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Title A name given to the resource Conjoined Skeleton Type The nature or genre of the resource 3D Image https://digital.lib.buffalo.edu/files/original/8a3afdb5226037fd73b42f293b5c5a1a.pdf 6513076b577de57ea7b970419a74fee4 PDF Text 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 Program of the Institute of Political Education 1926 Subject The topic of the resource Women--Political activity--United States Description An account of the resource Full program of events and speakers at the Institute of Political Education held under the auspices of the Erie County League of Women Voters in cooperation with the University of Buffalo on October 21, 22, 23, 1926 at the Hotel Statler, Buffalo, New York. Political Institutes were conducted by the League of Women Voters in conjunction with the University of Buffalo to fulfill the League's mission to educate citizens in government and politics and were, therefore, open to the general public as well as to League members. Extent The size or duration of the resource. 4 p. Medium The material or physical carrier of the resource. Programs Publisher An entity responsible for making the resource available Erie County League of Women Voters (Erie County, N.Y.) University of Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1926-10-23 Rights Information about rights held in and over the resource For educational and non-commercial uses only 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 Identifier An unambiguous reference to the resource within a given context LIB-024_177LWVBNInstitutePoliticalEducation192610 Is Part Of A related resource in which the described resource is physically or logically included. League of Women Voters of Buffalo Niagara LIB-024 Date Created Date of creation of the resource. 2017-07-15 Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Institute of Political Education 1926 Women--Political activity https://digital.lib.buffalo.edu/files/original/3039bccadab0079a5c6eb0eb0207b3d3.pdf 81bef2c7133727dc260cecc70eab6662 PDF Text Text Universitv at Buffalo The State University nf New Ynrk �M THE Buffalo Physician ASSOCIATE VICE PRESIDENT FOR UNIVERSITY COMMUNICATIONS Dr. Carole Smith Petro DIRECTOR OF PERIODICALS Sue Wuetcher Dear Alumni and Friends, EDITOR Stephanie A. Unger ART DIRECTOR Alan J. Kegler n August 21, 2002, new affiliation agreements between the University at Buffalo and its DESIGN David J. Riley teaching hospitals were announced. These agreements mark a seminal event in the history of the UB School of Medicine and Biomedical Sciences because they represent a 'sea DESIGN ASSISTANT Karen Lichner change' not only in the school's relationship with its affiliated teaching hospitals, but also CONTRIBUTING WRITERS Lois Baker and Ellen Goldhaum with its faculty and residents. By recalibrating these relationships to better support our school's primary mission, which is to educate students and train residents, we are putting in place girders upon PRODUCTION COORDINATOR Cynthia Todd-Flick which we can help build a healthcare system that more effectively serves our region. The new affiliation agreements, which you can read more about on page 21 of this issue of Buffalo Physician, will result in our school's faculty being paid either through the state or through the faculty practice plan. Over time, it is hoped that this will result in faculty members establishing a primary allegiance to the school in lieu of the individual inpatient facilities with which they are affiliated in the community. If this change in culture can be accomplished, I believe it will greatly strengthen our school's foundation over the next 25 to 30 years. With regard to graduate medical education, the agreements take the hospitals out of the educational system and place the onus for training residents square­ ly under the purview of the school, where it should be. This, in and of itself, is a historic change in view of the fact that the residency programs in New York State were originally sponsored by hospitals. In fact, UB did not sponsor any of the residency programs until the Buffalo Graduate Medical-Dental Consortium was formed in 1983, and even that was only a partial sponsorship. The hospitals had in essence taken ownership of residency training, so these new agreements bring our community—which was about 45 years behind the rest of the country—in line with where it should have been a long time ago. Also, as I look to the future, I anticipate that the federal government will mandate changes in Medicare law. Under the new affiliation agreements, the school will be in a much better position to react in a timely way to these changes. Lastly, from the community's perspective, there is now the potential to undertake UNIVERSITY AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES Dr. Michael Bernardino, Dean EDITORIAL BOARD Dr. John Bodkin Dr. Martin Brecher Dr. Harold Brody Dr. Linda J. Corder Elizabeth Volz, Class of 2005 Dr. James Kanski Dr. Elizabeth Olmsted Dr. James R. Olson Dr. Stephen Spaulding Dr. Bradley T. Truax Dr. Franklin Zeplowitz TEACHING HOSPITALS Erie County Medical Center Roswell Park Cancer Institute Veterans Affairs Western New York Healthcare System KALEIDA HEALTH: The Buffalo General Hospital The Children's Hospital of Buffalo Millard Fillmore Gates Hospital Millard Fillmore Suburban Hospital CATHOLIC HEALTH SYSTEM: Mercy Health System Sisters of Charity Hospital strategic healthcare planning for our region, should its leaders have the critical will to do so. This will certainly require a willingness to give-and-take among the various hos­ pitals. But if this flexibility can be managed, the school will have an opportunity to graft on to a single, high-quality clinical program rather than participate in multiple smaller Niagara Falls Memorial Medical Center © UNIVERSITY IIBIIFFUO. THE STATE UNIVERSITY OF NEW YORK programs, none of which can compete locally, regionally or nationally. If this type of planning is made a priority, then I envision our school serving as an umbrella under which such initiatives can move forward. This does not mean that the school would be interested in dictating outcomes for healthcare in our region, but it does mean that it could serve as a facilitator for change in a new climate of cooperation where, ultimately, quality of patient care is the only measure of success. - it i $ t M I C #h A E L E . B E R N A R D I N O , M D , M B A Dean, School of Medicine and Biomedical Sciences Vice President for Health Affairs Letters t o t h e Editor Buffalo Physician is published quarterly by the University at Buffalo School of Medicine and Biomedical Sciences in cooperation with the Office of Communications. Letters to the Editor are welcome and can be sent c/o Buffalo Physician, 330 Crofts Hall, University at Buffalo, Buffalo, NY 14260; or via e-mail to bp-notes@buffalo.etlu. Telephone: (716) 645-5000, ext. 1387. The staff reserves the right to edit all submissions for clarity and length. University a t B u f f a l o The State University of New' YorK �P H Y S I C I A N Features 2 10 16 Gray Matters Rohit Bakshi, MD '91, neurologist and mentor extraordinaire, gives multiple sclerosis a new image B Y Lois B A K E R Pain's Mystery, a Mindful Approach Funded by a $2 million grant, UB researchers study biobehavioral treatments for irritable bowel syndrome BY S. A. UNGER Budget Talks A conversation with Michael Bernardino, MD, MBA, dean of the School of Medicine and Biomedical Sciences Stephen Pollack, MD '82. welcomes Jodi-Ann Oliver at the White Coat Ceremony. Jodi-Ann's twin. Leri-Ann. Is also a member of the Classof 2006. For more on this event, turn to page 22. COVER PHOTO BY K. C. KRATT FJgHH ^PmLVKY ^ Medical School 22 White Coat Ceremony 23 Toni Ferrario receives 2002 Humanism in Medicine Award 24 Inaugural Student Clinician's Ceremony Research News 26 Update on Pathways 30 News about Buffalo Center of Excellence in Bioinformatics 28 Anthony Campagnari's research stimulates industrial collaboration faculty, staff, students and alumni 31 GonzalezFernandez joins UB as inaugural chair holder 34 Faculty awards Student Column 36 Fourth-year student and volunteer fire fighter Laura Rendano reflects on her dual roles Development 39 A DNA research gift 40 Annual list of endowments Classnotes 44 News from your UB classmates and other alumni ��en years ago people with multiple sclerosis (MS) could expect little from the medical profession other than drugs to help relieve their symptoms and canes or walkers to help them get around as their physical disabilities mounted. That was before researchers were able to focus the full power of advanced neuroimaging techno­ logies on the disease. By using the latest magnetic resonance imaging (MRI) methods in tandem with one of the most powerful supercomputing systems in the world, University at Buffalo researchers in the Buffalo Neuroimaging Analysis Center (BNAC) are providing insights into the disease that were never before possible. Some are creating three-dimensional images of the brain and brain structures of MS patients that show the process of atrophy under the onslaught of the disease. Others are linking stages of atrophy Perhaps the most im­ with physical and cognitive symptoms portant development to and are developing a "standardized" im­ come out of the center age of one affected brain structure, which will serve as a model for assessing disease to date is the research­ stage and predicting progression. ers' discovery that the Still other scientists are using advanced imaging techniquesand computing power brain's gray matter, to study the amount of whole-brain shrink­ where higher function­ age that occurs in MS and to develop accu­ rate ways to measure brain deterioration. ing is centered, is involved in MS. A Neuro Image of Atrophy Perhaps the most important development to come out of the center to date is the researchers' discovery that the brain's gray matter, where higher functioning is centered, is involved in MS. "Traditionally, MS was thought to be strictly a In addition to pursuing his own research. Rohit Bakshi. MD. University at Buffalo associate professor of neurology, front. has assembled a group of energetic student researchers to work in the Buffalo Neuroimaging Analysis Center. "The students are the lifeblood of the center." says Bakshi. "Their enthusiasm, dedication and fresh ideas make our research go forward." Pictured, back row. left to right, are medical students Michael Sanfilipo. Rob Bermel and Andrew Fabiano. 'white matter disease,"' explains Rohit Bakshi, MD '91, Autumn 2002 !u ff aI a Physician �UB associate professor of neurolo­ gy and director of the BNAC. We thought it affected only the 'road­ ways' in the brain." (White matter, or myelin, is the covering that allows various gray matter structures to communicate with each other.) This finding resulted from the re­ searchers' work with a brain structure situated deep in the gray matter called Class of 2003 fourth-year medical of Neurology, Alpha Omega Alpha conducted research in neuropharm­ student at the University at Buffalo medical honor society and the Uni­ acology as a Howard Hughes Under­ School of Medicine and Biomedical versity at Buffalo. !u If a I i P h y s i c i a n A u t u m n graduate Research Fellow. In 1998, he Sciences, has been chief research In May 2001, Bermel was awarded worked at the U.S. Oepartment of assistant at the Buffalo Neuroimag- the American Academy of Neurology's Energy's Brookhaven National Labora­ ing Analysis Center since May 2000. G. Milton Shy Award for medical stu­ tory, where he studied addiction con­ His work includes an honors thesis on dent research in clinical neurology, trol and breast cancer therapy using the use of MRI in detecting brain based on studies he conducted onthe brain positron emission tomography. atrophy in multiple sclerosis (MS), use of the bicaudate ratio as an MRI Bermel is interested in pursuing mentored by Rohit Bakshi, MO '91. marker of brain atrophy in MS. This research was funded by student While pursuing his bachelor of grants from the American Academy arts degree in biology at UB, Bermel the caudate nucleus, an important nerve center for con­ trolling movement and cognitive processing. Other labo­ ratories have studied the role of the caudate nucleus in Alzheimer's Disease and Huntington's Disease; however, the BNAC is the only center studying it in MS patients with state-of-the-art MRI techniques. "Through our computerized imaging analysis capa­ bilities we have been able to visualize the caudate nucleus in MS patients in new ways, and we found it was atro­ phied," explains Bakshi. "Moreover, the atrophy is not 4 associated with the amount of white matter damage. "If we are going to treat this disease," he says, "we have to know where the damage is." MS strikes people primarily between the ages of 20 and 40, and there is no cure. The most common cause of progressive neurologic disability in young adults, the dis­ ease is most prevalent in mid-North America and North­ ern Europe. Symptoms vary widely, depending on where and how much brain damage is involved. A leap forward in treatment occurred in 1996 when a 2 0 0 2 a residency in neurology following graduation from medical school. drug developed by the late Lawrence Jacobs, MD, chair of UB's Department of Neurology, was approved by the Federal Drug Administration after several years of clinical trials that were supervised by Jacobs. The drug, interferon beta-la (Avonex), slows progression of disability in the relapsing-remitting form of the disease and reduces the frequency of flare-ups. It is now the most widely prescrib­ ed treatment for MS. "Our challenge today is to uncover mechanisms in the brain that could lead us to a new therapy, building on �T "We've been able to correlate gray matter hypointensity with brain atrophy and physical impairment. This leads us to think that hypointensity in the deep gray matter is a strong predictor of disability, progression of the disease and sub­ sequent brain atrophy." a third-year medi­ Kenmore, New York, before matricu­ After five semesters. Fabiano cal student at the University at lating to the University of Illinois at graduated with Highest Bepartmen- Buffalo School of Medicine and Chicago (UIC). While at UIC, he parti­ tal Distinction and was elected to Phi Beta Kappa. Biomedical Sciences, has been a cipated in research with Br. John research assistant at the Buffalo llekis and Br. Erol Bnel, isolating nov­ Fabiano's work at the BNAC fo­ Neuroimaging el genes involved in spermatogene­ cuses on assessing gray matter sis. He also contributed to research damage in multiple sclerosis and Analysis Center (BNAC) since May 2BB1. A native of Buffalo and the third at the UIC Medical Center on positron diabetes using MRI diffusion imaging of six children, Fabiano attended emission tomography screening for and T2 relaxation. St. Joseph's Collegiate Institute in coronary calcification. Dr. Jacobs's work," says Bakshi. "One possibility might be a drug cocktail that in­ cludes interferon and a neuroprotective agent to target and preserve the gray matter." Bakshi's own research could point to one possible drug approach. He is first au­ thor on a study published in the January 2002 (Vol. 59) issue of Archives of Neurology that reports that brains of MS patients appear to contain excess iron deposits. "In our imaging studies, the gray matter structures of MS patients appear very dark on one type of MRI scan," says Bakshi. "This evidence points to high levels of iron in the brain, which suggests that iron could be causing cell damage. The brain's mechanism to regulate iron could be impaired or shut down in MS. "We've been able to correlate gray matter hypointensity with brain atrophy and physical impairment," he adds. "This leads us to think that hypointensity in the deep gray matter is a strong predictor of disability, progression of the disease and Autumn 2002 I ii f f a I n P h y s i c i a n 5 �subsequent brain atrophy." If these findings hold up through longitudinal studies, a treatment de­ signed to prevent iron buildup could prove beneficial. Student Scientists In addition to pursuing his own re­ search, Bakshi has assembled a group of energetic student researchers from various disciplines to work with senior neurologists on several projects. "The students are the lifeblood of Michael SanfiliDO Class of 2005 the BNAC," says Bakshi. "Their enthusiasm, dedication, and fresh ideas make our research program go forward. "Our goal is to train the students in the necessary neuroimaging analysis techniques and then rapidly help them to develop their own line of investigation under supervision," he continues. "This mentor-mentee approach has led to each student taking the lead on projects, including data analysis and interpretation, presentation of data at national research meetings, and manuscript preparation." Among the researchers is Robert Bermel, a fourth-year medical student at UB, who is concentrating on the cau­ date nucleus. Bermel is collaborating with specialists in UB's Center for Computational Research who are taking ology internship at the Manhattan Summer Research Fellowship to medical student at the University at Psychiatric Center,he was a research study whether cerebral gray matter Buffalo School of Medicine and Bio­ associate at New York University, abnormalities in MS are related to medical Sciences, joined the Buffalo where he conducted neuroimaging cognitive impairment. NeuroimagingAnalysis Center (BNAC) research (PET, MRI. fMRI) in schizo­ He has authored 31 research in 2002 to perform quantitative MRI phrenia under Dr. Adam Wolkin. He articles, six as first author. His cur­ research in multiple sclerosis (MS). then conducted fMRI researchin sub­ rent research interests include A native of Buffalo, Sanfilipo stance abuse at the Medical College MS. schizophrenia, neuroimaging. of Wisconsin under Dr. Elliot Stein. MRI, biostatistics and neuropsy­ earned his bachelor's and master's degrees in psychology from Syracuse Sanfilipo received a UB School of University. After completing a psych­ Medicine and Biomedical Sciences chology. In the future, he plans a career in academic neuroscience. "Our goal is to train the students in the necessary neuroimaging analysis techniques and then rapidly help them to develop their own line of investigation under supervision." —Rohit Bakshi, MD '91 6 I u If aI o Physician A u t u m n 2 0 0 2 �data from high-resolution MRI scans of the structure in MS patients and converting them into three-dimensional images that can be displayed on a computer monitor and rotated in any direction interactively. The studies are aimed at looking at how disease of the gray matter is detected in the brain and how it relates to MS progression. "Before we had the ability to create three-dimensional images, we were able to use computers only to obtain quantitative data, such as the structure's volume and di­ mensions," says Bermel, who is working in Bakshi's labo­ ratory. "Now we are able to visualize structures, to actually see where atrophy is occurring." Bermel presented a poster at this year's American Academy of Neurol­ ogy meeting detailing his findings, which showed that caudate nuclei in MS patients were smaller than in healthy controls. The atrophy of this brain structure wasn't associated with any other measures of disease pro­ gression, such as whole-brain atro­ phy, duration of disease or extent of brain lesions. "This suggests that another unde­ termined mechanism may play a role in gray matter disease," notes Bermel. "The study also demonstrated that new computer-assisted imaging ca­ pabilities can show gray matter dis­ ease, which previous MRI's could not detect. It opens a new window into the brain." Bermel and his colleagues in the UB Center for Computational Re­ search noware establishing a database of three-dimensional images of cau­ date nuclei from MS patients and cor­ relating each image with each patient's ability to function. This will allow re­ searchers to track the association be­ tween atrophyand MSsymptoms and, by matching images from new patients to the database, to predict their disease stage and progress. Another young researcher is Andrew Fabiano, a thirdyear medical student at UB, who is analyzing diffusionweighted MRI scans of gray matter structures in MS pa­ tients. This type of scan measures the amount of water that passes through a brain structure: the higher the diffusion rate, the less dense the tissue. Fabiano is assessing the diffusion rates of two different categories of disease—relapsing-remitting and secondaryprogressive—and