dr. Daphne Roe, nutrition professor at Cornell University, told Medical School students and faculty at the first lecture sponsored by the biochemistry department and the Medical School. The educator went on to say that studies of 200 years ago showed many drugs and reduced food intake had caused malnutrition. "Today when you see malnutrition associated with drug intake, it is often difficult to solve the problem. Symptoms of many drug-induced nutritional deficiencies can mimic those associated with other conditions." Dr. Roe said, "sore throat and tongue and cracks appearing at the corners of the mouth can indicate a riboflavin deficiency. But these symptoms are also indicative of other conditions." Some drugs create deficiency through decrease in food intake, while others cause malabsorption, hyperexcretion, or impaired utilization of nutrients. "Amphetamines initially decrease the amount of food intake while cathartics decrease nutrients' absorption. Diuretics and digitalis glycocides increase fluid loss while thyroid hormones increase the metabolic rate," the nutrition professor said. "Very few labs are set up to do nutrition tests. Quality control is often poor or lacking when a nutrition profile is required of a patient," Dr. Roe said. "Many cancer patients suffer from food intake loss because certain drugs cause loss of appetite. This results in weight loss. But if the drug is controlling the disease this may be more important than the weight loss," Dr. Roe said. The nutrition professor urged the students to learn about drugs that are to be used on a short term basis. Many other drugs can be used day after day, month after month, without harming the patient. In conclusion Dr. Roe touched briefly on the interplay of alcohol, diet and drugs. "The worse off the patient is to begin with the worse off he will be nutritionally." A Vanderbilt University nutrition professor reviewed the process of nitrogen fixation in the second nutrition conference. "It all starts down on the farm with food." Dr. Harry P. Broquist described the function of amino acids in the plant world and how this relates to our food supply. Dr. Broquist reminded the medical students and faculty in an illustrated lecture that nitrogen comes from the atmosphere and from fertilizers. "To feed the masses we must have cheaper fertilizers," he said. "There is a huge gap in calorie intake between people in the developed and developing countries. People in developed countries consume 2,941 calories per day as compared with 2,033 per day for the developing nations. Animal protein per person, per day is 84.1 in developed countries and 52.4 per day in developing nations," the educator-scientist said. 34 THE BUFFALO PHYSICIAN �The nutritionist noted that strides are being made to provide more food for people of the world. "Scientists have developed a shorter growing cycle for wheat and Purdue University has developed a strain of corn that has a higher amino acid content. And the mixture of soybeans and wheat grains make a complete nutritional supplement. " Dr. Broquist is hopeful that we will soon be producing animal food in such quantities that we will be able to keep grain for people . The nutrition professor recommended two new books on the subject: Present Knowledge of Nutrition by the Nutrition Foundation and Biochemical Concepts by McGilvrey. He plans to use both textbooks in his classes at Vanderbilt. A lower protein diet is important if osteoporosis is to be controlled or cured, according to Dr. Nelson Westmoreland of the Harvard School of Public Health. "It is important that we try to maintain as close to a one-to-one ratio of calcium and phosphate in our bodies. But we are only achieving a one-to-two ratio in our everyday diets in the Western World." In his address to Medical School students and faculty Dr. Westmoreland noted that soon after people reach the age of 21 a slow bone deterioration begins. "There is no prevention at hand, but we hope through proper diet this situation can be reversed." The Harvard nutrition expert said, "studies show when people grow up in high fluoride areas their teeth and bones are tough and there is less chance of osteoporosis. If we would allow fluoride to be in all our drinking water we would have no osteoporosis. When animals are fed a high phosphorus diet, bone deterioration is greater." Dr. Westmoreland suggested that people over the age of 25 should take a calcium supplement to get the calcium-phosphate ratio normal. He also noted that vegetarians have less osteoporosis than people who eat proteins. "Meat is high in phosphate and low in calcium, and this is bad for us," he said. More exercise will also keep the bones and muscles 'toned up,' he said. People should stay away from processed foods because many times phosphates are added. These include soft drinks, processed cheese, potato chips and frozen bakery goods. "The amount of calcium is not important but the ratio between calcium and phosphate is. The best foods to maintain a balanced ratio are dairy products, vegetables, pancake syrup and seaweed," Dr. Westmoreland said. Osteoporosis causes bones to become less dense, thinner and more susceptible to breakage. An elderly person who thinks he or she broke a hip in a fall may be suffering from a break which occurred a few seconds before the fall, the Harvard nutritionist concluded. d- SUMMER, 1978 35 �Testing the patient rather than predicting from his diet how much folate is absorbed was urged by Dr. Neville Colman, the Bronx Veterans Hospital hematologist and nutritionist. In his review of the biochemical background of folate deficiency - since it may lead to megaloblastic anemia - the South African educated physician/researcher showed that what is now known of food absorption has been based on false premises. So unpredictable are the factors involved, he added, that we are unable to determine how much folate one will get from a specific diet. Prompting megaloblastic anemia is defective DNA synthesis, he said. "We know that high folate deficiency correlates with a defect in DNA synthesis. While we can initiate DNA chains we cannot elongate them. This may well be the defect in DNA synthesis." Among possible causes for folate deficiency, he noted were inadequate ingestion, absorption and utilization along with an increase in requirement, excretion loss or destruction. Folate that is destroyed in the body increases body requirements as does the loss of natural folate in food through cooking and canning, he said. Alcohol may also play a role. That alcoholics with poor diets have poor folate absorption has been proven by measuring folate absorption at various points in the intestine, he added. In Dr. Colman's review of two varying aspects of folic acid, he pointed to polyglutamate that is poorly absorbed in the gut. Monoglutamate, on the other hand, is absorbed. Therefore put to rest was the belief that orange juice is a readily absorbed form of folate. "Not so," he says. Only one-third of it is monoglutamate. The remaining, that of polyglutamate, inhibits folate absorption. Reaffirming the urgency of folic acid in the diet were studies of rural/urban groups in South Africa. Most cases of megaloblastic anemia seen were from the countryside, he said. A third of the women of child-bearing age as well as increasing numbers of both sexes from ages 40 to 80 had it. Unable to change their traditional diet, their staple - maize - was fortified with 500 micrograms of the tasteless B vitamin. "We were thus able to prevent folate deficiency and cure megablolastic anemia," he concluded. A University of Wisconsin nutrition expert noted that people all over the world have become more conscious of nutritional deficiencies in the last two decades. "Nutritional standards are important if we are to improve the health of people," Dr. Alfred E. Harper, professor and chairman of the department of nutritional sciences at Wisconsin said. "But setting standards is a very complex problem and good judgement is essential. If there were no health problems we would not need nutritional standards. The quantity and quality of nutrients is very important to people of all ages. It is important to the pregnant woman if her child is to be born healthy. In medical practice prognosis is improved if you can maintain nutritional standards." 36 THE BUFFALO PHYSICIAN �The Recommended Dietary Allowance (RDA). formulated by the Food and Nutrition Board of the National Academy of Science/National Research Council of the U.S., indicated the amount of essential nutrients each person in a healthy population needs in order to maintain reasonable health. Although the RDA estimates are generally higher than the Minimum Daily Requirement (MDR). they are not intended to be therapeutic dosages. RDA is established for children, pregnant women and adults since nutrient requirements differ among these groups. Dr. Harper, who served on the Food and Nutrition Board for ten years, reported that rigorous testing by one or more of three methods is used to determine the appropriate nutrients' allowances. Blood levels of the nutrients can be studied to see at what level deficiency occurs and another test can determine how much of the nutrient is lost in the body through metabolism. But if there's no way to accurately measure the loss, adults with a known deficiency are given supplements to see how much must be taken to remove the deficiency. While Dr. Harper pointed out that the RDA estimates aren't absolute, he added they're as accurate as possible with some leeway on the 'high' side. Adjustments in RDA are made if evidence later warrants. "One has to know what is and is not known about nutrition so the diet and the potential need for nutritional supplements can be adequately assessed. But more importantly to patients, we need to know how to apply all this information appropriately on an individual basis. "Nutrition inadequacy is even a problem in the Unite? States. Surveys show that hospital patients suffer from ma~nut~I­ tion and some people die from it. Obesity and other chrome diseases have triggered a world-wide interest in nutrition," the Wisconsin professor said. "People realize that there are many things about the environment that they can't control, but they know they can control food intake. There are many skeptical, critical people." Dr. Harper suggested that "we must modify our diets if we are to manage our health problems." He also spoke of the role of nutrition in the management of surgical patients. . "We can be proud of our achievements in nutrition durmg the last 50 years, but we must not become complacent. Scurvy and goiter were among the earliest public health problems. Our knowledge of the use of protein, calcium and iron proved effective," Dr. Harper concluded. Providing enriched diets for alcoholics will not prevent cirrhosis. Abstinence will. That is exactly what Dr. Charles S. Lieber proved through an elegant array of research and clinical .investigations. "Of the patients 1 see three out of four are excessive drinkers. Most have developed some form of liver disease. These range from hepatitis to cirrhosis, the third most common cause of death in large urban areas among the 35 to 55-age group." SUMMER, 1978 37 The commanding officer of Clark Air Base in the Philippines has invited Medical School fa cult y members to visit th e base hospital near Manila and give talks to the staff. In a letter to Dean John Naughton, Colonel Robert R. Smith said, "because of our distance from the states it is very difficult, and at times impossible to maintain satisfactor y l e vels of continuing education among members of our professional staff. If some members of your teaching staff are planning a vacation in the Orient this year, we would be pleased to act as host during their stay at Clark Air Base. We would also offer transportation to our base from the Manila International Airport. " 0 �Continuing, Dr. Lieber noted alcohol to be unlike other drugs. It has high caloric value, it impairs the appetite, and its calories are empty ones. He also cautioned on secondary deficiencies that it may trigger. These include nutritional loss, ethanol-induced GI damage, intellectual dysfunction, energy wastage, and increasing activity of toxic agents. Turning to treatment for alcoholism, Dr. Lieber showed why milk is no longer being used. So low have lactase values been found to be in man - among blacks they are even lower - that after alcohol ingestion these values are not even measurable. And in questioning whether an adequate diet maintains alcoholics, he said that while the standard model, that of the mouse, supported this claim, his clinical evidence did not. A restudy by Dr. Lieber revealed that, unlike man, mice have a natural revulsion for alcohol. They therefore avoid any fluid that contains it. By eliminating solids, and supplying mice with an all liquid diet - one that includes along with alcohol sufficient food intake for normal growth - Dr. Lieber found that after 12 to 24 days mice developed fatty livers. "We now had an experimental model to produce striking liver changes with an adequate diet," he said. "And we could once and for all forget about an enriched diet for the treatment of alcoholism.'' When treating alcoholics, Dr. Lieber cautioned on their increased capacity to rid themselves of drugs. "You must therefore adjust dosage accordingly. But development of liver injury may upset dosage as well. It may call for further readjustment." Among a host of complications reviewed by Dr. Lieber was that of alcoholic hepatitis. He wondered whether the water retained by protein causing the liver to swell may not be the missing link between a fatty liver and necrosis. And he implicated malnutrition- promoted by alcohol consumption- in cirrhosis. Speculating on how injury occurs to the liver, he pointed to the possibility of the ballooning of hepatocytes, an early lesion, and noted central sclerosis as a marker to predict cirrhosis patients. With ten million alcoholics in this country, he called for the need of a biologic marker to compare their differing levels of treatment. Dr. Lieber is now trying to validate this marker in a number of populations. "Because we have developed all of these complications in an experimental animal, we may have a better handle to prevent and treat cirrhosis. It is the most serious form of alcoholism," the Mt. Sinai School of Medicine professor concluded. Engineered or fabricated foods can stretch the world food supply and provide good nutrition at low cost, according to Dr. Herbert Sarrett, vice president of Mead Johnson Company, which specializes in food supplements. "Most of these foods are uniform in quality, are palatable and stable." Engineered foods include infant formulas, meal replacements for those on weight loss or special diets, convenience dinners, imitation basic foods (such as egg and meat 38 THE BUFFALO PHYSICIAN �substitutes) and minor ones as whipped toppings and imitation bacon chips and potato chips. Dr. Sarrett noted that these foods are fortified nutritionally to provide equivalent nutrients of basic foods they have replaced. "But they should not be counted upon entirely to supply the United States Recommended Daily Allowance (R.D.A.) of vitamins and minerals. More public education is necessary so consumers can more effectively determine whether or not they're getting the U.S.R.D.A. of essential vitamins and minerals in their diet," he said. "But there's a hazard in a lack of consumer education about these foods which means some may tend to overuse snack and imitation foods. By eating basic foods in combination with the engineered ones, there's less chance that these other, vital nutrients will be omitted from the diet," Dr. Sarrett concluded. When 18-year-old kids have a cholesterol count of 400 they have heart attacks, according to Dr. Robert S. Lees, director, arteriosclerosis center, Massachusetts Institute of Technology. "This is a real tragedy, but these young people can be treated successfully with a low fat diet. By controling the diet the kids will overcome the high cholesterol and grow out of the problem." Dr. Lees noted that often high cholesterol is prevalent at birth. "The earlier you start treatment the better. A diet low in saturated fats and high in protein does nothing for arteriosclerosis," Dr. Lees said. "People want to be fat, happy and long lived," the nutrition expert said. He warned that monkeying with a diet is dangerous. He would not recommend a certain calorie intake or a particular food for an entire population. "There is no evidence that changing a diet will prolong life. Scandinavian people have the longest life and have a high cholesterol diet. Changing their diet would not guarantee a longer life," Dr. Lees said. The MIT Professor pointed out that most diseases are inherited. "If your cholesterol is high, probably your parents had the same problem." Dr. Lees admitted that all the answers to arteriosclerosis are not known. But he did make these observations - "heavy smokers and sedentary people have the highest rate of arteriosclerosis while active people are less prone to the disease. And the older you are the higher the risk. Twenty years ago women were not troubled with arteriosclerosis, but in the last five years they have almost caught up to men because of their heavy smoking." Dr. Lees concluded by pointing out that no one knows for sure what is normal. "But if your cholesterol count is 220 or above your chances of a heart attack are good." "We are at a point where we can use blood substit~te preparations for transplant purposes," Dr. Robert P. Geyer said. He is acting chairman, department of nutrition, Harvard School of Public Health. d- SUMMER,1978 39 �In his illustrated lecture to medical students and faculty he noted that an oxygen transport system is needed. In his experiments with blood substitutes he emphasized that blood volume, metabolism and oxygenation must be maintained. The blood substitute, he says, passed all the appropriate criteria when exchanged for whole blood in rats via infusion. He pointed out the rats infused behaved normally, that regulation of oxygenation and metabolism was maintained and that new blood cells were manufactured. "The rats lived with no ill effects despite the fact the oxygen transport by red cells ceased during a 24-hour period," he added. One advantage of blood substitutes in the future could be that no blood typing would be necessary prior to use in emergency cases or cases of carbon monoxide poisoning. "Blood substitutes will not force blood banks out of business or make blood donors unnecessary," Dr. Geyer concluded. "Obesity is a very severe disease. Thirty per cent of us have it, and it should be treated," according to Dr. Robert Henkin, director of the center for molecular nutrition and sensory disorders at the Georgetown University Hospital. "It is possible by using a controlled zinc diet to reduce the appetite of obese people to the extent that they will lose weight. But the patients must be monitored very closely by a physician," the nutrition expert said. But Dr. Henkin pointed out that appetite is not the only factor of obesity. In his experiments Dr. Henkin noted that animals will stop eating and growing when they are on a zinc depleted diet. They will also drink more sodium chloride, while normal rats reject sodium chloride. "We don't know exactly how zinc effects the appetite, but we do know that histidine does effect the appetite, and causes people to lose weight. We also know there is some correlation between zinc, protein and taste buds." Dr. Henkin made several other observations: - many structures in our oral cavity need zinc; - zinc is very active in crossing the brain and is needed for nerve growth; - zinc can cause changes in the system - nausea and upset stomach; - smoking doesn't affect zinc intake; "Giving more zinc to cancer patients is very provocative and much more study is needed. How much and when to add zinc to food is not clear," Dr. Henkin said. In his illustrated lecture Dr. Henkin touched briefly on the several ways to increase and decrease appetite. "Appetite and taste are not directly related, but we see changes in both when zinc is depleted. One of the main characteristics of zinc is that it turns on and off the intake of food." "The eating habits of Americans has changed markedly in the last five years," according to Dr. Robert Nesheim, vice president for development and marketing for the Quaker Oats Company. One 40 THE BUFFALO PHYSICIAN �simple statistic proved his point: "food dollars spent .in restaurants, and for fast foods and convenience foods has Increased considerably while tonnage sold in supermarkets has leveled off." The researcher cited a change in employment. "There are more working women and they demand convenience foods when they return home in late afternoon." Dr. Nesheim said "the food industry responds to nutritional needs of people when the consumer understands what is going on. The industry is not one company, but many small companies with different problems and limitations." The Quaker Oats executive pointed out that fiber is a very popular issue today, "but it is not a cure-all for all health problems. Often people don't know whom to believe, especially when scientists don't agree on a particular issue. People have overreacted and claim benefits that have not been proven. The crude fiber analysis we use now comes from the late 1800s and is based on measurement of fiber in animal feed. This may not be related to the physiological benefits of fiber in the human diet. After we are able to measure dietary fiber correctly, we can start examining some of its claimed popularized benefits. We thought it was important that consumers have a good quality bran product available and they have complete instructions for its use." In his illustrated lecture Dr. Nesheim showed that fats in our diet have increased since 1909 while carbohydrates have declined. Protein and food energy have remained about the same. Many more fruits and vegetables, meat, poultry and fish are consumed today, according to several surveys. "We in the food industry must make every effort to increase consumer awareness about nutrition. The food industry is responsive to nutritional issues. We must relate to individuals as well as population groups. A product must satisfy consumer taste and be economical. Then repeat sales will come. No amount of advertising can change this." Dr. Nesheim spoke briefly of the regulatory implications imposed on the food industry by the Food and Drug Administration and how the Federal Trade Commission controls advertising claims. The scientist doesn't believe the American diet is changing. "Even when it comes to sugar consumption, there is misunderstanding. Despite claims to the contrary, consumption of sucrose per capita has not changed much in the last 40 years. The difference is in the form it takes. My mother used to bring home 100-pound bags of sugar. Today we eat sugar in convenience foods." Dr. Nesheim said. Vitamin E has been considered an essential nutrient for about 20 years, according to Dr. J.G. Bieri, chief of the Nutritional Biochemistry Laboratory at the National Institute of Arthritis and Metabolic and Digestive Diseases. This was the 12th and final nutrition lecture. "In recent years there have been 'fads' focusing on Vitamin E and claims about its effectiveness in treating medical probl~~s. It is an essential nutrient of the human diet, but it has no abihty d- SUMMER, 1978 41 �prolong life, treat heart disease or improve sexual performance," Dr. Bieri said. "Many of the claims made for Vitamin E by manufacturers are without basis in fact. They take a little bit of fact and magnify it, trying to give a little scientific credence to the claim," the government scientist said. Dr. Bieri noted that "there is a lot more misinformation than information coming out about Vitamin E. The public finds it an interesting topic. Some of the misinformation has been based on animal studies of Vitamin E deficiency. Scientists know they can't extrapolate from those tests to humans. Some of these claims are in no way related to any scientific work." Synthetic Vitamin E is a hot item in the stores with white middle class women taking large amounts of the vitamin each day. Dr. Bieri said "about 90 per cent of the Vitamin E consumed as a supplement passes through the body. It's money down the drain." The scientist-educator explained that Vitamin E is a plant product. "It is probably the most widely distributed of all vitamins and it is almost impossible to have a diet deficient in it. Vegetable oils are the main sources of Vitamin E, but there are significant amounts in all nuts, whole wheat and eggs." Meats and vegetables, while low in Vitamin E, probably account for 15-20 percent of the Vitamin E in the average American diet. "Our diet is higher in Vitamin E than Canada, Japan or England." In conclusion Dr. Bieri said "there have been reports of Vitamin E toxicity, but the phenomenon is not well documented by any scientific studies."O $58,532 Grant The School of Medicine has received a two-year $58,532 grant from the National Fund for Medical Education to support an innovative project "Medical Education in Cost Effectiveness; A Longitudinal Approach." Dr. Harry A. Sultz, professor and acting chairman of the department of social and preventive medicine, is the principal investigator. The study will develop and test a sequence of competencybased learning modules specifically designed to prepare physicians to make cost-effective patient management decisions. The longitudinal instructional model will expand upon existing content and develop new content related to health care costs and quality assurance as part of a cross-curricular, multi-departmental effort. Problem-oriented written clinical simulations and other instructional materials will be developed for use in the learning modules. The project director is Jane S. Mathews, clinical assistant professor and research associate in the department of social and preventive medicine. Other faculty members involved in the study are - Drs. Leonard Katz, John Richert, Frank Schimpfhauser, Thomas Burford, Stanley Levin, Evan Calkins, Raymond P. Bissonette, and Frances S. Sherwin. 0 42 THE BUFFALO PHYSICIAN �- .~ Th e new wing. VA Hospital Expansion The Veterans Administration Hospital broke ground for a new outpatient wing last year. The $7.1 million addition will be located on the south side of the hospital to the right of the main entrance on Bailey Avenue, according to Joseph Paris, hospital director. There will be 53,000 square feet in the three-story building. The addition will have no windows, because its diagnostic and treatment functions do not require any and also as an energy conservation measure. In addition to treatment areas the new facility will have space for radiographic laboratory and pharmacy services. Mr. Paris indicated that there would be some renovation in the existing hospital near the new addition. "We have reached the point where we need more space to treat the 150,000 out-patients," Mr. Paris said. Sometime in 1979 the new addition will be completed.D SUMMER, 1978 43 �Seven st udents who participated in the MECO p rogram last summer talk informally about their experiences. They are all membe rs of the 1980 class. From left- Mary Driscoll, Eva Klonowski, Ma rk Borer, Harvey Arbesman, Lynn S teinbrenner, Jim Conway and John Shayne. MECO Program During the summer 22 first and second year medical students received an early introduction to primary care. The Medical Education Community Orientation (MECO) program, sponsored by the American Medical Student Association, is in its second year. Two second year medical students, James Bracikowski and Peter Condra, started working on the project in October, 1976. They had to raise enough money locally to pay $85.00 weekly stipends to the students for six or eight weeks. Among the contributors were - the Annual Participating Fund for Medical Education (APFME), Medical Alumni Association, Erie County Medical Society, New York State Academy of Family Physicians, Lamb Foundation, and several private contributors . The 18 physicians participated voluntarily. The students worked out of the physicians' offices or community hospitals. Three new hospitals - DeGraff, Columbus, Mount St. Mary's were in the program for the first time this year. According to the student coordinators, Dr. Harry Sultz , professor and acting chairman of the department of social and preventive medicine, and Dr. Robert M. O'Shea , associate professor of sociology, are working on a statistical anal ysis for the final report. The student participants agreed that " it was a great experience in clinical medicine . We learned a lot about the problems of the patient. " 44 THE BUFFALO PHYSI CIAN �Participating in the MECO program: FIELD STUDENT PRECEPTOR Arbesman, Harvey Medicine Dr. David Dickman (Ambulatory Care) Buffalo General Hospital Medicine Dr. Anthony Merlino Buffalo Columbus Hospital Pediatric Nephrology Dr. Tadla Baliah Children's Hospital Medicine Dr. Morton Lipsitz 860 W. Ferry St. Dr. Frederic Hirsh Family Practice 3435 Bailey Avenue Dr . Avrom Greenberg Medicine Delaware Avenue Medical Center, 1275 Delaware Avenue Dr. Dennis A. Nadler Out-patient Pediatrics E.J. Meyer Hospital Medicine Dr. Syed Haq 2121 Main Street Dr. Samuel Galeota Medicine 1388 E. Delavan Ave. Dr. Semen Doroszczak Family Practice 919 Kenmore Avenue Dr. Robert Corretore Family Practice 350 Alberta Drive Dr. Peter Vlad Pediatric Cardiology Children's Hospital Pediatrics Dr. Robert Warner 962 Delaware Dr. Salvatore Latona Medicine Mount St. Mary's Hospital, Lewiston Dr. Salvatore Latona Medicine Mount St. Mary's Hospital, Lewiston Medicine Dr. David Carlson DeGraff Memorial Hospital, North Tonawanda Dr. David Carlson Medicine DeGraff Memorial Hospital, North Tonawanda Dr. Melvin Oyster Family Practice Niagara Falls Memorial Hospital Family Practice Dr. John McMahon 1616 Kensington Avenue Family Practice Dr. Herbert Wittkugel 71 Kenmore Avenue Dr. Ulrich Bauer Pediatrics 2618 Union Road Family Practice Dr. Ian Frankfort 1825 Maple Road Balon, Walter Bertini , Nicholas Borer, Mark Buran, Joseph Conway, James Denne , Scott Driscoll, Mary Gold, Andrea Klonowski, Eva Koenig, Paul Masten, Tom Ninos, John Parker, William Paroski, John Picano, Dennis Rose, Robert Shayne, John Silberstein, Peter Sporn, Lawrence Steinbrenner, Lynn Sze-tu, Duncan SUMMER, 1978 45 �Dr. Dunn Dr. Qunn "The Buffalo winters are too much," said Dr. James C. Dunn. The physician-educator is now teaching anatomy at the University of Arizona Medical School in Tucson. Dr. Dunn is the first clinician hired to work with the full time faculty in the anatomy department there. The U/ A Medical School graduated its first class in 1973. Born in Lackawanna in 1928, Dr. Dunn has been on the U/ B Medical School faculty for 20 years. He is a 1950 graduate. Dr. Dunn served on the admissions committee from 1967 to 1970, under the chairmanship of Dr. Philip Wels. Dr. Dunn, on his own time, visited 18 negro colleges in the south and recruited 28 minority students for the Medical School. Most of these students graduated from U/B and are doing well, according to Dr. Dunn. From 1950 to 1967 only 12 negro students were accepted. Medical education has always been one of Dr. Dunn's chief interests. He has visited medical schools in Europe, England, Australia and Israel. "Our medical education is superior. Even though students complain, our selection policies are better. We select the students in the beginning. By contrast most foreign countries admit several thousand medical students and only a small percentage finish ." As an educator Dr. Dunn has tried to emphasize the clinical application of the cadaver. "I believe in taking students on hospital rounds in their first year in medical school. Often these visit my office, and observe while I am performing surgery. Observing surgery is a great help to them when they are dissecting a cadaver." When Dr. Dunn entered the medical school in 1946 he was the first black since Dr. W. Yerby Jones was graduated in 1924. "Dr. Jones was one of my idols, a great inspiration to me in my formative years. He emphasized scholarship." Dr. O.P. Jones, now an emeritus professor, was a member of the admissions committee when Dr. Dunn was accepted at U/ B. Dr. Jones was one of Dr. Dunn's professors and 20 years later he joined Dr. Jones' department as a clinical associate professor of anatomy. He is also a clinical assistant professor of surgery. Dr. Dunn took his internship and one year of his residency at the Bellevue Hospital, Columbia Division, New York City. He returned to Buffalo and took three more years of his residency (he was chief resident, general surgery) at the Veterans Administration Hospital under Dr. William Chardack, associate professor of surgery. In 1955 Dr. Dunn served in the Army Medical Corps as captain for two years. While in Buffalo Dr. Dunn was affiliated with three hospitalsOur Lady of Victory in Lackawanna, Buffalo Mercy and Children's (until 1970) . He is a Diplomate, American Board of General Surgery and National Board of Medical Examiners. He is also active in several other professional societies. Dr. Dunn's wife, Dr. Imogene G. Johnson, received her M.D. in 1949 from Howard University. She has been on the U/ B faculty for 15 years as a clinical assistant professor of pathology. She is also a pathologist at Columbus Hospital. The Dunn's have four childrenJames Clarence II, a pre-med student at Allegheny College; Gina, a junior at Houghton College; Gregory, a junior at Baker Victory High school; and Guy, a sophomore at Orchard Park Central. Dr. Dunn's hobbies include photography and playing the violin. He performs regularly with the Mercy String ensemble.D 46 THE BUFFALO PHYSICIAN �$166,607 Multiple Sclerosis Grant professor and chairman, department of microbiology at the Medical School, received a $166,607 three-year grant from the National Multiple Sclerosis Society, effective in January. Since 1973 Dr. Milgram has received $378,426 from the Society for his research. He will continue his immunologic and serologic studies of neurological diseases including multiple sclerosis. In one experiment, Dr. Milgram compared reactions of lymphocytes, the white blood cells governing the body's immune responses, from MS patients and from non-MS persons, when they were exposed to basic protein. He observed that MS lymphocytes were stimulated to a lesser degree than were those from other donors. (Basic protein, BP, is a component of myelin, the fatty and protein material ensheathing certain nerve fibers. Myelin loss in the central nervous system produces the symptoms associated with MS.) Dr. Milgram thinks this lack of response occurs because BP might induce stimulation of suppressor cells, a subset of lymphocytes that "turns off" other lymphocytes. He hopes to confirm these preliminary observations and to recover, if possible, the suppressing factor from BP-stimulated lymphocyte cultures. For this research, he will compare lymphocyte activity in cells taken from MS patients with those from normal donors and from persons with other neurological diseases. Lymphocytes from each donor will be divided. One portion will be cultured with BP; the other, without BP. After the incubation period, the supernatant fluid will be separated from the cells which will be washed and cultured with fresh lymphocytes from the same donors. These mixed cultures will be exposed to plant substances (lectins) known to stimulate cell proliferation. To measure the degree of lectin-induced cellular activity, a radioactive "tracer" (thymidine) will be added to the lymphocytes precultured with and without BP. In related research, Dr. Milgram plans to expose the supernatant fluids to the same varieties of lectins and to other lymphocytes that have been treated previously with a drug that "turns off" cellular activity. The activity measured in these supernatant cultures will be compared to determine whether a soluble inhibitory factor is produced by BP-stimulated cells. In addition, Dr. Milgram's study of reactions of MS sera to preparations of human brain tissue will be extended. Earlier work in his laboratory has indicated that brain tissue fractions appear to exert an antigenic effect on MS and non-MS sera. Dr. Milgram plans to purify this active fraction and, if successful, he will attempt to increase the sensitivity of the sera to brain fractions with the aim of establishing a sensitive diagnostic blood test for MS.D DR. FELIX MILGROM, SUMMER, 1978 47 Dr. Milgrom �Dr. Solomon Dr. Solomon Let us walk with utmost delicacy, Away from life's hellish road, through grassy Trails that guard Nature's fecund floor, past trees, Ancient oaks, elms, and pines, that shade the leas From Apollo's ire, The orbiting fire, To the flowing stream of our infancy. Let us walk with lightened step, hand in hand, Across sterile beaches and sunburnt sand That harbor no life except empty shells Of men and snails and funereal bells. Let us trod with light Step past all this blight And joyously swim in our mother's hand. Let us walk with our spirits while we may, Past Ulro's asphalt land where others stay To rot and decay, immersed in mem'ries Of life's infections and infirmities. Let us fly with haste From this snowcapped waste, For we, with Love, in Eden's rains shall play. A 1971 Medical School graduate, Dr. Kenneth Solomon, is a psychiatrist and a poet. His first book, Journey to Hygeia , was recently released by Vantage Press. It is a collection of poems written between 1964 and 1973, covering the doctor's late adolescent and early adult years. There are selected free verse, rhyming works, sonnets, couplets and quatrains. Hygeia is the Greek word for health. The 30-year-old psychiatrist has published many poems in magazines and anthologies. His poems range from 17 syllables to 17 pages. "The Hadj," an Arabic word pronounced "hodge," is a 17-page poem about an allegorical pilgrimage to Mecca. Dr. Solomon credits his NYU English professor, Byrne Reginald Spenser Fone, "as opening up the world of poetry to me." The book is dedicated to Professor Fane (wherever he may be). "All of my friends at NYU were writing poetry or folk singing or both and we gave each other support and mutual admiration." Dr. Solomon says his poetry has undergone changes since 1964 when he began writing. ''I'm writing less about Swahili mythology and events that happened in Russia 200 years ago. A lot of my early poems dealt with the big city. I adopted the subway as a symbol of all that was wrong with man and technology. My poetry has gotten shorter as my time gets shorter. Now I say in three words what I used to say in 20 lines." Dr. Solomon's newest love is haiku, the Japanese form in which thoughts are expressed in 17-syllable poems. He says he enjoys toying with different rhythms and he credits his musical background for this. Dr. Solomon used to be a professional jazz musician and still plays as a hobby. The jacket cover of the book says Solomon's "personal dream is to unite C.P. Snow's two cultures and be a Renaissance Man." As part of this unity, he uses Shakespeare in teaching his classes at the Medical College of Virginia where he is an assistant professor. "I tell my students if they want to study senile dementia they should read 'King Lear.' If they want to study