comparing them to patients' symptoms. In results presented at this year's American Academy of Neurology meeting, Fabiano reported that the diffusion rate was higher in secondary-progressive patients than in relapsing-remitting. In the caudate nucleus, a higher diffu­ sion rate was linked to greater physical disability. His findings suggest that this type of scan could be used as a noninvasive method to determine and monitor gray matter tissue damage in MS patients. Fabiano was awarded a prestigious research grant from the Alpha Omega Alpha Medical Honor Society to continue this work in Bakshi's lab this past summer. As the newest member of the BNAC team, Michael Sanfilipo, a second-year UB medical student, is applying his Autumn 2002 Buffalo Physician 7 �prior neuroimaging experience in the area of schizophre­ nia to address the question of whether the specific cortical gray matter areas responsible for "higher" cognitive abilities are atrophied in MS. Sanfilipo recently received a UB Summer Research Fellowship to carry out this project us­ ing a statistical brain mapping program to be run in part­ nership with the Center for Computational Research. Also within the BNAC, Jitendra Sharma, MD, a graduate student at Roswell Park Cancer Institute, is collaborating with a researcher at the University of Trieste in Italy to develop a highly reliable measure of whole-brain atrophy. Jin Kuwata, a UB psychology graduate, is administering cognitive tests to MS patients and comparing their perfor­ mance with the amount of atrophy shown on their brain scans, making the connection between gray matter damage and mental function. Christopher Tjoa, a computer science and premed major at UB, is performing brain mapping in an effort to develop a standardized image of a healthy brain against which MS brain images can be compared. Rohit Bakshi While current work at the center will continue to con­ centrate on MS, in the future researchers will be analyzing brain scans of persons with juvenile diabetes, as well as those with other conditions, such as lupus, stroke, demen­ tia and epilepsy. "Our main thrust is to determine through MRI analysis the sites and mechanisms of disease in the brain and to provide new information about how diseases progress," explains Bakshi. "The applications of this work include a more accurate diagnosis of neurologic disorders and the ability to accurately predict the disease course at the time of the earliest symptoms. "Also, through studying diseases with sophisticated MRI analysis, we begin to untangle the great mystery of how the brain functions. Ultimately, this information could lead to new treatments and—in the best scenario— to cures for a variety of brain disorders. This is what we all work toward.''CT> is founding director of Upon graduation from medical scientific papers in such journals as the Buffalo Neuroimaging Analysis school in 1991, Uakshi served a one- the NewEngland Journal of Medicine, Center (BNAC), an associate profes­ year internship at the Massachu­ Journal of Neuroscience, Neurology, sor of neurology in the University at setts General Hospital and Harvard Multiple Sclerosis, and Journal of Buffalo School of Medicine and Bio­ Medical School, followed by a neur­ Neuroimaging. He is also first author medical Sciences and a neuroimager ology residency at the University of of a 200-page chapter on brain MRI at the Jacobs Neurological Institute California at Los Angeles, where he for the textbook Baker's Clinical in UB's Department of Neurology. conducted neuroimaging research Neurology, updated for 2001. A Buffalo native.Bakshi is a grad­ with Ur. John Mazziotta. He returned Oakshi received the 1998 William uate of Cornell University and the to Buffalo in 1995 to complete an H. Oldendorf Award for his neuroim­ UB School of Medicine and Biomedi­ MRI/CT neuroimaging fellowship at aging research in multiple sclero­ cal Sciences. As an Alpha Omega the Uent Neurologic Institute. sis. In 1999,he was appointed to the Alpha scholar, he completed a neuro­ Bakshi is board certified in neu­ board of directors of the American science research fellowship in neu­ rology and is certified in MRI/CT by Society of Neuroimaging and joined ropharmacology and stroke with the American Society of Neuroimag­ the faculty of Medscape.In 2000.he Dr. Alan Faden at the University of ing. A neurologist and neuroimager. was appointed to the editorial board California at San Francisco. he has published 7U peer-reviewed of the Journal of Neuroimaging. �wealth of Talent and Resources Multidisciplinary research program thrives in Buffalo & W he Buffalo Neuroimaging Analysis Center (BNAC) is located in the Jacobs Neurological Institute at Kaleida Health's Buffalo General Hospital, part of the Buf­ falo-Niagara Medical Campus. The center, which is affiliated with the Department of Neurology in the University at Buffalo School of Medicine and Biomedical Sci­ ences, has received more than $1 million in funding since opening two years ago. The sources of funding, which reflect the center's multidisciplinary research program, include the Na­ tional Multiple Sclerosis Society, the Juvenile Diabetes Foundation, the National Institutes of Health and the University at Buffalo. (Computer systems at the BNAC are maintained by the Engineering Node Service of UB's School of Engineering.) "One of the strengths of the BNAC is that we have thrived on various collaborations with UB investiga­ tors from other departments and other schools, taking advantage of the wealth of talent and resources avail­ able right here in Buffalo," says Rohit Bakshi, MD '91, UB associate professor of neurology and director of the BNAC. Other neurologists at the Jacobs Neurological Insti­ tute who have participated in the work of the BNAC include: Bianca Weinstock-Guttman, MD, UB assis­ tant professor of neurology; Steve Greenberg, MD, UB associate professor of neurology; and Frederick Munschauer, MD, UB clinical professor of neurology. In addition, Ralph Benedict, PhD, a neuropsychologist and UB associate professor of neurology, has collabo­ rated with the BNAC on numerous projects that involve the study of cognitive and behavioral disorders using magnetic resonance imaging (MRI). . s & v r-A" - «v v, r,uv| • m Bakshi has also :? sr i \ i ' " f \ % *K ,xv> '5 ^%vs formed a collabora­ -f. • . tion with Julian g\'*y 8BJS Ambrus Jr, ScD, T- ;iCi '3 ® T MD, UB research • ^• ~t> • ^ • i professor of medi­ cine, to study au­ toimmune diseases, such as antiphospholipid antibody syndrome. Richard Chan, MD, UB assistant professor of neurology (affiliated with the Jacobs Neurological Institute), and Adnan Qureshi, MD, UB assistant professor of neurosurgery (affiliated with UB's Toshiba Stroke Research Center), are partnering with the BNAC to use MRI to study brain changes associated with cerebrovascular disease. Murali Ramanthan, PhD, UB associate professor of pharmaceu­ tical sciences, is working with the BNAC on a $500,000 study supported by the National Multiple Sclerosis So­ ciety to correlate changes in gene expression with lesions and atrophy on brain MRI scans in patients with MS using powerful DNA microarray technology. In addition, Bakshi has been named the imaging point person for the Buffalo Center of Excellence in Bioinformatics, according to Bruce Holm, PhD, senior vice provost at UB. "This [collaboration] will allow the BNAC to assist in fostering imaging applications toward a variety of disease states in public-private partnerships," says Holm. "I am confident," says Bakshi, "that the imaging data obtained through the bioinformatics program will de­ velop better patient care and research, as well as economic spin-offs to benefit our community." The BNAC is also involved in national and interna­ tional collaborations with research groups in Florida, England and Italy. For more information on the research described in this article or other studies under way at the Buffalo Neuroimaging Analysis Center, visit the BNAC website at www.bnac.net. e> �y S sterv. roach $2 million NIH grant to study irritable bowel syndrome RRITABLE BOWEL SYNDROME (IBS) IS A GASTROINTESTINAL DISORDER CHARACTERIZED BY RECURRENT ABDOMINAL PAIN AND ABNORMAL BOWEL MOVEMENTS. / Second only to the common cold as a cause of work absenteeism in the United States, IBS affects an estimated one in six Americans and accounts for some three million visits to physicians annually. Although the etiology of the disorder is poorly understood, the enormous impact IBS has on society is clearly documented by these and other statistics, which leave little question as to why medical researchers are stepping up their efforts to find new, more effective ways to treat this often debilitating condition for which there is no standard medical treatment. One such effort is being undertaken by Jeffrey Lackner, PsyD, a University at Buffalo assistant professor of medicine, who is collaborating with researchers from the University at Albany to conduct a four-year clinical trial to test the effectiveness of cognitive therapy and self-help support in relieving symptoms of IBS. 10 Buffalo Physician A u t u m n 2 0 0 2 [ j I ��Pain's Mystery; a m i n d f u l a p p r o a c h he study, funded by a $2 million grant from the National Insti­ tutes of Health, builds upon a series of smaller studies Lackner and his group have conducted in recent years that demonstrate significant promise for these biobehavioral approaches to treat­ ment of IBS. "Irritable bowel syndrome affects quality of life as much or more than congestive heart failure. It can seriously disrupt virtually every aspect of life, from work and travel to recre­ ational activities and relationships with family and friends," says Lackner, who points out that 70 percent of individuals with J.V1 any patients — address a patient's beliefs and attitudes toward their pain, their coping skills or job satisfaction could result in ineffective treat­ ment or continued pain." IBS is a good example of a disorder whose painful symptoms are poorly understood in terms of underlying disease, according to Lackner. "Because of the nature of IBS symptoms and the fact that standard medical tests do not indicate a problem with the physical structure of the bowel, the disorder is often wrongly dismissed by healthcare providers as something other than a real medical condition," he explains. and even their physicians—are surprised to discover that more effective strategies for managing pain can be learned and that the research supporting cognitivebehavioral treatments is some of the most stringent and impressive in the chronic-pain literature—Jeffrey Lackner IBS are women. "Sufferers often feel like they are spectators in their own lives as they struggle with emotions of helplessness, embarrassment, anxiety and frustration." The result, unfortunately, is that many patients suffer in silence, failing to discuss their symptoms with friends, family and health professionals. Diagnostic Criteria Established A s director of UB's Behavioral Medicine Clinic in the UB Pain Center at Erie County Medical Center, Lackner focus­ es his research on identifying the biobehavioral factors that worsen pain and limit function, as well as on devising ways to help people suffering from chronic pain resume productive lives. "Most physicians and patients see pain as a symptom of an underlying disease," observes Lackner. "However, with chronic pain, there frequently is no clearly discernable physical cause. This doesn't mean that these patients are weak malingerers or that the pain is only in their heads; it means that, like all of us, their experience of pain is influenced by a distinctive mix of physical, psychological and environmental factors. Failing to 12 if13 Io Physician A u t u m n 2 0 0 2 While no one knows for sure what causes IBS, the consensus among experts now is that it is not a psychiatric disorder, nor is it caused by a specific biological or anatomical abnormality. Instead it is considered a functional disorder of the bowel in that its symptoms cannot be explained by an underlying structural abnormality, such as inflammatory bowel disease, or by bio­ chemical abnormalities, such as lactase deficiency. Because IBS symptoms mimic other diseases whose symp­ toms correspond with physical abnormalities, patients with IBS often undergo extensive workups before receiving a correct diagnosis. While these tests may have utility in evaluating certain gastrointestinal problems, they are not necessary to establish a diagnosis of IBS. "Because there is no objective marker of IBS symptoms, establishing a diagnosis requires recognizing the clinical features associated with IBS and excluding other medical disorders that may have a similar clinical presentation," explains Lackner. "The old view that IBS should be viewed as a 'wastebasket diagnosis' has been supplanted by an empirically validated symptombased diagnostic system known as the 'Rome criteria.'" These criteria were developed with the consensus of more �than 30 international authorities and describe the symptoms, clinical features and diagnostic guidelines for IBS. Currently, the criteria characterize patients with IBS as having 12 or more weeks (not necessarily consecutive) in the preceding year of abdominal pain accompanied by at least two of the following features: (1) pain is relieved by defecation; (2) onset of pain is associated with change in stool frequency and (3) onset of pain is associated with a change in stool appearance. (For more details on these guidelines, visit www.romecriteria.org.) Pain Theory and Therapy D espite the difficulty in diagnosing IBS, the good news is that the disorder is treatable, and some of the most promising interventions include the biobehavioral plans devised by Lackner and his team at UB. The rationale for behavioral medicine interventions comes from research showing an association between IBS and dys­ function in the interaction between the central nervous system and the enteric (small intestine) nervous system. Scientists now believe that this dysregulation of the "brain-gut" neuroenteric systems leads to abnormal patterns of motility (the ability to move spontaneously; in this case, the gut), enhanced pain sensi­ tivity and increased hyperactivity of the autonomic nervous system (the part of the nervous system that controls involuntary bodily functions). "Because 'crosstalk' between the brain and gut is bidirec­ tional, the higher-order brain processes—such as information processing, attention, beliefs, moods and attitudes—have the capacity to modify signals between the brain and the intestinal tract," says Lackner. Beyond their influence on gut motility and sensation, behav­ ioral factors have been found to influence pain reporting, phy­ sician visits, medication use and treatment outcome, according to Lackner. "This is particularly true regarding patients with IBS who seek treatment, versus those with the disorder who don't seek treatment—not in terms of the severity of their symptoms, but in terms of psychosocial makeup," he emphasizes. What this finding has suggested to scientists is that not only does the learning of these higher-order brain processes play an important role in the development and maintenance of IBS, but the 'unlearning' of the same processes can result in a reduction of IBS symptoms. "This information led our research team to develop a learn­ ing-based behavioral treatment program that teaches patients a set of practical, concrete skills to reduce gastrointestinal symp­ toms in much the same way as patients can learn to lower their blood pressure by modifying health behaviors," says Lackner. The 10-week program, designed by Lackner and his colleague Leonard Katz, MD, and Susan Krasner, PhD, are collaborators on the study. Susan Krasner, PhD, is individualized for each patient based on an intensive interview aimed at assessing the different aspects of a patient's pain, including its quality, location and triggers, as well as factors that maintain it. "We get far beyond 'Does it hurt?' and 'Where does it hurt?"' Lackner says. "For us, the important question is, 'What per­ sonalized treatment plan based on available scientific research stands the best chance of improving this patient's function­ ing for his or her specific pain syndrome?' By integrating data from our medical pain specialists with data from behavioral A u t u m n 2 0 0 2 Buffalo Physician �Pain's Mystery, a m i n d f u l a p p r o a c h BRAIN IMAGING S t u d y rritable bowel syndrome (IBS) is a com­ Study participants undergo a positron with IBS. Goals of the current UB study mon gastrointestinal condition present in emission tomography (brain imaging) scan include adding to this body of research, as an estimated 25 million people in the and sensory testing prior to commencing a well as discovering whether brain areas United States. While the cause of IBS is not 10-week nondrug biobehavioral program that do not function correctly in IBS pa­ completely understood, scientists believe for IBS (see article, opposite, for a descrip­ tients are normalized following completion that symptoms are provoked by hyper­ tion of this program). of the 10-week biobehavioral program. sensitive nerves sending abnormal levels of pain signals to brain regions that register At the conclusion of treatment, a sec­ ond set of tests is conducted. The study's principal investigator is Jeffrey Lackner, PsyD, a University at Buf­ pain sensations. Research has shown that The sensory testing task involves place­ falo assistant professor of medicine; these pain signals—which follow intestinal contractions, stress, hormonal changes, ment of a balloon catheter in the lower large coprincipal investigator is Alan Lockwood, intestine (colon) by a board-certified gastro- food intake and bloating—trigger a differ­ enterologist. The balloon catheter is connec­ MD, UB professor of neurology, nuclear medicine and communicative disorders ent pattern of brain activity in IBS patients ted to a computerized pump that inflates the and sciences and director of the UB-VA than in individuals without IBS. balloon to specific pressure levels, which, at PET Center. Thomas Mahl, MD, UB associ­ their highest, are moderately uncomfortable ate professor of clinical medicine, and These findings suggest that IBS involves "faulty wiring" of the nerves connecting for a short period of time. The patient's re­ Leonard Katz, MD, UB emeritus professor the gastrointestinal system and the brain. sponse to the balloon inflation is measured of medicine, are serving as the study's gas­ The Behavioral Medicine Clinic of the Uni­ by taking the PET scan, which creates pic­ trointestinal specialists. Funding is provided versity at Buffalo School of Medicine and tures of brain blood flow patterns that allow by an Interdisciplinary Research and Cre­ Biomedical Sciences and the University at scientists to visualize not only the fine struc­ ative Funds award from the University at Buffalo-Veterans Affairs' PET center are tures of the brain but also the level of activ­ Buffalo and the National Institutes currently conducting a study designed to compare brain activity to visceral (bowel) ity taking place in various parts of the brain. of Health. To date PET research has been very im­ For information on this study, or how stimulus of individuals with IBS versus healthy volunteers. portant in identifying specific regions of to participate in it,contact the UBBehavioral the brain that are more active in patients Medicine Clinic at (716) 898-6254. —S. A. UNGER evaluations, we identify the environmental, physical and per­ sonal factors that contribute to pain and then work to improve functioning." Armed with a clear picture of the type of pain and the type of person, Lackner and Krasner set out to teach their clients how to work around the pain and return to a better quality of life. To accomplish this, they draw on a variety of clinically proven behavioral techniques. A plan may include learning behavioral self-management tools to challenge information processing errors that influence pain and response to treatment. "For example, pain patients learn to recognize the earliest thoughts and reactions that accompany a pain flare-up and to modify their responses to them," says Krasner, who is also a pain psychologist and UB clinical assistant professor of anesthesiol­ ogy. "Patients are taught that 'automatic thoughts,' such as 'the pain will never end' and 'there is no hope,' can be replaced with substitutes, such as 'the pain has always lessened in the past' and 'change is possible; there is always hope,' to help to reduce pain and related distress." 1 4 Buffalo P hf s i ci a n A u t u m n 2 0 0 2 Impressive Results, Further Research O ver the past 15 years, this behavioral self-management approach has been subjected to rigorous scientific stan­ dards in a series of clinical trials. The results show that 70 to 80 percent of IBS patients achieve a clinically significant—50 per­ cent or more—reduction in IBS symptoms and maintain these gains for up to three months of follow-up. "A major goal of our current NIH trial is to assess the extent to which treatment gains are maintained at 12 months after the completion of treatment," says Lackner. "Many patients—and even their physicians—are surprised to discover that more effective strategies for managing pain can be learned and that the research supporting cognitive-behavioral treatments is some of the most stringent and impressive in the chronic pain literature," he continues. "Cognitive-behavioral therapy can't promise patients total freedom from a medical problem as complex as IBS pain," he �says, "but it can teach patients to feel less hampered by it." To date, 200 people from Buffalo and Albany have been enrolled in the NIH clinical trial. In addition to monitoring the effectiveness of the treatment a year after its conclusion, the researchers are seeking to determine if participation in cogni­ tive therapy or a support group improves symptoms compared to a control group. They are also attempting to establish which aspects of treatment are responsible for a decrease in symptoms, as well as which symptoms may predict positive outcomes. Working alongside Krasner, who is a therapist on the Buffalo study, is Leonard Katz, MD, UB emeritus professor of medicine, who is serving as the study's gastrointestinal specialist. "We think the findings from our preliminary studies are very promising, but we don't help our patients as much as we'd like," says Lackner. "We need to improve on what we're doing. There is still a lot we don't know, and we think our current work will provide many more answers." B 'rimary care physicians can treat an estimated 70 percent of patients with irritable bowel syn­ drome. Only 30 percent of patients have moderate to severe symptoms that occur two or more times per week and interfere with daily activities. In complex cases, patients do not typically re­ spond to treatments that only target normaliza­ tion of the gut; instead they may require formal instruction in symptom self-management skills. Studies show that, even in severe cases, treat­ ment such as that offered at the University at Buffalo's Functional Gastrointestinal Disorders Center can significantly reduce IBS symptoms by up to 80percent. To learn more about the ongoing National Institutes of Health clinical trial for treatment of Lois Baker, senior editor in News Services at the University at Buffalo, contributed to this article. IBS described in this article—or criteria for refer­ ring a patient to this trial—call (716) 898-6254 or (716) 898-5671. G> We practice law for those who practice health care. Phillips, Lytle understands that health care providers face unique legal challenges. HIPAA, STARK, compliance issues, DOH regulations, reimbursement, the OPMC, and let's not forget about MFCU audits. These are all hot topics that we are prepared to help you with. Experience Breadth Depth Have questions or concerns? Call or e-mail Lisa McDougall, Esq., the health care practice group coordinator, at (716) 847-5478 or lmcdougall@phillipslytle.com. P H I L L I P S , L Y T L E , H I T C H C O C K , T T O R N E B L A I N E Y 8 H U B E R L L P S est. 1834 3400 HSBC Center, Buffalo, N Y 14203 (716) 847-8400 website: www.phillipslytle.com B UFFALO • F REDONIA • |AMESTOWN • N E W Y ORK • R OCHESTER Autumn 2002 Buffalo Physician �M E D I C A L S C H O O L N E W S A Conversation with Dean Michael Bernardino N APRIL 1998, Michael Bernardino, MD, MBA, was named vice president for health affairs at the University at Buffalo, respon­ sible for overseeing the clinical and col­ laborative activities of the university's five health sciences schools: medicine and bio­ medical sciences, dental medicine, health related professions, nursing, and pharmacy and pharmaceutical sciences. In this role, he has also been responsible for spearheading • 1 0 0OO< • ,/IMOaom • /Miooeai ///IGOODOJ ^•/MOOOOAM 0D«0* •"HI Ooo^t teaching hospitals and for leading the Woatao cuting joint and cooperative programs of teaching and research. In June 2001, UB Provost Elizabeth D. Capaldi announced that Bernardino would also serve as dean of the School of Medicine and Biomedical Sciences. Buffalo Physician /«A» *0«B< the university's relations with its affiliated health-science deans in planning and exe­ 16 • A u t u m n 20 0 2 ^mioa* �rior to coming to UB, Bernardino was direcI tor of managed care for the Emory University Ql Where do revenues come from to support the School of Medicine and Biomedical Sciences? I System of Health Care. He also served as professor of radiology at Emory University A; The school receives revenues from multiple sources School of Medicine, director of magnetic that include the state, tuition, practice plan, endow­ resonance imaging and abdominal radiology ments, and in indirect costs recovered from grants. at Emory University Hospital and professor The money we receive from the State of New York comes primarily in lines for faculty and administrative in the Winship Cancer Center. A native of North Canton, Ohio, Bernardino is a graduate of Case Western Reserve University and salaries, and it varies by department, but I'd say, in the aggregate, it's somewhere between 10 and 15 percent. Ohio State University, where he earned his medical degree. He completed his residency training in diagnostic radiology at George Washington Uni­ versity and earned his master's in business admini­ stration from the Goizueta Business School at Emory University. That's not a lot of support from the state. Al No, and what many people don't realize is that the type of money we receive makes a big difference. If it's state money we receive for salaries, it carries fringe benefits. However, if we use philanthropic money At our invitation, Dean Bernardino from the UB Foundation to hire some­ recently sat down to talk with Buffalo Physician about issues he faces as he attempts to position the School of Medicine and Biomedical Sciences for The reason why the hiring freeze is selective the future in a healthcare environment is because there are that, by many standards, is under­ certain departments going change and upheaval to a degree that is unprecedented. Because funding considerations underlie all decisions he must make, we focused the conversation on the that are critical to the school's mission and these core departments must be healthy if the topic of the school's budget. Future issues of Buffalo Physician will intermittently publish other con­ school is to be healthy. versations with the Dean on a variety of topics, as well as conversations with the school's senior associate deans: Margaret Paroski, MD, (medical education and admissions), Roseanne Berger, one, we have to come up with another 30 to 40 percent to cover benefits, which means that money doesn't go as far as state money does. So, if you look at our state tax sup­ port, it's certainly not increasing. As a matter of fact, over the last five years, we've had two UUP [United University Professions) increases to absorb. The state signed the contract approving the increases, but didn't fund them. There­ fore, we haveto come up with the money for the increases, which means there's less money available. Q: How much are these increases, and how are they being absorbed? MD, (graduate medical education) and Suzanne Al The most recent raise [effective in August 2002] was Laychock, PhD, (research and biomedical education), 3.5 percent, and our school's component amounted to each of whom will be asked to talk about issues perti­ $1.4 million. In lune, Provost Capaldi said she will nent to her respective areas of responsibility. cover the raise for all schools throughout the univer­ The goal in publishing this series of interviews is to sity, including ours. The caveat, however, is that the inform our readers about the complex economic, po­ deans are being asked to trim costs in their respective litical, regulatory and historic considerations school schools, although no firm number has yet been pro­ leaders must weigh in making decisions and to pro­ vided to us by the provost. Further complicating the vide a larger context within which to understand the picture is the fact that one week after the provost many new developments taking place on campus. agreed to cover the UUP increases, we were informed Comments and questions, and suggestions for that there will be an additional 1 percent state budget future topics, are welcome and can be emailed to cut, SUNY wide, effective January 1, 2003. What that bp-notes@buffalo.edu or mailed to the address listed means is that we're going to have to turn over 1 percent on the inside front cover of the magazine, below the in state operating dollars, and this will be done pri­ heading "Letters to the Editor." marily through retirements. That money will go back —S. A. UNGER, EDITOR to SUNY Central, to the governor's office. Autumn 2002 Buffalo Physician 17 �M E D I C A L S C H O O L N E W S Not everyone gets what they want, but in an era that demands management with zero growth in resources, there's no other way to do it. Essentially, it requires prioritization in a global budgetary sense, which is very difficult in any kind of academic situation. We also have been alerted to the fact that there may yet be another tithe next spring after the elections. Nothing is for certain, but this "alert" and the other uncertainties in revenue stream that I've described puts me in a very difficult position because how can I in all good conscience tell people to go ahead and hire if I may not have the money to fund the positions? Q: Is this why you announced a selective hiring freeze this summer, effective July 1? Al Yes. It makes it very difficult to manage with these types of funding variables, these uncertainties. The reason why the hiring freeze is selective is because there are certain departments that are critical to the school's mission and these core departments must be healthy if the school is to be healthy. This may offend and anger some chairs and faculty; but on the other hand, it's a fact of life: If you're looking to the future, you must have core departments, such as medicine, pediatrics and surgery, that are functioning well, or else we will have difficulty teaching 135 students. So what we've done is delay some of the hiring. If I feel that we have enough money in the future to cover what might be the tithe, then we'll go back to the original game plan for hiring. Q" What were the budgetary challenges you faced when you first came to UB four and a half years ago? What have open records, and there are boards that oversee their operation. A significant result of this is that we now have a budgeting process that is consistent and uniform, as well. We meet with departmental chairs about 6 to 7 months in advance of the new fiscal year and we look at what their wish list is and give them a budget of how much we can spend in their departments. This planning has been very beneficial. In the past, this process varied a great deal. There is still some variation—especially in terms of knowledge—but the chances of significant financial shortcomings have been dramatically lessened. That doesn't mean that any one of the departments won't have trouble in any one year, depending on the local healthcare environment, but it's far less likely to take place than in the recent past. Not everyone gets what they want, but in an era that demands management with zero growth in re­ sources, there's no other way to do it. Essentially, it requires prioritization in a global budgetary sense, which is very difficult in any kind of academic situa­ tion. 1 would absolutely love to make everyone hap­ py, but the fact is we don't have that kind of money, and it's unlikely we'll have it in the next few years. Another significant outcome of this reform pro­ cess is that there is now a clear understanding of the school's—not just the practice plan's—sources of revenue and expenses. All sources can be identified. you done to confront these challenges? A? When I first came to UB, I focused on trying to gain some semblance of understanding about the practice plan, which varied from department to department and was very fragmented. We have reformed the plan as far as possible within the parameters of the state's rules, regulations and labor contracts. We now have a single accounting system for all of the practice plans— a single 'lockbox'—that operates under an umbrella organization called UB Associates. All departments have a uniform accountingsystem; they all 'look alike,' and theyare all nonprofit organizations. All plans have II f f a Io Physician Autumn 2002 Q: In a recent Town Hall meeting*you said that there has never been a comprehensive plan for using the state money that the school receives but that, in the future, these funds would be allocated in a more systematic way. Can you elaborate on this? Al To put this in perspective, you have to remember that there was a plethora of money coming into the school in the late '70s and early '80s; the school had a lot of money and was very well off. However, what happened is that between 1990 and 2000, over $10 million was taken out of the school, primarily for the North Campus. Money is no longer being redirected �from the South Campus to the North Campus, but the fact of the matter remains that if this had not happened, the school's state operating budget would have been $10 million more than it is now. Secondly, if you look at how state funds have been distributed to clinical faculty, there doesn't appear to have been a formula governing this disbursement. Granted, the rationale for these disbursements may have been more evident in years past, but, in retro­ spect, it doesn't make sense that certain departments receive a disproportionate amount of money in rela­ tion to the number of medical students taught. In the future, what I think we need to look at is this: There should be for both the clinical and the research faculty a standard method for determining how money is allocated. For example, if a clinician comes in at an associate professor level, his or her salary will be in the 'x' dollar range, while a clinician who comes in as an assistant professor will qualify for a salary in the ly' dollar range. If an individual comes in and is going to conduct research half time, then he or she gets compensated for that propor­ tionally because we are buying that research time. I think, in the past, some people could have argued that certain departments in the school were subsidiz­ ed by the state and to some extent their affiliated hos­ pitals were also being subsidized. So, this is problem thing over the last five years, so there's no new money for facilities, and it's going to be very, very difficult to progress with refurbishing projects on the South Campus over the next year. However, in the last five years we have done a lot of rehabbing of laboratory space and classrooms, which we've equipped with state-of-the-art educa­ tional technologies. Going forward to the next fiveyear plan, we had hoped to refurbish Acheson and move the School of Pharmacy into it, but that has been delayed. So, this extension of the capital plan does not just affect the medical school, but all of the health sci­ ences schools. Everyone needs new classrooms and laboratory space, but it's all had to be delayed. Ql You have talked a lot about the importance of the school increasing the amount of philanthropic dollars it receives, especially unrestricted dollars. Why are these dollars so important to the school, both now and into the future? Al When I look at the whole budgetary picture, this is a glaring weakness as we go forward. There are prob­ lems in the local environment and there are problems in the state environment, but our school currently has some 9,000 living graduates, yet receives only about $200,000 annuallyfrom its alumni. I would very much like to see this increase to a minimum of $1 million a that is not going to be solved overnight because of year; ideally, to $4 or $5 million. existing labor laws and contracts, but it is something This is the single biggest piece that needs to be fixed we are looking at as we move ahead. in terms of funding. And I think about this when I hear people say that a priority for the school should be to Qi In the Town Hall meetings, you have also discussed the gather top faculty. Quite frankly, we cannot do this fact that the university is in the fifth year of a five-year bud­ until we have increased philanthropic support. get capital plan that has been extended another year. Can Making philanthropy a top priority is going to you explain how this extension affects the school's budget? require a paradigm shift in culture on the part of Al The capital plan is of course for the refurbishing of faculty and administrators alike. Our primary mission our facilities—buildings, classrooms and laborator­ must be to support our students in any way necessary ies. If there had not been a budget crisis in the state to ensure that they have the best and most positive this year, the five-year capital plan would have ended. medical education experience possible. We currently Instead, it has been extended another year. What are assessing all aspects of the medical school experi­ this means is that we've pretty much expended every­ ence at UB to determine ways we can do this. But programs that sup­ * In October 2001, Dean Bernardino began hosting a series of ongoing Town Hall meetings port our students require for faculty, staff, students and residents a t various community hospital sites and on t h e more than a commitment South Campus. The purpose of these meetings is t o update attendees about developments of time and energy; they a t the School of Medicine and Biomedical Sciences and t o provide them with an opportunity require a financial invest­ t o ask questions of t h e dean and t h e school's three senior associate deans. Because the school is so geographically disbursed, many of the challenges it faces are unique t o a ment as well, and this is particular clinical or academic site. Dean Bernardino has viewed the Town Hall meetings where we need to look to a s an integral part of t h e school's commitment t o addressing these challenges and t o our alumni and friends of recognizing solutions that have been implemented in response t o them. our school for assistance. Autumn 2002 Buffalo Physician 19 �M E D I C A L S C H O O L N If our students leave here and have not had a good experience, then they are not going to remain connected to the school and give back to it. If we can do the right things for our students now, then they will be motivated to help their fellow alumni once they graduate and move on in their careers. We can talk in great detail as we have here today about the difficulties of obtaining and equitably dis­ tributing support from external government sources, but ulti­ mately, I believe the key to securing the school's future and to maintaining its stature lies with the support we can receive from our alumni. If this problem were solved, this school would be sailing. fji In general, how do you feel about the school's financial future, given the budgetary changes you've implemented? Are you optimistic? A; The bottom line is that the school is no longer in the red. With the changes we've discussed, I will say that the school is poised to withstand an adverse environment much better that it was four or five years ago. And it should be noted that a lot of other medical schools, E W S even those within the SUNY system, are experiencing serious financial problems. There's a tendency to just look at what is happening in Buffalo, but quite frankly there are other places that are in much worse shape. Some of the other SUNY health science centers had to absorb the 3.5 percent UUP increase, plus the state's one percent, so they're facing a 4.5 percent setback. I'm not saying that things are perfect at our school, but if you look at it in relationship to what is going on around the country, there are many states that are not doing well; in fact, my under­ standing is that as many as 40 state governments are operating in the red this year. To answer your second question, yes, I am optimistic about the school's future. I'm even more optimistic now that we have signed new hospital affiliation