paranoia, 'Othello' is perfect." The reaction to the book has been, "Gee I didn't know you did. that!" He knows a few of his friends have purchased the book, but he doesn't know how many of the first printing of 4,000 have been sold. Dr. Solomon is realistic about the plight of poetry in today's society. "We're just not a poetry-reading people . The only reason Shakespeare sells is that it's required reading in high school. My first love has always been poetry. But I was realistic enough to know that I couldn't earn a daily living writing poetry.'' Poetry and psychiatry are not such strange companions. "While psychiatry is very analytical it is also very intuitive. The two are quite close together," Dr. Solomon said. Dr. Solomon does not limit his writing talent to poetry. He has had nine professional papers published in psychiatric and medical journals. He is also turning to prose, working on what he hopes will be his first novel and several short stories. His wife Mona and children- Dori and David- are quite excited about the book and family hobbies - reading, music and people. Dr. and 48 THE BUFFALO PHYSICIAN �Mrs. Solomon are also car-rally enthusiasts and they h~ve trophies to prove it. Dr. Solomon, who grew up in New ~ork C~ty, didn't have a driver's license until he was 20. Now he IS makmg . up for the time he spent on the subways. Dr. Solomon's goal: "to live life to the fullest and to touch, m an existential sense, as many human beings as I possibly can."O New Modes of Reproduction New modes of reproduction in the future will improve the quality of the newborn, according to Dr. Joseph Fletcher. He cited artificial insemination as one of these "new modes" of reproducing and indicated that 1.5 million persons in the United States are already products of this process. Dr. Fletcher is a visiting professor of medical ethics at the University of Virginia. The Harrington lecturer suggested other future alternatives to reproduction - a fetus delivered from a glass womb; women delivering infants who have other genetic mothers; and the reproduction of youngsters who are identical to their one parent. Dr. Fletcher said, "women with sterility and ovulation problems might find the transfer of the ovum of another woman to themselves to be another alternative mode in the future. For the woman who can't or doesn't wish to carry her child, relief is in sight. Her fertilized ovum might be transferred to another woman's uterus for the nine-month period." Dr. Fletcher also predicted that when artificial placenta is perfected, fertilized eggs will be brought to term in glass wombs. This possibility would permit fetal development to be observed, he said, thus leading to further knowledge which could save many infants. "We've become used to putting premature infants in mechanical incubators, so the glass womb would only expand the time the fetus would spend in a carefully controlled environment," he pointed out. He also foresees: "in vitro" fertilization of the ovum and its subsequent implantation, cloning, and parthenogenesis (development of an egg without fertilization). "Given our new and growing medical capabilities to control human conditions, it's irresponsible to continue to reproduce by 'sexual roulette' as these options become available," Dr. Fletcher said. He noted that each person carries seven to ten deleterious genes which can, in some situations, lead to conditions or diseases in offspring which are undesirable. He added that the presence of these genes in the general gene pool will more than double in 100 years. Dr. Fletcher suggested that in the future sex will be used for lovemaking, with other modalities of reproduction used for babymaking. Though some view this as tampering with nature, he reminded the audience that medicine interferes with nature for clinical reasons of well-being. "While people aren't obliged to have children, they are ethically obliged to have the healthiest ones possible," he added. "I believe sexual roulette often produces victims. In the future, this need not be," he concluded.O SUMMER, 1978 49 Dr. Fletcher The Harrington lecturer was selected by a student-faculty committee of the Medical School. The lectures were created in 1896 by the will of the late Dr. Devillo W. Harrington, professor of genital and urinary diseases at the School of Medicine. �Associate dermatology professors Drs. John Maize, Thomas Provost; Dr. Dobson; Drs. Harvey Banker (England), Stephanie ]ablonska (Poland), Rudi Cormane (The Netherlands), Ted Chorzelski (Poland). Second Annual Westwood Conference on Clinical Dermatology Approximately 300 jammed each session of the second annual Westwood Conference on Clinical Dermatology. Some practicing dermatologists came from Hawaii and Vienna, while others came from Canada and Buffalo. And joining a distinguished national panel of speakers were participants from Poland, Holland and England. Sprinkled amid four-crammed days of diagnostic/treatment sessions on some major skin diseases were social events. These included a reception/cocktails at the beautiful Albright Knox Gallery, a surprise speaker (comedian Henny Youngman) whose one-line anecdotes highlighted the banquet. And a special women's program that featured a visit to Niagara Falls, Our Lady of Victory Basilica!, the horticultural gardens, and a tour of the Westwood Pharmaceutical plant. Learning however was not confined to the eight technical sessions. There was also an opportunity to turn lunch hours into round-table discussions or into individual consultations. These ranged from pathology, psoriasis, bullous diseases, immunology, vasculitis, 50 ichthyosis, clinical dermatology to therapy, melanoma, cancer, therapy, pediatric dermatology and pigmentation. Starting off the Conference was a session on diagnosis/treatment of pigmented tumors. In his overview on the basic structure/ form of melanocytes, Yale's Dr. Joseph J. McGuire noted that pigmented cells do not vary in number rather they vary in function in the various races. U/ B's Dr. John Maize followed with a review of the critical features and histological patterns of various acquired melanocytic lesions as well as those that often simulate them. Mostly benign, he pointed to reliable methods of disgnosis and treatment. But he cautioned on the need for a complete, careful examination of a patient's entire skin for there has been a steady rise in the incidence of malignant melanomas during the past 30 years. The halo phenomenon/its clinical and pathologic implications as well as clinical diagnosis of malignant melanoma were the topics of Harvard's Dr. Martin C. Mihm, Jr. THE BUFFALO PHYSICIAN �He cautioned that although physicians appear to have greater awareness of the clinical features of early melanomas, diagnostic accuracy based on clinical features alone is unreliable. According to an NYU Skin and Cancer study, the clinical accuracy of differentiating malignant melanomas from other pigmented lesions was only 64.4 per cent. He went on to stress the importance of proper biopsy technique for diagnosis and as a guide to therapy. Turning to the intricacies of histologic diagnosis, Dr. A. Bernard Ackerman of New York University stressed patterns of growth rather than cytologic minutiae. "Architecture," he reiterated, "is the most important thing for diagnosis." Early diagnosis as well as improved prognosis with early effective surgical treatment was the message from NYU's Dr. Matthew Harris who works closely with the department of dermatology's skin and cancer unit. He also urged complete and careful preoperative evaluation before any type of definitive surgery. And he noted that specific tests for immunologic competence and melanoma antibodies are now underway at NYU. In a special lecture on skin diseases in black patients, Brown University's Dr. Charles J. McDonald stressed the management of pigmentary problems. In some patients with vitiligo it is preferable to depigment than to attempt repigmentation he noted. On therapy, Scripps Clinic Dr. Richard B. Stoughton noted the effects of topical an- Frank Nero, presr'd ent, W es tw oo d Pharmaceuticals; I Dr. Richard Dobson, professor and chairman, dermat~ ~gy department; Dr. John Naughton, Dean, School of Medrcrne. d- SUMMER, 1978 51 �The evening banquet. tibiotics when treating acne. He also discussed properties of various topical steroids and guidelines for their use in treating specific inflammatory diseases. Arkansas' Dr. G. Thomas Jansen presented a practical guide to treatment of precancerous lesions, urging office management of these common disorders. What is true about what is new? In the treatment of acne and use of topical steroids, U/B's Dr. Richard L. Dobson pointed to inconsistencies in the literature on therapy. Next on the program were the clinical challenges of those disorders that often are perplexing both in terms of diagnosis and treatment. Albert Einstein's Dr. Michael Fisher classified the causes of purpura due to Dr. ]ames E. Rasmussen, assistant professor of dermatology, visits with a participant. 52 disorders of coagulation, platelets, vessels and extra-vascular tissue. Mayo Clinic's Dr. Harold 0. Perry, in his presentation of a practical guide to diagnosis/management of chronic vasculitis and panniculitis, noted clinical findings to be often nonspecific, and etiologies diverse. In his discussion of immunodeficiency, Wisconsin's Dr. Richard Hong noted the wide variety of associated cutaneous lesions. Pediatric dermatology. In his exhaustive differentiated diagnosis of exanthems, Dr. Fisher emphasized their varying chemical patterns. A simplified classification/approach to the diagnosis and treatment of ichthyosis was reviewed by Harvard's Dr. Irwin M. Freedberg. U/B's Dr. James E. Rasmussen reported that children with kerion have delayed hypersensitivity to Trichophyton while those with chronic inflammatory ttinea capitis were lacking these responses. Turning to atopic dermatitis, Dr. Dobson emphasized its pathogenetic mechanisms. He noted that despite the large amount of research being done on this disorder, "It still remains a puzzling one." The practical role of immunofluorescence in diagnosis and as a guide to therapy was presented by U/B's Dr. Thomas T. Provost. Medical College of Virginia's Dr. William P. Jordan then turned to guidelines for patch testing. He noted that the standard screening series is of great value provided there is an awareness of the multiple sources of the basic chemicals. THE BUFFALO PHYSICIAN �Eleven visiting faculty members will be featured on the program at the third annual Westwood Conference on Clinical Dermatology May 21-24 at the Sheraton-East Inn, Buffalo. Dr. Richard L. Dobson will again direct the fourday meeting. Eight U! B faculty members from the d.ermatology department will also be conference participants. The confe.rence JS ~pproved for 27 h~urs of Category I, Continuing Medical Educatwn cred1t by the Amencan Academy of Dermatology and the AMA.D In his review of cutaneous/systemic varieties of collagen vascular diseases, U/B's Dr. Sean O'Loughlin emphasized laboratory evaluation of these patients to diagnose and monitor effective treatment. In his discussion on what is new in immunology, Wisconsin's Dr. Richard Hong aired some exciting developments. "Immunologic competence can be reconstituted in both animals and man by thymus transplants," he said. Apparently, the thymus loses its antigencity and is not rejected after only a few days of culture in vitro. Leading a distinguished panel on psoriasis was London's Dr. Harvey Baker. In his review of its various clinical patterns, he noted some of its unusual features. Miami's Dr. Kenneth Halprin turned to its pathogenesis, suggesting that a single abnormal protein in the epidermal cell membrane may well be the basic defect. Reviewing chemotherapy of psoriasis was Brown's Dr. Charles J. McDonald. He noted the newest star on the horizon to be mycophenolic acid. Reasonably effective, it may soon be available for general use, he said. St. John's Dr. Harvey Baker then pointed to extensive studies that indicated a single weekly dose of methotrexate minimizes hepatic damage. Daily therapy is hazardous and is not recommended, he added. Concluding with an update on the results of photochemotherapy was Cleveland Clinic's Dr. Henry H. Roenigk. He noted the PUV A appears to be effective and complications few. Still in the experimental stage, he advised against general use of this modality before FDA approval. SUMMER, 1978 From Amsterdam, Holland's Dr. Rudi Cormane, a report on exciting results wh.en treating ichthyosis and Darier's disease With an oral vitamin A derivative. "A virtual complete clearance is achieved in all patients,." he said. This treatment is now under study m this country. Culled from their clinics in Warsaw were a variety of rare but fascinating cases by Dr~. Stephanie Jablonska and Tadeusz Chorzelsh Dr. Alexander Berman (Milwaukee) reported several cases of depigmentation surrounding flat warts that were produced after treatment with a keralytic agent.D Drs. Sean O 'Loughlin, Thomas Provost. 53 �The Classes The Classes of the 1920's Dr. Raphael M. Baratta, M'24, is a retired Family Practitioner. He has received certificates of appreciation from every president from Franklin Delano Roosevelt to Lyndon Johnson for uncompensated service to the Selective Service System. He is justly proud of his 27 years of service to the nation. Dr. Baratta lives at 291 Avenue W, Brooklyn, New York 11223.0 The Classes of the 1930'S Dr. Thomas S. Bumbalo, M'31, retired as Medical Director of the E.J. Meyer Memorial Hospital in February, having reached mandatory age of 70. Dr. Bumbalo is also a clinical professor of pediatrics at the Medical School. He is a Diplomate of the American Board of Pediatrics and served on the staffs of the Meyer, Children's, DeGraff, Brooks Memorial and Tricounty Hospitals. Dr. Bumbalo won national recognition some years ago for his research in diagnosis on pin worms in children.D Dr. Carl E. Arbesman, M'35, received the Distinguished Service Award of the American Academy of Allergy in Phoenix recently. The clinical professor of medicine and microbiology has been a member of the Academy since 1938 and a Fellow since 1941.0 Dr. Richard C. Batt, M'36, has been named a Fellow of the American College of Radiology. He is affiliated with hospitals in Glens Falls, Corinth, Ticonderoga and Wilton, all in New York State.D Dr. Harold F. Wherley, M'36, writes that he is "semi-retired" from his specialty of ophthalmology/otolaryngology. His son, Dr. Ben Wherley, M'65, also an ophthalmologist, is in practice with him at the Boulevard Medical Building, Dover, Ohio.D 54 Dr. Charles Becker, M'38, retired as chief of pathology at Sisters Hospital in December, 1977. He had been on the staff since 1946. He is clinical associate professor of pathology at the Medical School.D The Classes of the 1940's Dr. Kevin M. O'Gorman, M'43, has been appointed to the Board of Trustees of Hilbert College, Hamburg, New York.D Dr. Joseph J. Ricotta, M'43, of Buffalo, is the president-elect of the National Federation of Catholic Physicians' Guild.D Dr. George H . Selkirk, M'43, clinical associate professor of medicine, has joined the Sisters Hospital medical staff. He interned at Buffalo General Hospital and did his residency at Children's Hospital.D Dr. John L. Smith, M'46, has been named a Fellow of the American College of Radiology. He is affiliated with Green Hospital of Scripps Clinic Medical Institutions, LaJolla, Ca. and the University Hospital of San Diego.D Dr. Arthur J. Schaefer, M'47, of Snyder, New York, has been giving lectures and speeches at the Will's Eye Hospital in Philadelphia, the annual Oculo-Plastic Ptosis dinner meeting at the Union League in Philadelphia and at the American Academy of Ophthalmology and Otolaryngology in Dallas. He is a clinical associate professor of ophthalmology at the Medical School.D Dr. John B. Sheffer, M'47, has joined the pathology department at Sisters Hospital, after nearly 20 years as chief of pathology at Deaconess Hospital. He is also a clinical professor of pathology at the Medical School. At one time he was chief of laboratory services at the VA Hospital.D THE BUFFALO PHYSICIAN �Dr. George L. Collins, Jr., M'48, clinical assistant professor of medicine, was named one of nine "Outstanding Citizens for 1977" by the BUFFALO EVENING NEWS. The President of the New York State Medical Society was cited for his work at "resolving what he terms crises over the state's costly medicaid program and the malpractice insurance issue." The newspaper annually names persons who have contributed strongly to the well-being or progress of the Buffalo area and the Niagara Frontier.D Dr. Robert J. Hall, M'48, has been appointed chairman, section of cardiovascular diseases, Pan American Medical Association Inc. He has been elected to membership in the Association of University Cardiologists. Dr. Hall is medical director of the Texas Heart Institute, Houston. The Institute is operated jointly with St. Luke's Episcopal Hospital and Texas Children's Hospital in the Texas Medical Center.D Dr. Harold Bernhard, M'49, clinical associate professor of medicine at the Medical School, has been elected Governor for Northern New York of the American College of Gastroenterology. He is also the new president of the G.I. Liver Society of Western New York.D The Classes of the 1950's Dr. Laurence T. Beahan, M'53, is a backgammon enthusiast. It's a game for all ages. There is skill involved, percentages to consider and a choice of moves. It is also a good family game to play. Dr. Beahan is a clinical assistant professor psychiatry at the Medical School.D Dr. John B. Fenger, M'53, whose specialty is physical medicine and rehabilitation, is practicing in Phoenix, Arizona. He lives at 1901 East Thomas Road.D Dr. PaulL. Weinmann, M'54, has been appointed Chief of the Department of DerSUMMER, 1978 matology at Sisters Hospital. He is a clinical assistant professor of dermatology at the Medical School.D Dr. Richard R. Gacek, M'56, has been appointed professor and chairman of the department of otolaryngology and communication sciences at SUNY/Upstate Medical Center, Syracuse, New York. Dr. Gacek was formerly chairman of the department of otolaryngology at the University of Massachus.etts Medical School, Worcester. Dr. Gacek IS a member of numerous professional societies and serves as editor-librarian of the American Otological Society. He is also chairman of the Scientific Review Committee of the Deafness Research Foundation. He is the author or co-author of more than 50 professional articles and publications in addition to seven book reviews published in the New England Journal of Medicine.O Dr. Oliver P. Jones, M'56, Distinguished Professor Emeritus, was a guest lecturer at the University of Michigan Center for Continuing Medical Education, in March. He spoke about " Morphologic Hematology: Historical , Aspects."D Dr. Bernard H. Sklar, M'56, is President of the medical staff of Fair Lawn Memorial Hospital, Fairlawn, New Jersey. He is also Medical Director of the Ridgewood Nursing Home in Ridgewood, New Jersey.D Dr. Samuel Shatkin, M'58, is president of the New York State Society of Plastic, Reconstructive and Maxillofacial Surgeons. He is clinical associate professor in surgery at U/B and an attending physician at Buff~lo General Children's, E.J. Meyer Memonal, and St. J~seph's Intercommunity h~spitals. He is chief of Plastic and Reconstructive surgery at Buffalo Veteran's Administration Hospital. In addition, he is a consultant in Plastic Surgery to the State Health Dep~rtment. . Dr. Shatkin is currently servmg ~s pre~I­ dent of the American Society of Maxi~lofacial Surgeons. He is immediate past president of the Society of Plastic Surgeons of Upstate d55 Dr. Shatkin �New York and immediate past president of the Phi Lambda Kappa Medical Fraternity. He is a past chairman of the New York State Medical Society Section on Plastic, Reconstructive and Maxillofacial Surgery. Dr. Shatkin has also held numerous other offices in several other Societies and he is a member of the American Society of Plastic and Reconstructive Surgeons, American Society of Aesthetic Plastic Surgeons, Head and Neck Society, American Cleft Palate Society, Buffalo Plastic Surgery Society, Fellow, American College of Surgeons, American Medical Association and the Erie County Medical Society. 0 Dr. Frank A. Perlroth, M'67, has been practicing internal medicine/nephrology in Palo Alto, California for the past three years. He is also an instructor in medicine at Stanford University. He lives at 95 Joaquin Road, Portola Valley, California 94025.0 Dr. S. K. Bosu, M'69, practices pediatrics/neonatology in Long Beach, California. He is Associate Director of Newborn Services, Earl and Loraine Miller Children's Hospital Medical Center in Long Beach. Dr. Bosu is also an assistant clinical professor of pediatrics at the University of California at Irvine School of Medicine.D The Classes of the 1960's Dr. Kenneth E. Burstein, M'65, of Los Gatos, California, is practicing medicine in San Jose. He married the only female rabbi who serves as chief rabbi of her own congregation in the United States and the world, he claims.O Dr. Barry Feinblatt, M'65, clinical associate professor of pediatrics, has joined the Sisters Hospital medical staff. He interned at Buffalo General Hospital and took his residency at Children's Hospital.O Dr. Daniel Schubert, M'65, is an assistant resident in the department of psychiatry at Western Reserve University, Cleveland, Ohio. He will be entering a Family Practice Residency in July, 1978 at Howard University in Washington, D.C. (a three-year program).D Dr. David Wallack, M'66, is chairman of the department of internal medicine, Littleton Medical Clinic, Littleton, Colorado. He is also associated part-time with the University of Colorado School of Medicine. Dr. Wallack writes, "a third daughter (Marissa Beth) was born to my wife Bonnie and myself on 26 August 1977."0 Dr. David L. Larson, M'67, is medical director of the Gulf Coast Regional Mental Health-Medical Rehabilitation Center in Galveston, Texas and is working in conjunction with the University of Texas.O 56 The Classes of the 1970's Dr. Michael L. Lippmann, M'70, is with the Pulmonary Disease Section of Albert Einstein Medical Center's Northern Division, York and Tabor Roads, Philadelphia, Pennsylvania. He writes that he has moved at least five or six times up and down the East coast over the eight years since graduation. He also says that he is "eagerly looking forward to our tenth reunion in 1980."0 Dr. Bruce M. Prenner, M'70, practices pediatric/adult allergy in San Diego, California. He was recently board certified in Pediatrics (1976) and Allergy/Immunology (1977). His articles have appeared in the "American Journal of Diseases of Childhood" and "Annals of Allergy." Dr. Prenner is also an assistant clinical professor of pediatrics at the University of California (San Diego) School of Medicine. He lives at 11702 Shadowglen Road, El Cajon, California 92020.0 Dr. Jeffrey Rothman, M'70, is a Diplomate of the American Board of Internal Medicine in the subspecialty of endocrinology and metabolism. He was recently appointed to the faculty of SUNY /Downstate Medical Center as clinical assistant professor of medicine. Dr. Rothman lives at 489 Maine Avenue, Staten Island, New York 10314.0 THE BUFFALO PHYSICIAN �People Dr. James K. Smolev, M'70, is chief resident in urology at The Johns Hopkins School of Medicine, Baltimore. As of July, 1978 he will be chief of urology, Baltimore City Hospitals and assistant professor of urology at the Johns Hopkins Hospital. Dr. Smolev, his wife, Linda, and daughters, Jennifer and Melanie live at 203 Stanmore Road Baltimore, Maryland 21212.0 ' Dr. Martin Brecher, M'72, reports the case of a small boy who apparently had been successfully treated for pelvic rhabdomyosarcoma, without surgery. The research assistant professor of pediatrics at the Medical School made the report in an article for the Journal of Surgical Oncology. The case Dr. Brecher reports on involved a boy admitted to Roswell Park Memorial Institute when he was two and one-half years old. The parents rejected surgery and the boy was placed on a treatment of regimen combining radiation therapy and chemotherapy. The residual tumor mass disappeared approximately one year after treatment began.D Dr. Ismil Ismael, M'72, is practicing pulmonary medicine in San Jose, California. He is also a clinical associate at Stanford Medical School. Dr. Ismael lives at 2201 McLaughlin No. 3, San Jose, California 95122.0 Dr. Joel H. Block, M'75, will be starting his Chief Residency in Radiology at Sinai Hospital, Baltimore, Maryland in July. Dr. Block and his wife, Mary Anne, are expecting a child in August. They live at 129 Maybin Circle, Owings Mills, Maryland 21117.0 A third year medical student, Peter Shields, has been elected national president of the Organization of Student Representatives. The organization is associated with AAMC.D SUMMER, 1978 Dr. Walter Grand is the new chairman of the department of neurosurgery at Millard Fillmore Hospital. He is a clinical assistant professor of neurosurgery at the Medical School. Dr. Grand received his M.D. from Albert Einstein College of Medicine.D Dr. Emma K. Harrod has been elected to a second term as president of the YWCA of Buffalo and Erie County. She is a clinical associate professor of pediatrics an? ~lin~cal assistant instructor in rehabilitatiOn medicine. Dr. Harrod is also medical director of the United Cerebral Palsy Association, and former Erie County Deputy Commissioner of Health.D Dr. Philip K. Li is the new directo~ of clinical laboratories at Children's Hospital. He is assistant professor of pediatrics. ~nd pathology at the Medical School. Dr. LI IS a laboratory director of the American Board of Bioanalysis, and a charter Fellow of the National Academy of Clinical Biochemistry.O Dr. Elliott Middleton, professor of medicine and pediatrics, will speak on "Drug Development for Asthma" at the sixth International Symposium on Medicinal Chemistry in Brighton, England (University of Sussex) in September. In April he spoke on Asthma at the Jones Memorial Hospital, Wellsville, at the Ellis Hospital, Schenectady. In May Dr. Middleton addressed the annual meeting of the American Thoracic Society in Boston. His topic: "Methods in Epidemiology Research: Studies of Anti-Asthma Drugs." He also addressed the Cleveland Allergy Society on "Pathogenesis and Drug Therapy of Asthma," in May. Recently Dr. Middleton co-authored a chapter for a text book and two articles for professional journals.D Mrs. Esther Eddy is the new director of pharmacy services at Children's Hospital. She is a graduate of the U/B School of Pharmacy.D 57 �People Four faculty members are the new officers of the Millard Fillmore Hospital medical staff. Dr. Gerald Swartz, clinical instructor in ophthalmology, is the new president. President-elect is Dr. Frank J. Bolgan, M'51, clinical associate professor of surgery; secretary and treasurer are Drs. Victor C. Lazarus, M'45, clinical instructor in urology, and Henry P. Carls, clinical associate in surgery.O Six Buswell Fellows presented their scientific work at the third annual Buswell Research Day in April. The participants were: Drs. Arthur E. Orlick, Rocco C. Venuto, M'67, Robert C. Welliver, Alan I. Leibowitz, M'70, Masahiko Nishikai and Ulrich K. Schubart. All are research assistant professors of medicine. At the dinner that followed the afternoon session, Dr. Robert Klocke addressed the group as "guest Buswell honoree." He is associate professor of medicine and assistant professor of physiology.O Dr. Robert Warner, clinical associate professor of rehabilitation medicine, has been named by Governor Carey to the New York State Advisory Council on the Disabled. Dr. Warner is also associate professor of pediatrics.O Dr. Michael F. Noe, clinical assistant professor of medicine, is the new medical director for ambulatory care at the Buffalo General Hospital. He came to Buffalo in 1975. Dr. Noe received his M.D. from SUNY Upstate Medical Center in Syracuse in 1969, and a Master of Public Health from Tulane University in 1973. He served four years of residency in clinical preventive medicine and internal medicine at the Tulane Medical Center.D Dr. John A. Edwards, associate professor of medicine and pediatrics, is the new chief of the department of medicine at Sisters Hospital. He has been on the U/B faculty since 1967 and at the Buffalo General Hospital. He received his medical degree from the University of Liverpool in 1959.0 58 Dr. Rose Ruth Ellison, professor of medicine, has been elected to a third term as vice president of the Leukemia Society of America Inc. She is chief of oncology at the E.J. Meyer Memorial Hospital and chairman of the Cancer Education Committee at the Medical School. Dr. Ellison is chairman of the society's Medical and Scientific Advisory Committee.O Dr. Joseph P. Gambacorta, M'48, is the new president of the Sheehan Memorial Emergency Hospital. Dr. Joseph J. Ricotta, M'43, is vice president. Dr. Joseph M. Anain is secretary and Dr. Jeremiah O'Sullivan is treasurer.O Three Medical School faculty members are newly elected officers of the executive committee of the Medical Board of Children's Hospital. President - Dr. Bernard Eisenberg, clinical associate professor of pediatrics and clinical assistant professor of social and preventive medicine; president-elect - Dr. Theodore Schulman, clinical assistant professor of Gyn/Ob; vice-president - Dr. Theodore Putnam, clinical assistant professor of pediatrics; secretary-treasurer- Dr. John E. Fisher.O Several Medical School faculty members are members of the Singing Doctors at Sisters Hospital. They are Drs. John M. Benny, M'40, clinical assistant professor of medicine; Ivan L. Bunnell, M'43, clinical professor of medicine; Jose F. Cunanan, clinical assistant professor of Gyn/Ob; William H. Merrilees, clinical instructor of Gyn/Ob; and William W. Meissner, M'27.0 Dr. Daphne Hare believes the federal government is short-changing working women in both Social Security and income tax. The associate professor medicine said, "ideally, people should be taxed as adult human beings and not as appendages." The longtime advocate of equal rights for women was interviewed recently by Sue Buyer of the Buffalo Evening News. Dr. Hare is also an assistant professor of biophysical sciences at the Medical School.D THE BUFFALO PHYSICIAN �Dr. Norman Solkoff contends that violence and crime are the price a democracy pays for the freedom it offers its citizens. "Any democracy must take the risk of violence," the professor of psychology in the department of psychiatry said. He believes that research may uncover the reasons and perhaps even the remedy for violence, which is a little understood form of behavior.O Dr. Arthur Lee, professor of surgery, recently piloted Lady Marmalade to 18th place in Division II, Class C at St. Petersburg, Florida. He also participated in the Southern Ocean Racing Association Regatta in Ft. Lauderdale.O Drs. Joseph R. Gerbasi, M'62, and Morris Reichlin, professor of medicine and research professor of biochemistry, have been named associate editors of the Journal of Immunopharmacology, a new international scientific publication.O In Memoriam Dr. Josef Bleichfeld, M'51, died February 16 in Millard Fillmore Hospital. The general practitioner was a former school physician for the Cleveland Hill School District. He served on the medical staffs of Millard Fillmore and St. Joseph Intercommunity Hospitals, and was a member of several professional associations.O Dr. Chauncey Lapp, M'21, died May 17, 1977 in Boca Raton, Florida of congestive heart failure. The 80-year-old physician had prac.ticed in Corning, N.Y. Before moving to Flonda he was on the staff of the Corning Hospital and district health officer.O Dr. Roswell P. Keyes, M'26, died November 20, 1976 in Bellingham, Wash. His age was 75.0 SUMMER, 1978 Dr. J. R. Borzilleri, M'34, died January 20. The 70-year-old physician was the first president of Blue Shield of Western New York and a former president of Columbus Hospital (1945-1953). He was also on the staffs of Children's and St. Francis Hospitals and headed the Worthington Corporation Clinic. He was a past-president of the Western New York Hospital Council. After graduating from U/B Dr. Borzilleri continued his studies in neurosurgery at Bellevue Hospital, New York City. He served four years with the Army's Surgical Auxiliary Unit in Europe during World War II, and took part in the Normandy invasion. He was a Major when discharged. He had been in retirement since 1972. He was active in several professional associations.O Dr. Herbert S. Coe, M'41, died January 22. His age was 71. A specialist in internal medicine, Dr. Coe was involved in the Manhattan Project, a World War II nuclear research effort by scientists that led to production of the first American atomic bomb. He established and owned the former Memorial Medical Center in Cheektowaga. He retired two years ago. Dr. Coe was born in Salamanca, N.Y. and did his undergraduate work at Alfred University. He was a Fellow, American College of Family Physicians.O Dr. Symon H.C. deZeeuw, clinical assistant professor of psychiatry, died January 30. The 53-year-old physician was chief psychiatrist in charge of liaison service at the E.J. Meyer Memorial Hospital's Psychiatric Department. He was a staff psychiatrist at Buffalo General Hospital and at Brothers of Mercy Nursing Home. Dr. deZeeuw was born in the Netherlands and graduated from the University of Leyden. He serv~d his i~­ ternship at Buffalo General Hospita~ and his residency at the Meyer. He was a Diplomate of the American Board of Psychiatry and Neurology and a Fellow of the American Psychiatric Association.O 59 �U/B ALUMNI ASSOCIATION 1978 Travel Program ORIENT August 3-17 Three cities - Tokyo, Hong Kong, Kyoto $1095.00 plus 15 % tax/service from Buffalo $ 995.00 plus 15 % tax/service from San Francisco Deluxe hotels/ American breakfasts daily, plus two gala dinners, sightseeing. Japan Airlines - 747 (355 seats). New Otani Hotel, Tokyo - 6 nights, Mirimar Hotel, Hong Kong - 4 nights, Kyoto International Hotel, Kyoto - 4 nights - American breakfast daily two dinners (optional meal plan available). *Commercial flight to San Francisco, Japan Airlines direct to Tokyo . OPTION : Continuing Education Program for Dental Alumni at Gifu College of Dentistry is $149.00 including transportation to Gifu and accommodations at the Gifu Grand Hotel. INNSBRUCK/ ST. MORITZ/ MUNICH October 11 - 26 Niagara Falls departure $746 (Capitol Airlines, DC-8 stretch jet -four nights Holiday Inn in Innsbruck, four nights Hotel Albana in St. Moritz, Arabellahaus in Munich - deluxe hotel option and dinearound meal option available). The General Alumni Board- PHYLLIS M. KELLY, B.A. '42, President; ERNEST J. KIEFER, B.S. '55, President-elect; JOHN R. VONA, D.D.S. '61, Vice President for Activities; WILLIE R. EVANS, Ed.B. '60, Vice President for AdiT1inistration; MICHAEL F. GUERCIO, A.S.C. '52, Vice President for Athletics; M. DOLORES DENMAN, J.D. '65, Vice President for Constituent Alumni; SUSAN D. CARREL, Ph.D . '76, Vice President for Continuing Education; CHARLES S. TIRONE, M.D. '63, Vice President for Development and.Membership; ROBERT E. LIPP, J.D. '68, Vice President for Legislative Relations; STEPHEN C. TOWNSEND, J.D. '74, Vice President for Young Alumni; JAMES J. O'BRIEN, J.D. '68, Treasurer; Past Presidents, GIRARD A. GUGINO, D.D.S. '61; GEORGE VOSKERCHIAN, B.A. '54; MORLEY C. TOWNSEND, J.D. '68; EDMOND J. GICEWICZ, M.D . '56; M. ROBERT KOREN, L.L.D. '44; WELLS E. KNIBLOE, J.D. '50. Medical Alumni Association Officers: DRS. MICHAEL A. SULLIVAN, M'53, President; W. YERBY JONES, M'24, Vice President; EDMOND J. GICEWICZ, M'56, Treasurer; JAMES F. PHILLIPS, M'47, Immediate Past President. Board Members- CARMELO S. ARMENIA, M'49; GEORGE W. FUGITT, M'45; ROBERT W. SCHULTZ, M'65; EUGENE SULLIVAN, M'63; CHARLES TANNER, M'43; LAWRENCE M. CARDEN, M'49, Program Committee Chairman; NORMAN CHASSIN, M'45, Exhibits Chairman; MILFORD C. MALONEY, M'53, Past President. 60 THE BUFFALO PHYSICIAN �A Message from Michael A. Sullivan, M'53 President, Medical Alumni Association Dear Fellow Alumni . It is with great pieasure that I invite you to personally participate In the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your · · . org amzatwn and I urge you to send in your d ues as tang1'bl e · ev1dence o f your much needed and apprec1ated support. Dr. Sul/ivan ---- ------------------------------------------------------First Class Permit No. 2210 Buffalo, N.Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Buffalo Physician 28 Diefendorf Annex 3435 Main Street Buffalo, New York 14214 �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 ·----------------------------------------------------------------- ...... THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Year MD Received _ _ __ OfficeAddress------------------------------------------HomeAddress------------------------------------------IfnotUB,MDreceivedfrom-------------------------------------fuPrivatePractice: Yes D NoD In Academic Medicine: Yes D Speci~~----------------------------~­ No D Part Time D Full Time D School----------------------------Title ---------------------------------------'-- Other: Medical Society Memberships:----------------------------------~~ NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? _ _ _ __ Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 1978 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1978-Summer Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1978-02-Summer Table Of Contents A list of subunits of the resource. Dean Naughton's Message Postgraduate Matching Continuing Medical Education/Primary Care Immunopathology of the Skin Family Practice A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (Part VI-F). Cancer: Its Effects on the Family of the Patient: Communication Between Physician and Patient's Family. by Samuel Sanes, M.D. Cardio-Respiratory Function Medical Ethics Residents, Interns Health Care Plan/WNY Group Health Plan Photographic Hobby President's Associates Dinner The Gottlieb's Collection Health Sciences Library/ Admission Film Dr. Bernardis/ Anesthesiology Programs Korean Volunteer Nutrition Seminars $58,532 Grant VA Hospital Expansion MECO Program Dr. Dunn $166,607 M/S Grant Dr. Solomon Harrington Lecture Dermatology Conference The Classes People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-12-12 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v12n02 Extent The size or duration of the resource. 