agreements [see story opposite, as well as "From the Dean" on the inside front cover of this issue]. These agreements are the structural building blocks for our school and I am confident they will be a very good foundation upon which to build its future. So, I feel the school will survive financially. And, again, if we can look forward to an increase in philan­ thropy, I believe it will not only survive, but it will thrive. When is a house more than a home? ...When it is a Patio Home at Canterbury Woods. Come and learn more about what makes our new Patio Home Community so unique. ml Informational Seminar Seating is Limited Call 929-5817 To Reserve your Date and Time Episcopal Church Home and Buffalo Physician Autumn 2002 705 Renaissance Drive, Williamsville, NY 14221 �New Hospital Affiliation Agreements N Set the stage for revitalizing delivery of region's healthcare ew affiliation agreements negotiated between the University at Buffalo and its teaching hospitals have defined and fun­ damentally changed the working relationship between the UB School of Medicine and Biomedical Sciences and these entities. The new agreements also lay the groundwork for improved and more cost-efficient healthcare in Western New York. The agreements between UB and Kaleida Health and UB and the Erie County Medical Center announced on August 21, 2002, spell out the roles of the university and the hospitals in the healthcare system. In particular, they stipulate that the university will have responsibility for medical re­ search and educating medical students and residents, while the hospitals will have responsibility for patient care. A similar agreement between UB and Roswell Park Cancer Institute, the Veterans Affairs Western New York Healthcare System and the Catholic Hospital System are expected to be finalized by the end of the year. At the press conference held on August 21, 2002, to announce the new agreements between UB and ECMC and Kaleida Health, Michael E. Bernardino, MD, MBA, UB vice pres­ ident for health affairs and dean of the School of Medicine and Biomedi­ cal Sciences, said the agreements are designed to enhance the mission of all parties. "This new order provides the gird­ ers for building a high-quality regional healthcare system," Bernardino said. "These new affiliations can set the stage for revolutionizing and revitalizing healthcare delivery in this region." Noting that this is the first time the relationship between the hospitals and the medical school has been so clearly defined, Bernardino described the de­ velopment as "a seminal event in the medical school's history that promises tremendous rewards for the commu­ nity." He added that the agreements could serve as the basis for regional health planning "by helping us strate­ gically plan for academic missions. The community could end up with the best thing of all: rational alloca­ tion of healthcare resources. Better planning for care will mean better care and more cost-efficient care." Major features of the new affilia­ tion agreements between UB and Kaleida Health and ECMC include: • UB will become the sole sponsor of the training of resident physicians and dentists in affiliated hospitals, bringing this training in line with that of medical schools across the country. (The resi­ dency programs in Buffalo have been sponsored by the Graduate Medical and Dental Consortium of Buffalo.) UB also will assume responsibility for all medical student educational activi­ ties that take place in the hospitals. • Hospitals will pay the medical school for the clinical services provided by UB faculty, rather than paying faculty or departments directly. In turn, those funds will be deposited into the respec­ tive departmental practice plans,which are managed by UB Associates, a sepa­ rate nonprofit organization. • All research funds generated by UB faculty conducting research in affili­ ated hospitals, with the exception of Roswell Park Cancer Institute, will be managed by the SUNY Research Foundation or the UB Foundation. The new affiliation agreements ac­ knowledge the need to ensure that the clinical practice plan of each depart­ ment supports the medical school's academic programs; to promote faculty collegiality and excellence in teaching, research and clinical activities; to guar­ antee maintenance of common goals and a common clinical philosophy among the medical school's depart­ ments and faculty, and to make sure affiliated hospitals can provide highquality medical care for patients. Bernardino and the chief operat­ ing officers of affiliated health sys­ tems will form the Joint Affiliation Committee (JAC), which will advise the medical school in its academic strategic planning and approve the fi­ nancial plan for operation of all resi­ dency programs. In turn, the JAC will provide the structure under which the hospitals can develop mutually beneficial working relationships. CD —Lois BAKER AND ARTHUR PAGE nggS! •SSSSi " ' " A u t u m n 2 0 0 2 I f a I D Physician 21 �% M e d i c a l S c h o o l N e w s Donningthe White Coat First-year students initiated into their new roles O n August 16, 2002, the University at Buffalo School of Medicine and Biomedical Sciences welcomed its Class of 2006 at the fifth annual White Coat Ceremony, held in Slee Hall on the North Campus. The ceremony is a rite of pas­ sage for first-year medical students, who are reminded of their responsibility to care as well as cure patients by endorsing a psychological contract of professional­ ism and empathy at the start of their med­ ical careers. To formalize this commitment, they are officially "cloaked" with their first white coat, after which they recite the Physician's Oath, a modern version of the ancient Hippocratic Oath. Opening remarks were delivered by Michael E. Bernardino, MD, MBA, vice president for health affairs at the Uni­ versity at Buffalo and dean of the School of "Of all the skills you Medicine and Biomedical are going to learn in Sciences, who then intro­ medicine, learning to duced the keynote speak­ er, Richard Sarkin, MD, communicate with clinical associate profes­ patients and family is sor of pediatrics. Sarkin talked to the the most important." students about the re­ sponsibilities and privi­ leges inherent in the profession they are entering and shared with them advice about how to make the journey through medical school as healthy and positive an experience as possible, despite the great pressure each student will feel. "It's not easy being a physician, which you all are going to find out very soon, and gatherings like the White Coat Ceremony are just a start to understanding what the role of the physician really is," Sarkin said. 22 Buffalo Physician A u t u m n 2 0 0 2 Stephen Pollack, MD '82. vice president of the Medical Alumni Association, cloaks Marilyn Augustine. Class of 200G. He then shared simple, yet profound, ad­ vice he received from an older physician many years ago—advice, he says, that has influenced him throughout his career. "This person said to me that I should treat each of my patients with the same respect and compassion that I would ex­ pect a member of my family to receive," he recalled. Sarkin then set forth "a few suggestions for the coming years" for the students to follow in order to bring balance to their lives. "First, learn to communicate very well with patients and family," he advised. "Of all the skills you are going to learn in medicine, learning to communicate with patients and family is the most im­ portant. The average physician conducts more than a hundred thousand inter­ views over the course of his or her career. Learning to communicate and learning to listen are essential qualities of out­ standing physicians. "Second, find some balance. Work hard, but find some things to do outside of medical school that are meaningful to you. That could be family, friends, hob­ bies or community service. These are �things that should be meaningful to you and important to you. I can't tell you what they are, but seek them out.... Balance is hard to find, but it's essential. t "M ext, take care of yourself. If you don't rest and find balance, you will become I stale," cautioned Sarkin, who used the analogy of a tree cutter who had to work much harder to accomplish his goal be­ cause he hadn't taken the time away from his work to sharpen the blade of his saw. "This is the story of all of our lives," Sarkin noted. "It's the story of everyone here on this stage today, of your family and friends. You need to figure out how to find time to sharpen your saws. You've got to eat well, exercise, rest, find ways to reduce stress, find a way to do some fun things. You're going to tell your patients to do just this, so you have to find a way to do it yourself. "Lastly, make medical school fun," Sarkin concluded. "You're going to work long and hard; I can promise you that. But don't take school too seriously and don't take yourself too seriously. "Things go by so quickly. If you can think about ways to make med­ ical school fun, it's going to be much more useful to you." Following Sarkin's address, Toni Ferrario, MD, UB clinical assistant professor of surgery, was presented with the Human­ ism in Medicine Award (see article, opposite). Margaret Paroski, MD '80, MMM, senior associate dean for academic affairs and admis­ sions, then gave an overview of the Class of 2006 and intro­ duced each of the students as he or she was being cloaked. The ceremony concluded with Dean Bernardino leading the students in reciting the Phy­ sician's Oath. G> —S. A. UNGER 2002 Humanism Award Toni Ferrario, MD, clinical assistant professor of sur­ gery, was presented with the University at Buffalo School of Medicine and Biomedical Science's Human­ ism in Medicine Award at this year's White Coat Ceremony. Nominations for the award are made by students in the clerkship years. In presenting the award, Charles Severin, MD '97, PhD, assistant dean for years one and two in the If I Office of Medical Education, read a composite of the com­ k % ;§ ments made by students who nominated her for thisaward. "Dr. Ferrario is absolutely outstanding in every category that you listed. I watched her deal with terminally ill patients at the VA medical center with The annual White Coat Ceremony is sponsored by the Arnold P. Gold Foundation, UB's Medical Alumni Association, and the Medical School Parents' Council. phenomenal compassion and empathy. One patient in par­ Ferrario ticular comes to mind who had inoperable colon cancer. Dr. Ferrario made all the arrangements for the family to work with hospice and others in order to help them come to terms with their "Class" Profile—2 loved one's prognosis. In that sense, she was like no other surgeon I have had the opportunity to observe. "Dr. Ferrario was always available and enthu­ siastic in her interactions with me when it came time Number of Applicants: L ,819; INTERVIEWED 454 to showing me what surgery was all about, both in Class Size: 135 and out of the operating room. Male-Female Ratio: 59 MEN> 76 WOMEN off hours for extra help and was always friendly and Where They Call Home: 44 FROM WESTERN NEW YORK.; approachable. She treated everyone around her with 27 FROM EXTENDED WESTERN NEWYORK ; 10 FROM UPSTATE; respect, whether they were students, residents, hos­ 46 FROM DOWNSTATE; 8, OTHER pital staff or fellow attendings. Age: AVERAGE AGE IS 23; THE OLDEST IS 44; THE YOUNGEST, 20; from the standpoint that I think that she, as a woman, "She made herself available to students during "She was an outstanding role model, especially 17 ARE OVER 26 must have faced additional obstacles in becoming a Academic Background: AVERAGE GPA IS 3.54; OVERALL surgeon." AVERAGE MCAT SCORE IS A LITTLE UNDER 29. TWELVE HAVE Support for the Humanism Award is provided by MASTER'S DEGREES; 95 ARE SCIENCE MAJORS AND 40 ARE the Healthcare Foundation of New Jersey. NON-SCIENCE MAJORS. —S. A. UNGER Autumn 2002 <1J Buffalo Physician 23 �N M Student Clinician's Ceremony T Recognizing the transition to the clinical years he inaugural Student Clinician's they move into their clerkships. Following their remarks, Nancy Nielsen, Ceremony at the University at Buffalo School of Medicine and MD '76, PhD, assistant dean for student Biomedical Sciences was held affairs, addressed the audience, saying that August 18, 2002, in the Center for it was her privilege to "spring a surprise" on everyone present. Nielsen, who is vice the Arts on UB's North Campus. speaker of the American Medical As­ The ceremony was initiated by the school's Professional Conduct Com­ sociation's (AMA) policy-making House mittee through a grant from the Arnold P. of Delegates, began by noting that last year, when members of the Class of 2003 Gold Foundation. Opening remarks were delivered by were about halfway through the first half fourth-year student Elizabeth Bourke, of their first clerkship, the events of Sep­ who took a lead role in planning the event, tember 11th took place, followed by the the highlight of which was the presentation of the Humanism and Excellence in Teaching Awards to six residents selected by students in the Class of 2003. Addressing an audience of stu­ dents, family, friends and faculty that filled the auditorium to cap­ acity, Bourke explained that the Student Clinician's Ceremony "is a celebration of the transition to the clinical years of medical school. Its goal is to introduce the new third-year students to those who will provide guidance, example and inspiration throughout the Elizabeth Bourke, 03, left, congratulating Marsilia Seiwel. MD '99 last two years of medical school and throughout their careers. It's a chance cases of inhalational anthrax. for students to reaffirm their commitment "What those events brought home to to compassionate, patient-centered care by physicians across the country," said Niel­ reciting the oath that we took at the White sen, "is that we are a community of hu­ Coat Ceremony. Our vision for this cer­ man beings, and that geographic borders do not matter the way they used to; just as emony is that students will be inspired to spend their careers with a focus on the now, when you go to the clinics and you see a 65-year-old woman with encepha­ humanistic side of medical care." Following Bourke's remarks, Michael litis, you have to think of West Nile virus Bernardino, MD, dean of the School of as part of that differential diagnosis. Up Medicine and Biomedical Sciences, and until May of 1999, nobody in this country Margaret Paroski, MD '80, senior asso­ had paid attention to that disease, which ciate dean for academic medicine, each was certainly present in the Congo." As a result of these and other events, she welcomed the students and talked to them briefly about the communication skills said, representatives of organized medicine and discipline they will need to cultivate as from every state and territory in our nation 24 Buffalo Physician BY S. A. UNGER Autumn 2002 gathered last December at the AMA's House of Delegates and adopted the "Declaration of Professional Responsibility: Medicine's Social Contract with Humanity," which is an affirmation of the role and the respon­ sibility of the physician in our world. Nielsen then invited Dean Bernardino to the podium to receive a framed copy of the declaration. In presenting it to him, she stated that he was the first dean of a medi­ cal school in our country to receive the document, which will be sent to all medi­ cal schools in the United States. Following this presentation, the keynote address was delivered by Jack F. Coyne, MD '85, clinical as­ sociate professor of pediatrics at the University at Buffalo, medical di­ rector and coordinator of pediatric medical education for Mercy Hos­ pital in Buffalo and medical direc­ tor of the Child Advocacy Centers of Erie, Niagara and Genesee coun­ ties, which he helped establish. In keeping with Nielsen's theme of medicine being a social contract with humanity, Coyne en­ couraged the students to seek ways to fulfill this contract, whether at home or abroad. "Effecting a change, inspiring others, touching another life happens because we choose to make it happen," he said. "It can be painful to effect any change," he cautioned. "You may experience trau­ ma or emptiness—experiences that, hope­ fully, will force you into action. Your soul is touched and you begin to make good choices. I have seen students and residents do just that. And that's the reason why we're here today, to celebrate our awardees and your new life." Coyne talked in depth about such phy­ sicians as Tom Dooley, who have inspired him by working around the world to serve humanity. �Humanism and Excellence in Teaching Awards Students in the Class of 2003 selected six residents to receive the Arnold P. Gold Foundation Humanism and Excellence in Teaching Award, based on their demonstrating H e also talked about how, prior to enter­ ing medical school, he traveled to a refugee camp in Cambodia located in the Killing Fields, where there were many children who had lost their parents and who were hanging onto life by a thread themselves. The camp, which was spon­ sored by the Red Cross, was run by a phy­ sician whose energy, compassion and dedication inspired Coyne. "It was here that I regained my enthu­ siasm to become a physician," Coyne told the students. "This doctor was a very sen­ sitive man, lending a healing hand amidst much pain, sorrow and agony. He was bringing some relief and warmth to these forgotten orphaned children. My thoughts, while they were piling bodies alongside a fence outside the camp was, 'there should be more of him here."' Coyne said that he well understood that not all physicians could take their families and move to a foreign land to provide this kind of care, but he encouraged the stu­ dents to look for opportunities to help where they could, whether it be a short trip overseas to see patients for a week or two through a medical-relief organiza­ tion, or to provide care to a forgotten child in our own city, region or country. "There is a little of Dr. Tom Dooley in all of us," he added. "All we need is the opportunity and the willingness to stay on course." At the close of Coyne's address, fourthyear student David Flint introduced the six residents who were chosen to receive this year's Humanism and Excellence in Teaching Awards (see article, opposite). After the awards were presented, James Boyle, Class of 2003, read an excerpt from a poem titled "When You Come into My Room," by Stephen A. Schmidt. The ceremony closed with Dean Ber­ nardino leading the students in the recita­ tion of the Physician's Oath, a commitment to teaching and compassionate treatment of patients and families, students and colleagues. Residents selected to receive thisyear's award are listed below, followed by a comment that was submitted by a student who nominated them: Ashfaq Balla, MD, was chief resi­ dent in internal medicine at Sisters Hospital. Dr. Balla made a sincere effort to treat me as one of the team, with responsibilities but also respect. He was devoted to ed­ ucating without harassing or embarrassing me. He respected my opinions. I felt like myefforts were of value, and that I brought something to the team. Christopher Kling, MD '01, was an intern at Sisters Hospital. Currently he is a resident in dermatology at St. Louis University. Left to right: Donald McDonald. MD: Amy McDonald. MD: Ann Bruder of the Arnold P. Gold Foundation; Marsilia Seiwel. MD. Nasseer Masoodi. MD. and Dean Michael Bernardino Dr. Kling is extremely compe­ tent and knowledgeable, and if he did not know something he would look it up and share the information with the team. He demonstrated no judgmental attitudes toward any of the patients regardless of their race, ethnicity, medical problem or substance history. Nasseer Masoodi, MD, is a resident in internal medicine at Sisters Hospital. Dr. Masoodi was perhaps the best resident I've ever had the pleasure of work­ ing with. He knew how to handle the patients, the staff, the students and the administrators, and he combined this with an unbelievable knowledge base. It was truly an honor working with such a wonderful physician. Amy McDonald, MD '01, is a resident of internal medicine at the University at Buffalo. In the course of a month, [I had the opportunity to observe Dr. McDonald treat] many terminally ill patients. It was wonderful to have a role model who is such a well-rounded, humanistic physician as she is. Donald McDonald, MD '00, is a resident of internal medicine at the University at Buffalo. Most of [Dr. McDonald's] time was spent educating the patients, as well as myself. He would always comment on how pleasant his patients were, and I was certain that it was actually the sunshine he brought into the hospital on his white coat that the patients couldn't resist responding to. Marsilia Seiwel, MD '99, is chief resident for obstetrics-gynecology at Sisters Hospital. Dr. Seiwel is the first resident that I can say is a true role model. Her patients literally love her and have complete trust in her. I was able to witness the value of the doctor-patient relationship because her patients confided in her and asked her questions at a level other doctors just are not able to get with their patients. o A u t u m n 2 0 0 2 Buffalo Physician 25 �35l Center of Excellence in Bioinformatics Construction set to begin next summer stablishment of the Buffalo Center of Excellence in Bioinformatics continued to build momentum over the B f The foundation for the center's A r t i u r speech in Buffalo in early June, has P a summer, with New York State Governor George E. Pataki pledging $61 million in state funds to the University at Buffalo to construct and equip a building to house the center in downtown Buffalo. ultimate success, Pataki said in a been created by unprecedented collaboration between state government and the private and university/research sectors in the community. In announcing that $110 million had been allocated in this year's state budget for support for the Buffalo Life Sciences Pataki, who proposed creation of the jobs in Western New York. Complex, which includes a building for center in his January 2001 "State of the The Buffalo Center of Excellence in State" address, has envisioned it as "the Bioinformatics will merge high-end tech­ informatics, Pataki praised Western New state-of-the-art facility, not just in the nology, including supercomputing and York for coming together and responding United States, but in the world" in the visualization, with expertise in genomics, "in a way that others thought could not field of bioinformatics, and an engine to proteomics, bioimaging and pharmaceu­ be possible." spur economic development and the cre­ tical sciences to foster advances in science ation of thousands of high-technology and healthcare. the Buffalo Center of Excellence in Bio­ Pataki noted that in a short period of time, the private sector, including corpo- Advisory Board Named Seven preeminent scientists have been named to the Scientific Advisory Board for the Buffalo Center of Excellence in Bioinformatics, as follow: Charles R. Cantor, PhD, chief the Human Genome Center of of neuroblastoma, molecular ematical method scientific officer and member, the Department of Energy at genetic changes in leukemia, to a wide variety of board of directors, Lawrence Berkeley Laboratory. and genetic analysis of brain chemical structures SEQUENOM, Inc. tumors and breast cancer. that led to his re­ Cantor previously John K. Cowell, PhD, DSc, served as professor chair, Department of Cancer Herbert Hauptman, PhD, Nobel Prize in chemistry. His and chair in the Genetics, Roswell Park Cancer Nobel Laureate and president current work is concerned with ceipt of the 1985 Department of Biomedical En­ Institute and professor, Cel­ of Hauptman-Woodward the development of methodsfor gineering and Biophysics, and lular and Molecular Biology Medical Research Institute. determining molecular struc­ tures using X-ray diffraction. director of the Center for Ad­ Program, Roswell Park Grad­ Hauptman pioneered and de­ vanced Biotechnology at Bos­ uate Division of the Universi­ veloped a mathematical meth­ ton University. A member of ty at Buffalo. Cowell's research od that changed the field of Barry Honig, PhD, professor the National Academy of Sci­ focuses on mol­ chemistry and opened a new of biochemistry and molecular ences, he has held faculty posi­ ecular genetics of j ^ era in research in the determi­ biophysics, Columbia Univer­ tions at Columbia University cancer and cancer nation of molecular structures sity. Honig is a biophysicist who and University of California at predisposition, of crystallized materials. It was specializes in bioinformatics Berkeley, and was director of molecular analysis the application of this math­ and in developing theoretical Buffalo Physician Autumn 2002 �rate giants HP, Veridian, Informax and Stryker Communications, had pledged in­ vestments of more than $150 million in the center. Also on board as partners and re­ cruited with the help of UB scientists were Dell Computer Corp., Sun Microsystems Inc., Invitrogen Corp., Q-Chem, SGI, Amersham Pharmacia Biotech, AT&T, Wyeth Lederle, Human Genome Sciences, Inc. and the Alfred P. Sloan Foundation. UB is the lead academic institution for the center with academic partners Roswell Park Cancer Institute and HauptmanWoodward Medical Research Institute. The UB facility, for which $61 million was pledged, will be connected to the new Center for Genetics and Pharmacology being built by Roswell Park Cancer Insti­ tute with $41 million in state funding, as well as to the facility being built by Hauptman-Woodward Medical Research Institute with $8 million in state funds. Groundbreaking is slated to begin in August 2003 for all three facilities, methods for ana­ lyzing the physical chemical proper­ ties of macromolecules. He is noted for developingmethods to com­ pute and display the electro­ static potentials of macromolecules based on their 3D struc­ tures. The computer programs DelPHi and GRASP were de­ veloped in his laboratory and are widely used bythe academic and industrial communities. Eugene V. Koonin, PhD, se­ nior investigator with the Evo­ lutionary Genomics Research Group at the National Center for Biotechnology Information which will be located in the Buffalo Niag­ ara Medical Campus (formerly referred to as the "High Street medical corridor"), south of Roswell Park Cancer Institute. The Buffalo Center of Excellence in Bioinformatics also is receiving major federal support through separate congressional appropriations garnered by Representative Thomas Reynolds and Senator Hillary Rodham Clinton, totaling $3.1 million. These funds were key to recruiting the center's di­ rector, Jeffrey Skolnick, PhD, and to al­ lowing for an upgrade of the UB supercomputer. In addition, UB is seeking an additional $12 million in federal support of the center this year under four separate appropriation bills. Also playing a role in attracting Skol­ nick and two of his colleagues was $1.9 million provided by Pataki, along with a $1,542,000 three-year grant from the John R. Oishei Foundation. of the National Library ofMedicine, a department of the Na­ tional Institutes of Health. Koonin's work concentrates on sequence analysis, protein struc­ ture/function analysis and gene identification. His Evolutionary Genomics Research Group has developed computational meth­ ods for isolating clusters of orthologous groups—appear­ ances of the same gene in differ­ ent organisms— across the 40 or so completes genomic sequences now in the public domain. Michael Levitt, PhD, professor and chair of the Department of The Buffalo Center of Excellence in Bioinformatics is an integral part of Pataki's plan to develop centers of excel­ lence across the state to harness the strengths of universities and the private sector to create strategically targeted hightechnology centers of innovation aimed at spurring economic development and creating jobs. O Structural Biology, Stanford University School of Medicine. A newly elected member of the National Academy of Sciences, Levitt is known for his work in computa­ tional biology, es­ pecially protein folding. His pioneering use of an all-atom potential energy function and Cartesian coor­ dinate energy minimization on an entire protein made molecu­ lar dynamics simulations pos­ sible. It also led to the popular Jack-Levitt method for refin­ ing coordinates against X-ray data. Levitt also pioneered simulation of protein unfold­ A u t u m n ing in solution, emphasizing qualitative aspects and using film to show protein motion. Harold Scheraga, PhD, George W. and Grace L. Todd Profes­ sor of Chemistry, Emeritus, in the Baker Laboratory of Chem­ istry and Chemical Biology at Cornell University. A pioneer in the field of protein folding, his work involves genetic engi­ neering and hydrodynamic, spectroscopic immunochem­ ical and other physicochemical measurements on proteins, synthetic polymers of ami­ no acids and mod­ el compounds. 2 0 0 2 I u f fa I D Physician �STOR What's in for the Future HE UNIVERSITY AT BUFFALO Center for Advanced Technology (CAT) has awarded $200,000 to a team of researchers that in­ cludes Anthony Campagnari, PhD, pro­ fessor of microbiology in UB's School of Medicine and Biomedical Sciences; CUBRC (Calspan-UB Research Center); and industrial partner HandyLab. In addi­ tion to the CAT award, CUBRC has also provided $200,000 in matching funds in support of this research effort. HandyLab, a venture-backed spin-off company based on advanced research conducted within the University at Michigan, is developing a point-of-care diagnostic test instrument that combines PCR and microfluidic technology. Michael D. Farmer, president and CEO of HandyLab,announced in J une 2002 that the company is locating four researchers in Buffalo to collaborate with researchers at UB. Together, the team will work to further refine the specificity and sensiti­ vity of a hand-held device that is capable of rapidly identifying microorganisms. There's "a great fit" between the tech­ nology HandyLab is developing and commercialization opportunities for UB, according to Farmer. By providing Handy­ Lab with access to expertise in bacteriol­ ogy and molecular biology, UB is creating a collaborative industry-university project with commercial potential. "Tony Campagnari is a foremost re­ searcher in the field of infectious diseases. We are pleased to be working with him and CUBRC," Farmer adds. The new medical device incorporates HandyLab's patented "lab-on-a-chip" technology with Campagnari's long­ standing research efforts in the areas of sexually transmitted diseases (STDs) and human respiratory pathogens. "Sexually transmitted diseases remain a major source of morbidity worldwide," Campagnari says, pointing to a recent report The research of Anthony Campagnari. PhD. professor of microbiology, is stimulating industrial collaboration. Buffalo Physician A u t u m n 2 0 0 2 UB OFFICE OF SCIENCE, TECHNOLOGY TRANSFER AND ECONOMIC OUTREACH (STOR) from the U. S. Centers for Disease Control and Prevention that states that an estimated 15 million new cases of STDs occur in the United States annually, resulting in health­ care costs of approximately $16 billion. "My group has focused on the identifi­ cation of virulence factors, conservedsurface targets and potential vaccine antigens, and we will use our expertise to assist HandyLab in developing rapid, sensitive and specific assays designed to identify the presence of STDs in various biologic samples," he explains. This research is particularly important in the areas of Chlamydia and gonorrhea, according to Campagnari, since both dis­ eases are associated with a high trans­ mission rate and a significant rate of asymptomatic infections. "Not only does the HandyLab technol­ ogy have the potential to rapidly identify infected individuals, but it could also be used to identify carriers harboring these bacteria, which would be a major advance in this field," says Campagnari. Despite this project's exciting poten­ tial, the collaborative group will not limit its efforts to the detection of STDs, since one of the most important advantages of the HandyLab technology is its combina­ tion of versatility and adaptability. "There are numerous areas where one can envision the use of a hand-held device that rapidly and accurately detects the pres­ ence of a microorganism within a matter of minutes," says Campagnari. "For example, it is possible to use this technology to diag­ nose infections by identifying the presence of microorganisms in microliter amounts of blood, sputum or other relevant secre­ tions. Also, this technology can easily be adapted to the identification of contam- �inating organisms in food products, produce, water and other environmental samples." Another important focus of this coop­ erative research effort will involve the de­ velopment of assays designed to detect the presence of biothreat agents. In light of the terrorist events that occurred in the U.S. last year, such research initiatives have become a high priority for many federal agencies, including the Department of Defense, the Food and Drug Administra­ tion and the National Institutes of Health. The biothreat research conducted by the collaborative group will rely heavily on the biological defense expertise of the CUBRC team, according to Campagnari. Furthermore, the HandyLab technol­ ogy and expertise, together with the biodefense expertise of CUBRC and the microbial pathogenesis expertise of the Campagnari laboratory, puts this diversi­ fied group of researchers in a uniquely qualified position to compete for federal funding in the future, with an emphasis on studies designed to impact this impor­ tant area of homeland defense. CAT is part of the UB Office of Science, Technology Transfer and Economic Out­ reach (STOR), which is directed by Robert J. Genco, DDS, PhD, UB vice provost and SUNY Distinguished Professor. STOR is UB's primary technology-transfer and com­ mercialization office, supporting product and business development from the labora­ tory to the marketplace through its Intel­ lectual Property, Research Funding and Commercialization Divisions. (The Research Funding Division includes CAT, which is directed by William M. Mihalko, MD, and the UB Technology Transfer Fund.) The HandyLab agreement is the first use of venture capital committed by HP as part of the Buffalo Center of Excellence in Bioinformatics. HP committed a total of $10 million to support economic development in Western New York, a portion of which was allocated to HandyLab to attract the company to this region. —S. A. UN G E R A N D LO R R A I N E O.WA P P M A N Long-Standing Question Answered Role of bacteria in COPD flare-ups elucidated U COPD, Murphy noted. The B Y NIVERSITY AT BUFFALO re­ searchers have found an three major pathogens impli­ Lois B a k e r association between bac­ cated in causing exacerbations teria in the sputum of pa­ were H. influenzae, M. catartients with chronic obstructive rhalis, and Strep. Pneumoniae, the new study showed. pulmonary disease (COPD) and In addition to elucidating the role of exacerbations of the disease, an­ bacteria in exacerbations, these findings swering a long-standing ques­ tion about the role of pathogens and are important because they point to COPD flare-ups. novel ways of treating or preventing ex­ acerbations, Murphy says. Results of the prospective study ap­ peared in the August 15, 2002, issue of "This information should lead to the development of the New England Journal of Medicine. COPD is the fourth-leading cause of vaccines to prevent coloniza­ death in the U.S., according to the Am­ tion by the offending strains. erican Lung Association, and fatalities It also provides a better under­ are closely linked to exacerbations. Up standing of what the bacteria Murphy to 90 percent of cases of the disease are are doing, which allows us to caused by long-term smoking. modulate a patient's immune "For years, people have hypothesized response to the bacteria." that bacteria played a role in COPD ex­ The findings are based on a acerbations, but studies performed de­ total of 1,975 clinic visits by 81 cades ago found no difference in bacte­ patients over 56 months con­ Sethi rial presence during stable periods and ducted at the Veterans Affairs flare-ups," says Timothy Murphy, MD, (VA) Western New York Hospital Sys­ professor of medicine and microbiol­ tem. Sputum samples were collected ogy in the University at Buffalo School monthly and during exacerbations. Bac­ of Medicine and Biomedical Sciences, teria isolated from thesamples were sub­ and senior author on the study. jected to molecular typing. "Using the new technology of mol­ Results showed that exacerbations ecular typing, where you can look at were twice as likely to occur in con­ turnover of bacteria in the respiratory junction with the appearance of a new tract in a more accurate way, we have bacterial strain. An exacerbation was shown that that hypothesis is correct." diagnosed at 33 percent of the clinic visits that involved isolation of a new Sanjay Sethi, MD, associate professor strain, compared to 15.4 percent of of medicine in the University at Buffalo School of Medicine and Biomedical Sci­ visits where no new strain was found, ences, is first author of the study, which the researchers reported. began in 1994. Sethi, Murphy and col­ "Our findings don't prove that a new strain causes an exacerbation," Murphy leagues found that it is the particular says. "We also found that some patients strain within a bacterial species, not the had new strains without flare-ups and volume of bacteria in general, that is some had flare-ups without new strains. associated with a COPD flare-up. This observation is a change in the way physi­ CO N T I N U E D O N PA G E 4 8 cians have viewed the role of bacteria in I Autumn 2002 Buffalo Physician �# NEWS ABOUT UB'S SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES AND ITS ALUMNI, FACULTY, STUDENTS AND STAFF Pathways Nesathurai Named Chair of PM&R Shanker Nesathurai, MD, interim chair of the Depart­ ment of Rehabilitation Medicine at Boston Uni­ versity School of Medicine, has been named chair of the Department of Physical Medicine and Rehabilitation in the University at Buffalo School of Medicine and Biomedical Sciences, effective July 1, 2002. In addition, he holds the title of NESATHURAI Capen Professor of Rehabilitation Medicine. A specialist in spinal cord injury and rehabilitation, Nesathurai is principal investigator on a $1.5 million, five-year grant from the National Institute on Disability and Rehabilitation Research to develop national strategies to increase employ­ ment of people with disabili­ ties. He also conducts basic research related to spinal cord injury. 