64 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/e0233b57f12a0fea7675c53c57bb15d0.pdf d700de301c7a092e962a8da180233a53 PDF Text Text 111eB Ia Physician Spring 1978 Volume 12 Number I School of Medicine State University of New York at Buffalo �Dean Naughton From the desk of: John P. Naughton, M.D. Dean, School of Medicine Dear Alumni and Alumnae One of the ongoing, yet great, challenges for any faculty is to respond to the need for change without suffering from tremendous turmoil and loss of critical curricular content that today's medical students will require in future years. I am certain each of you is aware of the tremendous pressures that are brought to bear on Schools of Medicine to revise their course offerings in areas such as alcoholism, oncology, preventive medicine, geriatrics, and humanism and ethics to list just a few. There is little doubt in rriy mind that we have an obligation to prepare today's medical students to meet the perceived needs of society. The question for the Dean's office, the curriculum committee and faculty is how best to accomplish the task with minimal disruption and optimal preservation of those elements considered essential to ensuring an excellent medical education. I am pleased to report that Associate Dean Leonard Katz, working in consort with his staff and the curriculum committee have initiated some innovative and creative concepts which appear to be meeting these needs. Each area of emphasis listed above is or soon will be receiving the attention of a multidisciplinary and interdepartmental committee. The committees through their chairmen will advise the Curriculum Committee and the administration on how best to address the needs of each particular area. We have been elated by the success and enthusiasm which has resulted from the work of committee dealing with the problems of alcoholism and with ethics and human values. The former has initiated coordination and intergration of the curricular offerings in alcoholism taught by six different departments; the result is that the six departments will teach their material on alcoholism during a single two-week period this year. Dr. Peter Gessner, Professor of Pharmacology and Therapeutics, has been instrumental in bringing this program together. Seminars and special lectures in Humanistic Medicine are being developed and administered under the presence and leadership of the Committee on Ethics and Humanistic Values. The latter group's success has been acknowledged and rewarded by the Alumni Association requesting participation by the coordinators in helping to devise the program for Spring Clinical Days on April 28 and 29, 1978. While it is too early to speculate on how effective we will be in meeting our responsibilities in the other areas, I am reassured that we have a faculty responsive to student and societal needs, and that SUNY /Buffalo offers the flexibility that any institution requires to adapt to the need for change. As always, I hope that you as alumni are supportive of these steps and that you will feel free to offer advice in any areas of concern that you might have. . Sincerely, JOHN NAUGHTON, M.D. Dean �Spring 1978 Volume 12, Number 1 TI-IE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD Editor ROBERTS. MCGRA AHA Dean, School of Medicine DR. jOHN NAUGHTON Photography HUGO H. UNGER EDWARD NOWAK Visual Designers RICHARD MACAKAN)A DONALD E. WATKINS Associate Editor FLORENCE MEYER CONSULT ANTS President, Medical Alumni Association DR. MICHAEL SULLIVAN Vice President, Faculty of Health Sciences DR. F. CARTER PANNILL President, University Foundation JOHN M. CARTER Director of Public Affairs }AMES DESANTIS The Buffalo Physician IN THIS ISSUE Dean Naughton's Message (inside front cover) 2 Class Reunions 3 Dr. Nolan/Gerontology Division 4 History, Department of Medicine by Evan Calkins, M.D. 6 Dr. Small 7 Continuing Education 8 A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (Part VI-E). Cancer: Its Effects on the Family of the Patient: Communication Between Physician and Patient's Family by Samuel Sanes, M.D. 19 Health Problems 20 Alumni Contributors, 1977 23 Dr. Knox 24 Neonatal Medicine 28 Neighborhood Health Care 29 National Medical Fellowships 30 41st annual Spring Clinical Days 32 New Department Chairmen 34 Mel Diedrick 36 Seven Faculty Retire 37 Dr. Quick 38 Children's Hospital Appointments 39 Today's Student 40 Endowment Fund/Dr. Shapiro 41 Dr. Anderson 42 Medical Ethics 48 Historical Society 49 Genetic Clinic 50 Tennis Tournament 51 People 52 The Classes 57 In Memoriam 60 Alumni Tours The cover by Donald Watkins focuses on the 41st annual Spring Clinical Days, pages 2, 30, and 31. THE BUFFALO PHYSICIAN, Spring, 1978 - Volume 12, Number 1, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1978 by The Buffalo Physician. SPRING, 1978 1 �Dr. Thelma Brock, M'28 Dr. Clarence Stroubinger, M'38 Dr. William Georgi, M'43 Dr. Michael Sullivan, M'53 Eleven Class Reunions, April28, 29 Dr. J. Curtis HelJriegel, M'33 Dr. Anthony Foti, M'63 (co-chairman with Dr. Charles S. Tirone, chairman, whose picture was not available]. Eleven classes will have reunions during the 41st annual Spring Clinical Days, April 28 and 29. Approximately 650 physicians and their wives are expected to attend the reunion dinners. Several of the class reunion chairmen are pictured here. Dr. Thelma Brock of Buffalo is chairman of the 50 year class reunion. Other members of this class: (from Buffalo) Drs. Edmond A. Biniszkiewicz; Richard M. Gardner; Martin L. Gerstner; Vincent A. Hawro; Walter F. King; Robert E. O'Connor; Bruno Schutkeker; Joseph A. Schutz; George L. Sheehan; Harry Spigelman; Albert J. Voelkle; Helen G. Walker. (From New York State) Floyd C. Bratt, Rochester; Eugenia F. Bukowska, Hamburg; John B. Burns, Binghamton; Warren G. Cross, Albany; L. Barrett Davis, Westhampton Beach; John D. Noto, Garden City; Edward F. Dodge, Niagara Falls; George N. Guthiel, Rochester; Glenn C. Hatch, Penn Yan; Frederick A. Lowe, Niagara Falls; Donald G. Purple, Corning; Howard L. Stoll, Little Valley. (From out of state) Drs. Harry L. Chant, Baltimore, Maryland; George F. Etling, Hackettstown, New Jersey; Joseph M. Hill, Dallas, Texas; Howard C. Keyes, Bellingham, Washington; Julius T. Markovitz, Pompano Beach, Florida; Bernard A. Mazur, Fallsbrook, California; Benjamin J. Ollodart, Hollywood, Florida; Raymond J. Rickloff, Naples, Florida. 0 Pictures were not available for Drs. Kevin O'Gorman, M'43, Lester Schiff, M'48, Gary Cohen, M'58, Robert Milch, M'68, and Michael Sansone, M'73. 2 THE BUFFALO PHYSICIAN �Dr. James P. Nolan has been named acting chairman of the Medical School's department of medicine. He succeeds Dr. Evan Calkins who resigned in January. Dr. Nolan, professor of medicine at the University, will continue as chairman of the department of medicine at the Buffalo General Hospital. A cum laude medical graduate of Yale in 1955 Dr. Nolan completed his internship and residency in medicine at the Grace-New Haven Hospital after serving two years as Lt. Commander with the U.S. Navy Medical Corps. He is a Fellow of the American College of Physicians; a Diplomate of the American Board of Internal Medicine; on the editorial advisory board of Journal of Medicine: Experimental and Clinical, and is a member of numerous professional societies. He came to Buffalo in 1963 as assistant professor of medicine from Yale University where he was instructor in medicine and associate physician at Grace-New Haven Hospital. D Dr. Nolan DR. Gerontology Division EVAN CALKINS, who has been chairman of the Medical School's department of medicine for the last 17 years, will head a new division of gerontology within the department. The division will focus on medical care of the aging. Dr. Calkins said the new division would work closely with U/B's Multidisciplinary Center for the Aging, headed by Dr. Harold Brody, which is involved with other aspects of aging. Dr. Brody is professor and chairman of anatomical sciences. Dr. Calkins noted that only a handful of U.S. medical schools currently offer a clinical geriatric program in medicine similar to the one to begin at U/B, but believes the area of geriatric medicine/gerontology to be one of great need in Western New York and one which inevitably will constitute a major national priority in the future. After studying the relationship between geriatric programs and university centers- in England, where geriatric medicine has developed as an independent specialty, comparable to those of internal medicine, or family medicine, Dr. Calkins has concluded that this is too narrow an approach to the medical problems of the aged for direct application here. Therefore, the U/B program will seek to coordinate and develop a more total care approach through cooperation from established medical specialties, as appropriate, as well as other health disciplines such as Dentistry, Nursing, Pharmacy and the Health Related Professions. "Fortunately, there are a number of U/B faculty interested in gerontology who have achieved national reputation in the field, so the interest and talent is already here," Dr. Calkins points out. A portion of the Division's program will concentrate on patient care as well as evaluation of various modes of care for the elderly. But it will also provide excellent opportunities for clinical and basic science research in gerontology and geriatric medicine. D SPRING, 1978 3 Dr. Nolan Dr. Calkins �A Brief Personal History of The Department of Medicine, SUNY - Buffalo Under the Leadership of Dr. Evan Calkins, 1961-1977 It is now 17 years, almost to the day, since Dr. Calkins accepted the position of Head, Department of Medicine, at the Buffalo General Hospital and Co-chairman of Medicine at what was then known as the University of Buffalo. Here are Dr. Calkins' comments about the initial philosophy, goals and growth of the department during his tenure as chairman: I was particularly excited about this opportunity for two reasons. First, Buffalo had then, as it does now, a strong group of basic science departments. (These, in turn, had been stabilized during the hard years of the late 1950s through the vision and efforts of the Annual Participating Fund for Medical Education). Second, the Department of Medicine was relatively small and unstructured. The number of full-time faculty was perhaps 20. There were no organized subspecialty divisions; commitment to research was focused in only three areas (cardiology, renal physiology, and uric acid metabolism). headed by Drs. David Green, John Boylan, and Charles Bishop, respectively. With the anticipated "merge" of U/B into the SUNY system, it seemed clear that there would be significant opportunities for growth. I was excited by the prospect of playing a key role in the development of the goals for this venture, and in seeing how it all turned out. Our plan was simple. A. Develop a program of house staff education whose quality would be second to none, but which would establish as its goal the achievement of a broad base of experience in general Internal Medicine rather than the subspecialties. Although the importance of this goal is now widely recognized, at that time it ran distinctly counter to the fashion of most university medical centers. B. Establish as our major goal a program of "faculty development." Faculty recruitment efforts would be focused primarily on young people right out of fellowship training. 4 The Buswell endowment program, one of our School's unique assets, should provide a sound basis for permitting these young people to get off to a good start. As the department grew in size, we should be able to develop opportunities for continued appointments for many of the best of these young faculty members so that they could become integral parts of our department. In order to be sure that this faculty development program was placed on a sound basis when viewed from the national perspective, we elected to focus our attention on areas in which our School was already strong, in the basic sciences-Immunology, Physiology, and Experimental Pathology. Insofar as possible we have fostered the development of a program of joint recruitment and appointments with these departments. In addition, to provide a small group of academic leaders within the department, we attempted to identify a few distinguished academic physicians who would be willing to join us, and whose major commitments clearly lay in the areas of faculty development, teaching, and research. The third goal we had before us was the amalgamation of the then-separate house staff and faculty programs at the three major affiliated hospitals (Buffalo General, Meyer and Veterans Administration) into a single multi-faceted University department. When I first came to Buffalo, I thought that these objectives might be accomplished in perhaps 6 or 7 years. As it turned out, it has taken us the full span of 17 years to make reasonable progress. As is often the situation, we have experienced a mixture of successes and failures. In September of 1965, following the resignation of Dr. Miller as Co-chairman of the department, I was asked to serve as the Chairman of the "combined department," with a mandate to develop the inter-hospital program described above. On March 3, 1968, following Dr. Miller's retirement as Director THE BUFFALO PHYSICIAN �of Medicine at the Meyer, I accepted the position, in order to devote my efforts to building up that portion of the program. Dr. James Nolan, one of the young faculty members whose initial independent academic program had been established in Buffalo in accordance with the policies outlined above, was appointed Chief of Medicine at the Buffalo General, and Vice Chairman of the Department. This was a "big step" for the department, and it was accompanied by a significant loss in the competitive position, in the recruitment of house staff, which had been achieved by the single-hospital program at the Buffalo General. Nevertheless, in about three years, the program was once again attracting excellent graduates from many medical schools throughout the country. In 1971, the house staff program was further expanded to incorporate the independent internship and residency training activities at the V.A. Hospital. In 1976 Dr. Joseph Aquilina, Chief of Medicine at that hospital, indicated his desire to withdraw from that office, and Dr. Richard Lee, of Yale University, was appointed Chief of Medicine there and Vice Chairman of the Department. At the present time the department includes a total of 350 faculty members, approximately 70 of whom are either full-time or "geographic full-time." It incorporates 12 semi-autonomous subspecialty divisions, each of which maintains academic as well as patient-care programs at two or, at times, three of the affiliated hospitals. The department currently provides training for 84 interns and residents in general medicine, and an additional group of approximately 30 subspecialty residents or fellows. Graduates of the program, both at house staff and faculty levels, have had no difficulty in achieving excellent appointments in other medical schools throughout the country. Alumni of the house staff program include over 60 people who now hold full-time faculty appointments at this or other Schools of Medicine - a few have become Department Chairmen, and a number of others have been promoted to the rank of Full Professor. While most of these people hold faculty appointments in Medicine, others hold their ranks in Departments of Psychiatry, Neurology, Radiology and especially, various aspects of Community Medicine. Most of the SPRING, 1978 alumni have entered private practice, in association with Medical Schools. Over 30 of the alumni currently serve as members of the volunteer faculty in our Departments of Medicine, Psychiatry, Radiology, and Family Medicine. In addition, approximately 35 fulltime faculty members whose initial faculty appointment following fellowship training, was in this department have gone on to earn tenured appointments in this and other medical schools. Dr. Calkins comments on the future It is clear that Buffalo medicine is now on the road to major changes in conjunction with the proposed merger of the medical staffs of several hospitals, and occupancy of the new Grider Street facility. Although he is stepping down as Chairman, Dr. Calkins has indicated his desire to continue as a full professor within the department, and to participate actively in the affairs of the department and school. In selecting the next area for focus of attention, Dr. Calkins has identified the field of geriatrics and gerontology as an area of great need in our community, and an area which, inevitably, must constitute a major national priority in the future. "I predict that all medical schools will, in time, sense a need to develop academic programs in this area," Dr. Calkins said. Two and one-half years ago, Dr. Calkins spent a brief "mini sabbatical" in England, primarily for the purpose of studying the relationship between the geriatric programs and university centers which had been developed in that country. In England, the field of geriatrics has been developed as an independent specialty comparable to the fields of Internal Medicine, Family Medicine, Pediatrics, and the like. Dr. Calkins emphasized that he did not believe that this represented a sound avenue for development in our University or probably in our country. "Instead," he stated, "I think that representatives of the various subspecialties that now exist, Medicine, Family Medicine, Neurology, Psychiatry, and the various surgical specialties, together with the other health disciplines, including Nursing, Dentistry, Pharmacy, and the Health Related Professions, should consider ways in which individual members of these departments and schools can work together for the 5 d-- �development of coordinated programs of care and study. "Fortunately," Dr. Calkins pointed out, "There are a number of faculty members here in Buffalo who are interested in this area and have already achieved national reputations. What seems to be missing is a focused clinical commitment to this field." Dr. Calkins is looking forward to working closely with Dr. Harold Brody, Acting Director of the Center for Aging, and other faculty members interested in this field so that together they may achieve a coordinated University-wide program. Dr. Calkins has not yet developed detailed plans concerning where individual "models," as he calls it, can be established. He emphasizes that while a portion of this program should be focused toward patient Dr. Small Dr. Small care, and in evaluation of modalities of care, this field also represents outstanding opportunities for research. "As our department has grown larger, and the complexities have multiplied, I have been increasingly disturbed by the fact that my own scholarly efforts have had to be placed on the back burner," Dr. Calkins stated. "I am looking forward, to resuming, as actively as I can, my individual research efforts, as well as attempting to serve as catalyst for this new cooperative program." Dr. Calkins, who lives in Hamburg, is the father of 9 children, including one physician, one medical student, and one pre medical student. His wife, also a physician, currently serves as a member of the Hamburg School Board. 0 Dr. S. Mouchly Small has retired as director of psychiatry at the E.J. Meyer Memorial Hospital ending an administrative association of 27 years. He will continue his teaching and research activities as professor of psychiatry at the School of Medicine and as an official of various national, professional and scholarly organizations. Dr. Small, who is 64 years old, received his medical education at Cornell University Medical College and then taught psychiatry at Yale, Cornell and Columbia Universities. He came to Buffalo as chairman of the department of psychiatry and director of psychiatry at the Meyer Hospital in January 1951. Under his leadership, the University department achieved rapid growth and national renown while the department at the Meyer Hospital underwent successive advances as it was transformed from a receiving hospital into its current status as an 80-bed acute treatment center providing high quality care for approximately 1,800 inpatients and 20,000 outpatient visits a year. Dr. Small spearheaded the establishment of the Erie County Mental Health Board and served as its first part-time director in addition to his other duties and subsequently as a member of the Board. Presently Dr. Small is a director of the American Board of Psychiatry and Neurology, a Regent of both the American College of Psychiatrists and the American College of Psychoanalysts, Chairman of the Scientific Advisory Committee of the Muscular Dystrophy Association as well as holding Fellowships or Memberships in 27 professional societies and associations. 0 6 THE BUFFALO PHYSICIAN �The following Continuing Medical Education programs are scheduled for March, April, May and June 1978, according to Mr. Charles Hall, director of the programs. The dates, titles and chairmen of the programs are: Continuing Education Programs Two High Risk Obstetrics Problems: The Prevention of Neurologic Deficits and Teenage Pregnancy. Dr. Martin B. Wingate, professor of gynecology/obstetrics. March 22 - Hyper-Lipidemia Updated, Dr. Jules Constant, clinical associate professor of medicine. April13- Newer Non-invasive Imaging, Dr. George J. Alker, Jr., clinical associate professor of nuclear medicine. April 15 - Leukemia, Dr. Ehsan K. Afshani, clinical assistant professor of pediatrics and radiology. April 22 - Neuromuscular Diseases, Dr. Reinhold E. Schlagenhauf£, associate professor of neurology. April 28-29- 41st Annual Spring Clinical Days, "Ethical Problems in Medicine." Dr. Lawrence M. Carden, clinical assistant professor of urology. April 8 - Geriatric Medicine, Center for Study of Aging (CME cooperating), Dr. Harold Brody, professor and chairman, department of anatomical sciences. May 11 - Annual Meeting American College of Surgeons, WNY Chapter (CME cooperating). May 13-14 - Hypertension, Niagara County Medical Society & CIBA (CME cooperating) Dr. James T. Moore, chairman. May 18-20 - Emergency Pediatrics, Dr. Norman S. Ellerstein, assistant professor of pediatrics, Children's Hospital. May 21-25 - Dermatology, Westwood Pharmaceuticals, (CME cooperating), Dr. Richard L. Dobson, professor and chairman, department of dermatology. May 4 - Allergy & Respiratory Diseases, Dr. Elliot F. Ellis, professor and chairman, department of pediatrics and Dr. Elliott Middleton, professor of medicine and pediatrics, Children's Hospital. June 1, 2 - Coronary Artery Disease. Dr. David Dean, clinical associate professor of medicine and Dr. J. Bhayana, associate professor of surgery, Sheraton East. June 1-3 - The Aneurysm Patient: Pre-operative and Postoperative Care. Dr. Walter Grand, clinical assistant professor of neurosurgery. June 12-16 - Advances in Pediatrics, Children's Hospital, Dr. Elliot F. Ellis, professor and chairman, department of pediatrics, and Dr. Stanley Levin, professor of pediatrics. June 21 - Gynecologic Laparoscopy, Dr. Norman S. Courey, clinical professor of gynecology I obstetrics.D June 10-11 - SPRING, 1978 7 �A PHYSICIAN FACES DISSEMINATED RETICULUM CELL SARCOMA IN HIMSELF Part VIE Cancer: Its Effect on the Family of the Patient Communication Between Physician and Patient's Family By Samuel Sanes, M.D. Editor's Note: In his current article, Dr. Sanes gives his answer to the fourth of six questions relating to communication between the physician and the cancer patient and the family. In Article VI C he answered the first three of the "five Ws and the H" Why, When and Where. In Article VID he discussed Who. Now he continues with answers to What. In Article VI F he will discuss How. WHAT? Following radiation therapy and during chemotherapy, Dr. Sones developed a chronic pancytopenia. For about four years the hematocrit stood at 35. The white blood count averaged from 3000-4000 per cu/mm and the platelet count from 70,000-80,000. In SeptemberOctober, 1976, cellular components of the blood began to decrease progressively. Maintenance chemotherapy was discontinued. The bone marrow was hypocellular. With the hematocrit dropping to 25 (hemoglobin 8.5 grams) during the next eight months, symptomatic effects included pallor of skin, Jack of physical strength and energy, dyspnea on exertion and edema of the legs. At all times the physician should tell the responsible family member or members the truth as far as it is known. That means during the initial work-up, at diagnosis and throughout the entire course of the illness. My wife has always wanted such communication. Indeed, she has insisted upon it, not only from my physicians but also from me as a physician-patient. She has also kept abreast of developments in the field of lymphoma by reading medical textbooks and journals and talking to other patients with the disease. It is true that my wife's background and knowledge are different from those of the average family member of a cancer patient. She is the wife of a physician and has been a medical reporter for 36 years. But what she wants in communication is what the responsible family members of most cancer patients want. This is true even if they cannot bring themselves to question the physician because they feel in awe of him or think he is too busy to be bothered, or because they are in a state of psychologic shock or depression. Last week a former neighbor, the wife of a public high school teacher who had been a high school teacher herself before the birth of her three children, telephoned my wife and me. (She knew that I had cancer.) Her 75-year old mother, an alert, active widow living alone on the other side of the city, had consulted a rheumatologist about pain in the back and ribs. He admitted her to the hospital for diagnostic tests, then told the daughter - but not the mother -that he had discovered "cancer of the bone with anemia." The daughter was so overcome that she couldn't collect her wits enough to ask for further explanation. The rheumatologist immediately referred the mother to a medical oncologist in a group practice on the staff of another hospital. From the daughter on the phone came all of the questions she had failed to ask the rheumatologist and had had no chance, as yet, to ask the medical oncologist. What kind of bone cancer was it - the specific type? How long did her mother have to live? What quality of life could she 8 THE BUFFALO PHYSICIAN �expect? Would there be pain? Could she continue to live alone in her house? How would the disease be treated- chemotherapytransfusion? What side effects and complications might the mother suffer? How much would the treatment cost? What were the advantages and disadvantages of treatment by a private physician and in a cancer center? How long and how often would the mother have to be in the hospital? Should she be told of the diagnosis and outlook? ... "Wait a minute," we told her. "Make a list of all of your questions. Ask your mother's present physician, the oncologist, to answer them to the best of his knowledge. Telephone his office. Maybe he'll answer the questions over the phone. If he's busy, perhaps he'll call you back. Or his secretary will make an appointment for him to see you in his office or at the hospital." In a few days the daughter telephoned us again. Her mother's disease, she said, had been diagnosed as "multiple myeloma." "I did as you advised," she said. "I made my list and called the physician's office. He was busy, but he called me back. He answered my questions frankly and honestly on the phone - except that he was unable to make any estimate of what the drugs for chemotherapy might cost. He will tell my mother the diagnosis so that she can participate intelligently in all decision making." In some patients it is not only desirable but imperative that family members be given all of the answers. This was true of the 90-year-old father referred to in Article 6D who was too confused and upset to understand the diagnosis of metastatic cancer of the neck, source undetermined, and the options open to him. Even with a young, seemingly well-adjusted cancer patient, capable of understanding and making personal decisions at the time of diagnosis, and· along the course of illness, a situation may arise which requires the physician to communicate with a family member. This was true of a 40-year-old wife and mother who suddenly developed a visual defect in one eye after she had been under treatment for lymphoma for some time. She drove with her husband the 50 miles to the cancer institute. It was not the day of her regular appointment and they had to wait while someone located her physician. She sat silently beside her husband. Neither spoke. When the physician arrived, the visibly distraught wife went into the examining room with him. "What did the doctor say?" her husband asked when she reappeared. "He said that the eye ... Oh, I don't know what he said ... Why didn't you come into the room when he examined me?" she wailed. In his relationship with a family member or members, a physician ought not be just a scientific diagnostician and therapist. He should also be an all-around compassionate communicator. He should supply factual information, educate, advise, counsel, make arrangements and referrals, support the family psychologically. SPRING, 1978 9 On July 27, 1977, Dr. Sones, as an outpatient, received his first transfusion of 2 units of packed red blood cells. (Needle in vein of right forearm . Inflow of 2 units of r.b.c.s. takes 4-5 hours .) Symptoms were slightly relieved for a few days. Hematologic findings did not improve appreciably. On Aug. 8, 1977, Dr. Sones entered the Roswell Park Memorial Institute for a splenectomy on the gamble that "hypersplenism " might be a causative factor for his pancytopenia. The spleen was enlarged in a plan X-ray film of the abdomen. It measured twice normal size on regular scan. In total body gallium scan there was no evidence of cancer. Splenectomy had been considered for several months previously by Dr. Sones' physicians, but he had resisted having the operation in the hope that the hypocellular bone marrow, with sufficient time, would recover. �~ l -* - -...::._ On Aug. 10, 1977, Dr. Sones had a laparotomy. The enlarged spleen was removed. Biopsies were made of liver, periaortic lymph nodes and crest of iliac bane. On the night before surgery Dr. Sones received a transfusion of 2 units of packed red blood cells; during the operation 3 more units of red blood cells and 8 units of platelets were administered. He should never forget that the etymological derivation of the word "doctor" is from the Latin word meaning "teacher." The doctor should be prepared to answer the questions the family asks (no question is unimportant to them) and also the ones it does not ask. His answers will help the family care for and support the patient, anticipate problems and cope with them, look after and preserve its own well-being and integrity. Here is a list of "what" questions. (You will note that it includes most of those asked by the daughter of the mother with multiple myeloma.) Not all will come up during the course of every physician-patient-family relationship. Those that do come up may come up at different times. The list doesn't include all possible questions. I have implied, raised or answered others in previous articles and will do so in the next article on the "how" of physician-patient-family communication. * * * 1. What examinations and laboratory tests will be done dur- ing the initial workup? Why? If the diagnosis turns out to be "cancer," the family has been prepared to some extent. The psychologic shock will not be so great. * * * 2. What is the diagnosis? I believe that the family should be told the specific name and character of the cancer in terms that it can understand. It should know, for example, that it is dealing with "multiple myeloma," not simply "bone cancer." Family members often gain considerable satisfaction from "researching" what has been written about the disease in Merck's Manual, the public or medical school library, NCI-ACS pamphlets or from one of the public information services set up by NCI-ACS or a cancer center. If they have been given too broad a diagnostic category they may be confused and even angered by discrepancies between what they have been told by the physician and what they have learned elsewhere. * * * 3. What are the options regarding consultation and management of the disease? What other physicians and institutions might be considered? While the final decision rests with the patient, if he is capable of making it, the family often has considerable input in arriving at that decision. * * * 4. What, if anything, is known about the cause of the disease? If industrial or agricultural factors are or may be involved, the answer to this question may be important to the family financially and in terms of its own health. The family of an asbestos worker with carcinoma of the lung, mesothelioma or GI cancer may be entitled to financial redress. And because asbestos particles are known to cling to workers' clothes when they leave the plant, persons exposed to those particles in the home may want to undergo physical examination themselves. 10 THE BUFFALO PHYSICIAN �If there is a possibility that a genetic or familial factor plays a part in the cause and development of the disease, others in the family should be alerted. This is true of close relatives of a patient with cancer of the colon due to heredo-familial polyposis, or the daughter or sister of a patient with carcinoma of the breast. (I often wonder about the possible etiologic or pathogenetic factor(s) in the reticulum cell sarcoma (histiocytic lymphoma) and the hairy-cell leukemia (leukemic reticulo-endotheliosis) diagnosed in myself and my brother respectively when we were the same age.) If the cause of a specific type of cancer is not known or proved, it is equally important to communicate this to the family of the patient. A husband may be worried that his fondling of his wife's breasts in love play caused her mammary cancer. The wife of a 65-year-old patient with carcinoma of the colon who reads somewhere in the recent popular press of high fiber cereals being touted as preventives for such cancers may blame herself for not having fed her husband any bran during their 40-year marriage. These seem like silly examples, but I have run into both of them, and even sillier ones. Fearful of being confirmed in their guilt feeling, family members may hesitate to ask the question that is troubling them. The physician should recognize their anxiety, determine the cause and answer the unasked question. * * * 5. What does the physician propose as primary and adjunctive treatment for the cancer - surgery, radiation, chemo-, hormonal, immunotherapy, a combination of these, or experimental therapy? What about reconstructive and rehabilitative, supportive and palliative treatment? The family should understand that the management of cancer, even the same type of cancer, may differ in different patients. * * * 6. What are the possible frequent, temporary or permanent, tolerable or serious side effects, complications or sequelae of the proposed type of treatment? In some instances these factors may cause more problems than the disease itself. Patients undergoing radiation therapy, chemotherapy or both may experience side effects ranging from nausea, alopecia and fatigue to infections, pancytopenia or hemorrhages. During chemotherapy there is the danger of incompatabilities between drugs prescribed for the cancer and those which the patient may buy over the counter or another physician may prescribe for another condition. Think also of patients undergoing surgical procedures such as mastectomy, radical head and neck or gynecologic operations, or abdominal-perineal resection with colostomy. The colorectal service at a cancer institute has a check list of items to be carried out before performing abdominal-perineal resections with colostomy. d- SPRING, 1978 11 The pathologic report on the spleen was ... "Congestion of the red pulp. Except for few scattered megakaryocytes no evidence of extramedullary hematopoiesis. No malignant tumor cells." Biopsies of liver, periaortic nodes and ilac bone showed no evidence of reticulum cell sarcoma. Dr. Sanes Micros spleen I~~ ~- ... ~ :::" )J )J )J liver I~ ... node ~~ •t • marrow ~.j ~ ., ~ • �One of these is to talk with the family. A sequela for the male, they indicate, may be impotence . Even such a relatively trivial thing as a stitch abscess can be alarming to the patient and family who have not been told that it may occur. (There's nothing "trivial" to an uninformed cancer patient and his family.] An elderly man living in a small town underwent a laparotomy at a cancer center about 250 miles away. One night - several weeks after he returned home - he noticed as he was getting ready for bed that his undershirt was stained red and yellow. The stain overlay the inferior end of his healed incision at the umbilicus where he couldn't see clearly. So he asked his wife to look at it. She saw an opening in the incision through which blood and pus oozed and a couple of "black things" that she couldn't identify. Instead of waiting for morning to see the local family practitione r or to telephone the surgeon at the cancer center, she got her husband up in the middle of the night and hustled him off by automobile to the cancer center where a surgical resident without ado cleaned up the perforated abcess, removed two loose black sutures and sent the couple home with the assurance that all was well. In the immediate postoperative period, the chief complication Dr. Sones suffered was paralytic ileus. He retained a nasogastric tube for 9 days postoperatively. He had intravenous fluid for 11 days. A Foley catheter was kept in for 15 days. The oncologist who treated the 75-year-old widow with multiple myeloma referred to earlier could have spared her, and her daughter, much concern and agitation if he had warned them that there can be side effects to a supportive treatment such as a blood transfusion. The patient had a transfusion in a teaching hospital affiliated with a medical school, then went home. Within a short time she felt feverish and developed chills which made her shake . She called her married daughter in considerable alarm , not knowing what was happening to her. She didn 't associate the symptoms with the transfusion but with her disease . The daughter, leaving her children, drove over posthaste. When she saw her mother shaking, she telephoned me . I asked her if her mother had a fever. She said that her forehead felt hot, but there was no thermometer in the house. I told her that her mother was probably having a transfusion reaction. (I could speak from personal experience. I had had such a reaction myself.] I suggested that she call her mother's oncologist and check. She 'phoned me back and told me that she had called the office of the group with which the oncologist practiced and been informed that since it was Thursday, he had the day off and wasn' t available. Meanwhile she had gone out and bought a thermometer and taken her mother's temperature. It was 101' orally, and she was still having chills. I told her that the oncologist must have someone taking his calls on his day off and suggested that she call the group again. In a short time she was on the line to me . She had telephoned the group and found that the oncologist did have a regular back-up physician, in fact, an associate, but he was unavailable because it was a religious holiday for him. This time the daughter explained her problem and the receptionist said that she would get in touch with another physician in the group who could prescribe Benadryl. In several hours the mother's temperature came down and she was soon feeling herself again. * * * 7. What will management and treatment cost, in the beginning and throughout the course of the disease? To my knowlege few physicians have any clear idea of the actual cost of the drugs and tests they order. A medical student, himself a victim of lymphoma, confirmed this for me by routinely asking the interns and residents with whom he worked the cost, to the patient or a third-party payer, of the treatments they prescribed or the operations in which they participated. None had any idea. Some were openly irritated at being questioned. 