30 Buffalo Physician A u t u m n 2 0 0 2 Nesathurai received his medical degree and residency training at McMaster Uni­ versity in Hamilton, Ontario. He joined the faculty at Boston University in 1995 as an assistant professor and was named acting chair of the Department of Rehabilitation Medicine in 1998. He became interim chair in June 1999 and was pro­ moted to associate professor in July 2000. He also served as chief of rehabilitation services at Boston Medical Center, in addition to his academic responsibilities. Nesathurai has authored several book chapters and has edited four books on spinal cord and traumatic brain injury. joined the University at Buffalo as dean of the School of Dental Medicine. Buchanan previously served as dean of the college and for five years as dean of the University of Medicine and Dentistry of New Jersey. A graduate of the Univer­ sity of Texas-Austin, Buchanan earned a doctorate in dental medicine from the University of Pennsylvania School of Dental Medicine. He began his career in academia at Georgetown University School of Dentistry, where he was an —Lois taking a faculty position at the University of Texas Health Science Center in BAKER Buchanan Appointed Dental School Dean Richard N. Buchanan, DMD, director of advanced clinical education at Baylor College of Dentistry, The Texas A&M University System Health Science Center in Dallas, has instructor for a year before San Antonio. During his 16-year tenure at the University of Texas-San Antonio, he rose to the rank of professor and held several administrative positions. These included chair of the �the Southwest Academy of University of Rochester. Restorative Dentistry and the The goal of the Division of Ira G. Ross and Elizabeth Pierce Olmsted Ross Chair Omicron Kappa Upsilon Biostatistics is to foster the Honorary Dental Society, biostatistical/academic among other professional mission of the Department of affiliations. He served on the member of the House of Social and Preventive Medicine, the medical school and the university as a whole, Delegates of the American as well as to form strong Dental Education Association collaborative relationships with medical, dental and 2002 from the University of Virginia, where he established a clinical from 1990-2000. —Lois BAKER public-health researchers. gram in photoreceptor molecular and cell biology. He is the principal Hutson Joins UB as Chief of Biostatistics closely with biostatisticians at National Eye Institute aimed at understanding the structure and func­ Roswell Park Cancer Institute, tion of a novel glycolipoprotein secreted by vertebrate rod and cone The Department of Social and will form ties to the photoreceptors. and Preventive Medicine in Buffalo Center for Excellence the School of in Bioinformatics. Discus­ Council of Deans and was a The division is working Medicine and sions also are under Biomedical Sciences way to convert the at the University at division into a full- Buffalo has named fledged department in Alan D. Hutson as the proposed School of Public Health. chief of its Division The division of Biostatistics. Hutson comes to UB from the currently is home to HUTSON one assistant profes­ Federico Gonzalez-Fernandez, MD, PhD, has been named the inaugu­ ral holder of the Ira Gile Ross and Elizabeth Pierce Olmsted Ross, MD, Chair in Ophthalmology at the University at Buffalo School of Medi­ cine and Biomedical Sciences. Gonzalez-Fernandez, who has also been appointed an associate professor in the Department of Ophthalmology, came to UB in June program in ocular pathology, as well as a productive research pro­ investigator for a National Institutes of Health R01 grant from the One important feature of the retina is its ability to adapt to the dark by increasing its sensitivity. This involves delivering vitamin A to the rods and cones in order to regener­ ate bleached rhodopsin via a system of proteins that support the "visual cycle." The interphotoreceptor-retinoid-binding protein that GonzalezFernandez is studying is thought to play a key role in the visual cycle. Federico Gonzalez-Fernandez and Elizabeth Olmsted Ross His laboratory group has cloned the gene for this protein from a University of Florida, where sor, a lecturer and two staff he served as an associate members in addition to of the putative vitamin A binding domain. This research is also con­ professor in the Department Hutson, who holds a position tributing new insights into the pathogenesis of retinal drusen, the of Statistics, associate as an associate professor. Five earliest clinical sign of age-related macular degeneration (ARMD), director of the Division of new faculty member are which is now the most common cause of blindness among people Biostatistics in the Depart­ expected to be recruited. over 55 years of age. ment of Statistics, and —Lois BAKER Gonzalez-Fernandez is conducting his research in a 1,500-squarefoot suite of laboratories in the research building at the Veterans director of the General Clinical Research Center (GCRC) Informatics Core, variety of species, and recently determined the X-ray crystal structure Leonard Receives NIH's MERIT Award Affairs Western New York Healthcare System, where he will also have access to shared state-of-the-art research equipment. Gonzalez-Fernandez earned his medical degree and doctoral which is responsible for the University at statistical components of Buffalo 50-70 active clinical trial researcher tomic pathology and his fellowship training was in molecular biology protocols yearly. Kenneth E. and neuropathology (University of Virginia). He has been on the fac­ He received bachelor's degree in neuroscience from the Medical Scientist Training Program of the Baylor College of Medicine. His residency training was in ana­ Leonard, PhD, ulty at the University of Virginia (Departments of Ophthalmology and and master's degrees in an interna­ Pathology) for the past 10 years. The recipient of numerous honors statistics from UB and tionally and awards, he has published over 40 journal articles and several master's and doctoral de­ recognized book chapters. < 2 > grees in statistics from the LEONARD —S.A. UNGER scholar in the A u t u m n 2 0 0 2 !u 11a I o Physician �^jjjj area of addictions, has received a prestigious MERIT Award for his research from the National Institutes of Health's National Advisory Council of the National Institute on Alcohol Abuse and Alcoholism (NIAAA). Leonard is a senior research scientist in UB's Research Institute on Addictions (RIA) and director of the Division of Psychology within the Department of Psychiatry in the UB School of Medicine and Biomedical Sciences. The MERIT (Method to TIP Extend Research in Time) Award is a selective and highly coveted award that is extended to investigators who have demonstrated superior creativity, skill and outstand­ ing productivity during the course of their research careers. They relieve investi­ gators from writing frequent renewal applications by providing the opportunity to gain up to 10 years of uninterrupted support. Leonard's award is one of only five made in the last decade by the Prevention Research Branch of NIAAA. Marshall Heads RPCI's Cancer Prevention Program A member of RIA since 1986, Leonard focuses his research on marital/family processes, parenting and infant development, interper­ sonal aggression, bar violence and domestic violence. He currently is the principal investigator on three projects funded by the NIAAA. In 1996 Leonard was named a fellow in the Division of Addictions by the American Psychological Association. He has coauthored three books and numerous book chapters. —KATHLEEN WEAVER James R. Marshall, PhD, has been appointed senior vice president for Population Sciences and Cancer Preven­ tion at Roswell Park Cancer Institute (RPCI), following an extensive nationwide search. In this role, he will be responsible for the overall direction of the Cancer Prevention Program of the institute's cancer center support grant and expansion and oversight of prevention and populations sciences programs at RPCI. Marshall SURVIVAL 101 Expect the unexpected. PACT You'll need stuff. SAVE TIME... Order your medical books online at efollett.com University at Buffalo The State University of New York UNIVERSITY BOOKSTORE Main Street I II I f a I o P h y s i c i a n Autumn 2002 �MARSHALL comes to RPCI Buffalo, where he served until and book chapters and is an a Finalist Award of The from the Arizona 1981. Between 1981 and 1996, associate editor for the Endocrine Society and Cancer Center Marshall was a faculty member American Journal of Epidemiol­ Pharmacia Corporation in Tucson, where of UB's Department of Social ogy and Cancer Epidemiology, International Award for he served since and Preventive Medicine, Biomarkers and Prevention. Excellence in Published 1996 as associate School of Medicine and —DEBORAH PETTIBONE Clinical Research director of Biomedical Sciences, rising Cancer Preven- in rank from assistant to full tion and Control professor (1981-1983), and in and professor of public health UB's School of Health Related and medicine at the University Professions (1991-1996). of Arizona College of Medicine. Marshall earned his doctoral Marshall's research interests focus on the identification and degree in sociology from the testing of chemoprevention University of California at Los strategies in human popula­ Angeles in 1977. He joined the tions. He has authored or faculty of the Department of co-authored more than 200 Sociology at the University at journal publications, abstracts in The Journal of Dandona's Research Publications Recognized Clinical Endocri­ Paresh Dandona, MD, head of award was the Division of Endocrinology in University at Buffalo's School of Medicine and Biomedical Sciences and director of the DiabetesEndocrinology Center of Western New York, received nology and Metabolism. The presented during The Endocrine Society Awards DANDONA dinner, held during the society's annual meeting in San Francisco. —SUE WUETCHER "We practice law for your peace of mind." Estate Planning ~ Personal Injury Real Estate ~ Matrimonial Elder Law HOGAN & WlLLIG, PLLC Attorneys at Law hoganandwillig.com One John James Audubon Parkway • Amherst, New York 14228 • 716.636.7600 Autumn 2002 I II I f a I o P h y s i c i a n �# PA T H W A Y S Louis A. and Ruth Siegel leaching Awards FACULTY AWARDS The Louis A. and Ruth Siegel Awards are presented annually in order to recognize the importance of superior teaching in the clinical and preclinical years, as well as to encourage ongoing teaching excel­ lence. Recipients of the awards are chosen by students through a nomination process, with final input The following from a committee comprising representatives from each of the school's four classes. awards were sity at Buffalo School of Medicine and Biomedical Sciences for 21 years. In 1977, he and his wife, Ruth, Louis A. Siegel, MD '23, served as an assistant professor in obstetrics and gynecology at the Univer­ endowed the Siegel Excellence in Teaching Awards. presented at the University at Buffalo School of Medicine and Biomedical Preclinical Volunteer Clinical Linda Wild, MD Jack Coyne, MD Steven Noyes, MD, associate '76, associate '85, associate professor of clinical medicine professor of clinical professor of pathology clinical pediatrics Sciences' Annual Faculty Meeting, House Staff and Special Awards held on May 29, 2002. RENEE DAVID ELEFTHERIOS BAUGHMAN, MD '99, PIERCE, MD, MERMIGAS, gynecology/obstetrics instructional support Stockton Kimball Award honors a faculty member for academic accomplishment and worldwide recognition as an investigator and researcher. Stockton Kimball, MD '29, was dean of the University at Buffalo School of Medicine from 1946 to 1958, and his contributions to the training of physicians in Buffalo spanned more than a quarter of a century. The 2002 recipient of the StocktonKimball award is L.Nelson (Nick) Hopkins, MD, professor and chair of neurosurgery and professor of radiology at the University at Buffalo. Hopkins, who also serves as director of UB's Toshiba Stroke Research Center and as Buffalo Physician chair of neurosurgery at Millard Fillmore Hospitals, has published extensively in areas involving endovascular neurosurgery, including the microsurgical treatment of intracranial and extracranial vascular disease. Most recently, he has focused his research on experimental an­ eurysms, cerebral vasospasm and intravascular stents. Hopkins has served in numerous leadership capacities in the Congress of Autumn 2002 Neurological Surgeons, the American Academy of Neurological Surgeons, the New York State Neurosurgical Society, the American Association of Neurological Surgeons, and the American Heart Association. In addition, he has been a visiting professor at many major research universities and has served on the editorial board of Neurosurgery. "Dr. Hopkins has been an active researcher and respected professional colleague at the University at Buffalo for most of his career and exemplifies excellence in its broadest sense, which is the hallmark of the Stockton Kimball Award," says Suzanne Laychock, PhD, senior associate dean for research and biomedical education at UB, who presented the award. —S. A. UNGER �Dean's Award The Dean's Award is given in special recognition of extraordinary service to the School of Medicine "Dr. Duffner and Biomedical Sciences. has done many, many things This year, Dean Bernardino presented the award to Patricia K. Duffner, MD '72, professor of neurology and pediatrics and a physician in the Department of Neurology for the school, and has really gone above and beyond in all her efforts." at Kaleida Health's Children's Hospital of Buffalo. Duffner served the school as interim chair of neurology for 18 months and was elected president of the UB Medical Alumni Association this past spring. She also respresented the school as a member of Kaleida Health's board of directors. "In addition, Dr. Duffner did yeoman's work on the LCME self-study this past year and chaired a separate sub-committee for this study," said Dean Bernardino. "She has done many, many things for the school, and has really gone above and beyond in all her efforts, which are greatly appreciated,"he added. <_L«* THE AUDIOLOGY CENTER GENESEE HEARING SERVICES 61 Wehrle Drive (Near Harlem) Amherst 14225 630 Orchard Park Rd. (Near Ridge Rd.) West Seneca 14224 837-6213 712-2000 since 1954 • Diagnostic audiometric evaluations (pediatric and adult) • Digital & programmable hearing aid fittings on 60-day trial basis • Tinnitus evaluation and therapy Vestibular evaluation for patients with dizziness/vertigo • Vestibular therapy • State of the art facilities 'The Ear is the Road to the Heart" (Voltaire) Daniel Schneider, AuD Jennifer Schneider, MA Autumn 2002 Jerri Kaplan Joyce, MA Buffalo Physician �D E N T B Y LAURA R E N D A N O , CLASS OF 2 0 0 3 Rookie fire fighters and first-year medical students listen intently to lectures.are overwhelmed by details, and intermittently wonder if they will ever learn the abundance of information taught. Both fields are wellstudied sciences and imperfect arts C O L U M N Up [ladder of Reflections on what medicine and fire fighting have in common HE FAMILIAR GRUMBLE OF THE AIRBRAKES filled the cab of the fire engine. In a quavering voice the driver shouted back to us, "We have smoke showing." My pulse quickened as I clicked off my seat belt, thrust myself forward and released my harnessed air pack from its storage bracket. When I stepped from the truck, I got my first glimpse of smoke puffing rhythmically from the roof s edge. The eaves seemed to breathe. Checking my facemask for a seal, I reached for the hose nozzle and rushed toward the house. My partner, with a portable radio affixed to his pocket, grabbed an axe and helped to splay 250 feet of hose behind us. Drop­ ping our identification tags by the door, we knelt on the porch, locked in our respirators and signaled for water. As I cracked the nozzle to purge air from the hose, my partner prepped the radio and reported, "Interior attack to Command, be advised we are entering the building." With those words, we forced the door open and were immediately engulfed in swirling black smoke that blinded us. Using the wall as a guide, we crawl­ ed from room to room. My partner reminded me to listen to the fire: "The crackles will tell us where it hides." As we breached an archway, we felt the rush of heat and saw the glow of the flames racing up the wall and rolling across the ceiling toward us. Opening the nozzle, my partner, diligent and experienced, helped me to control the spray as we leaned backward in tandem. The steamy mixture of charred ash and ceil­ ing fragments covered us and sprinkled the floor. We paused to let Command know we had extin­ guished the flame, while fellow fire fighters helped to pull down walls, break ceiling panels and move furni­ ture as we quenched hidden embers. Later, with our helmets off, air packs removed and water bottles drained, we analyzed the process. The smell of smoke seeped from our pores and clung to our hair. Fortunately, this call was only for training. Volunteer fire fighting is how I have spent my 36 Buffalo Physician Life A u t u m n 2 0 0 2 weekends throughout medical school. On Friday af­ ternoons or on Saturday mornings following hospital rounds, I get in my car, which is packed and ready to go, and head east on Interstate 90. With my bulging backpack on the seat next to me and my fire gear loaded in the trunk, I drive home, listening to taped lectures or my voice-dictated notes. After 100 miles I veer off the highway and into another weekend filled with the potential to help my hometown, which is an opportunity I cherish. Several small towns later and $3.10 poorer, I am greeted bya familiar green sign:Welcome to Tompkins County. With the flip of a switch, my pager, clipped to the visor, emits a shrill sound that energizes me and signals my transition into my weekend world. After stopping at my mom's place of work to get a quick hug, I head to 80 Ridge Road, home of the Lansing Fire Department's Central Station. Parallel Paths—and Stresses W hen I joined the fire department seven years ago, I was unaware that it would be a defining experi­ ence in my life. I was naive to the opportunities, friendships and self-development that would emerge from my involvement as a fire fighter and EMT. Moreover, I did not know how the lessons learned through my participation would so closely parallel the various skills and talents required in my professional career path. These similarities became profound as I embarked on my medical school training. The two worlds—medical school and volunteer fire fighting—are steeped with tradition. Both jour­ neys begin with the presentation of a uniform: a jacket that proudly displays my affiliation. As a medical student, this ritual took place in Butler Auditorium at the elegant White Coat Ceremony; for fire fighting, in a shadowy storage room at the fire hall. Over time, I collected the accoutrements required for each trade: oto-ophthalmoscope, stethoscope and tuning forks or door chocks, flashlights and extrica­ tion goggles. �Rookie fire fighters and first-year medical students numerous patient encounters and other misfortunes listen intently to lectures, are overwhelmed by details, that I have witnessed involving personal acquaint­ and intermittently wonder if they will ever learn the ances or fellow fire fighters. One incident in particu­ abundance of information taught. Both fields are lar involved a two-car head-on collision with one well-studied sciences and imperfect arts. person ejected. Upon arrival at the scene, I learned The likeness between both of these endeavors be­ that one of the injured was a family friend. His par­ came more obvious when I entered the hospital wards. ents had witnessed the accident, and they yelled for As is the case with the various ranks within the fire me to help their son. Frequent eye contact with the department, the hospital system upholds a clearly father and encouraging nods helped us both main- defined hierarchy of attendings, chief residents, in­ terns and medical students. The more critical the call, the more leading-rank individuals are involved. In the hospital, this sometimes-unspoken chain of command is evident as a full code unravels. The intern trembles while obtaining the essential intravenous ac­ cess, the chief resident barks commands to swarms of people who have entered the tight quarters, and the attending physician offers suggestions or pronounces death. The medical students, squished to the wall and standing atop chairs, shake their heads and wonder if they will ever have the confidence to be a chief resident while simultaneously being thankful they are expected to know less than the intern—at least for now. I lso common and essential to both fields is a sup­ port staff. This includes nurses or fire fighter families, as well as ancillary services, such as housekeeping, food service, or law enforcement and highway departments. There exists a system in which multiple disciplines must cooperate to maximize outcomes. The permutations are endless. Lansing, my fire district, covers 67 square miles . It is home to an airport, a county correctional facility, a salt mine, a power plant and two juvenile detention centers, in addition to homes, apartment complexes, farms, businesses and malls. As in medicine, each encounter presents an opportunity to learn and im­ prove upon mistakes and inefficiencies. In both disciplines, individuals face the potential, or brutal reality, of helping someone they know. This LAURA RENDANO someone may be a coworker, a family member, a tain control. The ending was a dream come true, neighbor or a friend. Within the first two weeks of although the event itself a nightmare. my third-year clinical rotations, I was presented with Learning medicine and volunteering as a fire high troponin values belonging to one of my profes­ fighter are exhilarating and enjoyable activities. At sors. Furthermore, several classmates delivered chil­ times, however, this enthusiasm is lost in drained dren, broke bones, and had car accidents and were emotion, as exhaustion is also part of both careers. filtered through the healthcare system where other After many hours in the operating room or delivery students circulated. suite, I crawl wearily into bed knowing that I face The same challenges have presented themselves in my work with the fire department. There have been another equally grueling day tomorrow. My closing thoughts are for a few hours of uninterrupted sleep. A u t u m n 2 0 0 2 Buffalo Physician �S T U D E N T C O L U M N One weekend recently, I found myself making the same plea as I returned home at 3 a.m. following a barrage of fire department calls. I heard my father whisper, "Everything okay?" and I gently responded, "Yeah, thanks. A busy night; I'm tired." Crisis and Convergence F riday, June 18, 1999, 1400 hours: For the first time, my two worlds—each filled with a vague semblance of the other—collided. Invigorated from having completed year one of medical school, I took my dogs with me to run a few quick errands. As I crested the hill just a few hundred yards from my home, I saw man­ gled vehicles, smelled burning rubber, and heard scared cries of a victim. Instructing my dogs to stay, I jumped from my car and yanked my gear from the trunk. One car had come to rest straddling a ditch, trapping two people, one of whom was crying for help; the other was completely unresponsive. At once, I was required to be a fire fighter, an EMT Keyser Cadillac Upstate New York's only exclusive Cadillac Dealer Keyser Cadillac 4130 Sheridan Drive • Williamsville, NY and a traffic director. Knowing the closest fire truck was at least 10 minutes away, I used a glass punch to break the passenger-side window. As I climbed inside, the man whimpered, "I broke my neck and I can't move my arms or legs." Visions of gross and neu­ roanatomy flashed through my mind as I wondered where his cord damage was and what the radiological studies would reveal. I assessed him and clinically verified what he already knew: he was facing the po­ tential of living life as a quadriplegic. With limited resources, I treated this 22-year-old man for 45 minutes before my fellow fire fighters were able to remove him from the wreckage. I know his name, his job, his favorite music, his athletic interests, his pets and some of his dreams. I don't know if he has ever taken another step. Power of the Human Spirit C alls like this one serve as a constant reminder to me of the precious sanctity of human life. We were all made painfully aware of this realization following the horrifically tragic events of September 11, 2001. The sense of loss, which permeated the nation and communities worldwide, was devastating for mem­ bers of fire departments everywhere. That day, the heroic fire fighters and medical personnel were among the fallen. The loss of these lives, as well as thousands of others, will not be forgotten; rather, they will serve as symbols of strength, courage and the power of the human spirit. The rewards of fire fighting are countless. Being a volunteer fire fighter has allowed me to help people endure some of their toughest life experiences. Unfor­ tunately, their needs don't end as we, the fire fighters, drive away in our rescue vehicles. My future career as a physician will allow me the opportunity to continue addressing these needs and easing the suffering of others. As I slip on my white coat, I remember the binding truths between fire fighting and medicine: Bravery. Courage. Honor. Teamwork. Dedication. Patience. Integrity. Confidence. Self-Development. Exhilaration. With my fond memories from the Lan­ sing Fire Department, I will remain close to my roots and imagine where my patients may have come from. In either case, at day's end I will think back and smile because, to someone, I made a difference. cn> 634-4100 Laura Rendano is a student at the University at Buffalo keysercadillac.com School of Medicine and Biomedical Sciences. She will graduate in 2003 with an MD/MBA degree. I»f f a Io Physician Autumn 2002 �N A DNA Research Gift By Linda J. Corder, PhD, CFRE LLAN WADE PARKER has never been on the campus of the University at Buffalo nor seen the city of Buffalo. He was born in Seattle, graduated from the University of Wash­ ington and completed graduate studies at Harvard. He served in the United States Air Force during World War II and retired a lieutenant colonel. Mr. Parker had a success­ ful business career in the food industry, with special ex­ pertise in manufacturing machinery for food process­ ing. He lives in San Francisco, where he has both a professional relationship and personal friendship with Martin Terplan, MD, a 1955 graduate of our school. Through discussions with Dr. Terplan, Mr. Parker revealed his belief in the importance of medical research and his personal dream of underwriting promising sci­ entific initiatives that might further the understanding of life—through elucidating its smallest and often elusive components. At the same time these private conversations were taking place, there was an exciting public announcement in Buffalo re­ garding the collaboration between the Uni­ versity at Buffalo and Hauptman-Woodward Medical Research Institute to form a new De­ partment of Structural Biology within the UB School of Medicine and Biomedical Sciences. Dr. Terplan shared this information with Mr. Parker, and then asked me to visit and join in those discussions. IT IS HIS HOPE THAT THESE TWO UNIVERSITIES WILL BE ABLE TO COMBINE KNOWLEDGE AND The ultimate result is that this year Mr. Parker saw one of his dreams come true. Realizing that research tends to be collabo­ rative in nature, and often synergistic, he established research funds at two major medical schools: at the University of Wash­ INNOVATIVE ington, his alma mater, for the Department STUDIES ALREADY of Genome Sciences; and at UB for the De­ UNDER WAY AT partment of Structural Biology. His DNA EACH Research Gifts will give future generations of INSTITUTION. selected doctoral student researchers, post­ doctoral fellows and young faculty research­ ers in both medical schools the opportunity to delve more deeply into the mysteries of the human genetic code, its CONTINUE THE attendant proteins and other component parts. It is his hope that these two universities will be able to combine knowledge and continue the innovative studies already under way at each institution. He also hopes, by his example, to encourage other scientifically minded and philanthropically inclined in­ dividuals to participate in what is ultimately important for everyone, the betterment of all life on Earth. Endowment gifts comprise a small, but increas­ ingly significant, source of future income for the school. As with all endowment (perpetual) gifts to the school, the principal of Mr. Parker's gift will be held and invested, with a small percentage of its market value disbursed each year. These annual disbursements provide a steady income stream for a designated pro­ gram, for a specific department or for a stated pur­ pose, such as student scholarships. These resources are a hedge against inflation, economic downturns, fluc­ tuations in the state's political climate and variations in the numbers of alumni and friends who support the school through annual gifts. Today's students, residents, faculty and staff benefit from earlier en­ dowment gifts. Tomorrow's school is being creatively strengthened by today's contributions. In the pages that follow, the school's endowments are listed. If you would like information about initiating a named endowment, making a gift to an existing fund or have questions about the school's combined endow­ ment, please contact me. All of us who learn, teach and conduct research in this unique institution extend our appreciation and thanks to alumni and friends who made endowment gifts during the past year. Linda (Lyn) J. Corder is associate dean for alumni affairs and development. She can be contacted at 1-877-8263246 (UBMDBIO) or via e-mail at ljcorder@buffalo.edu. Autumn 2002 Buffalo Physician �D E V E L O P M E N T N E W S ., , Medicine iomedical Sciences elow we list the endowments held by both the UB Foundation and the state for the benefit of the School of Medicine and Biomedical Sciences and the Health Sciences Library. Endowments that received additional contributions between 7/1/01 and 6/30/02 are in bold print. An asterisk (*) indicates a new fund that was established during this time frame. A bold name combined with an asterisk represents a new endowment that also received initial gifts to fund the principal and/or associated "spendable" account. If you would like more information about initiating a named endowed fund, or if you have any questions regarding the school's combined endowment, please contact Linda (Lyn) J. Corder, asso­ ciate dean for alumni affairs and development, toll free at 1-877-826-3246, or via e-mail at ljcorder@buffalo.edu. MARVIN A. AND LILLIAN BLOCK FUND icaf Sciences H.W. ABRAHAMMER MEMORIAL SCHOLARSHIP DR. WILLARD AND JEAN BOARDMAN FUND SIDNEY ADDLEMAN MEMORIAL DR. SOLOMON G. BOOKE AND ROSE YASGUR BOOKE FUND DR. GEORGE J. ALKER FUND FOR NEURORADIOLOGY JAMES H. BORRELL UROLOGY FUND THEODORE & BESSIE G. ALPERT SCHOOL OF MEDICINE SCHOLARSHIP ANNE AND HAROLD BRODY LECTURE FUND ALPHA OMEGA ALPHA LIBRARY FUND CLAYTON MILO BROWN MEMORIAL ALPHA OMEGA ALPHA ENDOWMENT GEORGE N. BURWELL FUND AMERICAN ACADEMY OF FAMILY PHYSICIANS PRESIDENT'S AWARD DR. WINFIELD L. BUTSCH MEMORIAL LECTURE IN CLINICAL SURGERY ANESTHESIOLOGY DEPARTMENT ENDOWMENT VINCENT CAPRARO LECTURESHIP FUND—CLASS OF 1945 BACCELLI MEDICAL CLUB AWARD DR. CHARLES F. CARY MEMORIAL L. B. BADGERO MEDICAL SCHOOL FUND DR. AND MRS. JOSEPH A. CHAZAN MEDICAL SCHOLARSHIP VIRGINIA BARNES ENDOWMENT CLINICAL PREVENTATIVE MEDICINE FELLOWSHIP DR. WALTER BARNES MEMORIAL SCHOLARSHIP ALMON H. COOKE SCHOLARSHIP DR. ALLEN BARNETT FELLOWSHIP IN PHARMACOLOGY PATRICK BRYANT COSTELLO MEMORIAL DR. CHARLES A. BAUDA AWARD IN FAMILY MEDICINE CTG ONCOLOGY FUND THOMAS R. BEAM, JR. MEMORIAL FUND JAMES H. CUMMINGS SCHOLARSHIP GILBERT M. BECK MEMORIAL FUND EDWARD L. CURVISH M.D. AWARD DR. ROBERT A. BENNINGER FUND IN ORTHOPEDICS ALFRED H. DOBRAK, M.D. RADIOLOGY LECTURE FUND ROBERT BERKSON MEMORIAL AWARD IN THE ART OF MEDICINE ALFRED H. DOBRAK, M.D. RADIATION RESEARCH FUND* ERNST BEUTNER SKIN IMMUNOPATHOLOGY AWARD MAX DOUBRAVA, JR. SCHOLARSHIP FUND LOUIS J. BEYER SCHOLARSHIP THE ELIZABETH MEDICAL AWARD PAUL K. BIRTCH M.D. FUND DR. ROBERT M. ELLIOT SCHOLARSHIP Buffalo Physician A u t u m n 2 0 0 2 �THESE ANNUAL DISBURSEMENTS PROVIDE A HEDGE AGAINST INFLATION, ECONOMIC DOWN­ t u r n s , FLUCTUATIONS IN THE STATE'S POLITICAL CLIMATE AND VARIATIONS IN THE NUMBERS OF ALUMNI AND FRIENDS WHO SUPPORT THE SCHOOLS ANNUAL APPEAL. —LYN CORDER ENDOWMENT FUND FOR MEDICINE DR. FRANK WHITEHALL HINKEL SCHOLARSHIP FUND ELEANOR FITZGERALD FAIRBAIRN SCHOLARSHIP RALPH HOCHSTETTER MEDICAL RESEARCH FUND EXPERIMENTAL NEUROLOGY FUND DR. SUK-KI HONG MEMORIAL FUND FAMILY MEDICINE ENDOWMENT ABRAHAM M. HOROWITZ FUND FEYLER FUND FOR RESEARCH IN HODGKIN'S DISEASE LUCIEN HOWE PRIZE FUND DR. GRANT T. FISHER FUND DR. MYROSLAW M. HRESHCHYSHYN MEMORIAL ENDOWMENT* L. WALTER FIX, M.D. '43 ENDOWED SCHOLARSHIP FUND R.R. HUMPHREY & STUART L. VAUGHAN NU SIGMA NU ALUMNI EDWARD FOGAN MEMORIAL FUND SCHOLARSHIP FORD FOUNDATION FOR MEDICAL EDUCATION HILLIARD JASON AND JANE WESTBERG FUND FOR EDUCATIONAL THOMAS FRAWLEY, M.D. RESIDENCY RESEARCH FELLOWSHIP FUND INNOVATION FUND FOR CELEBRATING PHILANTHROPY JAMES N. JOHNSTON SCHOLARSHIP MARCOS GALLEGO, M.D. CLINICAL EXCELLENCE FUND C. SUMNER JONES LIBRARY FUND RONALD GARVEY M.D. STUDENT LIFE ENRICHMENT FUND HARRY E. AND LORETTA A. JORDON FUND JAMES A. GIBSON ANATOMICAL PRIZE H. CALVIN KERCHEVAL MEMORIAL FUND LAWRENCE AND NANCY GOLDEN LECTURESHIP IN MIND & BODY MEDICINE DEAN STOCKTON KIMBALL MEMORIAL AWARD WALTER S. GOODALE SCHOLARSHIP DEAN STOCKTON KIMBALL MEMORIAL SCHOLARSHIP IRENE PINNEY GOODWIN SCHOLARSHIP DR. JAMES E. KING POSTGRADUATE FUND CONGER GOODYEAR PROFESSORSHIP OF PEDIATRICS MORRIS LAMER AND DR. ROBERT BERNOT SCHOLARSHIP GEORGE GORHAM FUND DR. HEINRICH LEONHARDT PRIZE DR. BERNHARDT S. AND DR. SOPHIE B. GOTTLIEB AWARD DR. CHARLES ALFRED LEE SCHOLARSHIP ADELE M. GOTTSCHALK SCHOLARSHIP FUND DR. GARRA K. LESTER STUDENT LOAN CARL GRANGER, M.D. ENDOWMENT LLOYD LEVE FUND DR. PASQUALE A. GRECO LOAN FUND THE LIEBERMAN AWARD GLEN E. GRESHAM, M.D. VISITING PROFESSORSHIP HANS J. LOWENSTEIN AWARD GLEN E. AND PHYLLIS K. GRESHAM FUND FOR CLINICAL RESEARCH* LUPUS SCHOLARSHIP FUND ADELAIDE AND BRENDAN GRISWOLD SCHOLARSHIP* WILLIAM E. MABIE D.D.S. AND GRACE S. MABIE FUND DR. THOMAS J. AND BARBARA L. GUTTUSO SCHOLARSHIP & AWARD DR. WILLIAM H. MANSPERGER FUND GYNECOLOGY-OBSTETRICS DEPARTMENT ENDOWMENT MEDICAL ALUMNI ENDOWED SCHOLARSHIP JEAN SARAH HAHL MEMORIAL ANNUAL PARTICIPATING FUND FOR MEDICAL EDUCATION ENDOWMENT EUGENE J. HANAVAN SCHOLARSHIP MEDICAL SCHOOL CLASS OF 1957 SCHOLARSHIP FLORENCE M. & SHERMAN R. HANSON FUND FOR MEDICAL EDUCATION MEDICAL SCHOOL CLASS OF 1958 SCHOLARSHIP DEVILLO W. HARRINGTON LECTURESHIP MEDICAL SCHOOL CLASS OF 1963 SCHOLARSHIP THE HEKIMIAN FUND MEDICAL SCHOOL CLASS OF 1973 SCHOLARSHIP HEWLETT FAMILY ENRICHMENT FUND FOR PSYCHIATRY MEDICAL SCHOOL PROFESSORSHIP FUND CHARLES GORDON HEYD MEDICAL RESOURCES FUND ENDOWMENT FUND FOR MEDICINE A u t u m n 2 0 0 2 BUFFALO PHYSICIAN �MARIAN E. MELLEN FUND IRA G. ROSS AND ELIZABETH P. Ross, M.D. CHAIR OF OPHTHALMOLOGY MICROBIOLOGY ENDOWMENT FUND DR. SHELDON ROTHFLEISCH MEMORIAL FUND DR. DAVID KIMBALL MILLER AWARD HAROLD S. SANES AND THELMA SANES MEDICAL SCHOLARSHIP EUGENE R. MINDELL, M.D. CHAIR IN ORTHOPAEDIC SURGERY PHILIP P. SANG MEMORIAL FUND G. NORRIS MINER, M.D. MEMORIAL AWARD MARIA NAPLES SARNO, M.D. SCHOLARSHIP COLLEEN C. AND PHILLIP D. MOREY, M.D. SCHOLARSHIP SCHAEFER FUND IN CARDIOVASCULAR DISEASE RICHARD NAGEL, M.D. ANESTHESIOLOGY RESEARCH SCHOLARSHIP OF THE PROGRESSIVE MEDICAL CLUB OF BUFFALO DR. ANGE S. NAPLES MEMORIAL SCHOLARSHIP SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES UNRESTRICTED THE DR. S. ROBERT NARINS MEMORIAL AWARD ENDOWMENT FUND NATIONAL MEDICAL ASSOCIATION BUFFALO CHAPTER SCHOLARSHIP FUND LILLIE S. SEEL SCHOLARSHIP JOHN P. NAUGHTON AWARD ENDOWMENT IRENE SHEEHAN FUND NEPHROLOGY RESEARCH ENDOWMENT DEWITT HALSEY SHERMAN AND JESSICA ANTHONY SHERMAN FUND DR. ERWIN NETER MEMORIAL DR. LOIS A. AND RUTH SIEGEL TEACHER'S AWARD ANTOINETTE AND LOUIS H. NEUBECK FUND S. MOUCHLY SMALL, M.D. AWARD IN PSYCHIATRY FUND FOR NEUROANATOMY MUSEUM S. MOUCHLY SMALL, M.D. EDUCATION CENTER FUND NEUROLOGY DEPARTMENT ENDOWMENT FUND IRVINE AND ROSEMARY SMITH CHAIR IN NEUROLOGY FUND DR. BENJAMIN E. & LILA OBLETZ PRIZE FUND IN ORTHOPAEDIC SURGERY DR. IRVING M. SNOW FUND DR. ELIZABETH P. OLMSTED FUND IN BIOCHEMISTRY MARY ROSENBAUM SOMIT SCHOLARSHIP FUND OPHTHALMOLOGY FUND MORRIS AND SADIE STEIN NEUROANATOMY PRIZE FUND JOSEPHINE HOYER ORTON TRUST FUND DIANE AND MORTON STENCHEVER LECTURE FUND VICTOR A. PANARO MEDICAL SCHOOL FUND JOHN J. AND JANET H. SUNG SCHOLARSHIP FUND F. CARTER PANNIL, JR. M.D. MEMORIAL ENDOWMENT JOHN H. TALBOTT VISITING SCHOLARSHIP FUND STEPHEN J. PAOLINI, M.D. MEMORIAL FUND KORNELL L. TERPLAN M.D. LECTURE FUND ALLAN WADE PARKER DNA RESEARCH GIFT* TREVETT SCHOLARSHIP PARKINSON RESEARCH FUND RICHARD E. WAHLE RESEARCH FUND JOHN PAROSKI MEMORIAL AWARD FUND MILDRED SLOSBERG WEINBERG ENDOWMENT ROBERT J. PATTERSON RESIDENT AWARD E. J. WEISENHEIMER OPHTHALMOLOGY AWARD DR. MARK PETTERINO MEMORIAL DR. MARK WELCH AND BEULAH M. WELCH SCHOLARSHIP PHI CHI MEDICAL FRATERNITY SCHOLARSHIP FUND JAMES PLATT WHITE SOCIETY ENDOWMENT PRIMARY CARE ACHIEVEMENT FUND WILLIAMS/BLOOM MEDICAL RESEARCH FUND PROGRESSIVE MEDICAL CLUB OF BUFFALO FUND DR. MARVIN N. WINER FUND FOR DERMATOLOGICAL RESEARCH PSYCHIATRY DEPARTMENT ENDOWMENT FUND WITEBSKY FUND FOR IMMUNOLOGY DR. HERMAN RAHN MEMORIAL LECTURE ENDOWMENT DR. ERNEST WITEBSKY MEMORIAL FUND REHABILITATION MEDICINE ENDOWMENT FARNEY R. WURLITZER FUND ALBERT AND ELIZABETH REKATE CHAIR IN CARDIOVASCULAR DISEASE DR. MARK ZALESKI AWARD ALBERT C. REKATE REHABILITATION MEDICINE LIBRARY FUND HERMAN AND ROSE ZINKE MEMORIAL SCHOLARSHIP DONALD RENNIE PRIZE IN PHYSIOLOGY DOUGLAS RIGGS AWARD IN PHARMACOLOGY AND THERAPEUTICS Health tees Library THE RING MEMORIAL FUND ROBERT L. BROWN HISTORY OF MEDICINE COLLECTION MEYER H. RIWCHUN, M.D. PROFESSORSHIP IN OPHTHALMOLOGY DR. BERNHARDT S. AND DR. SOPHIE B. GOTTLIEB COLLECTION IN THE BEHAVIORAL SCIENCES EMILE DAVIS RODENBERG MEMORIAL AWARD THOMAS A. RODENBERG AND EMILE DAVIS RODENBERG SCHOLARSHIP FUND C. K. HUANG LECTURE FUND ELIZABETH ROSNER FUND STOCKTON KIMBALL SCHOLARSHIP IN MEMORY OF SYLVIA KIMBALL DR. EDGAR R. MCGUIRE HISTORICAL MEDICAL INSTRUMENT FUND 4 2 BUFFALO PHYSICIAN A u t u m n 2 0 0 2 �MEDICAL ALUMNI ASSOCIATION Dear Fellow Alumni, hope you're having a great autumn! In the midst of the beautiful weather in Buffalo this time of year, the Medical Alumni Association has been busy organizing student activities and making plans for next year's Spring Clinical Day and Reunion Weekend. One of our most important student-related activities is the Physician-Student Mentoring Program in which freshman are assigned a mentor from the medical community who remains in contact with the student throughout his or her four years of medical school. This has been a valuable experience for both students and mentors and would be particularly worthwhile for those physicians who do not teach on a regular basis. Our medical students are wonderful and seem to get better every year. Why not become a mentor and get to know them? If you're interested, please contact the Medical Alumni Office at 829-2773 as soon as possible. The 2003 Spring Clinical Day and Reunion Weekend (April 25-26) will be moving downtown! The topic will be "Bioinformatics," or "How Computers are Changing Medicine." In view of the multi-million dollar federally funded Buffalo Center of Excellence in Bioinformatics to be built on the Buffalo-Niagara Medical Campus, we thought we'd hold this event downtown so you could experience firsthand the exciting developments under way (see related article on page 26). The Friday night cocktail party will be held at the beautiful Jacobs Executive Mansion on Delaware Avenue (if you've not been there, don't miss this opportunity to see what Buffalo was like in its glory days). Lectures will be held at Roswell Park Cancer Institute's Hillboe Auditorium (a state-of-the-art facility), and lunch will be served at the classic Buffalo Club. In the afternoon, tours of the Buffalo-Niagara Medical Campus will be provided. I suspect that even many local alumni haven't seen the Buffalo-Niagara Medical Campus or heard about the updated plans for it. The area and the campus are generating a lot of excitement, and I'd like our medical alumni to be part of it! Sites for the class dinners, as usual, will be chosen by the class chairs. In subsequent mailings, additional information will be provided on events at Shea's Buffalo, Studio Arena, Irish Classical Theater, the Philharmonic, and more. Finally, with the falling stock market and sluggish economy, many medical students are having difficulty paying their tuition. To make matters worse, tuition went up $2,000 for the 2001-2002 academic year, and went up another $1,000 for 2002-2003 academic year. The Medical Alumni Association Scholarship Fund is able to give out only eight $2,000 scholarships per year. If our endowment increased, however, we could give many more scholarships to our students. We don't want to lose the opportunity to recruit bright, caring students just because we have less scholarship money available than competing schools. Please consider donating to the scholarship fund, either in the envelope provided in this magazine, in your dues statement, or as part of your class gift. I hope the rest of your autumn goes well. In the next issue of Buffalo Physician, I will report on the Distinguished Medical Alumnus dinner and the White Coat Ceremony and update you on the events and programs discussed above. - PATRICIA K. DUFFNER, MD '72 President, Medical Alumni Association Autumn 2002 Buffalo Physician 43 �> f t O L A 1940s "Every­ Douglas Rosing. MO '67. Rheumatology at Con­ thing!" lives in Bethesda, MD, necticut Children's Medi­ Vincent S. Cotroneo. MD E-mail James Zeller. MD '52, lives where he practices cardi­ cal Center in Hartford '42, is retired from family address: in New Philadelphia, ology in a group practice and professor of pediat­ practice and lives in Buf­ jaegermd OH. He retired from and is on staff at Subur­ rics at University of Con­ falo, NY. Favorite medical @aol.com. general surgery in 1985. ban, Shady Grove necticut. My clinical Favorite medical school Adventists Hospital and interests include Lyme disease, chronic pain in school memories: "Pro­ fessors that were wonder­ Hans Kipping. MD '47. ful; student association; Favorite medical school memories: "Meeting [my wife] Lorraine. Mike Washington Hospital Center. Favorite medical childhood, and rheumatic ability to graduate." memory: "My telephone Greengold, Class of '51." school memories: "(1) disorders. Jesse and I cel­ Saturday morning ana­ ebrated our 15th anniver­ call to the office at the Glenn R. Arthurs. MD '47. Medical School and after Richard F. Mayer, MD '54. tomy quizzes with sary this year, and we're writes: "I live in Stuart, several writes: "I am now pro­ Dr. O.P. Jones (2) party­ going strong. Josh is 25, FL, from October to minutes fessor emeritus of neu­ ing with Armstrong, living in Boulder, CO, June, then Point Com­ of wait­ rology at the University Lagratta, Lieberman, and passionate about fort, Quebec, Canada, ing at the of Maryland School of (Maisel), Smith, (3) playing music and during the summer, with phone, Medicine." E-mail preceptorship with building a spiritual one or two cruises in the sec­ address is: rmayer@som. Dr. Donald Becker, and community; Michael between. Lots of fishing, retary umaryland.edu. (4) working on research is 14, starting high school bridge and some golf. returned projects with Dr. Francis and is discovering the joys Sorry to have missed the to state I was accepted for Klocke." E-mail address of adolescence; Noah is 9 reunion. My best to all." the Class of 1947." is drosing@erols.com. and agreed to hike the E-mail address is Henry S. Gardner. MD '47, hanskip@aol.com. lives in Sedalia, CO, and is a semi-retired consult­ Jack Lippes, MD '47, lives ant to the Social Security in Buffalo, NY. Favorite Disability Branch. Favor­ medical school memory: ite medical school mem­ "Joking around in the ory: "Primarily the anatomy lab." E-mail great classmates. Also, address is: jlip@acsu. Dr. Hubbard, who taught buffalo.edu. pharmacology and was somewhat absent mind­ ed. He gave one lecture without missing an idea AUTUMN 2002 while he kept searching his pockets. Near the end, he found a slip of paper, and said, 'There they are—my lecture George H. Mix, MD '47, notes.'" E-mail address writes: "I was in the prac­ is: ahgardner@pol.net. tice of anesthesiology until 1970, at which time 1960s John Randall "Andy" Anderson, MD '67, lives in Depew, NY. He is semi-retired from family practice and works two and a half days a week at the Research Institute on Addiction. White Moutains (NH) James Strosberg, MD '67, with me every year, lives in Schenectady, NY. 