12 THE BUFFALO PHYSICIAN �I can cite a personal example of the value of having an idea beforehand of the cost of a drug. My physician at the cancer institute prescribed a five-day course of Carbenicillin, explaining that the drug was "rather expensive. " The information saved shock and the embarrassment of mind and purse that might have otherwise occurred when my wife went to a cut-rate drugstore to pick up the drug and found that even with my senior citizen's discount the cost of the prescription was $41.50. * * * 8. What is the importance of follow-up examinations? The family should be impressed with the fact that the threat of cancer never ends, even with a supposed "cure," and that it is good insurance to have periodic checkups. A particular cancer, supposedly in complete remission, may recur, even after five years. Some, like those of the colon or breast, may be multiple, appearing at successive times, or clinically mestastasize late. There are indications that in some patients radiation therapy or chemotherapy for cancer may, years later, cause leukemia or other cancers. It is for these reasons that cancer institutes make a real effort to keep in contact with patients and their families long after they have undergone treatment, encouraging them to return at regular intervals for examination. A woman whom I met at the institute didn't look as if she had ever been sick a day in her life. But she told me: ''I'm like you. I have cancer. Mine is in the urinary bladder [non-invasive papillary carcinoma Grade I). I feel fine and I wouldn't know that I had cancer from the way I feel. But I come to my urologist every three months anyway for cystoscopic examination. He has impressed me and my husband with the need to keep an eye on things. " Patients with unexpected complaints following surgery and those on radiation-chemotherapy predisposing them to infections, etc. should be encouraged to make emergency telephone calls and visits if problems arise, without waiting for their regular follow-up visits. * * * 9. What changes and limitations will the patient's disease and treatment impose upon his appearance, personality, physical functioning, working at his occupation or profession, school and university attendance, daily habits of living, diet, exercise, sports, sex, travel, social activities, interaction with family members and others? What can family members do in the face of these changes and limitations? For just one extreme example, think of what it means to a patient who has undergone radical head and neck surgery, and to his family, to be hospitalized 300 miles from his home for several months while undergoing reconstruction and rehabilitation. * * * 10. What problems may arise in the family as a result of the patient's disease and treatment? I have mentioned them before, but let me repeat. They may be physical, mental, emotional, sexual, social, legal, economic, religious, philosophic, etc. In Dr. Shirley Salmon's study of laryngectomees (cancer patients), spouses were asked to indicate, in order of descendid SPRING, 1978 13 Two days postoperatively Dr. Sones' blood picture was hematocrit 36, white blood co unt up to 12,000 per cu/ mm and platelets to 112,000. �On Aug. 27, 1977 - 17 days postoperatively Dr. Sones, with all "tubes" out, eating a soft diet and voiding urine on his own, wos ready for discharge from the Institute. importance, problems for themselves and their mates which they saw to be a direct result of laryngectomy. (Remember that the overall 5-year survival-"cure" rate for cancer of the intrinsic larynx runs 70-85%.) The spouses ranked speech communication the first problem, followed by social, psychological, employment, alcohol, sexual and financial problems. There was no indication that any of these problems would have existed if it had not been for the cancer and laryngectomy. * * * 11. What source can the patient and family turn to for advice and help with such problems, in the medical care system or in the community? The physician should be familiar with persons and agencies outside his own area of expertise or professional interest and should make that information available to the patient or family if or as the need arises. A printed form or brochure that lists addresses, phone numbers and persons to contact in the area can be most helpful. Roswell Park Memorial Institute and the State Health Department have prepared such a brochure for Western New York. The list includes State and County Departments of Health and Social Service, the Visiting Nurse Association, the County Unit of the American Cancer Society, the Leukemia Society, the State Rehabilitation Department, New Voice Club, Reach for Recovery and Ostomy groups, other cancer patients and their relatives, a number of voluntary community, family service and religious organizations, the Red Cross, Salvation Army, labor unions, private companies, et al. For a number of years I served as chairman of the Committee on Services to Patients in my county unit of the American Cancer Society. All requests for service were referred to me for personal check with the patients' physicians before they were granted. Nearly all requests came from family members, on their own or through non-medical persons. Only a few (actually I can't remember more than two or three) were prompted by the patient's physician. * * * 12. What about the prognosis? The physician's relationship with the patient and the family throughout the course of the disease may depend to a large extent upon how he answers this question. (In any disease most physicians are primarily interested in diagnosis and treatment. Patients and families are chiefly concerned with prognosis.) A physician must tell the truth derived from scientific evidence and clinical experience. At no time should he destroy hope by projecting personal feelings, fears and hangups. He should not make unjustified predictions based on his own lack of up-to-date knowledge and experience in oncology. * * * Many physicians are altogether pessimistic and defeatist about cancer even before the lesion is thoroughly evaluated from an oncologic standpoint. 14 THE BUFFALO PHYSICIAN �You can see this when a physician is confronted with cancer in a family member. I can cite two instances from personal experience. In the early years of the use of the "Pap" smear and the concept of preinvasive uterine cancer, I reported to a young physician that his wife had squamous cell carcinoma-in-situ of the cervix (previous Class III smears.) The physician, who worked in a highly specialized field far removed from gynecologic oncology, threw up his hands in despair. Yet this cancer approaches a 5-year cure rate of 100o/o. Today the American Cancer Society omits carcinoma-in-situ of the cervix from its statistics of incidence and death. Years ago a middle-aged urologist broke down in tears when he came to the laboratory to check a report of focal intra-epithelial carcinoma with slight superficial invasion noted accidentally in one microscopic section of the gall bladder which had been removed from his wife for chronic cholecystitis and choleliathiasis. The wife was not informed of the cancer. There was no further treatment. At that time the overall survival rate for carcinoma of the gall bladder was 2%. But for focal superficial carcinoma with micro-invasion the survival rate was at least 50%. The wife outlived her husband by years. He died unexpectedly from an acute hypertensive cerebral hemorrhage. * * * The two physicians mentioned above heard only the words "carcinoma" and "cancer." They reacted emotionally to the pathology of semantics rather than responding rationally to the semantics of pathology-oncology. To them "carcinoma" or "cancer" had the too-often popular connotation of an always progressive fatal disease with a short course. They failed to recognize that each carcinoma-cancer is a particular disease process in a particular patient in a particular medical setting with its own particular course and outcome. There are many measurable variables which can and should be considered in arriving at a possible prognosis - duration of symptoms and signs, manner of detection or diagnosis, location (organ, site in organ, region]. rate of growth, size, gross appearance, histo-cytopathologic type and grade, stage, kind of border microscopically, local and general effects-anatomical and functional, available methods of treatment, response to treatment, side effects, complications and sequelae of treatment, age and sex of patient, patient's physical and physiologic state - immunity, pregnancy, pre- or post-menopause, etc. Further, in considering prognosis, the physician must also remember the still unidentified variables which we may classify under the term "luck." On the day of my 4-year survival from disseminated reticulum cell sarcoma I teased my clinic oncologist, "What do you think - the result of your scientific treatment or of luck?" A patient himself, with a 9-year history of Hodgkin's Disease, he replied smilingly, "Let's not exclude luck." Metastatic cancer cells may lie dormant for prolonged periods. A certain percentage of cancer patients who refuse treatment survive 5 years. The medical literature contains reports of "spontaneous cures" of pathologically verified cancers. * * * d- Some physicians go so far as to translate their pessimism and defeatism into specific chronologie terms, perhaps in response SPRING, 1978 15 After discharge . . . at home, Dr. Sones showed a pseudomonas urinary tract infection. This cleared up with Carbenicillin therapy. There remained, however, three main problems: 1. Anemia (within 2-3 months the hematocrit dropped from the postoperative 36 to 27-24.) 2. Agglutination of blood platelets with venous thromboses of veins in fingers. 3. Daily fever of unknown origin up to 100101' at night. Three transfusions of packed red blood cells (2 units each) were given Oct. 21, Nov. 16 and Nov. 30, 1977. (Should a patient - particularly a physicianpathologist - with agglutinating platelets and venous thromboses, even though on aspirin therapy, sit with his legs crossed?) �the exasperating demands of the patient and family for a categorical answer. If such a prediction doesn't come true, the cancer patient and his family may make cynical and derisive jokes or vent anger and resentment about the physician's "dead in 3 years" or "6 months to live" verdict. (In his 1977 novel, "Madder Music," Peter De Vries has a satirical passage in which his healthy "hero," imagining himself dying and wondering how long he has (to live) ponders "the timehonored six-months-to-a-year.) Hopelessness and helplessness may disorganize family life. They can send patients and families to other physicians or even lead them to consult quacks or to use scientifically unproven methods at a time when cancers may still be in controllable form. * * * Let me cite the experience of a fellow patient at the cancer institute-a 47-year-old man. The photograph depicts one day's allotment of pills and capsules for Dr. Sones - aspirin {vs. platelet agglutination], isoniazidpyridoxine and Keflex {vs. infection-fever}, Losix {vs. edema of legs}. Any drugs prescribed p.r.n. do not appeqr in the photograph. A surgeon in his home town in a neighboring state did an exploratory laparotomy on him and found a hepatoma. The condition was inoperable, he told the patient and his wife, advising him to "quit work, stay home and be comfortable as long as you can" since "you'll be dead in six months." The patient had been in seeming good health. It just didn't seem possible. He was the head of a household of six persons. What would they do without him? He and his wife were desperate. They considered Laetrile but finally decided, instead, to seek a second opinion at Roswell Park Memorial Institute. "What can they do for you there?" his surgeon chided him. "They'll just experiment on you." The surgeons at the Institute were less gloomy. They removed the hepatoma with the left lobe of the liver. There was no additional treatment. Only follow-up visits were scheduled. The patient returned to his home and job. He engaged in his favorite sports of fishing, target shooting, and motorcycling. _ When, 3 years later, he complained of upper abdominal pain, he underwent a second laparotomy at the Institute during which metastases were noted. He was placed on experimental chemotherapy. To date - five months after laparotomyhe continues a fairly active home and sports life. He has given up his job but he periodically drops into his previous place of employment to help out. Every month he comes with his wife the 300 miles from his home to the cancer institute. He takes his turn in driving the automobile. In Buffalo he and his wife telephone or visit my wife and me at our home. A physician may feel that a given cancer patient may not live more than a short time after diagnosis. He has a right to express his opinion. But actually he is sticking his neck far out if he thinks that he can make an absolute chronologie prediction at the initial diagnosis and onset of treatment of what an individual patient will do with an individual cancer. Dr. Roger Terry, professor of pathology, USC Medical Center, puts it aphoristically: "Each patient is unique and each cancer that may develop is also unique." (False optimism in prognosis may be accepted more tolerantly by patient and family than rank pessimism and defeatism, but the physician who is falsely optimistic may lose credibility especially if the patient or a member of his family is knowledgeable about medicine-a doctor or nurse, for example.) Within the limits of available oncologic knowledge and practice, the physician, after considering the measurable and unidentified variables, can only predict statistically, on the basis of percentages and averages. He can only give odds. The individual 16 THE BUFFALO PHYSICIAN �cancer patient may surprise him. There have been inaccuracies in prognosis even in patients referred to hospices for end-stage care. * * * Here are two points in regard to prognosis which I picked up as a physician-patient in the adult leukemia-lymphoma clinic. (They would not have come to my attention in clinics for carcinoma of the lung, esophagus or pancreas, with constant overall5year survival rates through the years of 5-10 o/o , less than 5o/o and 1 o/o respectively. Most patients with these cancers die within 6 months-2 years of diagnosis.) 1. Prognosis for cancer patients may change for the better with the passage of time - even over a relatively short period, e.g. 5-30 years. There has been a definite change in the overall 5-year survival rates of chronic forms of leukemia from the 1940s to the 1970s. For men the rate has risen from 14o/o to 30%, for women from 17% to 34%. In Hodgkin's Disease, during the same years, the overall 5-year survival rate for both men and women has risen from 25% to 54%. In estimating prognosis for cancer, physicians must keep in mind the possibility of future progress against the disease. 2. Control in the management of a cancer at a certain time in the history of Oncology is a more realistic goal than cure. This point can be emphasized in stating the prognosis for patients with leukemia and lymphoma and will contribute to their understanding and composure and to that of their families . A long-term fellow lymphoma patient expressed it better than I when he said to a husband waiting for his wife- a newly-admitted patient- to return from the examining room: "Maybe they won't cure you here .. . but they'll keep you living as long as possible." * * * So let's summarize the answer to our final question, "What about prognosis?" Tell the truth as far as it is known from a scientific-clinical basis. Beware of personal, emotional influences which project pessimism and defeatism or false optimism. Preserve hope if possible. Take all measurable and still unidentified variables into consideration. Avoid specific chronologie predictions. Keep in mind the possibility offuture progress in diagnosis and treatment. Set up control as a more realistic goal than cure at a certain limit of oncologic knowledge and practice. Never forget you're dealing with an individual cancer and caring for an individual patient and his family. * * * Now let's see how the foregoing points were reflected in the prognosis of my own cancer. In Feb. 1973, on my first visit to the Roswell Park Memorial Institute, I asked the oncologist who examined me about the outlook for a patient with disseminated reticulum cell sarcoma [of the diffuse histologic type]. He described his informal prognostic classification of the lymphomas as "good" and "bad." Disseminated histologically diffuse reticulum cell sarcoma (histiocytic lymphoma), he said, was not just a "bad" one; it was "the worst." He couldn't give me an absolute prognosis, but he would check the Institute's computer for the most up-to-date percentages of survival with the latest therapy. The next time I saw him he had the percentages of survival for 1, 2 and 5 years. He didn't know whether he ought to disclose them to me. The overall 5-year survival rate on the basis of the Institute's experience, he said, was 5%. Reports in the literature, however, were appearing with more hopeful results - 5-year survival rates up to 10o/o. (My wife shared this information.) C) SPRING, 1978 17 The hematocrit, after the Nov. 30, 1977 transfusion, reached 29. On Dec. 2 Dr. Sones complained of hoarseness and sore throat. The next morning he awoke with difficult swallowing and breathing. His private otolaryngologist found non-inflammatory edema of the extrinsic laryngeal folds, marked on the le f t side (cause ?}. Arrangements were made for a tracheostomy if it became necessary. Telephone consultation between Dr. Sones' otolaryngologist and his RPMI oncologist led to the prescribing of prednisone. Fever disappeared. In two days the extrinsic laryngeal edma subsided. Hematocrit went to 32. The prednisone was continued daily. With a reduced dosage of prednisone the hematocrit dropped to 28. Dyspnea on exertion was severe. On Jan . 6, 1978, Dr. Sones had a transfusion of 2 units of r . b.c.s. with improvement in breathing. The daily dosage of prednisone was increased. On Jan. 11 the hematocrit was 29. �On Feb. 22, 1978, Dr. Sones marked his five-year survival from disseminated reticulum cell sarcoma . During the past five years he encountered physical and psychologic difficulties which he faced day by day as best he could with the help and support of his physicians, other health personnel , family members, friends and fellow patients . In March, 1973, at the start of treatment for his cancer, Dr. Sones on the basis of the most optimistic scientific information available was informed that his chance of surviving five years was 5-10 %. Not only has Dr. Sones attained a five-year survival, but today as far as can be determined medically, his cancer is also in remission. His chief complaints stem from the side effects of therapy. ACKNOWLEDGMENTS M.D. Diedrick (drawings) ; H. Moayeri, M.D. (check of captions for photographs); J. W. Pickren, M.D. (microscopic slides and surgical pathology report); M.D. Spencer (photographs); SUNYAB- D. Atkinson (photographs). I have now gone 5 years with my disseminated-diffuse reticulum cell sarcoma. It is in remission as far as can be determined medically. (There is no guarantee against relapse .) Living, especially in the past year, has not always been easy, confortable, happy or desirable. But until recently I remained fairly active and productive. From 1973-1977 my wife and I spent 3 months during each winter in Guadalajara, Mexico. I have never missed a Buffalo Physician press deadline for one of my articles. I am sure that some of my physician friends, when they first learned of my diagnosis, gave me "6 months-1 year to live. " I could read the prognosis in their faces and in their manner to me. Actually in 1973 the computer's percentage for my 6 month-1 year survival was 50 %. At the end of my second year of survival I ran into a physician on the street who hadn't seen me since my initial diagnosis. He greeted me in wide-eyed amazement, blurting out, "Gee , ... you look great for a guy who is supposed to be half dead!" I didn't bristle at his remark. In fact, it cheered me. Originally the computer had estimated that in two years I would be three-quarters dead. It had prognosticated a 25 % 2-year survival rate. The patient with reticulum cell sarcoma (histiocytic lymphoma) first diagnosed in 1978 - only 5 years after the diagnosis of my disease - can hope for an altogether different prognosis from the one I received in 1973. The contrast is made in the opening paragraph of a May 30, 1977, article in the JAMA. The first sentence abstracts an article in Cancer 30: 31-38 1972: "The (histologically) diffuse histiocytic lymphoma is the most virulent histologic form of lymphoma and few patients achieve remission with single-agent chemotherapy." The second sentence abstracts 3 articles published in 1974-1975 (Lancet 1:248-250; Blood 43:181-189; Cancer 35:1050): "It has recently been shown that patients with diffuse histiocytic lymphoma (even in advanced stage) who achieve complete biopsyproven remission (with combination chemotherapy) often sustain prolonged disease-free survivals and perhaps cure." The American Cancer Society iiJ. its 1978 "Facts and Figures" under "Treatment Trends" lists histiocytic lymphoma (reticulum cell sarcoma) among eleven tumors that formerly were considered incurable but that now are frequently controlled. (To be continued with Article VIF on How). 0 BIBLIOGRAPH Y To appear with Article VI F on "How." 18 THE BUFFALO PHYSICIAN �M'25, heads a special physicians committee established by the State Medical Society in 1975 to help doctors with health problems relating to alcohol, drugs and mental illness. "We are a committee of physicians intent on helping our fellow physicians without any coercive or punitive approach. Our concern is with the physician's health. It doesn't necessarily mean that a physician's patients are suffering because he has an illness. But, on the other hand, that's possible and that's what we are trying to obviate," Dr. Block said. The percentage of the physician population with alcoholism and mental health problems, Dr. Block said, is judged to be similar to that of the general public. Drug dependence is probably more common because of physicians' easy access to drugs. In some cases physicians suffer from one of the three problems while in others, there may be multiple afflictions. Alcoholism is thought to be the most prevalent of the three. If six per cent of the adult population are alcoholics, then about 2,000 of the state's 33,000 physicians have alcoholism problems, according to Dr. Block. There is no way of telling how many of the physicians are getting proper treatment. The sole purpose of the committee in contacting those with problems, Dr. Block said, is to deliver the simple message: "Please get yourself treated before something happens you'll regret." The committee (members are not made public) does not attempt to coerce a physician to get treatment, nor threaten punishment - such as loss of license - if he fails to do so. The committee will accept reports of physicians with problems from family members, patients or other doctors. When the information is from family or colleagues, the names of the informants are kept confidential. In the case of a patient report, the individual must identify himself and his name will be passed on to the physician in question. This precludes the possibility of patient harassment via the committee, Dr. Block said. When the name of a physician is received, two members of the committee are instructed to meet with him as a team. Those meeting with him, live in other areas of the state, do not know him personally and are specialists in his particular problem. While they encourage him to seek treatment and may refer him to a specialist, they may not take him on as a patient. They meet with him only once, unless he initiates future contact. Otherwise, there is no followup, no attempt to see if he seeks treatment and no records are kept. If the informants are physicians, they are told contact has been made. "We've been criticized because we don't take any punitive measures, but in my opinion our efficiency lies in our approach being non-punitive," Dr. Block conlcuded.D DR. MARVIN A. BLOCK, SPRING, 1978 19 Dr. Block Health Problems Dr. Block served 15 years as chairman of the state medical society's Committee on Alcoholism and was a member 17 years and chairman 10 years of the AMA's Committee on Alcoholism. He is a clinical associate professor of medicine (emeritus) at the Medical School. �Alumni Contributors, 1977 The number of dues-paying medical alumni increased again last year. A special thanks to this group as well as to those who give annually. And to the nine reunion classes - 1927, 1932, 1937, 1942, 1947, 1952, 1957, 1962 and 1967 - who contributed $23,010 to the Medical School, a thank you. We at the School of Medicine appreciate your support and participation. 0 1917 Atkins, Leslie J. Thompson, Myron A. Tillou, Donald J. 1919 Crage, Frances M. Goldstein, Henry N. Pech, Henry L. 1920 Graczyk, Stephen A. Schultz, Cecil L. Walker, Irwin M. 1928 Brock, Thelma Bukowski, Eugene F. Burns, John B. Etling, George F. Gardner, Richard M. Hill, Joseph M. Markowitz, Julius T. Schultz, Robert W. Schutkeker, Bruno Stoll, Howard L., Jr. Walker, Helen G. 1929 Burwig, W. Herbert Koch, Caryl A. Cohen, Victor L. Evans, Jay I. George, Clyde W. Heilburn, Norman Lockie, L. Maxwell Thorn, George W. Tyner, James D. 1924 1930 Sanborn, Lee R. Bonafede, Vincent I. Feldman, Raymond L. Heyden, Clarence F. Kanski, James G. 1921 Morgana, Dante J. Reimann, Hobart A. 1923 1925 Culver, Claire H. Linton, Mary D. Hogben, Margaret Loder Unrath-Zick, Clara 1926 Brown, Henry Sullivan, Eugene M. 1927 Berwald, Herbert Chaikin, Nathan W. Criden, Frank M. Funk, Arthur L. Kij, Joseph L. Meissner, William W. Murphy, Gerald E. Palmer, Milton A. Riuchun, Meyer H. Saunders, R. L. Valone, J. Theodore Northrup, Robert R. Olzewski, Bronislaus S. Smolev, Joseph M. Stio, Rocco L. 1933 Anna, Wilfred M. Baube, John L. Hellriegel, J. Curtis Hobbie, Thomas C. Homakay, Ernest G. Huber, Franklyn A. Kolbrenner, Louis Masotti, George M. Mountain, John D. 1934 Alford, J. Edwin Anderson, John V. George, Alfred L. Kinzly, John C. May, Charles E. O'Connor, John D. Ridall, Earle G. Rosenbaum, Myron G. Slatkin, Edgar A. Weiner, Max B. 1935 Barone, Michael H. Bean, Richard B. Boeck, Virgil H.F. Bumbalo, Thomas S. Connelly, Gerald T. Glick, Arthur W. Godfrey, Joseph D. Heier, Ellwyn, E. Kuhl, John R. March, Thomas A. Oderkirk, Francis V. Schwartz, Jerome H. Walls, Walter Scott Ames, Wendell Arbesman, Carl E. Argue, John F. Bernhoft, Willard H. Coleman, Benjamin Drexler, Bernard Kelly, Miles W. Lampka, Victor B. Madsen, Niels, G. Mecklin, Bennie Moran, Charles E. Rosokoff, Solomon Ryan, Francis W. Weig, Clayton G. 1932 1936 Goodman, Carlton H. Leone, Angelo F. Leone, Frank G. McGee, Hugh J., Jr. Batt, Richard G. Burgeson, Paul A. Cherry, Alfred V. Crosby, John P. 1931 20 Eschner, Edward G. Greenberg, Avrom M. Hoak, Frank C., Jr . Houston, Thomas Kriegler, Joseph Leven, Eli A. Lipp, William F. 1937 Alford, Kenneth M. Ball, William L. Banas, Charles F. Challen, Alice A. Goodman, Sole Koepf, George F. Lenahan, Rose M. Lipsett, Robert W. MacCallum, James D. Musselman, M. Luther Nicholson, Ellen M. Tranella, Augustus J. White, William F. 1938 Catalano, Russell J. Doll, Leo J. Fait, Norman J. Gilson, Benjamin I. Law, Harry C. Mitchell, Alfred A. Phillies, Eustace G. Rosenblatt, Maxwell Straubinger, Clarence A. Terry, Richard N. Kaminski, Chester J. Lieberman, Samuel J. Oehler, H. Robert 1939 Alden, Carlos C. Bissell, Grosvenor W. Bleich, LaMoyne C. Burton, Ruth C. Caldwell, Milton V. Cammer, Leonard Dugan, William Feightner, Francis W. Gajewski, Matt A. Goldstein, Kenneth THE BUFFALO PHYSICIAN �Harris, Harold M. Magi!, Marvin Olmstead, Elizabeth P. Postoloff, A.V. Riforgioto, Frank T. Seibel, Roy E. Storms, Robert E. Wesp, Everett H. Winer, Marvin 1943 Behling, Ralph T. Birtch, Paul K. Bloom, Marvin L. Bull, James R. Buckley, Richard J. Collins, Robert J. Evans, Alfred S. Galdys, B. Joseph Grayson, Thomas L. 1940 Haber, Norman Ascher, Julian J. Humphrey, Thomas R. Benny, John M. Kennan, WilliamS., Jr. Clinton, Marshall, Jr. Krauss, Ruth F. Eppers, Edward H. Marano, Anthony J. Hildebrand, William Jr. Martin, Ronald E. Montgomery, Warren R., Jr. Meyer, Franklin Palanker, Harold K. Minkel, Amos J., Jr. Reitz, Russell E. O'Gorman, Kevin M. Rekate, Albert C. Petersen, Walter R. Severson, Charles Henry Segel, Nathan P. Siegner, Allan W. Selkirk, George H. Trippe, Louis A. Sherrill, Gene D. Umiker, William 0. Smith, Ralph E., Jr. Urban, Stanley F. Swarthout, Gertrude S. White, John D. Tanner, Charles J. Jr. Zoll, John G. Trefts, Hazel J. Trovato, Louis A. 1941 Unher, Morris Cooper, Anthony J. Edmonds, Robert W. 1944 Gentner, George A. Boardman, Willard H. Gross, Arnold Bondi, Raymond G. Hanavan, Eugene J., Jr. Brown, Robert L. Henrich, Mary I. Edelberg, Eileen L. Hull, Bradley Edelberg, Herman Kidder, RussellS., Jr. Egan, Richard W. Fountain, Newland W. McCue, Daniel J. Frost, Frank T. McGrane, James L. Matt, Frederick E. Ginsberg, Irwin A. O'Brien, John J. Hudson, Raymond A. Pierce, Allen A. Kennedy, Sidney R., Jr. Radzimski, Eugene H. Major, William K. Schonher, Nancy M. Long, Frank H., Jr. Wels, Philip B. Perkins, Raymond C. Wolin, Leonard Pietraszek, Casimir F. Zaepfel, Floyd M. Prentice, Theodore Schaer, Sidney M. 1942 Shaver, Carrol J. Addessa, Albert J. Stafford, Walter F. Ament, Richard Strong, Clinton H. Axelrod, Sidney J. Wilkinson, Robert Battaglia, Horace L. Bauda, Charles A. 1945 Clarke, M. John Adler, Richard H. Cotronea, Vincent S. Adaloro, William S. Eckhert, George L. Chassin, Norman Follette, William J. Cotter, Paul B. Kibler, Diana D. Forgrove, Edward G. Marmalya, Boris L. Fugitt, George W., Jr. Milazzo, RichardT. Grabau, A. Arthur Parlante, Vincent J. Greenwald, Richard M. Smith, Martha L. Johnson, James H. Laglia, Vito P. Staubitz, William J. Yochelson, Leon Longstreth, H. Paul SPRING, 1978 Quinlivan, John K. Rogers, William J., II Rutecki, Joseph H. Shaheen, David J. Sheedy, K. Joseph Steinhart, Jacob M. Templer, Wayne C. Thorngate, George V. Tybring, Gilbert G. Valentine, Edward L. Wiles, Charles E. Wiles, Jane B. Ward, Robert B. 1946 Allen, John G. Bauer, Charles D. Cowper, Alexander R. Crissey, John T. Driver, Maier M. Golden, Lawrence H. Howard, Chester S. Irons, Annabel M. Levy, Harold J. Marks, Eugene M. Mires, Maynard Naples, R. Joseph Petzing, Harry Piccali, Amo John Tardif, Henry M. Tornou, Willard W. Walczak, Paul M. 1947 Bachman, David D. Curtin, Daniel E. Dennen, Philip C. Edgecomb, William S. Kipping, Hans F. Marchand, Richard J. Phillips, James F. Schaefer, Arthur J. Sheffer, John B. Stagg, James F. Todaro, Joseph C. Tokars, Jerome Whiting, Frederick D. Wildhock, Robert H. 1948 Bloom, William H. Borman, Col. James G. Fahey, Daniel J. Gordon, Myron Graff, Harold L. Hall, Robert J. Hanson, Warren H. Hollis, Warren L. Martin, Ansel R. Miller, Daniel G. Minde, Norman Moore, Darwin D. Regan, Cletus J. Regan, Thomas C. Shapiro, Alfred J. 21 Solomon, Irwin Stone, Edward R. Van Avery, Jasper L., Jr. Weinberg, Paul C. 1949 Armenia, Carmela S. Bradley, Aust Berl, Alfred Bernhard, Harold Carden, Lawrence M. Carlino, Lawrence L. Erickson, George M. Magerman, Arthur Paroski, Jacqueline L. Pfalzer, Frank A. Rosner, Edward W. Schneider, Max A. Shalwitz, Fred Wolfe, Charles J. 1950 Anthone, Roland Anthone, Sidney Benken, Lawrence D. Bisgerer, George P. Brody, Charles Busch, Grace B. Cecilia, Carl A. Dunghe, Adelmo P.J. Dunn, James C. Leberer, Richard J. Manders, Karl L. Meyer, Patricia A. Robinson, Roy W. Scamurra, Vincent Sikorski, Helen F. Solomon, Yale 1951 Barott, Theodore Bleichfeld, Joseph Bruno, August A. Danzig, Leonard S. Davis, Harvey D. Goldfarb, Allen L. Kaplan, Marvin Leslie, Eugene V. Munoz, Pilar Murphy, Thomas J. Pleskow, Marvin J. Secrist, Robert L. Smith, Adolph Smolens, Bernard Teich, Eugene M. Weigel, James W. 1952 Abo, Stanley Adams, Donald J. Baumer, Robert A. Davis, Bernie P. Dyster, Melvin B. Fuhr, Neal W. Genewich, Joseph E. �Gottlieb,·Solon H. Kelley, Donald J. Krohn, Melvin R. Lapp, Milton C. Loeser, Eugene W., Jr. MacLeod, Colin C. Miller, Roy D. Panaro, Victor A. Rohner, Richard Ranchoff, John Y. Robbins, Travers Schmitt, James N. Sheesley, Byron E. Simpson, S. Aaron Sprecker, Donald H. Stulberg, Burton Szabo, Imre Thurn, Roy J. Underwood, S. Jeffersc Wegner, Kurt J. Zeller, James F. 1953 Carlin, James W. Camerford, Thomas E .. Delerme, Felix A. Ehrenreich, Donald L. Fogel, Sander H. Georghegan, Thomas G Gold, Jack Handel, John W. Johnson, Curtis C. Lee, Herbert E. Maloney, Milford C. Maynard, Robert E'. Nagel, Richard J. Panner, Malley R. Partin, Bertram A. Rachow, Donald 0. Ruh, Joseph F. Simpkins, Herbert W. Sobocinski, Robert S. Strachan, John N., Jr. Sullivan, Michael A. Ullrich, Reinhold A. W adler, Marvin 1954 Beltrami, Eugene L. Campo, Joseph L. Cloutier, Louis C. Conboy, John L. Foley, Robert D. Genner, Byron A., III Hansen, Florence M. Hohensee, Edward W. Hoshino, Arthur Y. Howard, William J. Marino, Charles H. Hyzy, Eugene C. Jenkins, Benjamin C. Lemann, Jacob Lesswing, Allen L. Lester, Carra L. Lizlovs, Sylvia G. Meese, Ernest H. Miller, Robert H. Norman, N. Allen Olivier, Harry T. Pletman, Robert J. Royhill, Edward A. Tomaka, Edwin B. Weinmann, PaulL. Wilson, Donald M. 1955 Collins, James R. Dean, Robert T. Fagerstrom, Charles D. Franco, Albert A. Gazzo, Frank J. Hashim, Sami A. Mye, George Lai, Jr. Palmerton, David L. Peterson, John H. Schaer, Leonard Schiavi, Anthony B. Schiferle, Roy G., Jr. Weppner, David F. Whitney, Eugene B. Winter, John A. Wormer, Donald A. 1956 Alker, George J., Jr. Barnum, W.J. Ben-Asher, David M. Corretore, Robert B. Darlak, Joseph J. Dentinger, Mark A. Gicewicz, Edmond J. Goergen, Peter F. Goldstein, Frederick, P. Hodson, John M. Kunz, Joseph L. McCutcheon, Sue A. Mcintosh, Robert G. Nuessle, Frederick C. O'Neill, Hugh F. Popper, Jordan S. Reeber, Erick Reisman, Robert Sklar, Bernard H. 1957 Berghorn, Bronson M. Celniker, Benny Cusick, John K. Garseristein, Myron Gulino, Lorie A. Hetzer, Barbara J. Kanel, Harris H. Lowe, Charles E. Metsch, Herbert Meyers, Robert C. Shapiro, Bernard S. Sussman, Robert B. Thorsell, H. Gregory Waldman, Sherman 1958 Alessi, Edward C. 22 Armenia, John V. Boyle, Richard C. Brotherman, Melvin M. Diesfeld, Gerard Dischinger, Frederick W. Eisenberg, Benson L. Falsetti, Dominic F. Kane, Leo A. Kunz, Marie L. Murphy, John P. Stein, Alfred M. Tracy, Ann A. Waldman, Irving Wasson, Richard D. Wende, Reinhardt, W. Zeplowitz, Franklin Zimmerman, Harold B. 1959 Baeumler, George R. Brennen, Robert J. Graver, Seymour D. Houck, John E. Mongan, William J. Monte, Joseph F. Rock, Elton M. Spoto, Russell C. 1960 Abramson, William E. Antkowiak, Joseph G. Bond, A. Gordon Chazan, Joseph A. Graber, Edward J. Guttuso, Thomas J. Harrington, John H. Kanski, James R. Klocke, Francis J. Metcalf, Harry L. Patridge, Eugene T. Riveria, Eugene P. Sauer, Robert H. Steinberg, Irwin Saks, Gerald L. Shapiro, Marvin Steinberg, Irwin Tuyn, John A. 1961 Cimino, Eugene DeSantis, Carlo E. French, Paul D. Hatch, Richard C. Manning, Edwin J. Porrath, Saar A. Ronald, Roger A. Skarkin, Arthur T. Szuter, Carl F. Wilinsky, Howard C. 1962 Cowan, Martin Floccare, Anthony Graber, James E. Hilbrun, M. Peter Klein, Morton P. Loree, Paul J. Madden, Michael M. Morey, Philip D. Ney, Robert G. Oberkircher, Oscar R. Steinhart, Melvin J. Tzetzo, George R. 1963 Hermann, Max M. Carboy, David T. Ehrlich, Frank E. Fisher, Donald M. Foti, Anthony M. Joyce, Stephen T. Lessler, Paul A. Maggioli, Albert J. Narins, Richard B. Repicci, John A. Scheuermann, Henry A. Steiner, George L. Tirone, Charles S. Wadsworth, John M. 1964 DiPoala, Joseph A. Ferrari, Anthony V. Glowacki, George R. Ney, Lillian V. Rothfleisch, Sheldon Salton, William Schubert, Daniel Sterman, Irving Weinstein, David J. Williams, Richard W. Wolin, Richard E. 1965 Bucher, William C. Cardamone, Joseph G. Feinberg, Michael S. Grisanti, Anthony V. Hurwitz, Lawrence B. Jeffrey, Gary Kroll, Joseph I. Marantz, Calvin Steckelman, Joel Young, Ronald F. 1966 Althaus, Sean R. Antonucci, Louis J. Fricke, Wayne P. Klementowski, Kenneth Lindenbaum, Jeffrey E. Rappole, Bert W. Spoor, John E. 1967 Anderson, John R. Augustine, Thomas A. Bodner, Stanley J. Cohen, Arthur H. Daffner, Richard Gibbs, John W., Jr. Hoffman, Leon THE BUFFALO PHYSICIAN �Josephson, Ronald P. LaGratta, Roger J. Robinson, Trevor Sheehan, Thomas P. Sosis, Arthur C. Starr, George Strasberg, James M. Young, Linda Young, Richard J. 1968 Carl, Marc Cumbo, Thomas J. Dobmeier, Lawrence J. Jewel, Kenneth L. Joseph, Brian S. Kaine, Richard F. Kaplan, Milton P. Kaplan, Z. Micah Karch, Gary D. Peck, Alan H. Rodner, Robert D. Sayres, Barbara A. Shields, John E., Jr. Sievenpiper, Timothy S. Spiegel, Stuart C. 1969 Cavalieri, James L. Gibson, Robert J. Hevizy, Louis Horwitz, Hanley M. Major, William Saab, Richard J. Scanlon, Thomas S. Smith, Wilbur L. Weinstein, Barry A. 1970 Copley, David P. Fishbein, Charles A. Fishbein, Ellen R. Forden, Roger A. Frankel, Lawrence S. Krauss, Dennis J. Lippman, Michael Massaro, Russell P. Ungerer, Robert Wirtzer, Allan 1971 Anscher, Richard M. Antkowiak, John M. Brothman, Barry G. Bullock, Alan H. Greenberg, Harvey Handlers, Mark S. Kirsch, Scott D. Mazeika, Denis G. Masijczuk, Askold D. Solomon, Kenneth Witter, Theodore 0. 1972 Berkson, Richard Bob, Harold B. Frankfort, Ian Ismael, Ismil Jackson, Stanley J. Toledano, Stuart R. Doldan, Federico G. Egri , George Elibol, Tarik 1973 Fisher, F. Craig Fisher, Frank Bone, Lawrence B. Dunn, Nancy L. Florsheim, Anne Hollac, Ralph R. Haque , Ikram U. Launer, Dana P. Helm, Frederick Orens, Paul Kmiecik, Tadeusz Levitt, Jacqueline R. Liang, Shin Yin 1974 Lloyd, Catherine Bukowski, Elaine M. McNeil, Dr. & Mrs. Crichton Burstein, Alan G. Meyer-Bahlburg, Dr. Heino F. L. Moore, Sarah E. Milkey, Gustave P. Morelli, Daniel Mindell , Eugene R. Rowlingson, John C. Mongia, Satish K. Stamierowski, Louise C. Mudaliar, Nirmala Munabi, Abraham K. 1975 Murphy, John P. Hendrich, David Nowakowski, Paul A. Fenzl, Robert E. Pappas, Harry J. Powell, Jeffrey P. Roehmholdt, Mary Elizabeth Potter, Paul H. Ronca, Paul Faculty-Non-Alumni Rovere, Raphael A. Anuntalabhochai, Boonchuay Sarac, Oguz K. Bernstein, Charles Schmidt, Barbara Von Besseghini, Italo Sullivan, Judith P. Calkins, Evan Taheri, Syde A. Corbett, Ms. Jeanette Winiecki, Joseph J. Daly, Joseph J. Yassa, Fayek G. Dean, David C. Zimdahl, Walter T. Diji, Augustine Dobson, Richard L. Dr. Knox, Mayo Clinic Physician A Mayo Clinic physician, who received the M.D. and Ph.D . degrees from U/B in 1965 through a combined program, has been named associate director for continuing education (research training and degree programs) in Mayo Foundation, division of education. Dr. Franklyn G. Knox, 40, is currently professor of physiology and medicine, Mayo Medical School and chairman of the department of physiology. As associate director for education: research training and degree programs (a new position). Dr. Knox will be responsible for research training programs of Mayo Foundation and degree programs offered through the Mayo Graduate School of Medicine. His duties will involve the coordination of training and funding, as well as liaison with the University of Minnesota Graduate School for degree programs. After serving as a staff associate at the National Heart Institute and a faculty member of the University of Missouri School of Medicine, Dr. Knox was appointed a Mayo consultant in 1971.0 SPRING, 1978 23 �"T he New Horizons . 1n Neonatal Medicine Conference participants came from 20 states, four Canadian provinces, Puerto Rico and the District of Columbia. Dr. George Giacoia, program chairman. gut is the limiting organ for survival and early malnutrition rather than hypoxic damage may be the main determining factor in quality of life in low birth weight infants." This is what Dr. Paul Swyer told the 302 physicians and nurses who attended the two-day symposium, "New Horizons in Neonatal Medicine." The associate professor of pediatrics at the University of Toronto discussed several aspects of energy metabolism in newborn infants, including his own research. The director of the division of Perinatology Hospital for Sick Children said, "on the average 50 days elapsed before a baby of 1000 gm. reached a weight of 2000 gm. The 20 gm. per day of weight gain is comprised by 3 gm. of protein, 1.8 gm. of fat and the remainder of water. The number of calories expended in synthesizing new tissue amount to about 15 cal/kg/day. This process seems to occur by two different mechanisms: a steady synthetic activity occurring in the muscles and comprising two-thirds of the metabolic cost of growth while the remainder one-third occurs in pulses after each meal and is related mostly to the incorporation of aminoacids into proteins. The latter process is responsible for the postprandial thermic effect. It is of interest that while in adults the thermic effect involves carbohydrates, aminoacids and lipids in newborns is mostly due to proteins metabolism." A Case Western Reserve University pediatrics professor spoke about the anti-infective properties of breast milk. Dr. Marshall Klauss said, "known resistant factors include a polysassacharide (bifidus factor) responsible for the selective growth of anaerobes in breast fed infants, an anti-staphylococcus factor and a protein, lactoferrin, which inhibits bacterial growth." The director of neonatal nurseries, University Hospitals, Cleveland, focused his attention on the role of cellular elements in breast milk: lymphocytes and macrocytes. The "magnificent" macrophytes, as Dr. Klauss termed it, has a number of important functions which include: interaction in some way with lymphocytes allowing these cells to produce secretory immunoglobin A, production of lyzozyne, which, together with a peroxidase, destroy bacteria and finally phagocytosis of bacteria. Milk lymphocytes produce a secretory immunoglobin A quite different from maternal IgA. Dr. Klauss' group has been able to demonstrate in breast milk an antibody against pathogenic E.coli present in the GI tract of the mother which is absent in her blood. His group was also able to demonstrate antitoxin against E. coli (presumably produced by milk lymphocytes under the influence of milk macrophages) which explains the rarity of E. coli enteritis in breast fed infants. In a panel discussion on neonatal nutrition Dr. Klauss said, "in the animal world there is marked correlation between the composition of breast milk and the frequency of breast feeding. Some animals whose breast milk have a high protein and fat content, such as the rabbit, fed infrequently (every 12 hours) while others whose breast milk have a low caloric content are almost continuous feeders. Man seems to belong to the lattar group which would indicate that the present practice of feeding newborns every 3-4 hours may need to be revised." 24 THE BUFFALO PHYSICIAN �Dr. Marshall Klauss addressing a session. Dr. Gordon Avery reviewed pertinent aspects of neonatal gastrointestinal physiology. He emphasized that the jejunum should be assimilated to a parynchemal organ. "In fact, there are mucosal transport systems similar to those present in the renal tubule." He is professor of child health and development, George Washington University and director of neonatology, Children's Hospital National Center, Washington, D.C. After summarizing the limitations in the absorption of fats, carbohydrates and protein seen in low birth weight infants, Dr. Avery reviewed aspects of intestinal motility. He described a gradient of activity between the proximal and distal ends of the bowel and characterized peristaltic activity in low birth weight infants as being "disorderly and disorganized." This was documented by balloon studies. Dr. Avery stressed the complexity of the regulation of intestinal motility as evidenced by the multitude of factors modulating such activity. In addition to neurological stimuli, a number of hormones are known to either stimulate (eg. gastrincholecystochynin) or depress (eg. secretin, glucagon) intestinal motility. Dr. Avery also referred to experiments which show how sucking and swallowing act as physiologic triggers of peristaltic activity through the secretion of enteric hormones. Dr. John Driscoll summarized the experience with parenteral nutrition in low birth weight infants at the Babies Hospital in New York. He reviewed metabolic studies performed in a group of 21 low birth weight infants receiving 100 cal/kg by the parenteral route. "The average weight gain was 11.8 gm/day. All were in positive nitrogen balance (avg..9 gm/kg/day) and undesirable effects were minimal." Dr. Driscoll cautioned against the routine use of parenteral nutrition (especially with indwelling catheters) in very low birth weight infants because of lack of data concerning the effect of the intravenous administration of an imbalanced aminoacid mixture. Dr. Driscoll is associate professor of clinical pediatrics, College of Physicians and Surgeons, Columbia University and director of neonatal nursery and intensive care units, Babies Hospital, New York City. d- SPRING, 1978 25 During a coffee break Dr. Leo Stern {center), and Dr. Gordon Avery {right) chat with a colleague. �Drs. John Drisscoll , John Sinclair Bleeding disorders and thrombocytopenia in the newborn were discussed by Dr. William Hathaway, professor of pediatrics, University of Colorado School of Medicine, Denver. He emphasized the difficulties in establishing the diagnosis of coagulopathy in babies of very low birth weight. A number of physiologic abnormalities were reviewed. Dr. Hathaway presented preliminary evidence of transient deficiences in Fletcher and Fitzgerald factors who are in part responsible for a prolonged, partial thromboplastin time in infants of low birth weight. He attributed thrombotic tendencies in some of these infants to a transient deficiency of antithrombin III. Dr. Hathaway also discussed the problem of disseminated intravascular coagulation in the neonatal period. He cautioned against utilizing platelet counts as the only screening parameter in DIC. He reported on a number of infants severely asphyxiated at birth who had severe DIC with normal platelet counts. Exchange transfusions were recommended in these patients in view of the high risk of intracranial bleeding. Dr. Hathaway told about his experience with platelet microthrombi disease, a condition occurring in newborns with respiratory distress syndrome in which platelets are primarily consumed. Dr. Hathaway also presented preliminary data of a work done in collaboration with Dr. Paul Calker revealing significant number of infants with idiopathic thrombocytopenia. Dr. John Freeman reviewed neonatal convulsions. His collaborative study of cerebral palsy included 50,000 babies. The incidence of neonatal seizures was 3/1,000 livebirths. Fifty percent of the seizures occurred on the first day of life. In this study, seizures occurring in the first 24 hours carried a mortality of 83 o/o and only 10 % of the survivors had an excellf!nt prognosis. The associate professor of neurology and pediatrics at Johns Hopkins University reviewed the different causes of neonatal seizures and focused on the importance of perinatal asphyxia. Because of the close correlation between severe perinatal asphyxia and poor outcome he elaborated on the vicious circle produced by brain asphyxia. "Asphyxia produces local changes in the brain circulation with consequent localized cerebral edema which in turn produces further compromise of cerebral circulation." Dr. Freeman suggested asphyxia may also cause impairment of glucose transport into the brain cells. Forms of therapy which deserved investigation in the future include early use of diuretics, steroids and even glucose despite normal blood sugar levels. Dr. Freeman is also director, Seizure Clinic, John F. Kennedy Institute at Johns Hopkins. Dr. Leo Stern reviewed acceleration of lung maturation with consequent increased production of lung surfactant produced by a number of substances such as betamethasone heroine, thyroxine and methylprogesterone. His experiments in rabbits has shown that aminophyline also increase surfactant production but by a different mechanism- inhibition of phosphodiesterase. The chief pediatrician at Rhode Island Hospital issued a strong warning against the use of these agents in pregnant women until more knowledge is accrued on the significance of the side effects (arrest in lung and brain development) reported in animal studies. 26 THE BUFFALO PHYSICIAN �Drs. William Hathaway, George Giacoio The Brown University professor of medical science talked about the treatment of neonatal jaundice with phototherapy. Although in vitro the energy spectrum of light at 450 armstrong activates the bilirubin molecule which breaks down into water soluble dipyrroles attempts to quantitatively recover these compounds in the urine in treated infants failed. "Recent evidence has been presented showing that the energy derived from light alter the steric configuration of the bilirubin molecule allowing to be transported into the bile without prior conjugation with glucuronic acid." Dr. Stern voiced the concern of photobiologists that other needed substances may be similarly affected and lost from the body. A Tufts University pediatrics professor stressed the importance of proper identification of syndromes to provide parents with an accurate prognosis, genetic counseling and possible therapy. Dr. Murray Feingold reviewed a number of syndromes from his vast personal experience and pointed out several important diagnostic tips. He mentioned that scleroderma in a neonate is very likely the harbinger of progeria. "Coarse facies in the neonate is almost never an indication of mucopolysaccharidoses. Instead, likely possibilities are mucolipidosis (I cell disease) or fucosidosis." Dr. Feingold also directs the Center for Genetic Counseling and Birth Defects Evaluation, Boston Floating Hospital for Infants and Children, Boston. In leading a panel discussion on neonatal nutrition, Dr. John Sinclair reviewed necrotizing entercolitis, a disease affecting primarily asphyctic infants of low birth weight. The McMaster University pediatrics professor said, "the state of knowledge on necrotizing enterocolitis in 1976 is no different than the understanding of retrolental fibroplasia in 1950 when about 12 different factors were listed as possible etiologies. It was not until 1952 when the critical role of oxygen in retrolental fibroplasia SPRING, 1978 27 Dr. Paul Swyer �was uncovered." Dr. Sinclair expressed hopes that in the near future a better understanding of the condition will allow for the prevention of this devastating disorder. Dr. Sinclair is the director of the Neonatal Unit, McMaster University. Dr. Philip Calcagno, professor and chairman of pediatrics, Georgetown University reviewed neonatal renal physiology and renal failure in the neonatal period. He was on the U/ B faculty from 1948 to 1962. Another former U/B pediatrics professor (1963-1975), Dr. Sumner Yaffe, discussed neonatal pharmacology. He presented results of his research in the distribution and elimination of digoxin in neonates. His findings of increased tissue binding of digoxin (erythrocytes, cardiac muscle) coupled with enhanced elimination by the kidney provides a reasonable explanation for the larger dosage needed in newborns when compared to older infants and adults. Dr. Yaffe is professor of pediatrics and pharmacology, the University of Pennsylvania School of Medicine, Philadelphia. Four other U/B Medical School faculty members participated in the two-day conference. Dr. Elliot F. Ellis, professor and chairman of pediatrics, welcomed the group. Others who contributed significantly to the program were- Dr. Mary Voorhess, director of endocrinology, Children's Hospital; Dr. Margaret MacGillivray, co-director of endocrinology, Children's Hospital; and Dr. Pearay Ogra. All are professors of pediatrics.D Neighborhood Health Care Dr. Staub Neighborhood health care must be strengthened in critical, lowincome areas in Buffalo to overcome pediatric car-e deficiency according to Dr. Henry P. Staub, associate professor of pediatrics. In a special report the pediatrician noted a distressing cycle of "poor nutrition, poor health, poverty and learning problems." Dr. Staub suggests 'well child' clinics, in which children receive free routine examinations to spot any developing health problems. These clinics, he said, should be closely associated with the Erie County Health Department's neighborhood health centers now operating in several inner city sites. "These centers," Dr. Staub explained, "could become responsible for the primary care that is provided by the Health Department in the neighborhood. That means that well child clinics should function as outreach for the health center. These well child clinics would function as a satellite and would remain or be placed in areas of greatest need, such as housing projects. A child who became ill would be seen by the same groups of health providers. At the present time, the family of a sick child has to shift for themselves to find a provider, usually a hospital emergency room. "D 28 THE BUFFALO PHYSICIAN �National Medical Fellowships Twenty-seven first and second year minority medical students at U/B have National Medical Fellowships. Dr. and Mrs. William E. Cadbury, Jr. visited with many of these students in the fall to help them with their problems. It was their fifth visit to the Medical School. "We visit every medical school every other year to talk to the minority students in our program so we can make more intelligent decisions," Dr. Cadbury said. He is executive director of the scholarship program. Mrs. Cadbury, an attorney, is a staff associate. The Cadburys joined the organization in 1969. "The success of the program over the years has been gratifying. The minorities who have gained admission to medical schools have done well. And they have especially done well at U/B because the medical school is dedicated and committed to helping minorities. The success rate among minorities today is higher than it was among all students 10 years ago," Dr. Cadbury said. "Health care in the U.S. is worst among minorities. We believe most minority students are dedicated to helping minorities and will do so when they complete their medical education." Fellowships are granted to 95 per cent of minority students who apply. They are given only for the first two years. Fellowships are given to students who come from families with very modest incomes, according to Dr. Cadbury. NMF was founded in 1946 as Provident Medical Associates by Dr. Franklin C. McLean, a pioneer in the movement to increase opportunities in medicine for black Americans. The organization initially focused its aid on black physicians seeking specialty training. A few years later as NMF, Inc. its emphasis shifted to helping black students in medical schools. In 1970, NMF began to include members of other under-represented groups American Indians, Mexican-Americans, mainland Puerto Ricans and black Americans (both men and women). Because NMF's resources are limited, its awards are never enough to meet all of a student's needs, but are meant to supplement grants and loans from other sources. In 1976-77 NMF made 1,495 awards totaling $1,558,883 to minority medical students in 112 institutions. A non-profit taxexempt organization. NMF has no funds of its own, but relies on gifts from foundations, corporations and private donors. Dean John Naughton hosted an informal luncheon for the Cadburys. Richard Roy, second year student, and president of the Student National Medical Association, presented a plaque to the visitors. The citation: "In appreciation of your constant service and many contributions to medical education."D SPRING, 1978 Dr. and Mrs. Cadbury 29 . �41st An1 State University at Buffalo Medicc Theme: Ethical Dilemmas in the Practice of Medicine April 28, 29, 1978 Program STATLER HILTON HOTEL Embassy Room FRIDAY MORNING, APRIL 28 Registration 9:00 9:30 Welcome: Michael A. Sullivan, M.D. '53 President, Medical Alumni Association Clinical Associate Professor of Medicine 9:35 RELEVANCY OF MEDICAL ETHICS Moderator: Robert Dickman, M.D. Assistant Professor of Medicine Introduction "Role of Ethics and Human Values in Medical Education" John Naughton, M.D. Dean, School of Medicine 9:50 "Medical Student InterestActivity in Medical Ethics Margaret Werick Sophomore Student 10:00 "Bioethics- An Overview" Robert Dickman, M.D. 10:30 "Relevance of Ethics to Medical Decision Making and MD's Role in Society" H. T. Englehardt, Jr., M.D., Ph.D. Professor of Bioethics Rose Kennedy Center for Bioethics Georgetown University 11:15 "Ethical Concerns of a Practicing MD" David M. Klein, M.D. Associate Professor of Neurosurgery 11:35 Discussion "Relevancy of Medical Ethics to the Practice of Medicine" Moderator: Dr. Dickman 12:0012:15 Intermission 12:1512:45 Business Meeting 12:452:00 Luncheon FRIDAY AFTERNOON 2:00 DISTRIBUTION OF HEALTH SERVICES Moderator: Mila Aroskar, Ed.D. Associate Professor, Graduate Nurse Education "Justice in Health Robert M. Veatch, Ph.D. Care Delivery" Senior Associate Institute of Society Ethics and the Life Sciences The Hastings Center, New York City 30 THE BUFFALO PHYSICIAN �.ual ~Alumni Spring Clinical Days 2:45 Audience Discussion 3:00 "Allocation of Scarce Resources" Howard M. Spiro, M.D. Professor of Medicine Yale University School of Medicine 3:45 "Comments from a Transplant Surgeon" Sidney Anthone, M.D. '50 Clinical Professor of Surgery 4:00 Audience Discussion FRIDAY EVENING, 6:30 Class of 1928 Reunion Reception and Dinner SATURDAY MORNING, APRIL 29 9:00 FACING DEATH IN THE PRACTICE OF MEDICINE Moderator: Robert Dickman, M.D. I 1 "Overview of Ethical Considerations" H. T. Englehardt, Jr., M.D ., Ph.D. "Ethical Problems in the Newborn Nursery" Edmund Egan, M.D. Associate Professor, Chief of Neontaology 10:00 "Ethical Problems in the Care of Terminally Ill Adults" David M. Klein, M.D . 10:3011:45 Small Seminars 9:30 I. "Human Experimentation" Mila Aroskar, Ed.D. Howard M. Spiro, M.D. II. "Patient's RightsInformed Consent" Louis Swartz, Ph.D., LL.M. Associate Professor Law & Jurisprudence Norman Solkoff, Ph.D. Professor of Psychology Department of Psychiatry III. "Death & Dying" H. T. Englehardt, Jr., M.D., Ph.D. David M. Klein, M.D. IV. "Justice and National Robert Veatch, Ph.D . Health Insurance" Robert Dickman, M.D. SATURDAY AFTERNOON 1:00 UB MEDICAL ALUMNI Guest Speaker: George E. Miller, M.D. ANNUAL LUNCHEON Co-ordinator for International Activities; AND STOCKTON KIMBALL Professor of Medical Education, University of Illinois College of Medicine, Chicago MEMORIAL LECTURE SATURDAY EVENING, 6:30 Class Reunions: 1933, 1938, 1943, (April), 1943, (December), 1948, 1953, 1958, 1963, 1968, 1973 SPRING, 1978 31 �New Department Chairman Dr. Anbar Four department chairman have been named in biophysical sciences, neurology, rehabilitation medicine and biochemistry by Dean John Naughton. Dr. Michael Anbar has been appointed professor and chairman of the biophysical sciences department. He comes to Buffalo from the Stanford Research Institute where he was director of the Mass Spectrometry Research Center. It was here that Dr. Anbar developed new instrumentation and methodologies using stable isotopes and mass spectrometry. Dr. Anbar did his undergraduate work in Tel Aviv. He received both his Master of Science and Doctor of Philosophy degrees from Hebrew University in Jerusalem in 1950 and 1953. He received a UNESCO Research Scholarship in 1954-55 and was a lecturer and research associate in the chemistry department at the University of Chicago. From 1956 to 1967 he was associated with the Weizmann Institute of Science as research and senior scientist; associate professor and head of the radiation research department, and director of the Radioisotopes Training Center. In 1963-64 Dr. Anbar was granted a sabbatical to do research at the Argonne National Laboratory. He was also a visiting professor at Stanford University. Dr. Anbar has been a consultant to the American Atomic Energy Commission. For six months in 1967-68 he was a researcher with NASA in California. He has published 176 articles in scientific journals. Dr. Jerry G. Chutkow has been named professor and chairman of the neurology department. He comes to Buffalo from the Mayo Clinic and Graduate School in Rochester, Minnesota where he has been associate professor of neurology and consultant since 1970. Dr. Chutkow Dr. Chutkow was educated at the University of Chicago bachelor of arts (with honors) 1952; bachelor of science in anatomy, 1955; doctor of medicine (with honors) 1958. He interned at the Presbyterian Hospital, New York City, and did his residency in internal medicine at the University of Chicago Hospitals and Clinics, 1959-1962. He also did a neurology residency from 1964-1967 and was a research assistant at the Argonne Cancer Research Hospital. The next two years he was in the U.S. Army Medical Corps as chief, neurology service and internist, department of medicine, Martin Army Hospital, Ft. Benning, Georgia. Before going to the Mayo Clinic he was on the faculty of the University of Chicago School of Medicine. Dr. Chutkow won several honors and scholarships at the University. He is a Fellow, American College of Physicians, American Academy of Neurology, American College of Nutrition. He has three American Board certifications: Medical Examiners, Internal Medicine, and Neurology and Psychiatry. Dr. Chutkow has published numerous articles for professional journals on his research interests. They are: metabolism of magnesium in the central nervous system; and regulation of copper transport into and out of the CSF, brain and spinal cord. 32 THE BUFFALO PHYSICIAN �Dr. Glen E. Gresham has been named professor and chairman of the department of rehabilitation medicine. He comes to Buffalo from Tufts-New England Medical Center, Boston where he has been associate professor of physical medicine and director of outpatient and continuing care services, Rehabilitation Institute since 1970. He has also been on the medical school faculties at Yale and Ohio State Universities. Dr. Gresham received his A.B. degree (cum laude) from Harvard College in 1953; his M.D. in 1958 from the College of Physicians and Surgeons, Columbia University. He had his clinical training at University Hospitals of Cleveland and Western Reserve University Medical School. In 1960-62 he was in Atlanta with the Communicable Disease Center. The physician-educator is a Fellow, American College of Physicians, and a Diplomate, National Board of Medical Examiners, Dr. Gresham is licensed in Ohio, Connecticut and Massachusetts. In Ohio he directed an arthritis clinic and a coronary prevention program and in Massachusetts he was a consultant in rheumatology and rehabilitation and in Connecticut he was chief, clinical epidemiology, Eastern Research Support Center, V.A. Hospital. He served on numerous other commissions and foundations in the three states. Dr. Gresham has authored or co-authored 21 scientific articles for professional journals. He received the Distinguished Service Award from the Massachusetts Council of Organizations of the Handicapped in 1972; and the National Foundation Fellowship in Rehabilitation (internal medicine) in 1962-64. Dr. Alexander C. Brownie is the new chairman of the department of biochemistry effective September 1. Dr. Brownie is professor of biochemistry and research professor of pathology. He joined the faculty in 1963. He has b een acting chairman the last year. Dr. Brownie received his Ph.D. in biochemistry from Edinburgh University, Scotland in 1955. He was a research trust Fellow in clinical chemistry at the Royal Infirmary in Edinburgh the following year. From 1956 to 1962 he was a research Fellow in pharmacology and therapeutics at Queen's College, University of St. Andrews in Scotland. The year before coming to Buffalo Dr. Brownie was at the University of Utah where he was a United States Public Health Service Research Fellow in Steroid Biochemistry. The 1974 Medical School graduating class presented Dr. Brownie with an award for "Insight and Dedication to Teaching." He has been an outstanding lecturer in medical biochemistry, general pathology, biochemical endocrinology and metabolism. He was also a course coordinator for physiological biochemistry and the medical-dental biochemistry course. Dr. Brownie has served on numerous departmental, medical school and University-wide committees. He has also participated as a speaker and panelist in many conferences, workshops and symposia.D SPRING, 1978 33 Dr. Gresham Dr. Brownie �Mr. Diedrick Mel Diedrick Freelancing and teaching occupies the time of Melford Diedrick, who is in semi-retirement at his Honeoye Lake home near Rochester, New York. He has been spending his weekends here since 1948. The medical illustrator joined the U/B faculty in 1935 as a part-time morgue diener and animal caretaker. "It was Dr. Kornel Terplan, professor of pathology, who gave me 'squatter's rights' in his lab at The Buffalo General Hospital," Diedrich said. It was in this lab that his career as a medical illustrator almost ended when he stuck his hand with a needle while sewing up a body. Dr. Terplan recognized the need for a medical illustrator and knew Mel had been trained at Johns Hopkins Medical School by Max Brodel, one of the great names in this field. Two years later, in 1937, when the photographer at The Buffalo General Hospital died, Diedrick was named assistant curator of the Pathology Museum at the Medical School. In this position he had an income, time to do some free-lance drawing, and make models. In 1945 Diedrick almost moved to Chicago to work for Dr. Max Thorek, a famous surgeon. But the Buffalo Medical Community matched the enticing offer. But it was 1947 before he had the faculty title, Director of Medical Illustration, bestowed on him by Dean Stockton Kimball. In 1953 Diedrick had his own department and studio on the Main Street Campus, adjacent to the anatomy department. Prior to that date he worked at the High Street Medical School Building, and in 1964 he moved to 2199 Main Street. When he retired in June he had three staff members- photographer, graphic artist, secretary - all very knowledgeable. There was no trained medical illustrator at the U/B Medical School that was founded in 1846 and this was a challenge to Diedrick and he made the most of it. He is a talented successful artist, who has considerable knowledge of biology, anatomy, histology and many other things. "I've learned my profession the hard way - through clinical observation, study and research. The first step is acquiring information - usually verbal communication with the physicianauthor. No one can make a good medical drawing without knowing his subject. Often I search the scientific literature of the last 10 or 20 years. Sometimes I spend several hours in a hospital viewing a procedure. Then I apply a scientific approach to my illustration. "Anything visual is a means of communication. No task is too small. A graceful letter is very demanding and contributes to the efficiency for the highest level of illustration," Diedrick said. Most of his illustrations are for the printed page periodicals, journals and books. On any given day one or more of the 1,000 Buffalo physicians might ask Diedrick to create a picture of a patched heart, show a prepyloric ulcer or illustrate the latest technique for pinning a fractured hip. Whatever the project, the artist has one objective, depict the subject clearly and truthfully. He works mostly with pencil for preliminary sketching, and wash or print ink for the finished rendering. But he also uses a camera. "Often a camera will show too much or too little. Drawings can eliminate the non-essential 34 THE BUFFALO PHYSICIAN �Opening into avex. of deferred. details and focus more dramatically on the main element. It is also difficult to show the differences in tissue with photography, but in a drawing this can be accomplished by contrasting colors and stylized surface characteristics. "My most satisfying accomplishment was the only book that I illustrated in its entirety, Vaginal Surgery, by Drs. David H. Nichols and Clyde L. Randall, local physicians," Diedrick said. He was also the principal illustrator of three widely used specialty books - "Atlas of Operative Teaching Anus Rectum and Colon" by Drs. Harry E. Bacon and Stuart T. Ross in 1954; "An Atlas of Surgical Exposures of the Extremities" by Drs. Banks and Laufman in 1953; and "An Atlas of Neurosurgical Techniques" by Dr. James Poppen in 1960. In the 1950s he drew the illustrations for the UB/WBEN modern medicine television series. His illustrations for "The Way to Better Health and a Longer Life" for the Buffalo Evening News magazine features written by Mildred D. Spencer, won first prize from the New York State Division, American Cancer Society. Society. Diedrick is an accomplished musician. He plays the violin, piano and electric organ. He was the founder and long-time president of the Cheektowaga Symphony Orchestra. Diedrick plays tennis, water skiis, sails and is handy at making things for the house. He is past president of the Association of Medical Illustrators and hosted the annual meeting in Buffalo in 1963. He has held several other offices in the association and is currently chairman of the amendments committee. In his quiet, honest, reliable way Diedrick will continue to preserve and carry on the ideals and traditions of the Brode! School of Medical Illustrators.D SPRING, 1978 35 �7 Faculty Retire Dr. Murphy members, who reached age 70 on or before the last day of August, have retired. Collectively they have served the University 261 years. They are Drs. Michael H. Barone, William G. Ford, Francis E. Kenny, James E. Long, Walter T. Murphy and Benjamin Obletz. An attorney, Leonard Finkelstein, lecturer in legal medicine, is also retiring. All are emeritus. Dr. Barone joined the faculty in 1948 as an assistant in otolaryngology and retired 29 years later as clinical assistant professor of otolaryngology. He received his M.D. from U/B in 1931 and interned at Buffalo Columbus Hospital and took his residency at the Buffalo Eye and Ear Hospital. His additional post graduate training was in facial and plastic surgery at Walter Reed Hospital. Since returning to Buffalo he has been associated with Deaconess, St. Francis and Columbus Hospitals. Dr. Barone is a past president of the American Society of Ophthalmologic and Otolaryngologic Allergy. His other professional memberships include the American College of Allergy, Pan Am Allergy Society, Pan American Association of Oto-Rhino-Laryngology and Broncho-Esophagology and American Academy of Ophthalmology and Otolaryngology. He has taught, presented numerous papers and published many articles. He was a Major and commanding officer of the 27th Field Hospital in China during World War II. His son, Robert, a 1966 Medical School graduate, is acting chief, department of surgical oncology, VA Hospital, LaJolla, California. Dr. Murphy joined the faculty in 1951 as an associate in radiology and retired 26 years later a clinical professor of radiology. He is a 1930 U/B Medical School graduate. He took his internship and residency at St. Francis Hospital, New York City. In 1932-33 Dr. Murphy had a pathology fellowship in Vienna, Austria under Professor Carl Sternberg. He returned to Buffalo the following year as assistant on surgical radiation therapy service at Roswell Park Memorial Institute. In 1939 he became director of radiation therapy. In 1960 he was consultant to the International Atomic Energy Agency in Vienna. The following year he became consultant (and in 1963 chief) in radiation therapy at the Buffalo General Hospital, a position he held for 10 years. Although he has retired from private practice in Buffalo, he is active as a consultant in Florida (Comprehensive Cancer Center, University of Miami Medical School, Jackson Memorial Hospital). He lives in Florida seven months each year. Dr. Murphy is a Fellow, American College of Radiology, and a member of the International Society of Radiation Therapists. He has written two books on Radiation Therapy, authored or coauthored 34 scientific papers and eight chapters to other books. In 1972 he was a consultant in making sound movies on radiation therapy for the American Cancer Society, and in 1974 he was a consultant in preparation of the 25th edition of Doorland Medical Dictionary. The Buffalo Evening News named Dr. Murphy an outstanding citizen in 1960. He has been an active member of numerous national and international associations. He has given lectures and seminars in the United States and many countries in Europe, Asia and South America. SEvEN MEDICAL SCHOOL FACULTY 36 THE BUFFALO PHYSICIAN �Mr. Finkelstein received his LL.B. degree in 1929 from U/B. He joined the faculty in 1957 as an assistant in legal medicine and retired 20 years later as lecturer in legal medicine. Mr. Finkelstein was chief of the appellate bureau from 1947 to 1969. Dr. Ford joined the faculty in 1940 as assistant in medicine and retired 37 years later as clinical assistant professor of medicine. He is a 1933 U/B Medical School graduate. Dr. Ford served in the United States Army Medical Corps during World War II. Dr. Kenny is a 1931 Medical School graduate. He joined the faculty in 1936 as an assistant in pathology and bacteriology and retired 41 years later as clinical assistant professor of medicine. He was on military leave from 1943-45. He did his postgraduate work at the Buffalo General Hospital and the University of Frankfurt, Germany. Dr. Long joined the faculty in 1946 as an assistant in medicine and retired 31 years later a clinical assistant professor of medicine. He is a 1931 U/B Medical School graduate. Dr. Long was a Major in the United States Medical Corps during World War II. He has authored several articles for professional journals. Dr. Obletz joined the faculty in 1938 as an instructor in surgery and retired 39 years later a clinical professor of orthopedics. He received his M.D. in 1932 from U/B, and his master's degree from the University of Iowa in 1937. He is also a graduate of the U/B School of Pharmacy. Dr. Obletz was a Major in the United States Medical Corps during World War II. He has authored or co-authored 16 scientific articles for professional journals.D The E.J. Meyer Memorial Hospital has added its first general practitioner, Dr. Winford A. Quick, to its staff. Dr. Guy S. Alfano, hospital director, called the appointment of Dr. Quick a breakthrough in providing total medical services to patients at the hospital. "This will correct a situation that in the past allowed patients to be treated by their own general practitioners while confined to the hospital. This will allow us to provide medical services to the entire community." Dr. Alfano said, "in the new Grider Street facility our basic objective is to make the hospital available to a wider range of patients. There will be no exclusions because of class. In the past, it has been the middle class citizens who did not want to come to Meyer. We want a hospital where everyone will be comfortable in coming here." He said many top physicians in the nation received their training at Meyer and then left the hospital. Dr. Alfano noted that it was somewhat of a novelty to have a physician who was trained out of the city join Meyer's staff. Dr. Quick received his medical degree from Albany Medical College. He is also a graduate of the Deaconess Hospital's Family Practice residency program.D SPRING, 1978 37 Dr. Quick �Children's Hospital Appointments Dr. Lee Dr. Chong Dr. Topper Dr. Egan Six NEW APPOINTMENTS to the Children's Hospital staff have been announced by Dr. Elliot F. Ellis, professor and chairman of the department of pediatrics. Dr. Hsin Chang has been named research assistant professor in hematology. She comes to Buffalo from Columbia University where she was an instructor in pediatrics at the College of Physicians and Surgeons and assistant pediatrician at Babies Hospital. Dr. Chang received her Bachelor of Medicine from National Taiwan University in Taipei in 1969. During the next two years she did graduate research in the biochemistry department at Columbia University. She interned at the Long Island College Hospital, Brooklyn, and did her residency at Downstate Medical Center, Brooklyn. In 1974-75 she had a fellowship in pediatric hematology-oncology at Babies Hospital. Dr. Tee-Ping Lee is research assistant professor of allergy/immunology. He comes to Buffalo from the University of Wisconsin where he was assistant scientist in the department of medicine the last five years. He received his bachelor's degree from Taiwan University in 1962; his master's degree in nutritional science from Cornell University in 1966; and his Ph.D. degree in biochemistry from the University of North Carolina in 1970. The next two years he was a post-doctorate fellow at Yale University. He has authored or co-authored several articles and abstracts. Dr. Edmund A. Egan II is associate professor and chief of the division of neonatology. He comes from the University of Florida College of Medicine in Gainesville where he has been since 1973. He was an associate professor and associate director of the pediatric pulmonary center, and director of the pediatric residency training program. Dr. Egan received his M.D. from Emory University, Atlanta, Ga. in 1967. He interned and did his residency at the University of Florida. From 1970-72 he was chief of neonatology, Madigan General Hospital, Fort Lewis, Washington. The following year Dr. Egan was an investigator in the Perinatal Research Laboratory, University College Hospital Medical School, London, England. He has participated in symposia in Argentina, France and England. He has authored numerous articles for professional journals and has been active in many regional and national professional associations. Dr. William H. Topper, who comes from Tripier Army Center in Hawaii, has been named assistant professor of pediatrics in the division of neonatology. He received his bachelor's degree in 1967 from Penn State University and his M.D. in 1971 from Jefferson Medical College. He interned and took his residency at Duke University Medical Center. Since 1974 Dr. Topper has also been clinical assistant professor at the University of Hawaii School of Medicine. He is a Major in the United States Army Medical Corps. Dr. Robert C. Welliver is a research assistant professor in the division of infectious disease and virology at Children's Hospital. He received both his bachelor's and M.D. degrees from the University of Florida in 1968 and 1972. He comes to Buffalo from the UCLA Hospital in Los Angeles where he took his internship and residency. 38 THE BUFFALO PHYSICIAN �Dr. Martin B. Wingate is the new chief of the division of maternal/fetal medicine at Children's Hospital and professor of gyn/ob. Since 1975 he has been at the Albany Medical Center of Union University where he was professor of pediatrics, obstetrics and gynecology and chief, section of perinatology. He was also associate chairman, gyn/ob, and director of the ultrasound section, Albany Medical Center Hospital. Dr. Wingate was educated at the University of London where in 1948 he received his M.R.C.S., L.R.C.P. The next two years he was a medical officer in the Royal Air Force. From 1950-1962 he held several appointments at the University of London. From 1963-66 he was a senior lecturer in gyn/ob at the University of Bristol. This was followed by faculty and hospital appointments at the University of Manitoba, Winnipeg, Canada; Temple University, Thomas Jefferson University, and St. Christopher's, Philadelphia. He has been board certified in England, Canada and the United States, and has been invited to present 200 papers in these countries. Dr. Wingate has contributed chapters to seven textbooks, and published numerous articles for scientific journals.D Dr. Welliver Today's Student The medical student accepted by U/B today is more interested in a variety of areas in contrast with his counter part admitted 25 years ago, according to Dr. Harry Metcalf, director of medical admissions. "Today's medical student is more humanistic. We realize the physician we graduate must be technically well educated and have humanistic qualities to successfully treat patients." Dr. Metcalf noted that each successive year the new students have higher grade point averages in the sciences, and higher scores on the Medical College Admissions Tests. Last fall96 of the 135 entering students had at least a 3.4 or higher grade point average in science subjects despite the fact that nearly 25 percent of them had majored in areas other than the sciences during their undergraduate education. And 110 of the 135 scored greater than the 'standard' MCAT score - nearly double the number from the 1973 entering class. There were 4300 applications considered for the current first year class. About 800 were invited to the campus for personal interviews by two members of the admissions committee. The committee is composed of 24 active members including four medical students and faculty members who cut across various ethnic, racial and philosophical boundaries.D SPRING, 1978 39 Dr. Metcalf Dr. Wingate �Endowment Fund The Board of Trustees of the State University of New York have established an endowment fund named in memory of a former Buffalo pediatrician and his wife which will be used to enrich teaching programs at the School of Medicine. To be known as the DeWitt Halsey Sherman and Jessica Anthony Sherman Foundation, the endowment will be used primarily for the teaching of pediatrics, under the terms of Dr. Sherman's 1940 will. The endowment, valued at about $40,000, became available after the death last year of beneficiary to Dr. Sherman's estate. Earlier, part of Dr. Sherman's estate was transferred to the U/B Medical School upon the death of the benefactor's widow, Jessica, in 1955. Those funds were used in the construction of Sherman Hall on the U/B Main St. campus. Born in Buffalo in 1864, Dr. Sherman earned medical degrees from the University of Pennsylvania and the University of Buffalo medical schools in the 1890's. He was appointed professor of pediatrics at U/B in 1909, marking the first time pediatrics received recognition as a full unit of the U/B School of Medicine. Dr. Sherman was also active as an officer and editor for the American Pediatrics Association and he is remembered for his role in the expansion of Children's Hospital from 16 beds to a 250bed facility.O Dr. Shapiro Dr. Shapiro A 1968 Medical School graduate has joined the staff of the Health Subcommittee of the Committee on Human Resources in the United States Senate. The Subcommittee, under the Chairmanship of Senator Edward M. Kennedy (D-Mass.). plays a key role in drafting of federal health legislation. Dr. Stuart H. Shapiro has primary responsibility for legislation relating to health planning, cost containment, national health insurance, family planning, manpower policy, and mental health policy. Dr. Shapiro brings to the job the unique combination of skills in both health policy and clinical medicine having completed a residency in radiology at the Massachusetts General Hospital. He continues on the faculties of Harvard Medical School, Harvard School of Public Health, and Georgetown Medical School. Before joining the health Subcommittee, Dr. Shapiro was Deputy Commissioner of the Massachusetts State Department of Public Health. In 1973 Dr. Shapiro received his Master of Public Health degree from the Harvard School of Public Health.O 40 THE BUFFALO PHYSICIAN �Dr. Anderson still makes his rounds of hospital and hou se calls . Miss Sara Ne wman is ch eere d by his visit at the Bertram Cha ffee Hosp i tal in Springvi ll e. Dr. Anderson A 1934 Medical School graduate is still making house calls in Western New York. Dr. John V. Anderson works in and around Delevan and often drives 75 miles in bad weather. He has been doing this since 1936. The 73-year-old physician is called "Dr. John" by many of his patients. His friends say he has never refused to make a house call, day or night, in the four decades of general practice. Sometimes he gets a snow-plow escort from the State Police when he has to travel to towns like Lime Lake, Machias and Bliss. Dr. Anderson is the only doctor in the Delevan area, and is candid about the future of country doctors. "People like me are on the way out. Most doctors today want to be in groups - no house calls or night calls. Personally I like being independent and would not have it any other way. I love to contact people in their own homes." Dr. Anderson is also a banker in Delevan. He served as president of the Bank of Delevan from 1947 to 1962 and continues as bank director. He was also briefly mayor of the village between 1940 and 1942. His hobbies are music and sailing.D SPRING, 1978 41 �Humanism, Medical Ethics Margaret Werick, second year student and co-chairman of the seminars with Dr. Solkoff (right) and Steven Wilson, second year student. Two MEDICAL SCHOOL graduates talked about "death and dying" Drs. Katz, Dickman at a special seminar sponsored by the Medical School. Dr. Martin Brecher, M'72, presented the case of an 8-year-old boy with cancer, and Dr. Robert Dickman, M'68, presented the case of an 87-year-old man with cancer and heart disease. Mrs. Rita E. Caughill, associate professor of nursing at U/B, and a consumer, Anita Brayman, also participated on the panel. The boy had cancer when he was 16 months old. Initial treatment was successful, but his cancer recurred and he lost his hearing and became a quadriplegic. He now has contracted rapidly progressing pneumonia, and suffered respiratory arrest following admission to the hospital. While there is little hope he is mentally alert. His physicians and family must decide whether to place him in a respirator, which will sustain his life. He will probably have to remain on the respirator as long as he lives. What decisions should they make and what factors should they take into consideration? Medical and health science students were asked these questions and reviewed the two cases. Dr. Dickman told the students that "there are a variety of philosophical points of view regarding the concept of death and dying that you can take. And I think everyone has to think through those philosophies before dealing with life and death situations." Dr. Dickman stressed humanistic medicine. "Obviously, humanism in health care implies, humanism on both sides of the coin. Years spent as clinicians tend to 'dehumanize' medicine for some physicians because they see patients only as ailments or identify them by their hospital room numbers." The clinical assistant professor of social and preventive medicine said physicians should not allow their own emotions to 42 THE BUFFALO PHYSICIAN �rule in helping patients and families make decisions when the patient's death is imminent, the doctors' emotions should not be left out completely. "When my grandfather died, I saw his doctor cry. I haven't seen a doctor cry since. Unfortunately that was 15 years ago," Dr. Dickman said. Mrs. Caughill said, "technology should not be allowed to take the place of care and compassion. Decisions about what measures should be taken to sustain life in critically-ill patients should be 'team decisions' involving patient, family physicians, nurse, clergymen and anyone the family wants included. It should not be a one-sided decision. The doctor is not shrinking his responsibility if he fails to make the decisions alone." Dr. Norman Solkoff, professor of psychology in the department of psychiatry, said there would be other seminars during the year on ethical and philosophical ramifications of medical issues. He and Dr. Dickman are co-chairmen of the Medical School's human values and medical ethics committee. In the case of the eight-year-old suffering recurrent cancer, the parents opted for the respirator because they felt there was still hope, explained Dr. Brecher. He is assistant research instructor at U/B and Roswell Park physician. Dr. Brecher noted the boy underwent surgery and radiation treatment five years prior to recurrence of cancer and was receiving chemotherapy when pneumonia struck. "Parents," Dr. Brecher noted, "must be the final arbiters in these cases, but they should have the trust of the patient's physician so they can make the appropriate decision." Anita Brayman, a woman who once had to decide whether to prolong treatment for an elderly parent, told those attending the seminar that she consulted only the physician and the clergy. "I wanted facts from the physician but did not want to be swayed by his feelings," she said. Ms. Brayman said she would not want amputation for the elderly patient, but would insist on the respirator for the youngster. "And I would pray over the decision," she added.D "All of my friends became better friends. I was a hero to them." This is what a 51-year-old Ohio contractor told medical students at the second medical ethics-humanism seminar. Bill Mullen had his larynx removed two years ago because of cancer. He spoke with the aid of a pneumatic device (one end in his mouth, the other pressed against a surgical opening at his throat). He praised his family and his physician in helping him through his fight against cancer which culminated in radical neck surgery and a laryngectomy. Dr. Donald Shedd gave his patient's case history and moderated the session. Dr. Shedd is professor of surgery at the Medical School and chief of head and neck surgery at the Roswell Park Memorial Institute. d- SPRING, 1978 43 Last year an ad-hoc studentfaculty committee on medical ethics was formed. In March U/B's chapter of the American Medical Student Association sponsored a symposium on "Humanistic Medicine." The symposium was organized by Irene Burns and Paul Paroski, fourth year students. In April there was a special seminar "Let Me Die," and in May there was a clinical case conference at the VA Hospital on "Death and Dying." In May Dean John Naughton named the Human Values and Medical Ethics Education Committee. Medical School faculty members are: Drs. Donald Becker, Norman Chassin, Stanley Levin, Robert O'Shea, Fred Snell and Russell Markello. Students are: Paul Paroski, Irene Burns, Mark Hagen, John DeBerry, Archimedes Thomas and Margaret Werick. Ms. Mila Aroskar from the School of Nursing, and two additional medical school faculty members, Drs. Peter Gessner and Leonard Katz, also joined the committee.D �Mr. Mullen, Drs. Jacobs, Shedd "My surgeon came to see me 30 straight days after surgery. My doctors told me what to expect and everything about talking. I got what I wanted. A partial laryngectomy the first time so I could continue to talk for one year," Mr. Mullen said. "My decision to have surgery was easy. I wanted to live because my wife, son and daughter mean so much to me." Mr. Mullen, a heavy smoker prior to diagnosis of squamous cell carcinoma in 1974, underwent radiation treatments, and later had lymph nodes in the right side of his neck removed. He subsequently had the larynx removed with recurrence of his cancer and has recently been a patient at Roswell Park. "As a result of my surgery, I have become more concerned with helping others," said Mr. Mullen who voluntarily counsels patients, who like himself, have lost their "voicebox" because of life-saving surgery. Dr. Eleanor Jacobs said a major problem facing patients who lose a body part because of accident, illness or surgery is the time lag between the patient's adjustment of self-image to the altered physical reality. She is research associate professor of psychology in the department of psychiatry at the Medical School. "We see this same situation among formerly obese patients who, despite weight loss, continue to walk as if they were still obese and generally act as if they still carried a great deal of weight," she noted. Dr. Jacobs stressed the importance of the family 's emotional support of the patient who loses a body part in order to bring about reintegration of self to self-image. Also featured on the program was Dr. Norman Schaaf of Roswell Park and a professor of maxillofacial prosthesis restorative dentistry at U/B, who showed the audience various types of prostheses used for head and neck patients who have undergone radical surgery which has led to disfigurement. 44 THE BUFFALO PHYSICIAN �"In maxillofacial prosthetics, many types of 'non-living' materials can be skillfully fashioned to cover permanent disfigurement of the head and neck and to conceal surgical openings left of necessity by the surgeon," Dr. Schaaf concluded.O Two medical alumni discussed the "patient's right to know" at the third medical ethics-humanism seminar. Dr. Bertram Partin, M'53, a surgeon for 20 years, noted "that you must be reasonable in telling a patient what might go wrong. But don't tell the patient so much that it will devastate him. All rules don't apply to all patients. These are 'judgment calls' that rest on the 'artful' approach of the physician." The clinical associate professor of surgery and acting head, division of colon and rectal surgery, noted that it is important to "know your patient. There is much that a conscientious physician can learn from a patient. Some patients want to know everything about their medical problems, while others prefer to know as little as possible." Dr. Partin defended the practice of permitting surgical residents to perform surgery with supervision. "How else can he learn? Residents teach me all the time. Maybe the resident is better than the attending physician." Dr. John Pifer, M'66, discussed four troublesome areas in communicating with patients-prescription drugs, diagnostic procedures, surgery and terminal illness. "There is a great disparity between what is done and what ought to be done; what is told patients and what is not. Only occasionally are patients told the side effects of drugs or why we prescribe the drug, or when the patient should begin to see an improvement in his condition. The assistant professor of medicine acknowledged that very often patients are not informed on diagnostic procedures. "We as physicians should tell them the consequences of doing the procedures or not doing them. Then we should ask the patient-what is your choice?" Dr. Pifer noted that there are twice as many hysterectomies and tonsillectomies performed in this country as there should be and perhaps many instances of unnecessary coronary artery surgery. "It is very difficult to tell people they have a terminal illness, but often a patient is more comfortable knowing he has a terminal illness. If there is a strong indication that the patient can't tolerate this information he should not be told. A patient should be told the side effects of chemotherapy." Dr. Pifer said one in 2,000 will have a heart attack following coronary arteriography and one in 10,000 will die as a result of having this diagnostic procedure. Louis H. Swartz, assistant professor of law, outlined briefly New York State's public health law and civil practice law and rules. "Informed consent cases are not likely to happen unled-SPRING, 1978 45 �something goes wrong. Use layman's language when talking to your patients and make a reasonable effort to get through to them. Tell them how much time they will lose from work." Mr. John Jefferies, Children's Hospital administrator, pointed out that hospitals get sued a lot because of poor communication between physicians and patients. "Give your patients a cost estimate. In litigation suits people reject both the hospital and physicians especially in cases of terminal illness. Often parents are too demanding of the hospital and the physician." A third year nursing student, Lynn Bugay, suggested that the patient should be a part of the health care team. "Most patients lack a general awareness of their 'Bill of Rights' which outlines what they have 'a right' to know." Approximately 15 minutes of the CBS special on Ghost Surgery was shown at the beginning of the seminar by Dr. Norman Solkoff, co-chairman of the Human Values and Medical Ethics Committee. The film detailed the fact that many patients are operated on by residents rather than their personal physician. The patients were led to believe that their personal physicians performed their surgery. MEDICAL SCHOOL ENROLLMENT AT RECORD HIGH: There are more students studying medicine in U.S. medical schools today than at any other time an Association of American Medical College's study shows. In September, 1977 there were 16,136 first-year students admitted to the Nation's 120 medical schools bringing the total enrollment for all four years to an all-time high of 60,039. Females composed 25.6 percent of the entering class and minority students composed 9 percent of the class. The percentage of minority students did not increase over last year but the total number did increase. The percentage remained the same because of the total increase in students.O Human experimentation, who shall survive, and the use of coercion and informed consent, genetics and bio-engineering were discussed in three seminars by two University of Virginia medical ethics experts. In a 90-minute session at the VA Hospital, Drs. Joseph Fletcher and Howard Brody agreed that human experimentation is not a signficant issue because of informed consent. "Often times there is a lot of manipulation even when informed consent is given by a patient, and this is troublesome. Experimentation on very young children, the mentally ill, military personnel and prisoners is also troublesome." Dr. Fletcher, a theologian, noted that we must consider our values and priorities. "Honest, competent and effective judgment is important. If there are unusual risks involved the investigator should be the first to undergo the experiment. Often it is not as simple as right or wrong or what is best. "Make your moral judgments on the moral rule - 'never harm a patient'," Dr. Fletcher said. "The beneficial consequences to the patient should be one of the guidelines." The university professor urged the continuation of peer review and close scrutiny of research. "We don't have the answers to many serious questions that basic science and clinical researchers are asking." Dr. Brody, author of Ethical Decisions in Medicine, asked whether informed consent should be flexible or absolute? "There are many social benefits that come from medical research. Is it worth ruining a person's life to help society?" Dr. Brody believes that research on prisoners is wrong and that there should be a complete moratorium on prison research. 46 THE BUFFALO PHYSICIAN �More than 100 medical and health sciences students participated in a lively discussion on "Who Shall Survive" in a medical ethics seminar chaired by Dr. Howard Brody. The audience viewed a 10-minute segment of a Johns Hopkins Hospital film about a baby that was allowed to die 15 days after birth because of mongolism. The parents of the child made this decision. The pros and cons of at least 20 difficult questions were discussed. Dr. Brody noted that there were no clear-cut answers, but the students did clarify the issues. "It was a fuzzy case and there were many underlying ethical alternatives." A passive or active death was a major issue. The students were divided on the 15-day dehydration type death of the new baby. Some advocated the use of an overdose of drugs. "Why prolong the suffering when a more active way of dying could provide relief?" Dr. Brody pointed out that there were no legal guidelines for such a case. But what is morally right in such situations was thoroughly aired. Is the physician always compelled to save a life? Were there any other alternatives for the parents who made the decision? Perhaps the hospital, attending physicians, the nurses or the courts should have been more involved and objected? In such cases what is the burden to society and does this outweigh the burden of conscience? The conflict between what is merciful and what is right was discussed at length.D A health care team composed of a physician, nurse and a clergyman may be the model of the future, according to Dr. Granger Westberg. This combination has been working successfully in several Wholistic Health Care Clinics in Ohio, Illinois and Minnesota. They were developed with funding from the W.K. Kellogg Foundation. Speaking at the fifth medical ethics seminar the University of Illinois clinical professor of community and preventive medicine listed four emotional causes of illness - grief, stress, life changes and loss of job or loved one. "More than half of the people who aren't feeling good today can trace their ailments to one of these causes. Some days 90 per cent of our population is emotionally upset. "Good medicine is practiced in these clinics and in addition we can take care of the patient's personal problems if he has any. We find that patients, who come to these clinics voluntarily, are more willing to talk in an informal setting with a physician, a nurse and a minister," Dr. Westberg said. These clinics are located in churches in rural areas and inner cities. Alternate sites for future clinics include a YMCA and a hospital outpatient clinic. "We have all kinds of nice looking doctors' offices all over the country. I want to put doctors in a different setting that can encourage people to talk about things which make people sick. d- SPRING, 1978 47 �setting where it's OK to talk about meditation, about praying, about God, about Christ, about guilt and about forgiveness." By including clergy and pastoral counselors in the health care team, Dr. Westberg has attempted to compensate for a way of thinking which dates back to the early Greek philosophers and carries through to modern medicine which separates the body and spirit. Dr. Westberg said medicine traditionally has not focused on both the physical and spiritual and that those physicians who have attempted to do so have been hampered by a lack of time and by their medical training. "They don't have the insight and they don't have the training," he noted, explaining the average physician is only trained to focus on physical ills. "One of our physicians is an ordained minister and he claims you can't be both a doctor and a minister," he added. Clergy, on the other hand, are trained to look beyond the merely physical and are a natural complement to the physician as part of the health care team. A Lutheran minister with several years experience as a hospital chaplain, Dr. Westberg bases his concern with the spirit on his experiences and those of other clergy and physicians. While Dr. Westberg equates spiritual with religion, he said religion does not enter into discussion, unless initiated by patients. He deliberately changed the spelling of holistic in the names of the centers to stress wholeness and avoid confusion with holiness. The educator/theologian noted that nurses are moving into the preventive medicine and teaching areas more and more. "They like it and are good at it," he said. Dr. Westberg suggests that parents, social workers, teachers and clergy be recruited to counsel people who are distraught because of stress, grief, life changes or losses. "We must find more people willing to help people, and we must concentrate our resources on health education and preventive medicine. We must be more humanistic in our approach to health care," he concluded.D Historical Society The Medical Historical Society of Western New York has two interesting dinner programs planned, according to Dr. Robert A. Baumler, M'52, president of the society. On April 9, Dr. Melvin Tucker, associate professor of history at U/B, will be the speaker. His topic: "The Physicians and Illnesses of Queen Elizabeth I." On June 11, Dr. John Hodson, clinical assistant professor of urology, will speak on "Rejuvenation, a Surgical Tonic." Both meetings are on Sunday evenings with cocktails at 6 p.m., dinner at 7 p.m. The meetings are at the Historical Museum on Elmwood Avenue. Dr. Baumler noted that students, faculty, practicing physicians and other interested people are invited to attend the meetings. The Medical Historical Society is an affiliate of the Buffalo and Erie County Historical Societies. The annual dues of $20.00 covers membership in both. Information on joining the society can be obtained by calling 873-9644 or writing to 25 Nottingham Court, Buffalo, 14216.0 48 THE BUFFALO PHYSICIAN �Regional Genetic Clinic "To provide first class genetic diagnostic and counseling services for the Western New York Community of some two million persons," is the main objective of the Regional Genetic Clinic based at Children's Hospital, stated Dr. Robin Bannerman. The magic key in opening the door towards eliminating birth defects is prevention. Through the Genetics Clinic, explains Program Director Bannerman, families can receive genetic counseling and be advised on chances of bearing a genetically defective child. Through services including cytogenetics, biochemical genetics, dermatoglyphies, clinical diagnosis and genetic counseling, prospective parents can receive concrete evidence of their chances of bearing a normal child, rather than settling for uninformed guessing and odds-making. Genetic counseling is a relatively new medical specialty, developed within the last 20 years. Most couples who seek genetic services are already parents of a child with birth defects, or are concerned that a family member's health problem may be hereditary and want to find out the chance of recurrence. Others may be members of families or ethnic groups in which a particular disorder occurs more frequently than in the general population. The Children's Hospital Genetic Clinic was initiated on a pilot basis in April, 1975 and consolidated under March of Dimes funding in 1976. During that time, over 500 patients were seen at the clinic. The geographic catchment area comprises seven counties of Western New York: Erie, Niagara, Chautauqua, Cattaraugus, Genesee, Wyoming, Allegany and to some extent counties in Pennsylvania bordering New York State. Children's Hospital Genetics Clinic now provides the main organizational focus for clinical genetics in this community. The $23,350 grant from the March of Dimes enables the clinic to not only provide genetic services to the Western New York population but also professional educational programs offering clinical genetics to trainees in various specialties, physicians and other health professionals in the community. Through funding of various research and service programs such as this, the Western New York Chapter intends to make a significant contribution towards improving the outcome of pregnancy and therefore, eventually the quality of life. D SPRING, 1978 49 Dr. Bannerman received his M.D. degree from Oxford University in England where he specialized in medical genetics . Presently, in addition to his responsibilities as Director of the Genetics Clinic, he is Professor of Pediatrics at SUNY at Buffalo, attending physician at Children's Hospital and Buffalo General Hospital, and consulting physician at E.J. Meyer Memorial Hospital, and Roswell Park Memorial Institute. Dr. Bannerman is also a member of the March of Dimes - Western New York Medical Advisory Committee. �Where is the food? Drs. Leonard Katz, Jack Richert, and Jeffrey Pitts, fourth year student. Dean John Naughton relaxes with the students. Gary Merrill, fourth year student, Dr. Alexander Brownie (with hat]. Tennis Tournament Sixty medical students and faculty participated in the third annual round-robin tennis tournament in September. Thomas Doolittle, a third year medical student, organized the tourney. Approximately 200 turned out to cheer their favorites. The seven high student scorers were Peter Silberstein, David Simpson, Jeffrey Horowitz, Wesley Blank, Stephen Benham, Vivian Fasula, and Richard Busch. The top faculty scorers were Drs. John Richert, assistant dean and registrar; Charles Andrews, clinical assistant instructor in medicine; Marcia Gamarra, clinical assistant professor of pathology; Mario Montes, clinical associate professor of pathology and dermatology; Gary I. Cohen, clinical assistant instructor of medicine; and Sateesh Satchidanand, clinical assistant instructor in pathology. D 50 THE BUFFALO PHYSICIAN �Three alumni have been elected officers of the Eighth District branch of the Medical Society of the State of New York. Dr. William C. Stein Jr., M'50, of Lockport, is the new president for the next two years. Dr. George E. Taylor, M'50, of Cuba, is the presidentelect, and Dr. Carmela S. Armenia, M'49, of Tonawanda, is the secretary. He is also a clinical associate professor of gyn/ob. Dr. Harvey J. Blanchet Jr., of Medina is the new treasurer.O Three alumni are the new officers of the Western New York Alumni of Phi Lambda Kappa, national medical fraternity. Dr. Franklin Zeplowitz, M'58, is the new president. Dr. Paul Davis, professor of medicine, is the vice president. Dr. Sara Sirkin, M'68, clinical instructor in ophthalmology, is secretary; and the treasurer is Dr. Douglas Sirkin, M'67, clinical assistant professor of radiology and nuclear medicine.O People Dr. McCauley Dr. Harry A. Sultz, professor and acting chairman, department of social and preventive medicine, is the principal author of a book dealing with nurse practitioners' impact on health care delivery. Dr. Judith A. Sullivan and her associates at the University of Rochester's School of Nursing co-author the book.O Dr. A. McGehee Harvey, professor of medicine at Johns Hopkins Medical School, gave the second annual John H. Talbott visiting professorship and lecture at The Buffalo General Hospital. Dr. Harvey discussed "100 years of Research on Myasthenia Gravis." The lecture series honors Dr. Talbott, former head of the hospital's department of medicine. He is now clinical professor of medicine at the University of Miami in Florida. Dr. Harvey attended morning report and made ward rounds at the Buffalo General. He gave a clinical conference at the VA Hospital, visited laboratories and talked with faculty and house staff. During his three days in Buffalo, Dr. Harvey participated in morning report and grand rounds at the E.J. Meyer Memorial Hospital and also visited the research building.O Dr. Elizabeth McCauley has been appointed coordinator of the psychoendocrinology clinic at Children's Hospital. She is a clinical assistant professor of psychology in the department of psychiatry and pediatrics.O Dr. John Wright, professor of pathology, is the new president of the Medical Faculty Council. Dr. Michael E. Cohen, M'61, clinical associate professor of pediatrics and neurology, is vice president, and Dr. Arlene Collins, assistant professor of microbiology, is secretary.O Raymond Koehler, a graduate student in the physiology department, won a $250 prize as a finalist in the first annual Graduate Student Research Awards presented by the Buffalo Chapter of Sigma Xi. The title of his study: "Influence of Arterial Hypoxia on Cardiac and Coronary Dynamics in the Conscious Dogs. "0 Dr. Solkoff Dr. Elmo L. Knight, clinical assistant professor of pediatrics and otolaryngology, is initiating a program at Children's Hospital that will lead in the discovery and understanding of communications disorders in children. Dr. Knight is also director of the hospital's Speech, Hearing and Language Clinic.O SPRING, 1978 Dr. Norman Solkoff is the new acting director of the department of child psychiatry and behavioral sciences at Children's Hospital. He is professor of psychology in the department of psychiatry.O 51 �The Classes The Classes of the 1920's Dr. Louis Finger, M'24, has been honored for 50 years of medical service from many professional organizations, as well as the University of Buffalo. He hopes for "third generation in medicine for four of eight grandchildren." Dr. Finger lives at 501 East 79th Street, New York City 10021. 0 Dr. John J. Bernhard, M'25, has retired. The Fellow of American College of Surgeons lives at 924 N. 33rd St., Allentown, Pennsylvania. 0 People Dr. John W. Boylan, professor of medicine and physiology, is the recipient of the National Kidney Foundation's Distinguished Service Award. Dr. Boylan, past chairman of the Foundation's national scientific advisory board, is chairman of the Inter-Society Planning Committee for Kidney Research, involving the Foundation and six other agencies. 0 Dr. John Siegel, professor of surgery, has been appointed to the New York State Board for Medicine by the Regents of SUNY. 0 The 4th Wahle Memorial Lectureship in Hematology was given by Dr. Wendell F. Rosse at the Buffalo General Hospital in January. Dr. Rosse is professor of immunology and medicine and chief of the immunohematology section at Duke University. He spoke on "Paroxysmal Nocturnal Hemoglobinuria as a Myelodysplastic Disorder." He also visited the Roswell Park Memorial Institute and the E.J. Meyer Memorial Hospital where he conducted Grand Rounds and Hematology-Oncology Rounds. The Wahle Memorial Lectureship was established through an endowment fund bequeathed by Richard E. Wahle and Helen Johnson Wahle to the Medical School. 0 52 Dr. Milton A. Palmer, M'27, is now practicing part-time in his specialty of ophthalmology. He is a Life Member of many professional organizations including the Eye Bank Association of America. He was elected President of the Buffalo Eye Bank and Research Society, Inc. for the 21st consecutive year. Dr. Palmer lives at 18 Park Blvd., Lancaster, New York. 0 Four members of the 1927 class were honored at the 171st annual convention of the New York State Medical Society for 50 years of service in the medical profession. They are Doctors Joseph F. Kij Sr., Joseph C. Krystaf, Joseph F. Painton and Meyer H. Riwchun. 0 The Classes of the 1930's Dr. J. Edwin Alford, M'34, clinical associate professor of surgery (colon and rectal surgery), at the Medical School was recently elected dean of the Saturn Club, Buffalo. 0 THE BUFFALO PHYSICIAN �Dr. J. Rothery Haight, M'34, retired as director of the Gowanda Psychiatric Center, Helmuth, New York, in August. He and his wife expect to travel and visit their three sons and their families; each is currently serving in the Armed Forces. D Dr. Eustace Phillies, M'38, consulting hematologist at Sisters Hospital, was honored recently for his 30 years of service. Dr. Phillies said, "it is refreshing to see fine people from all over the world establish themselves at Sisters and the opportunity for me to work with them. This hospital has been growing and keeping pace with changes in the medical world." D Dr. Grosvenor W. Bissell, M'39, whose specialty is internal medicine and endocrinology, is clinical professor of medicine at Wayne State University, and professor, department of medicine, at Michigan State University. He recently published a book chapter entitled "Diagnosis of Hypoparathyroidism" in Current Diagnosis 5, 1977. D Dr. Ruth C. Burton, M'39, writes, "retired by Syracuse University (for having reached the dishonorable age of 65) where I was Director of Psychiatric Services in the Student Health Service. Have assumed position of Director of Psychiatric Services at CrouseIrving Memorial Hospital." Dr. Burton is a clinical assistant professor at Upstate Medical Center and an Adjunct Associate Professor, department of psychology at Syracuse University. D The Classes of the 1940's Dr. Robert N. Blodgett, M'41, has retired from general practice, but he is still on the staff of the Lakeside Memorial Hospital in Brockport and Park Ridge Hospital, Rochester. D Dr. Philip B. Wels, M'41, clinical professor of surgery, is a Fellow of the American College of Gastroenterology.D SPRING, 1978 Dr. Richard Ament, M'42, is listed in the 1978 edition of Who's Who in America. He has also been appointed to the following positions: vice chairman of the American Medical Association Section on Anesthesiology; Anesthesiology representative to the American Medical Association Interspecialty Advisory Board; American Medical Association representative to the Council on Medical Specialty Societies; and American Medical Association Section Representative to the Joint Nominating Committee of the American Board of Anesthesiology. Dr. Ament is a clinical professor of anesthesiology. D Dr. Evans Viral Infections of Humans, authored by Dr. Alfred S. Evans, M'43, has been selected as the best book on a medical subject for physicians by the American Medical Writers Association. Dr. Evans is professor of epidemiology, Yale University Medical School. He lives at 38 Dogwood Circle, Woodbridge, Conn. 06525. Dr. Evans is past president of the American Epidemiological Society and the Beaumont Medical Club. D Dr. Amos J. Minkel, Jr., M'43, Family Practice Board Member, has been working full time in the Emergency Department of St. Luke's Memorial Hospital Center, New Hartford, New York. D Dr. George L. Collins, Jr., M'48, was named as one of nine outstanding citizens of the Buffalo area for 1977 by The Buffalo Evening News. The clinical assistant professor of medicine at U/B and cancer research internist at Roswell Park Memorial Institute is president of the New York State Medical Society. He was cited especially for his work at resolving what he terms crises over the state's costly medicaid program and the malpractice insurance issue. Dr. Collins recently was named by Governor Carey to the council of SUNY /B. He is a director of Houdaille Industries and has been active in operations of the Buffalo Sabres as a member of the executive committee of the Niagara Frontier Hockey Corporation. D 53 �The Classes of the 1950's Dr. James C. Dunn, M'50 , has moved to Tucson, Arizona. He has been a clinical associate professor of anatomical sciences and clinical assistant professor of surgery at the Medical School. He also served on the admissions committee for several years. Dr. Dunn was a senior surgeon at Our Lady of Victory and Buffalo Mercy Hospitals. He practiced in Lackawanna and Orchard Park. Dr. Dunn is a Diplomate, American Board of Surgery and a Fellow, American College of Surgery. D Dr. Myra R. Zinke, M'50, has closed her private New Jersey office and is now associate professor of medical science, teaching physicians' assistants at AldersonBroaddus College in Philippi , West Virginia. D Dr. Sander H. Fogel, M'53, is assistant professor of clinical psychiatry at New York Medical College. He is also a consultant in child psychiatry to Mothers Manual Magazine. Dr. Fogel is president and chairman of the committee on public policy and chairman of the committee on continuing education, Psychiatric Society of Westchester County. Recently he presented papers at the World Federation of Mental Health in Vancouver and the World Congress of Psychiatry in Honolulu. He represented the American Psychiatric Association at the International Congress of Psychosomatic Medicine in Japan. He also lectured on family and group psychotherapy in Japan and Taipei. D Dr. Fogel Dr. Raab 54 Dr. Bertram A. Partin, M'53, clinical associate professor of surgery and head of the division of colon and rectal surgery has completed a two-year term on the Executive Council of the American Society of Colon and Rectal Surgeons. He is chairman of the self assessment examination committee of this society. Dr. Partin is also chairman of the post graduate teaching course programs in colon and rectal surgery for the Annual Clinical Congresses of both the American College of Surgeons and The American Medical Association. He has recently been elected to membership on The American Board of Colon and Rectal Surgery, the examining and certifying agency for this specialty. D Dr. Donald J. Murray, M'54, practices diagnostic radiology in Scottsdale, Arizona. He writes "I have had almost no contact with my classmates since graduation, except for the 1974 20-year reunion, which I enjoyed very much. I'm getting along OK, and I hope all my classmates are too!" Dr. Murray lives at 2341 North 57th Place. D Dr. Spencer 0. Raab, M'54, has been appointed professor of medicine and chief, division of hematology/oncology at the East Carolina University School of Medicine, Greenville. This is a new four-year school which accepted students for the first time last September. Dr. Raab is recruiting faculty for his new department. Dr. Raab (formerly at the University of Arkansas) is a member of the Southeast Cancer Study Group which has an active program in clinical research in hematologic malignancies and solid tumors. His wife, Mary, is a physician. She is a 1968 graduate of the Medical College of Pennsylvania. They are collaborating on research projects concerning stem cells using the usual in vitro bone marrow and blood culture techniques. The Raabs have three children and live at 307 Windsor Rd., Greenville, N.C. 2,7834. D THE BUFFALO PHYSICIAN �Dr. James R. Nunn, M'55, clinical assistant professor of family medicine at the Medical School, has been elected to the Board of Directors, Blue Shield Association (National Associations of Blue Shield Plans) and also elected Speaker, Congress of Delegates of the New York State Academy of Family Physicians. 0 Dr. Richard R. Gacek, M'56, is professor and chairman of the Department of Otolaryngology and Communication Sciences at the SUNY Upstate Medical Center in Syracuse. 0 Dr. Warren E. Levinson, M'57, associate professor of microbiology, University of California, was the winner of a Kaiser Award, established by the Henry J. Kaiser Family Foundation for excellence in teaching. D Dr. Sherman Waldman, M'57, clinical assistant professor of pediatrics, has been elected to the national board of trustees of the Leukemia Society of America, Inc. He will serve with a team of volunteers from chapters throughout the country committed to furthering the search for control and cure of leukemia. 0 The Classes of the 1960's Dr. Robert P. Geraci, M'62, has been appointed chief of anesthesiology at The Genesee Hospital (Rochester, New York). Dr. Geraci spent two years in the Navy as a staff anesthesiologist at the U.S. Naval Hospital in Portsmouth, Virginia before joining the University of Rochester as an attending anesthesiologist. He is currently a clinical assistant professor of anesthesiology at the University of Rochester and the University of Pennsylvania and is a consultant in anesthesiology at the Veterans Administration Hospital in Canandaigua, New York. D SPRING, 1978 Dr. John L. Kiley, M'62, is practicing psychiatry (Adult and Child) in Rochester, New York. He is also a clinical assistant professor at the University of Rochester. 0 Dr. Melvin J. Steinhart, M'62, is associate professor of psychiatry and medicine at Albany Medical College of Union University. He is also Chief, Psychiatric Liaison-Consultation Service. Dr. Steinhart was the recipient of a NIMH Training Grant for Liaison Psychiatry. D Dr. Anthony C. Trippi, M'62, is an assistant professor of surgery (neurosurgery) at the University of Southern California. From 1969-1970, Dr. Trippi was stationed at the 71st Evacuation Hospital in Viet Nam. He was at Fitzsimons General Hospital, Chief of Neurosurgery Service, from 1970-1971. His latest paper "Dorsal Column Stimulation in Multiple Sclerosis-Preliminary Report" will be published shortly. Dr. Trippi lives at 900 Fallen Leaf Road, Arcadia, California 91006. D Dr. A.J. D'Allesandro, M'65, is Medical Director, Greater Bridgeport, Connecticut Regional Narcotics Program. He is also Senior Psychiatrist (assistant director of the Alcohol Program) Fairfield Hills Hospital, Newtown, Conn. The board-certified psychiatrist lives in Newtown (Box W). 06470. 0 Dr. Robert E. Jordon, M'65, is professor and chairman, division of dermatology, at the Medical College of Wisconsin [Milwaukee). He recently moved from Mayo Clinic to the above new position. He is on the editorial board of the Journal of Investigative Dermatology, and on the board of directors of the Society for Investigative Dermatology. He is a member of the Central Society for Clinical Research. D Dr. Ira M. Feldman, M'66, was recently elected to Fellowship in the American College of Cardiology. Dr. Feldman is an assistant clinical professor of medicine at the University of Miami School of Medicine. He lives at 2071 NE 210 Street, North Miami Beach. 0 55 �Dr. Eugene M. Spiritus, M'66, specializes in pulmonary medicine and is also director of respiratory services at St. Joseph's Hospital in Orange, California. 0 Dr. John E. Spoor, M'66, is Director of Student Health Services, State University College at Oneonta, New York. His article "Rural Advanced EMT Training" was published in Emergency Medical Services, Vol. 6 #5, Sept/Oct 1977. 0 Dr. Michael I. Weintraub, M'66, was promoted to clinical associate professor of neurology at New York Medical College in June. He has written the current Monograph in Clinical Symposia, Hysteria: A Clinical Guide to Diagnosis. Dr. Weintraub has authored a textbook, A Clinician's Manual of Hysterical Conversion Reaction, that was published in 1977. He has also written 45 articles for other professional journals. 0 Dr. John Randall Anderson, M'67, is a family practitioner in Little Falls, New York. His address is 241 Burwell Street. 0 Dr. Albert W. Biglan, M'68, has started a private practice in Pittsburgh, Pennsylvania, in the field of pediatric ophthalmology and strabismus after completing a one year fellowship at the Indiana University Medical Center. Dr. Biglan is also a clinical instructor at the University of Pittsburgh. He lives at F Sylvan Road (15221). 0 Dr. John E. Shields, Jr., M'68, is in full time practice of gastroenterology and alcoholism. He lives at 310 West Neck Road, Huntington, New York 11743. 0 Dr. Sogba K. Bosu, M'69, of Seal Branch, California is associate director, Newborn Services, Long Beach Children's Memorial Medical Center and is on the clinical faculty at the University of California/Irvine School of Medicine. 0 56 The Classes of the 1970's Dr. Elliott Brender, M'70, writes that he will be doing a fellowship in Colon and Rectal Surgery at St. Marks Hospital in England. His home address at present is 540 Midvale Way, Mill Valley, California 94941. 0 Dr. Carl Ellison, M'70, is practicing pediatrics in Cincinnati, Ohio. His address is 3655 Stettinius Avenue, 45208. 0 Dr. Michael Lippman, M'70, has a full time hospital based position at the Albert Einstein Medical Center, Philadelphia, in his subspecialty of pulmonary disease. He is also a clinical instructor at Temple University. Dr. Lippman is certified by ABIM. His article "Drug Induced Lung Disease" appeared in the November, 1977 issue of MED. CLIN. NA.O Dr. Sigmund S. Gould, M'71, completed two years as staff ophthalmologist at Portsmouth Naval Hospital, Virginia. In July, he opened an office for the practice of ophthalmology in Greensboro, North Carolina. His address is 1707 Milan Road. 0 Dr. Lawrence D. Lubow, M'71, is now practicing radiology at the Skokie Valley Community Hospital. He lives at 1321 Canann Court, Glenview, Illinois, 0 Two 1971 graduates, Drs. John M. Antkowiak and Martin Mango, have joined the Sisters Hospital medical staff. They both did their flOSt-graduate work in Buffalo hospitals. 0 Dr. Bennett G. Zier, M'71, has established permanent residence in San Francisco. He writes that he would "really enjoy h·e aring about my fellow colleagues." Dr. Zier's address is 59 Marne (94127). 0 Dr. John E. Knipp, M'72, is practicing internal medicine and gastroenterology at 61 East Main Street, Washingtonville, New York, 10992. 0 THE BUFFALO PHYSICIAN �- Dr. James S. Marks, M'73, began working for the Center for Disease Control, Atlanta, Georgia in July, 1976. He has been involved in the investigation of Legionaire 's Disease, Guillain-Barre post Influenza Immunization and Measles . The pediatrician presented a paper on measles vaccine efficacy at the 26th Annual EIS Conference in April. Dr. and Mrs. Marks had a baby girl, Amy Lynn, born in May, 1976. They live at 7712 Burkey Drive, Reynoldsburg, Ohio 43068. D Dr. Paul A. Orens, M'73, family practitioner, is a clinical assistant in family practice at the Albany Medical College . He lives at 25 Linda Court, Delmar, New York. D Dr. Michael A. Sansome, M'73, has joined the Sisters Hospital medical staff. He is an ophthalmologist and took his post-graduate work at the E.J. Meyer Memorial Hospital. D Dr. Henry M . Bartkowski, M'76, is a neurosurgery resident at N.Y.U. Medical Center. His home address is 372 Edwards Terrace, Ridgefield, New Jersey 07657. 0 Dr . Larry Schlachter, M'76, is finishing a second year of general surgery and starting a residency in neurologic surgery at Emory University School of Medicine, Atlanta, Georgia on July 1st, 1978. D Dr. Ira L. Salam, M'77, is an intern in internal medicine at Metropolitan Hospital, New York City. He will be continuing his internal medicine residency at the University of Minnesota Hospital , Minneapolis, starting July 1, 1978. His address is 100 West 92nd Street-29F, New York City 10025. D In Memoriam Dr. Howard R. Goldstein, M'74, completed general surgery training at North Shore University Hospital, Manhasset, New York. He is now a resident in urology at the Squier Urological Clinic, College of Physicians and Surgeons, Columbia Presbyterian Medical Center, New York City. D Dr. Diane L. Matuszak, M'74, is a commissioned officer of the United States Public Health Service . She is the Director of the USPHS Buffalo Outpatient Clinic. Dr. Matuszak returned to Buffalo in July, 1977, after completing a Family Practice residency in Waco, Texas. Her home address is 3935 Autumnway Lane, Hamburg, New York 14075. D Dr. Erie Russell, M'74, is chief resident (1977-1978), department of radiology, Montefiore Hospital, Albert Einstein College of Medicine, Bronx, New York. He will be entering a fellowship in neuroradiology at New York University Hospital in July 1978. Dr. Russell was the recipient of the Annual Tausend Award for contributions in the field of diagnostic radiology for 1977. D SPRING, 1978 Dr. Stephan P. Salasny, 71, a practicing Buffalo obstetrician until he was disabled in 1952, died on December 28. He graduated from U/B School of Medicine in 1932 and completed his obstetric training at the school in 1935. He was on the staffs of Emergency, Sisters and Meyer Memorial Hospitals. D Dr. David Davidson, M'34, died April 15, 1977 of heart disease . The specialist in internal medicine was a resident of Miami Shores, Florida. D Dr. Robert D. Davis, M'51, Olean, New York urologist, died January 5 in Daytona Beach, Florida where he was vacationing. He was 55. Dr. Davis was chief of surgery at Olean General Hospital for 16 years. Dr. Davis was born in the Panama Canal Zone. He was a World War II Air Force veteran. He was a member of the American Urological Association and other professional societies and a charter member of the American Geriatric Society. D 57 �In Dr. Rufus R. Humphrey, Emeritus Professor of Anatomy, died on November 13, Memoriam 1977 following a heart attack in late September. Dr. Humphrey received his Ph.D. from Cornell University in 1923 and shortly thereafter joined U/B's department of anatomy where he taught histology and embryology until he retired on July 1, 1957. Usually he was the first professor to lecture formally to first year medical students. After leaving Buffalo he joined the department of zoology at Indiana University as a Research Scholar. His most outstanding work was in the field of experimental embryology in the Mexican axolotl and Amblystoma. His work on problems related to sex reversal led to the discovery of new genes. Over the years he personally assisted needy medical and dental students financially. 0 Rufus R. Humphrey Memorial We believe that many of Dr. Humphrey's former students and colleagues would wish to participate in a permanent memorial to the teacher whose dedication, patience and sincerity influenced so many during his 34 years in the Department of Anatomy. A bronze memorial plaque placed in the lobby of Farber Hall, we feel, would be a fitting tribute, and a return to the tradition long practiced at the old school on High Street. Those old plaques have now been reinstalled in the Farber lobby and it is hoped this space will become a memorial ball for faculty, staff and students of the school. Donations in the form of checks made out to the Medical Faculty Fund should be sent to: John H. Warfel, Ph.D. SUNY! Buffalo Department of Anatomical Sciences 303 Farber Hall Buffalo, New York 14214 Funds in excess of that necessary to purchase the plaque will be added to the Ellis and Helena Humphrey Student Loan Fund which Dr. Humphrey established in memory of his parents in 1959. John H. Warfel, Ph.D. Robert L. Brown, M.D. 58 Dr. Annette T. Stenstrom M'24, died March 26, 1977 of heart disease in Holmes Beach, Florida. She was 82. She had been certified by the American Board of Radiology.O Dr. Carl C. Koester, M'20, died December 21st in Batavia, New York. He was 81. The ear, nose and throat specialist practiced in Genesee County for more than 50 years. He did his post graduate work at Harvard and the University of Michigan Medical School. Dr. Koester became chief of the nose and throat department at St. Jerome Hospital and was named chief of staff in 1951. He was a past president of the Buffalo Otolaryngological Society. At the request of the Board of Education in 1924 he helped organize the nose and throat services in Batavia schools. Dr. Koester was an active Kiwanian and served the organization in numerous local and state offices. He was a former president of the Genesee County Medical Society and served as consultant at the Veterans Administration Hospital and attending surgeon at the Buffalo Eye and Ear Infirmary. 0 Dr. Norman Haber, M'43, died December 5th in Millard Fillmore Hospital after a long illness. He lived in Williamsville. The 59year-old ear, nose and throat specialist was chief of the medical staff at DeGraff Memorial Hospital, North Tonawanda. Dr. Haber had a special interest in rhinoplasty, plastic surgery of the nose. He formerly was on the medical staffs of Buffalo General and Children's Hospital. Dr. Haber was a member of Alpha Omega Alpha medical honorary society and Phi Lamba Kappa medical fraternity. He did his internship and residency in surgery at Meyer Memorial Hospital. He was a captain in the U.S. Army Medical Corps during World War II, serving in the China-Burma-India Theater. Following military service, he completed his residency in otolaryngology at Children's and Buffalo General Hospitals. He went into private practice of otolaryngology and plastic reconstructive surgery in 1950. He was active in various community and professional organizations. 0 THE BUFFALO PHYSICIAN �Dr. Herbert J. Ulrich, M'30, an internist, died October 17, 1977. His age was 71. He was on the Medical School faculty from 1935 to 1976 and was on the medical staff at the E.J. Meyer Memorial Hospital for 40 years. He was also attending physician at Millard Fillmore Hospital from 1938 to 1972. He was on the Emeritus staff of both hospitals and the Medical School. Dr. Ulrich was a Fellow of the American College of Physicians.D Dr. Robert J. Maichle, M'08, died October 19, 1977 at his home in Dansville, N.Y. at the age of 92. He interned at St. Mary's Hospital in Rochester and became a resident surgeon in 1909. He practiced in Cohocton from 19101926, before moving to Dansville. He continued to make house calls at the age of 91. Dr. Maichle was on the medical staff of Dansville Memorial Hospital where he was chief of staff from 1956-58. In 1964 the Dansville Chamber of Commerce named him "Man of the Year." He was active in several professional and civic organizatons and received several other honors for his dedicated service.D Dr. Raymond Blohm Jr., M'47, died in September. The 53-year-old Army Colonel was deputy commander and deputy for medical activities and medical education at Fitzsimmons Army Medical Center in Denver, Colorado. He was a former medical consultant to the Army Medical Command in Europe and chief of the department of medicine at Walter Reed Medical Center, Washington, D.C.D Bruce J. Baust, 43, administrator of Deaconess Hospital since 1970, died September 27 after a five-month illness. He was a graduate of the Syracuse University College of Business Administration. He also had a degree in hospital administration from Columbia University School of Public Health and Administrative Medicine.D Dr. George E. Leone, M'29, died April 30, 1977 in Southampton, New York. He was a Colonel in the United States Army.D SPRING, 1978 Dr. Evelyn E. Alpern, M'26, died October 26, 1977 after a long illness. Her age was 73. She was one of the nation's early child psychiatrists and was instrumental in training mental health workers of various disciplines in the field of child psychiatry. Dr. Alpern was executive director (1949-69) of the Child Guidance Clinic at Children's Hospital, and a consultant in out-patient and in-patient services at the hospital. A practicing psychiatrist for 38 years, Dr. Alpern was cited for distinguished service to the community by the Western New York District Branch, American Psychiatric Association, in 1969. Before coming to Buffalo she was director of the Providence, Rhode Island Child Guidance Clinic and taught psychiatry at the Brown University Medical School. She was associate clinical professor of pediatrics and child psychiatry at the Medical School. She was a Fellow, American Orthopsychiatric Association; American Psychiatric Association; and the American Academy of Child Psychiatry. Dr. Alpern was a past president of the Western New York District Branch, American Psychiatric Association. She was a contributing editor to the Journal of the American Psychiatric Association and to other scientific publications.D Dr. Herbert R . Reitz, M'36, died November 3, 1977 in his home in Venice, Florida after a long illness. He moved to Florida in 1971 after a long professional career in Buffalo. He served on the medical staffs of Buffalo General and Children's Hospitals. His graduate work was done at the University of Pennsylvania. Dr. Reitz was assistant clinical professor of ophthalmology at the Medical School from 1942-1974. He was a World War II veteran. He was a Diplomate of the American Board of Ophthalmology and Otolaryngology and a Fellow of the American College of Surgeons. He was also active in several other professional associations.O Dr. Frederick H. Petters, M'14, died April 12 in Cocoa Beach, Florida.D 59 In Memoriam �U/B ALUMNI ASSOCIATION 1978 Travel Program GREECE May 14- 22 Niagara Falls departure $689 (Trans International Airlines DC-8 stretch jet- Royal Olympic Hotel - continental breakfast daily - your choice of lunch or dinner daily). ORIENT July 31 - August 14 Buffalo departure* $1259 San Francisco departure $1144 Japan Airlines - 747 (355 seats). New Otani Hotel, Tokyo - 6 nights, Mirimar Hotel, Hong Kong - 4 nights, Kyoto International Hotel, Kyoto - 4 nights - American breakfast daily two dinners (optional meal plan available). *Commercial flight to San Francisco, Japan Airlines direct to Tokyo. OPTION: Continuing Education Program for Dental Alumni at Gifu College of Dentistry is $149.00 including transportation to Gifu and accommodations at the Gifu Grand Hotel. INNSBRUCK/ ST. MORITZ/ MUNICH October 11 - 26 Niagara Falls departure $746 (Capitol Airlines, DC-8 stretch jet- four nights Holiday Inn in Innsbruck, four nights Hotel Albana in St. Moritz, Arabellahaus in Munich - deluxe hotel option and dinearound meal option available). The General Alumni Board- PHYLLIS M. KELLY, B.A. '42, President; ERNEST J. KIEFER, B.S. '55, President-eJect; JOHN R. VONA, D.D.S. '61, Vice President for Activities; WILLIE R. EVANS, Ed.B. '60, Vice President for Administration; MICHAEL F. GUERCIO, A.S.C. '52, Vice President for Athletics; M. DOLORES DENMAN, J.D. '65, Vice President for Constituent Alumni; SUSAN D. CARREL, Ph.D. '76, Vice President for Continuing Education; CHARLES S. TIRONE, M.D. '63, Vice President for Development and.Membership; ROBERT E. LIPP, J.D. '68, Vice President for Legislative Relations; STEPHEN C. TOWNSEND, J.D. '74, Vice President for Young Alumni; JAMES J. O'BRIEN, J.D. '68, Treasurer; Past Presidents, GIRARD A. GUGINO, D.D.S. '61; GEORGE VOSKERCHIAN, B.A. '54; MORLEY C. TOWNSEND, J.D. '68; EDMOND J. GICEWICZ, M.D. '56; M. ROBERT KOREN, L.L.D. '44; WELLS E. KNIBLOE, J.D. '50. Medical Alumni Association Officers: DRS. MICHAEL A. SULLIVAN, M'53, President; W. YERBY JONES, M'24, Vice President; EDMOND J. GICEWICZ, M'56, Treasurer; JAMES F. PHILLIPS, M'47, Immediate Past President. Board Members- CARMELO S. ARMENIA, M'49; GEORGE W. FUGITT, M'45; ROBERT W. SCHULTZ, M'65; EUGENE SULLIVAN, M'63; CHARLES TANNER, M'43; LAWRENCE M. CARDEN, M'49, Program Committee Chairman; NORMAN CHASSIN, M'45, Exhibits Chairman; MILFORD C. MALONEY, M'53, Past President. �A Message from Michael A. Sullivan, M'53 President, Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Sullivan ·------------------------------------------------------------First Class Permit No. 2210 Buffalo, N.Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Buffalo Physician 28 Diefendorf Annex 3435 Main Street Buffalo, New York 14214 �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 c ll 22 THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Y e a r MD Received---Office A d d r e s s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Home A d d r e s s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - IfnotUB,MDreceivedfrom-------------------------------------InPrivatePractice: Yes ~ In Academic Medicine: Yes No ~ SpecialtY------------------------------ ~ No ~ Part Time 0 Full Time ~ School--------------------Title - - - - - - - - - - - - - - - - - - - - - - Other: Medical Society Memberships:-----------------------------------~ NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.?------- Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Spring 1978 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1978-Spring Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1978-01-Spring Table Of Contents A list of subunits of the resource. Dean Naughton's Message Class Reunions Dr. Nolan/Gerontology Division History, Department of Medicine by Evan Calkins, M.D. Dr. Small Continuing Education A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (Part VI-E). Cancer: Its Effects on the Family of the Patient: Communication Between Physician and Patient's Family by Samuel Sanes, M.D. Health Problems Alumni Contributors, 1977 Dr. Knox Neonatal Medicine Neighborhood Health Care National Medical Fellowships 41st annual Spring Clinical Days New Department Chairmen Mel Diedrick Seven Faculty Retire Dr. Quick Children's Hospital Appointments Today's Student Endowment Fund/Dr. Shapiro Dr. Anderson Medical Ethics Historical Society Genetic Clinic Tennis Tournament People The Classes In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-12-12 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v12n01 Extent The size or duration of the resource. 64 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/b3e786548661ff8e4a2b1ac113964c16.JPG f9142513ed5321e8d2b2d805fd33fb27 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2871 Title A name given to the resource Tourists descending to Lalibela churches Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Erosion over several centuries has made footing down to the churches difficult - at least in 1973. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Lalibela (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/befae382d45fa0c861ab132548b21621.JPG 6f014b45f4e44910c08eafb39cc7a616 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2870 Title A name given to the resource Steps down to Lalibela churches Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource The village of Lalibela contains 11 churches that were dug into the local rock, mostly in the late 12th century. UNESCO named them a World Heritage Site in 1978. Lalibela is one of Ethiopia's holiest cities. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Lalibela (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/49f16bc5acabf1308659a035a113eede.JPG 44e857ec5b7f00db2c7616b01f431f71 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2869 Title A name given to the resource Saint Stefanos Church Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Addis Ababa (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/5bd4b6a69f9d0e68c046fed08d74ffe3.JPG b1bd78f951d75abad57ea07f9633de54 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2868 Title A name given to the resource Menelik II statue and St. George's Cathedral Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Addis Ababa (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Description An account of the resource Menelik II (1844-1913; ruled as Emperor 1889-1913) ushered Ethiopia into the modern age, significantly expanding the Ethiopian empire in the process. He is shown riding a horse, honoring his defeat of Italian invaders in the crucial 1896 Battle of Adwa. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/e199a265754f9cfb25e09945d0854069.JPG d911b1b0932aef5fbb443e10efe8ec19 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2867 Title A name given to the resource Large Ethiopian rugs on display Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource These hand-woven rugs are noteworthy for their use of natural-color wool and traditional Ethiopian designs Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Addis Ababa (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/56bfb2ce40fca31a27774759ec773dcf.JPG 8706643d514b79600ae72228dad511f8 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2866 Title A name given to the resource Just-shorn sheeps' wool being prepared for processing Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Ethiopian woven goods often use natural-color wool, such as that on these racks Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Addis Ababa (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/1ae110a4bfa287f8f98ae1930dafdd18.JPG 3db7326818e8265801ef061f5e7aeac4 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2865 Title A name given to the resource Ethiopian woman preparing market stall Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Early-morning shadows shine on the rural products this woman hopes to sell during the day Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Gondar (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/96c3dae209f9ebf2a5cd72fa77bf21fa.JPG 6eb6aa8462e4f402670a0e2088068252 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2864 Title A name given to the resource Donkeys carrying firewood Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Cooking is done largely with firewood in Ethiopia and in rural areas of almost all other African countries. Deforestation became so acute that Emperor Menelik II ordered that eucalyptus trees from Australia be imported and planted in 1895 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Gondar (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/954ae7abb7b6c6cf2e8b01a215d0ac37.JPG 065c3ab04fc2e5251e89d0b65b88e22e Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2863 Title A name given to the resource Fasilides castle Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource The large structure in the background was built in the mid-17th century during the reign of Fasilides, emperor of Ethiopia from 1632 to 1667. Gondar was once the capital of the Ethiopian empire. In 2007, the entire city of Gondar had a population of 207,000, the overwhelming majority Christian. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Gondar (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/f5ab8562330152a78ba550f98f80d317.JPG 435c6152e3d277b025774b4da544e2f6 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2862 Title A name given to the resource Border crossing arch, Ghana-Togo boundary Date A point or period of time associated with an event in the lifecycle of the resource 1963-09 Description An account of the resource The gateway both featues the black star - a major symbol for African nationalism - and welcomes persons arriving from Togo. English is Ghana's official language French in Togo. Residents of the border often speak both of these tongues and a local language or two as well Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ghanaian Ghana-Togo border Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/9853b6bf9a3f172cf31d8be08a55f42c.JPG 74016c035305f6917b7e77d4e4779cdc Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2861 Title A name given to the resource Fish section of open-air market Date A point or period of time associated with an event in the lifecycle of the resource 1963-09 Description An account of the resource Fish caught that morning are ready for sale. 'Market mammies,' clad in traditional long skirts and machine-produced wax-block cloth, monopolize retail sales. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ghanaian Accra (Ghana) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/e54549d55c7c8e0305f747358c19b899.JPG 2da9ddf63e931af47bebb10d2c9bbd30 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2860 Title A name given to the resource Small- and larger-scale 'market mammies' Date A point or period of time associated with an event in the lifecycle of the resource 1963-09 Description An account of the resource While the young vendor in the background has sold her products from the basket on her head by walking through the market, a longer-established 'market mammy' occupies a curb-side position and can sit during the day Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ghanaian Accra (Ghana) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/e241a6e8c084712ad5a78bfa7353a373.JPG a85efb008f621da61a2a5a5e27759f0b Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2859 Title A name given to the resource Fruit and vegetable kiosks, Accra Date A point or period of time associated with an event in the lifecycle of the resource 1963-09 Description An account of the resource Semi-tropical fruits and vegetables dominate this stand, including cassava (right), oranges (greenish in color yet still ripe), or pineapples Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ghanaian Accra (Ghana) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/fb35fe09b86956b115ca3d2009b01cc5.JPG b5ee13fc52149406a892e4b66abe56cc Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2858 Title A name given to the resource Loading buses, Accra terminal Date A point or period of time associated with an event in the lifecycle of the resource 1963-09 Description An account of the resource A well-organized transport system linked Accra to all parts of Ghana. 'Market mammies' and wholesalers often loaded large sacks of products on bus roofs. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ghanaian Accra (Ghana) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/175da5cce337771a0ddc1c5380e0aa1e.JPG bd1fd00d3c3387c9af3d48aedc1eeab3 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2857 Title A name given to the resource Marketplace, central Accra Date A point or period of time associated with an event in the lifecycle of the resource 1963-09 Description An account of the resource This picture is marked by contrast: modern apartment buildings vs. street-level individual venders woman in Western dress vs. 'market mammies' clad in much more conservative clothing Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ghanaian Accra (Ghana) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/d901cf9d846d5ed844ec40255859f094.JPG 025e9528200f032e00bcc37dd0510ce5 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2856 Title A name given to the resource Political poster honoring country's independence Date A point or period of time associated with an event in the lifecycle of the resource 1963-09 Description An account of the resource The Convention Peoples Party combined generalized opposition to colonial rule into a relatively coherent single party, led by Kwame Nkrumah (Prime Minister and/or President 1952-1966). The CPP appealed to nationalism, economic development, and Nkrumah's charisma for its appeal. The poster reads: "United we build a strong nation One Nation - One People - One Destiny Self-Reliance" Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ghanaian Accra (Ghana) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/28cef449cd393430ae2dc6d464445d22.JPG 148cc609ffc4ed403cc8bd10abcc6916 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2855 Title A name given to the resource Ghanaians celebrating soccer victory Date A point or period of time associated with an event in the lifecycle of the resource 1963-09 Description An account of the resource The national team has just won a major win. Ghanaians take to the streets and cheer for it. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ghanaian Accra (Ghana) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/e01f0938216bc7b6f13ba1a56595522f.JPG 5ba7a82bc9c815e9aa3783d58ad6c5dd Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2854 Title A name given to the resource Royal palm-lined avenue, University of Ghana Date A point or period of time associated with an event in the lifecycle of the resource 1963-09 Description An account of the resource Although native to the Caribbean area, royal palms have been planted in other tropical areas, due to their striking height Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ghanaian University of Ghana Legon (Ghana) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/498a36579758264ae4bf7007d021b0bc.JPG 61bf9cae8bf3ccf9914f9188039e1845 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2853 Title A name given to the resource Wedding party, University of Ghana Date A point or period of time associated with an event in the lifecycle of the resource 1963-09 Description An account of the resource The Western-style attire worn by members of the wedding party reflects the many centuries of contact between Ghana and western societies Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ghanaian/ Western University of Ghana Legon (Ghana) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/ea756d95164f8c917607aada4ff2b12c.JPG 0d0ee4fa117a938c2f64de007516b2f4 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2852 Title A name given to the resource Cultivated areas from air, Ethiopia Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Lush fields of teff and other crops demonstrate the fertility of Ethiopia's highland soil - if there's enough water. Note the large reservoir. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Rural Ethiopia Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/a745026dbdba9306a1971ad63c53b546.JPG 4a44552ed9ffd7e6774051c1cf5ade08 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2851 Title A name given to the resource Cultivated areas from air, Ethiopia Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Lush fields of teff and other crops demonstrate the fertility of Ethiopia's highland soil - if there's enough water. Note the large reservoir. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Rural Ethiopia Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/a0c3fdaab4f60adf15c747adda8d5b67.JPG 59aa1ba69e63defe27fe75d7ee470043 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2850 Title A name given to the resource City hall, Addis Ababa Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource This imposing building stands at the northern [highest] end of Churchill Avenue. It was built between 1961 and 1964, as a demonstration of Ethiopia's increasing modernization Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Addis Ababa (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/921352600946b26b5a896a722a2d6e05.JPG 41f4fe1045b26cc4f19caaf9c565b188 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2849 Title A name given to the resource Artist painting roadside welcome poster Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Behind the artist are eucalyptus trees, which are increasingly common around Ethiopia. They were introduced from Australia around 1895 because of the deforestation around the new capital Addis Ababa, caused by the use of wood as fuel Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Addis Ababa (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/6cbd7274dd00fb5f833fddb9fda5ae11.JPG ed42e0742f6e476d0e03b6f4c92213b7 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2848 Title A name given to the resource Tiglachin Monument Date A point or period of time associated with an event in the lifecycle of the resource 1984 Description An account of the resource The Tiglachin monument (Amharic: ትግላችን, English: Our Struggle) is a memorial to Ethiopian and Cuban soldiers involved in the Ogaden War. It was built under Mengistu Haile Mariam on Churchill Avenue in Addis Ababa. (It is sometimes erroneously called the "Derg Monument", but the monument does not honor the Derg regime.) The monument is composed of various elements: a central statue, a 50 m tall pillar, two wall reliefs on the sides and two squares where the portraits of Cuban soldiers are visible. (https://en.wikipedia.org/wiki/Tiglachin_Monument) Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Addis Ababa (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/7c8368cebf2a8f0c93c8d08ba3e95c78.JPG 2a7fc86f1923654d6aa7c4db02634adc Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2847 Title A name given to the resource Old and new means of transport, central Addis Ababa Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource On Churchill Avenue, a main thoroughfare of Addis Ababa, many different types of transport could be seen in late 1973: pedestrians a woman carrying a heavy load donkeys with their drivers and a public bus. Note the absence of private automobiles. Ethiopia was a very poor country then Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Addis Ababa (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/bcc39f80888937d6b2962e4b618e73fd.JPG 95a6a4fab0a44c29cfd5c364abf2cb67 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2846 Title A name given to the resource St. George's Cathedral Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Religious pictures and other material of the Ethiopian Orthodox can readily be purchased outside the St. George's Cathedral. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Addis Ababa (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/02ab57907206652306b07204c7ff2329.JPG aed825a5db51d0bb6721b2f452f4bf1e Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2845 Title A name given to the resource Street venders, religious illustrations Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Inexpensive color lithographs of Christian topics can be purchased readily in Ethiopia. Christianity became the country's state-sponsored religion in 330CE, a half-century before Nicene Christianity became the state church of the Roman Empire with the Edict of Thessalonica in 380CE. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Addis Ababa (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/b57b850e00c4c73fe8d82434b7095bc4.JPG 0c0af195b67b6b786f6ae822f2434fa1 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2844 Title A name given to the resource Heroic statue of Emperor Menelik II Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Menelik II is one of the best-known rulers of Ethiopia, having reigned from 1889 to his death in 1913. He was celebrated for fending off Italian invaders in the 1896 Battle of Adowa and for expanding Ethiopian rule significantly to the south and east Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Addis Ababa (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/217c7668aa73496fa26d02b4f944a1cc.JPG db09165d3f48a98d6dd04097bf06585a Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2843 Title A name given to the resource Tourist-oriented items on sale, Ethiopian shop Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource This poupouri of metal objects, carvings, wall hanging and the like should attract potential purchasers of Ethiopian synbols Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Addis Ababa (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/1bcba3a23e0cd7a604ba14f67622c337.JPG 15517ac0e28131c7673e7c595d5ef7c5 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2842 Title A name given to the resource Solomonic myth in woven form Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource This hand-woven wall hanging combines the crucifixion and other Christian symbols with Saint George (lower right), the patron saint of Ethiopia Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Addis Ababa (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/3617363f302eaa6d02bbacb98c6da16c.JPG 28b85a77a2c3c698004a4eaf359e5ad1 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2841 Title A name given to the resource Urban houses, Addis Ababa Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Although these homes stand close to one of Addis' major hotels, they enjoyed few public services (at least when the picture was taken). Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Addis Ababa (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/c443fbec9e718a15996d07bb82fac09c.JPG e938308a85c212a54119741a91af2c64 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2840 Title A name given to the resource Hand-woven Ethiopian rugs on sale Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource These rugs feature the imperial lion, linked to Emperor Haile Selassie and his ruling circle. Ironically, a few months after this picture was taken, the Emperor was deposed by the military and imperial symbols of this sort largely disappeared Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Addis Ababa (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/c57c4a9c2107753b5ad6150cb62e835b.JPG 4f77b69133f23f57c8f29e580a497003 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2839 Title A name given to the resource Donkey grazing outside Africa Hall Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Africa Hall, headquarter of the African Union and the Economic Commission for Africa, has changed significantly since this image was taken in December 1973. Addis Ababa was far less urbanized at that point. Along with the Addis Ababa City Hall, Africa Hall was one of the two projects designed to demonstrate, in the words of Emperor Haile Selassie, “that it is possible to construct grand buildings here too [in Ethiopia], by erecting a couple of high-profile structures." Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Addis Ababa (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/dbc85e4b87a34cd0e091062d680fe0d1.JPG 0bade3e2bf02a4f15c73da21acca1cc7 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2838 Title A name given to the resource Blue Nile Falls Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource The Blue Nile rises in the Ethiopian highlands and flows mostly through deep gorges until merging with the White Nile at Khartoum. These falls are known as Tis Abay in Amharic, or, "great smoke". Water pours over the escarpment in four streams Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Near Bahir Dar and Lake Tana, western Ethiopia Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/d32206d8798581fd5498d250645d773c.JPG bba5fd5f145d453ff7819117d6af7120 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2837 Title A name given to the resource Blue Nile Falls Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource The Blue Nile rises in the Ethiopian highlands and flows mostly through deep gorges until merging with the White Nile at Khartoum. These falls are known as Tis Abay in Amharic, or, "great smoke". Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Near Bahir Dar and Lake Tana, western Ethiopia Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/e1a526ee34a4b7c539170808728a646f.JPG 9f6a81771f033fc543fd9abcf004d732 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2836 Title A name given to the resource Euphorbia in rural Ehtiopia Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Although this plant looks like a cactus, it is actually a euphorbia. This species is native to Southern Africa. The genus has about 2,000 members, making it one of the largest genera of flowering plants. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Rural Ethiopia Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/d4c5fcb82f2a93c1cdadad14bfd62833.JPG 86338f366ccc354929971dff7a3c5f33 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2835 Title A name given to the resource Old arched stone bridge, rural Ethiopia Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource For most of Ethiopia's history, both ruling dynasties and local leaders were protected from invasion by natural barriers, e.g. rivers or mountain ridges. Bridges were relatively rare until the late 20th century. This one, near the falls of the Blue Nile, dates from 1626. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Rural Ethiopia Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/4fb43bda6437b9b1297620695367b9f2.JPG 1f3e5bd7d4679b27e4647984ef2b0219 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2834 Title A name given to the resource 17th-century palace of Emperor Fasilides Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Emperor Fasilides reigned in Ethiopia 1632-1667. He is known for confiscating Jesuit-held lands and restoring the primacy of the Ethiopian Orthodox Church Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Gondar (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/82d421daf0936cfd5ffae14501ef753e.JPG c4b0593925648808c9bab4b8e78c1de9 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2833 Title A name given to the resource 17th-century palace of Emperor Fasilides Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Emperor Fasilides reigned in Ethiopia 1632-1667. He is known for confiscating Jesuit-lands and restoring the primacy of the Ethiopian Orthodox Church Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Gondar (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/8708531b830499d03f84c13170dede53.JPG ef170a869d87e1324ad7be7a1c2bdd03 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2832 Title A name given to the resource 17th-century palace of Emperor Fasilides Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Emperor Fasilides reigned in Ethiopia 1632-1667. He is known for confiscating Jesuit-lands and restoring the primacy of the Ethiopian Orthodox Church Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Gondar (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/d61b6a27ad8314137b0bf22d83bd367a.JPG 35a1a0d7a83984c2803c04d000499c79 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2831 Title A name given to the resource Farmer gathering teff, rural Ethiopia Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Teff, an annual cereal grain, forms the basis for injera, a staple of Ethiopian diets. Teff is high in dietary fiber and iron and provides protein and calcium. It is similar to millet and quinoa in cooking, but the seed is much smaller and cooks faster, thus using less fuel. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Lalibela (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/2199a99a63f7f9d2e273596e36695070.JPG 3e6c656f2c5a8169725e3177740914c9 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2830 Title A name given to the resource Cattle grazing, Ethiopia Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Ethiopian boys tend to these cattle as they graze in rural Ethiopia Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Lalibela (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/fabfecfbb3cfec2404850739aa3e4aba.JPG 67025f8b3b0cdc87cc4d0567583ba18b Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2829 Title A name given to the resource Rural homes grouped into compound Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Throughout most of rural sub-Saharan Africa, family homes contain multiple dwellings. They are surrounded by a fence of some sort to keep animals penned at night Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Lalibela (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/f39792dc28a20a0674b4550b708b2ba3.JPG 563bdb3775c17edca477e4e2519df77c Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2828 Title A name given to the resource Members of rural family by their home ['tukul'] Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Given the low incomes in rural areas, families build their homes out of low- or no-cost local materials Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Lalibela (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/28b9985bdcbcd88cd354e0e76f6db9bd.JPG 433f436df1fd9363d8be0a59a61f8d38 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2827 Title A name given to the resource Aerial view, Ethiopian highlands Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Communications around Ethiopia are difficult, owing to the deep canyons cutting through the highlands. The high central plateau varies from 1,290 to 3,000 m (4,232 to 9,843 ft) above sea level. Ethiopia's lowest point is the Afar Depression, in the Afar Region −125 m (−410 ft). Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Flying above Ethiopian highlands Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/3f3d821438a9470531b76b3909aa6a1a.JPG 50a3be971beffa673f7cf8003a7b3bb2 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2826 Title A name given to the resource Aerial view, Ethiopian highlands Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Steep ridges separate settled areas in Ethiopia. Note how trees have been cut down for agriculture or firewood Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Flying above Ethiopian highlands Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/128c88c97aa43d251dd8e8e0eecc8b54.JPG dee265ed0c5915a8f58e427fccd2b79e Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2825 Title A name given to the resource Ethiopian girls carrying water Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Piped, treated water isn't available in the overwhelming majority of Ethiopia. These girls are taking water from the nearest pond or stream to their homes. Men and boys don't carry out such work. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Lalibela (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/2d82f669b67fa60785ec0005e22a6a5d.JPG 7105e42f6ec3ddd40684a0ce04f20611 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2824 Title A name given to the resource Ethiopian rural market Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Traders of all ages gather at the market. Although cold in the early morning, temperatures will rise hence the roofs and shawls Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Lalibela (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/2ffbcbf54b07ed9ed52536cb9ebab15b.JPG 568eb31126c867c4d9d3045f27b8bc55 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2823 Title A name given to the resource Ethiopian villagers walking to market Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource These Ethiopians trade food and goods at an open-air market. Don't be fooled: the village in the background was relatively prosperous for the area and era, as witness the metal roofs Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Lalibela (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/406e43afacd974b53378026fcfbca511.JPG b70c9e31c63d285a9d5373d65200297d Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2822 Title A name given to the resource Rural women carrying firewood Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource Cooking, heating water and the like are done with firewood gathered from the countryside. Women invariably bear the duty of gathering it Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Lalibela (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/a122c767eb6db4eae17bc36155488a03.JPG dbe5c5ba36577db977249d3dfba3696a Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2821 Title A name given to the resource Rural women selling carved handicrafts Date A point or period of time associated with an event in the lifecycle of the resource 1973-12 Description An account of the resource When this picture was taken, Ethiopia was suffering from severe drought and famine. This woman is trying to sell mass-produced figurines near a rural airport Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Ethiopian Lalibela (Ethiopia) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection psc001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/54840ba9a733b7386bfacb3e5910c384.JPG 7e4e9df5f818606bcc4bd49b85a5f831 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2820 Title A name given to the resource Looking down at Rio Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Corcovado provides a great view! Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Rio de Janeiro (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/7c968f9342f9d75c95f97d6ea65a6743.JPG 72f94e365eed0aa65e33dc3358fe16bb Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2819 Title A name given to the resource Rio bay and Santos Dumont airport Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource The small airport, dating from 1938, is named for a famed aviation pioneer Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Rio de Janeiro (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/483dbadf1e490a1b6edce015e1b6fd75.JPG 6f7c4db1c1fce29e1b3effa436c45343 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2818 Title A name given to the resource Antique trolley cars, Corcovado Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource These open-sided tram cars date from the mid-20th century Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Rio de Janeiro (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/e35fae68d38098ef3e7d572553a68b7c.JPG cbe64e2f61537b433fa65af9ae716f61 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2817 Title A name given to the resource Engineer, Corcovado tram Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource To reach the top of 'Hunchback' mountain, the easiest way by far is via the rack-and-pinion tram car. Extending 2.4 miles, it was opened in 1884, and later became the first Brazilian electrified train Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Rio de Janeiro (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/eda8227ddeec85b103bda00cd19e862c.JPG 95f22ebd111fff6bbaf4a10a37c92564 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2816 Title A name given to the resource Tram cars passing, Corcovado Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource To reach the top of 'Hunchback' mountain, the easiest way by far is via the rack-and-pinion tram car. Extending 2.4 miles, it was opened in 1884, and subsequently became the first Brazilian means of transportation to be electrified Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Rio de Janeiro (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/07dc54ab1907b6f6a2adff852b197ddd.JPG 684e2ef43b6572b7c0146452bd06d038 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2815 Title A name given to the resource Christ the Redeemer statue atop Corcovado mountain, Rio Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Constructed between 1922 and 1931, this 100' high statue has become both a symbol of Christianity across the world and a cultural icon of both Rio de Janeiro and Brazil. It can be seen from practically every part of the city, day and night Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Rio de Janeiro (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/790c2968ad6639add2f9f0e2e690e49a.JPG e0c5d6be02a6629e15b4a4eb1f844b84 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2814 Title A name given to the resource Rio from top of mountain Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Rio's majestic setting and downtown skyscrapers stand out in this photo. The scruffy favelas are far harder to see Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Rio de Janeiro (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/94f5f93e977a6a79463252c00e15c6ec.JPG 5a7f4bb99a6f52bdc096a21d251fd42a Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2813 Title A name given to the resource Favela in urban Brazil Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Favelas (slums) surround nearly every city in Brazil. They benefit from few if any urban amenities. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Rio de Janeiro (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/defa4929837764953f0a2bc42328b888.JPG d02965336c077f16442c8138625233f7 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2812 Title A name given to the resource Favela in urban Brazil Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Favelas (slums) surround nearly every city in Brazil. They benefit from few if any urban amenities. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Rio de Janeiro (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/e3b02300b6b01d83d8d4f923bbc3a61c.JPG 5669cd7a8a7d6e0b9ea76f04d7826538 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2811 Title A name given to the resource Shrine to Virgin Mary, rural Brazil Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Brazil contains more Catholics than any country in the world, with 130 million people, or 64.6% of the Brazilian population, self-declared Catholics (2010 census). Grottoes of this sort are widely distributed through the country. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Catholic Brazil Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/67645cbf066f7f6cc890b68817e3920d.JPG 7accc27dafbf04da7ebe53fa6fc5582c Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2810 Title A name given to the resource Trail to Iguazu falls Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Only the roar of the falls indicates the proximity of this immense cascade Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Paraná (Brazil : State) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/0eaf5836fbb1bf4fe5f79682e21049ee.JPG 0447c22a129ef9a9b228c744bf669b3b Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2809 Title A name given to the resource Iguazu falls from rim Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource No less than 275 islands split Iguazu falls. It has the sixth-greatest average annual flow of any waterfall in the world, following number five Niagara Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Paraná (Brazil : State) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/e90cb933d30f024d1c98ecd103c20125.JPG 029382ff54acafd28498a7bcaec4f06f Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2808 Title A name given to the resource Rainbow across Iguazu falls Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource The torrent shown here shows only a fraction of the Iguazu River's volume. At times of heavy rains, no rock can be seen between the sections Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Paraná (Brazil : State) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/f875c60c2747553568193cb764b47d66.JPG cb44f8b6b6d5c0a921dbe76d55c8dca2 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2807 Title A name given to the resource Iguazu falls Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Lying on the border between Argentina and Brazil, the falls on Iguazu River constitute the largest waterfalls system in the world. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Paraná (Brazil : State) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/ccce463a924f1c9e686bc5469ea03b07.JPG 846a371ab6a5ad86d48d0900223539ce Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2806 Title A name given to the resource Indigenous women weaving Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource The number of indigeous groups and their populations are disputed. However, the total seems to be 240 tribes (~900,000 people), or 0.4% of Brazil's population. The overwhelming majority live in the Amazon region. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian, indigenous culture Brasília (Distrito Federal, Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/37c24833910c5fcbeafbf7b907e3eefc.JPG 152b0b9068ca41d6567a0492668c5fc2 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2805 Title A name given to the resource Sertao scrub in central Brazil Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Low vegegation of this sort marks much of central Brazil, where rainfall is limited and soil fertility low. Sertao can be translated as scrubland. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Brazil Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/3215d66bdeb6aa93e6dc012935fcbbc8.JPG 4347477fc93cbb8910e49d30c30a370d Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2803 Title A name given to the resource Apartment buildings, Brasilia Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Apartments in Braslia are grouped around automobile-free superblocks, maximizing recreation and quiet space. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Brasília (Distrito Federal, Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/e86f8f0a903e7af13693a573668fef7a.JPG f81738b2da87aa107c5fb13f7d520e09 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2802 Title A name given to the resource Hovering angel, Brasilia cathedral Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Three angels hover over priests and congregants at the cathedral. It was designed by the famed Brazlian architect Oscar Niemeyer, and opened in mid-1970. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Brasília (Distrito Federal, Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/8bcc8eb335c5169ee99ea07d2f54c164.JPG b06149b63acb3ddc1706074a56750a2e Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2801 Title A name given to the resource Main stained glass window, Brasilia cathedral Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Worshippers are completely surrounded by this glass inside the cathedral. It's concrete-framed hyperboloid structure, appears with its glass roof to be reaching up, open, to heaven Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Brasília (Distrito Federal, Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/d18ae4de4a71c28e5546c8f6d2793496.JPG ad7a51e3d8b9277031d5220f2d4fa256 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2800 Title A name given to the resource Governmental office buildings, Brasilia Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Matching pairs of glass-sided buildings house federal offices. Given the region's heat - the daily average is 73 in January - heavy air-conditioning costs result Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Brasília (Distrito Federal, Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/df7a644b3e1891da8cf18e7feb512807.JPG 3a805c66dc7622a45ff432796057aacf Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2799 Title A name given to the resource Aerial view of Brasilia Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Located near the geographic center of Brazil, Brasilia was carved out of the arid sertao (back country) of the country. Its construction started in the late 1960s, and was intended to symbolize Brazil's change of focus from an export- and Europe-orientation to internal development Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Brasília (Distrito Federal, Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/ce4477ab4336874871eb07faa011ec72.JPG 8a1b2ab2e8410cb32d0cf0f884e095d5 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2798 Title A name given to the resource Palm trees on beach near Salvador, NE Brazil Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource The city of Salvador looms in the background Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Salvador (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/d8f792f17e4b7efd5d05f92f9cdb435d.JPG 3eb3a9cc8c4347b90edfb2353922ffe2 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2797 Title A name given to the resource Boys diving into South Atlantic, NE Brazil Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource With its long ocean front, Salvador offers many places for public swimming - although many of them have no lifeguards or safety protection Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Salvador (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/5f8def4221a32d816237705b26189421.JPG d667284890f5829e19847e7326a5f8db Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2796 Title A name given to the resource Elevator between upper and lower towns, NE Brazil Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Salvador's upper town stands more than 275' above the lower town. This elevator, built in 1873, connects the two parts. The wealthier sections of the city are located on the higher ground. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Salvador (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/45b1038c1d237a2506249a1d00eb7dda.JPG fa1714b296457f23c16e53f40c9f0399 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2795 Title A name given to the resource Church of Nosso Senhor do Bonfim Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource The wealth gained by the Roman Catholic church led to lovely structures like this. Bahia gained its wealth early in Portugal's occupation of Brazil from the sugar trade Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Salvador (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/668db663c1924fa74bcb50201f00b67a.JPG e202ad5711f93158b12e1accfdb500ad Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2794 Title A name given to the resource Priest conducting mass in the São Francisco Church and Convent Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource The wealth gained by the Roman Catholic church led to lovely structures like this, often heavily decorated with gold Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Salvador (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/2ef2d1aca1782127ef8e70334d85ec37.JPG 62663532c968120b7dc2ce9dd1ff268a Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2793 Title A name given to the resource Replicas of human parts inside Bahia church Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Should a person with a serious illness be cured, their family may well place a replica of the healed limb or organ inside this church. The complex mingling of Roman Catholicism with other beliefs in healing take shape here Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Salvador (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/6eff0ae865aa256a7c6aa4f4c5148354.JPG ccf0a6645110893ceb8ad3fa854ffe74 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2792 Title A name given to the resource Open-air leather goods shop Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Small-scale entrepreneurs take their goods to busy streets, especially ones with numerous tourists Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Salvador (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/239747af03fe91c9623b63102020f39a.JPG 430755d0cb88af38defccf96dd630578 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2791 Title A name given to the resource Shaded interior walkway Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Because of its high summer heat and humidity, cloistered walkways were common features in this part of Brazil. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Salvador (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/124aac85ec1f8c00e3bc0f52a8c85d91.JPG 0c17f55fc2aa5403981be7bd1c7d41d4 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2789 Title A name given to the resource Boys practising capoeira amid collapsing buildings Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Streets serve as playgrounds, for soccer, jump rope, or even capoeira. However, the city's economic problems is suggested by the prop for the building. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Salvador (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/6cb333d8f93f799d14d7ef9033d0307a.JPG 50cb0ecaeec7d340094c29b4d84aff8e Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2788 Title A name given to the resource Children playing in the street of Salvador Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Bahia, in Brazil's northeast, became the country's first capital in 1539. Enriched by slave labor, sugar exports and the like, city leaders (religious and secular) built lovely structures. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Salvador (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/9ba019967f0eb549a311d84bd8667e01.JPG 606b60947f1f8dc95933707b09a1faca Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2787 Title A name given to the resource Youth, middle age and death - all in one picture Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Coffins stand against the wall of this coffin-maker's stop. The boy and parrot give no attention to the fact of death. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Salvador (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/1a03651af0f7bb81a7f4b541fd6bec8f.JPG b628728542b26b868ae829ed97598e27 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2786 Title A name given to the resource Decorated car, Brazilian style Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource These dolls symbolize a happy event in the family, most likely a wedding or young woman's birthday celebration. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Salvador (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/529311c12e4751d207ba81733e712b56.JPG 6ad294c0f67dba7719eb28a88ccd0d51 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2785 Title A name given to the resource Bandeirantes' recreating Brazilian history Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Bandeirantes', drawing their title from the Portuguese word for flag, extended Brazil far inland, starting in the 17th century. They made Brazil almost as large as the rest of South America combined. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Salvador (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/5c9b3c8aec23fa26a7806d268ed34906.JPG 4abe378ebe5f461a415edeb8e8dbab96 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2784 Title A name given to the resource Samba dancer in elaborate dress Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Brazilians enjoy dressing for special occasions, particularly at Mardi Gras. Vivid colors and the rhythms to which this woman is dancing indicate the African origins of much of Bahia's populace Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Salvador (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/a867aab6ef28e205a3e48211d3372857.JPG 6d6215658b123fdcfceb3401167ff46e Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2783 Title A name given to the resource Capoeira martial arts demonstrators Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Capoeira developed among slaves brought to Brazil from Angola in the 16th century. It combines dance, acrobatics and music. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Salvador (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/464a9b879735dd762a5d5d9adb39a2ce.JPG fde8a83a7a02df75070547b2b2acf03a Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2780 Title A name given to the resource Hat vendor, Rio beach Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource The large beaches of Rio teem with volleyball players, sun bathers, business people informally negotiating, and families - especially on weekends. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Rio de Janeiro (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/ec360645557562a8ef792d98122ae54d.JPG 9fedd4799ed02b531f4b19f8afb549cc Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2779 Title A name given to the resource Open-air vegetable shop Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Vendors show their melons are ripe by slicing them for potential patrons. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Rio de Janeiro (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/2c445f4bd9603282a572ff11d099d771.JPG 1bea2188f342458f84e6829366213309 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2778 Title A name given to the resource Sidewalk needing repair Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource This carefully-constructed stone sidewalk has clearly suffered from lack of maintenence, although it is less than two blocks from the Copacabana beach, one of Rio's most fashionable areas. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Rio de Janeiro (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/2eabcca51151a928ce8a17a0ca654ea3.JPG aa844fbe41d21763c5b743f9d3a8ff23 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2777 Title A name given to the resource Political posters on official statue Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource Americans are often surprised by political posters on monuments in other countries. Brazil at this time - 1982 - was cautiously emerging from a period of military dictatorship. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Rio de Janeiro (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/b86ad5405098b7d3ad2e15c5d9aa85cf.JPG 00946539906d6a7acc0e590bf5921569 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2776 Title A name given to the resource Brazilian-style political organizing Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource The Democratic Workers Party (PDT)'s informal campaign tent contrasts with the splendor of the late 19th-century Municipal Theater. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Rio de Janeiro (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/3060887f9cf62bb8a6f047417fdc5299.JPG f94880311247a7dabcee71168a84a474 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2775 Title A name given to the resource Young swimmer on Rio beach Date A point or period of time associated with an event in the lifecycle of the resource 1982-08 Description An account of the resource This boy splashes in the bay, undeterred by potential health risks in the water and the majesty of Sugar Loaf and Corcovado ('Hunchback) mountains in the background. Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Brazilian Rio de Janeiro (Brazil) Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/56345f1314d8391b7e19677a8ff8d305.JPG 488abcb703028f82da897d0a3a282dbb Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Welch-Ludwig Collection Description An account of the resource The images in this collection come from 35 mm. Kodachrome slides or .jpg pictures taken by Claude Welch, SUNY Distinguished Professor in the Department of Political Science. He started his teaching career in 1964, directly after completing his doctoral work at Oxford. The images reflect a wide span of his interests and continents, with particular strength in sub-Saharan Africa, Western Europe, India and China. The addition of metadata to this collection is an ongoing project. Identifier An unambiguous reference to the resource within a given context PC001 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Identifier An unambiguous reference to the resource within a given context psc001_psc2774 Title A name given to the resource Earthen wall around multi-structure traditional dwelling Date A point or period of time associated with an event in the lifecycle of the resource 1975-03 Description An account of the resource This wall encloses several separate buildings, likely including one for each wife and her children, a common cooking area, and perhaps a pen for livestock Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Central Nigeria Creator An entity primarily responsible for making the resource Welch, Claude Emerson Type The nature or genre of the resource Image Format The file format, physical medium, or dimensions of the resource image/jpeg Is Part Of A related resource in which the described resource is physically or logically included. Welch-Ludwig Collection PSC001 Publisher An entity responsible for making the resource available State University of New York at Buffalo Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).