'forever.' It doesn't He is board certified in get much better." internal medicine, geriat­ rics and rheumatology Nedra J. Harrison, MD'77, and is on staff at writes: "I'm doing breast Sunnyview Hospital Re­ surgery in private, solo habilitation Center and practice again. I'm in Ellis Hospital. Favorite Scottsdale, AZ, and abso- assnotes James Giambrone, MD '67, lives in Williamsville, NY, where he practices internal medicine. Favor­ medical school memory: lutely love it! It is the best "Dr. Donald Becker's decision I ever made. welcome speech for Favorite medical school freshman." memory: My one-month Robert Mason Jaeger. MD we retired to the Florida ite medical school '47, is retired from neu­ Keys. We are now back in rosurgery and lives in the Melbourne area, memory: "Saturday anatomy sessions with 1970s Allentown, PA. Favorite where I practiced in a O.P. Jones, MD." Larry Zemel, MD '73, writes: medical school memory: retirement community." Buffalo Physician A u t u m n 2 0 0 2 "I am currently chief of the Division of Pediatric elective as a senior medi­ cal student at Millard Fillmore Hospital on Dr. Philip Wels' service." E-mail address is: njharriso@hotmail.com. �RELOCATION HUNT REAL ESTATE ERA in epidemiology at Harvard University School of Public Health, augmenting my work in health services research." E-mail address is dgood man@northwestern.edu. Andrew Friedman, MD '85. writes: "I left the Univer­ sity of Nebraska and the Richard Berkson. MR '72, lives in Rancho Palos Verdes. Gi, and practices endocrinology in Long Beach, CA. Favorite medical school memory: "While working in the Ruffalo General Clinic, I came across notes my father had made at the clinic many years before." E mail address is: rberkson@medicity.com. Pictured above is Richard, his wife. Andrea, and daughters Meredith. Kathryn, Alanna and Elisabeth. U.S. Army Reserves and commissioned as a lieu­ tenant colonel, active duty in the U.S. Army. I am practicing plastic surgery at Walter Reed Army Medical Center in Washington, DC." Duret Smith. MD '77. lives in Bay Village, OH. He is an orthopaedic surgeon E-mail address is: andrew. 1980s friedman@us.army.mil. Dave Weldon. MD '81. was in group practice and on elected to his fourth term staff at Lakewood Hos­ in the U.S. House of Rep­ pital, Fairview Hospital resentatives in November and St. John's Westshore 2000. This year he is run­ Hospital (in Cleveland). ning for a fifth term. He E-mail address is: is involved in healthcare dddes@aol.com. policy and serves on the Science Committee. Marciana Washington Wilkerson. MD '77. lives Denis M. Goodman. MD '83. in Bethesda, MD. She is writes: "I continue to en­ an OB/GYN in group joy my work in the pedi­ practice and on staff at atric intensive care unit George Washington at Children's Memorial University and Columbia Hospital in Chicago and Hospital for Women in Northwestern University Washington, DC. She School of Medicine. I and her husband, Dwight recently completed a Ford, have two children: master of science degree Drew, 19, and Christina, 17. Favorite medical school memories: "Biochemistry with Dr. Murray Ettinger, and gross anatomy with Dr. Lee." we help people move. writes: "This spring I Call for a free relocation portfolio regarding your destination city. Call 1-800-688-1170 or go on-line and visit our web site at was named acting senior huntrealestate.com David S. Kountz, MD '85. associate dean for clinical affairs at UMDNJ-Robert Wood Johnson Medical School, and was selected as a Master Educator at the university, one of 36 out of 2,000 faculty members. I continue to practice general internal medicine, teach and con­ duct research in medical education. Last year I had the opportunity to travel to Minsk, Belarus, as part of a grant from the Totally customized service portfolio including • Nationally trained relocation experts • Complete family needs analysis • Global home sale assistance • Special services for seniors • Full community tour • A complete cost of living analysis • A list of all school systems throughout WNY • Complete spousal placement assistance including resume writing and corporate contacts • 24 hour or less response time • Confidentiality assured American International E-maiL j >1 ? *•> I ) MARY CROGLIO Corporate Relations Officer Classnotes can also be submitted by e-mail to: bp-notes@buffalo.edu Hunt ERA Relocation Center 5570 Main Street Williamsville, New York 14221-5410 Email: huntrelocation@huntrealestate.com A u t u m n 2 0 0 2 Buffalo Physician �C L A Health Alliance to return to hematology/ Susan Bank. MD '88, lives in develop a clinic model to oncology with Century Chicago, IL, where she screen patients at high Medical Associates in practices psychiatry. She risk for developing cor­ Williamsville." writes: "Am expecting in onary artery disease." E-mail address is: October 2002!" E-mail address is: RRRomanow@cs.com. E-mail address is: kountzds@umdnj.edu. susanbank@aol.com. Lorie Leonard. MD '87, Roslyn Romanowski writes: "Big numbers for Thomas Joly. MD/PhD '89. MD '86. writes: "My us—29 years of marriage lives in Cleveland husband, Robert for Marty and me, 12 Heights, OH. He com­ Campo, son Richie years with Amherst pleted his residency in (4) and I welcomed Pediatrics. Our 24-year- ophthalmology at Case twins Jocelyn and Peter old daughter, Kim, is a Western Reserve Univer­ on May 14, 2002. I'm fourth-year medical sity in 2001 (and training medical school memo­ (now Gais) and Sharon getting up at night again student at UB and our in oculoplastic and or­ ries: "Skipping lectures to Ziegler at night to find just like a resident, but daughters Lindsey and bital surgery at the Uni­ stay home and read all out what was actually we're having lots of fun. Kristen are ages 17 and versity of British Colum­ day, then getting together covered in lectures." After maternity leave, I'll 12 respectively!" bia in 2002). Favorite with Dawn Jedrzejewski Tom and Lee Joly with their children, left to right: Amelia, Celeste, Grayson and Nathaniel. "Hi, I'm Susan Hunt. I invite you to come to see my Mom's new home . . . the Amberleigh Retirement Community. Are you interested in publishing an advertisement in Buffalo Physician? If so, contact: Sharon Russell-Moore Account Representative Sharmore Enterprises 248 Broad Street Tonawanda, NY 14150 (716) 863-1569 You'll smile too!" AMBERLHGH A Rental Retirement Community 2330 Maple Road, Williamsville For a free brochure or personal tour, call 689-4555 4 6 Buffalo Physician Autumn 2002 �1990s Cynthia (Leberman) Jenson, MD '92, lives in Which can you afford to waste? Bangor, ME, and is board certified in anes­ thesiology. She is in group practice and staff FEATURES Cindy and Mark Jenson with their chil­ dren Erica, age 4, and Alexandra, age 7, March 2002. at Eastern Maine Medical Center. Favorite medical school memories: "The Follies, Dive of the Week, Dermatones." E-mail address is: mcaejenson@adelphia.net. Eva M. Rorer. MD '92, lives in Germantown, MD. She completed residency training in ophthalmology in 1996 at Brookdale Univer­ sity Hospital and a fellowship in ocular im­ munology and uveitis in 1999 at the Wilmer Eye Institute, Johns Hopkins School of Medi­ BENEFITS • Electronic submission of all major insurance claims • Increase your accounts receivable turnover • Follow-up of all unpaid claims and open patient accounts • Improve collection ratio and reduce bad debts • Advisement on and assistance with insurance carriers and government regulations • Optimize revenue through proper monitoring of charge master • Choice of processing options including on-line or full-service • Eliminate costs associated with computer software and maintenance • Easy start-up or conversion from present billing system • Transition smoothly and quickly while maintaining cash flow • Appointment scheduling software available on request • Improve office efficiency and patient satisfaction • Expertise on existing and new • Assure your patients' rights are corporate compliance guidelines protected • Practice management with • Gain peace of mind from professionally trained staff and knowing that your finances are experienced C.P.A.'s being managed optimally cine. She is currently on staff at the Johns Hopkins Hospital. Thomas A. Maher, C.P.A. Katharyne M. Sullivan, MD '92, lives in President Leesburg, VA. She is board certified in general psychiatry, child and adolescent psychiatry and is on staff at Graydon Manor in Leesburg. She and her husband, Alan, have two children: Robert, age 4, and Hannah, age 2. Richard J. Kozak, MD '94, writes: "I've been PROFESSIONAL BUSINESS SYSTEMS MEDICAL BILLING SPECIALISTS J 50 Alcona Avenue Amherst, NY 14226 Tel: (716) 834-1191 Fax: (716) 834-1382 e-mail: pbs50@aol.com living in Eugene, OR, (Go Ducks!) since |CONTINUED ON PAGE 48 Servihg tha.MedicaljProfesHion Since 1960 Autumn 2002 H Buffalo Physician �Monica J. Simons. MD '97, completed her residency Cheryl Taurassi. MD '00. Mt. Sinai Hospital in writes: "I am in the sec­ New York City. She is ond year of my pediatric currently a staff member residency at Schneider Howard Wallace, II, PhD '99 at Bronx Lebanon Children's Hospital, Howard L. Wallace, II, died on June 20, 2002, as a result of injuries he sustained in Hospital Center. Long Island Jewish an automobile accident. A member of University at Buffalo's Department of Micro­ Center." E-mail biology, Wallace conducted breast cancer research in the laboratories of Drs. Nejat David Lin, MD '98, is address is: ctaurassi K. Egilmez and Richard B. Banker! He joined the department in 1991 and per­ currently in a cardiology @hotmail.com. formed his doctoral work in the laboratory of Dr. John (Ian) Hay. After earning his fellowship program at the doctorate in 1999, Wallace worked for two years at Roswell Park Cancer Institute, University of Rochester, before returning to UB, where he distinguished himself as a highly competent and having finished his inter­ meticulous researcher. Wallace was held in high regard by his co-workers for his nal medicine residency at scientific acumen, and he will always be remembered for his charming wit, humor the University of Michi­ and the very thoughtful and sensitive way he interacted with all of his colleagues. gan. E-mail address is: lindavel@hotmail.com. Keith D. Herr. MD '99, |C O N T I N U E D F R O M P A G E 4 7 writes: "I am currently in residency in emergency Bronx, NY, in 2001. She residency in family prac­ medicine—a hippie col­ is in a group practice and tice in 2001 at North lege town in the Pacific also on staff at Southern Colorado Family Medi­ Northwest— Maryland Hospital Cen­ cine in Greeley, CO. She paradise. I recently mar­ ter. Favorite medical is currently on staff at ried (7-28-01) my long­ school memories: "Match Fairbanks Memorial time love since medical Day and graduation!" Hospital. Favorite medi­ school, Patricia E-mail address is: cal school memories: Bledinger. She just fin­ ayannaj@earthlink.net. "Driving cross-country— from Washington State ished optometry school. No plans for kids yet and Janine McAssey, MD '97, to Maine—interviewing no plans to leave Eugene. lives in Pittsburgh, PA. at residency programs." I'm working in a com­ She completed her resi­ munity ED and as EMS dency in internal medi­ medical director.... Life cine/women's health in is good." E-mail address 2000 and a Fellowship is: rkozak2020@aol.com. in general medicine/ women's health in 2002, Thomas Elmer. MD '97, is both at the University of chief resident in pediatric Pittsburgh Medical Cen­ ophthalmology at Louisi­ ter, where she is currently ana State University. on staff. Her husband, E-mail address is: Robert Frank, is an emer­ thomaselmer@hotmail.com. gency medicine physi­ cian. E-mail address is: Ayanna James. MD '97, jmmcassey@hotmail.com. lives in Largo, MD. She 4 8 2000s in OB/GYN in 2001 at completed her residency Gina Parlato Pender. MD in OB/GYN at Our Lady '97. lives in Fairbanks, of Mercy Medical Center, AK. She completed her Buffalo A u t u m n Physician 2 0 0 2 my fourth and final year of psychiatry at Emory in Atlanta, and I am toiling over deciding between a fellowship in forensic psychiatry versus private practice/academics. Any sage advice welcome. Well wishes to all." E-mail address is: kdherr@ yahoo.com. Paul A. Guttuso, MD '97, lives in Lakeland. FL. He completed his residency in family practice at UTMB in Galveston, TX, in 2000 and a sports medicine fellowship in June 2001. Favorite medical school memory: "Finkelstein laughing at his surprise birthday party." He is pictured here with his wife, Trinia, and twins, Christopher Paul and Anthony Peter, born February 13,2002. |C O N T I N U E D F R O M P A G E 2 9 Bacteria However, the results contribute to the grow­ ing body of evidence that bacteria cause a significant portion of exacerbations. "This new infor­ mation will act as an important guide in developing novel ways to treat and prevent exacerbations. More importantly, it is pos­ sible that such inter­ ventions could actually slow the progressive loss of lung function that occurs in COPD. That will be one of the goals of our on­ going research in the study clinic." Additional research­ ers on the study were Nancy Evans, a re­ search nurse with the VA Western New York Hospital System, and Brydon J.B. Grant, MD, UB professor of medicine and physiology. O �Removal of stones from the bladder was one of the earliest and most frequently performed operations. By the 19th century, it had become a highly successful procedure and carried one of the lowest mortality rates. However, the sequelae, in addition to frequent infection and lack of anesthesia, made the operation dreaded by most patients and led to the development of instruments such as these Lithotomy Forceps from a set manufactured by Charriere in Paris, circa 1840. The instrument is part of the Edgar R. McGuire Historical Medical Instrument Collection, housed in the Robert L. Brown History of Medicine Collection, Health Sciences Library, Abbott Hall, on the University at Buffalo's South Campus. �Buffalo Physician Non-Profit Org. University at Buffalo U.S. Postage The State University of New York • PAID 3435 Main St. Buffalo, NY Bldg. 22 Buffalo. New York 14214-3013 P C 1 A N Permit No. 311 Address Service Requested UB ' s HISTORY OF MEDICINE COLLECTION PRESENTS PHARMACOPOEIA This illustration was dig­ itally reproduced from offizinellen Gewachse, a four-volume edition of pharmaceutical plants and their medicinal uses, published in German in 1863. The pharmacopoeia by Otto Karl Berg (18151866) is part of the Rob­ ert L. Brown History of Medicine Collection, lo­ cated in the Abbott Hall Health Sciences Library. Picture here is the Almond, one of a series of botanical images digi­ tally restored as part of an initiative to preserve and highlight unique re­ sources from the library's collection. Reproductions are available for purchase through the library, and can be viewed online at iMedia.buffalo.edu/art/. Image restoration was performed by iMedia, the instructional media ser­ vices department of Com­ puting and Information Technology at UB. BP 00 04-02 � 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. 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Copyright 2002 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/d75add02e7ca527bfed3f0cf6d8fb92b.pdf b88bf87e92d5146d1da68331f60900c8 PDF Text Text The Buffalo Physician SUMMER 1970 t VOLUME 4, NO. 2 • SCHOOL OF MEDICINE • STATE UNIVERSITY OF NEW YORK AT BUFFALO �Medical Alumni Officers Dr. Anthone Dr. Roland Anthone, clinical assistant professor of surgery at the University, is the new president of the Medical Alumni Association. He is a 1950 graduate of the Medical School. He is on the staff of the Buffalo General, Child­ ren's, and Veterans Adminis­ tration Hospitals. Dr. Anthone succeeds his twin brother, Sidney. He did his undergraduate work at Harvard College and his residency at the Buffalo General Hospital and Roswell Park Memorial Institute. Dr. Anthone served 20 months in the armed forces during World War II. He and his wife have three children. He has published some 20 articles for professional jour­ nals and is active in several local, state, and national medi­ cal associations.• A 1954 Medical School graduate is the new vice presi­ dent. He is Dr. Louis C. Cloutier, a general surgeon. He is president of the Emergency and Sisters of Charity Hos­ pital staffs. Dr. Cloutier received his bachelor's degree from Canisius College in 1950. After re­ ceiving his medical degree he took his internship and resi­ dency in general surgery at Sisters of Charity and Emer­ gency Hospitals. Currently he is co-ordinator of the surgeryresidency program at Sisters Hospital. He is a member of the Buffalo Surgical Association, a Fellow of the American Col­ lege of Surgeons, and a Diplomate of the American Board of Surgeons. Dr. Cloutier and his wife have five children.• Dr. Cloutier Dr. O'Brien Dr. John J. O'Brien is the new secretary-treasurer. The 1941 Medical School graduate is a clinical assistant professor of medicine at the University and on the staff of the Buffalo General and South Buffalo Mercy Hospitals. He has been on the faculty since 1951. He did his undergraduate work at Canisius College, his internship at the United States Naval Hospital, Philadelphia; and his residency at the Vet­ eran's Administration Hos­ pitals in Buffalo and Batavia. He was in military service from 1941-47. Dr. O'Brien is a past presi­ dent of the Annual Participat­ ing Fund for Medical Educa­ tion; and the Western New York Society of Internal Medi­ cine; and a Fellow of the Amer­ ican College of Physicians. He is also active in several other professional organizations.• �SUMMER, 1970 Volume 4, Number 2 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD Medical Alumni Officers Editor inside front cover ROBERT S. MCGRANAHAN Managing Editor MARION MARIONOWSKY Dean, School of Medicine DR. LEROY A. PESCH Photography 2 New Health Care System 3 Medical Manpower Committee 4 International Federation Meeting HUGO H. UNGER EDWARD NOWAK Medical Illustrator MELFORD J. DIEDRICK Graphic Artist RICHARD MACAKANJA Secretary FLORENCE MEYER CONSULTANTS President, Medical Alumni Association DR. ROLAND ANTHONE President, Alumni Participating Fund for Medical Education DR. MARVIN BLOOM Provost, Faculty of Health Sciences DR. DOUGLAS M. SURGENOR Associate Dean for Continuing Medical Education DR. HARRY J. ALVIS Vice President, University Foundation JOHN C. CARTER by Marc Leitner, Class of 1972 7 Health Care Changes 8 Water Pollution 9 Alumni Reception in New York 10 Effects of Carbon Monoxide 11 Eye Bank Anniversary 11 Dr. O'Connor Returns 12 The University as a Care Deliverer by Dr. Peter Regan and Dr. S. Mouchly Small 18 National Intern Matching Program 21 Spring Clinical Days 26 Ten Class Reunions 28 Ernest Witebsky, A Personal Vignette by Dr. James F. Mohn Director of Public Information JAMES DESANTIS Director of Medical Alumni Affairs DAVID M. KRAJEWSKI President, University Foundation DR. ROBERT D. LOKEN Director of University Publications THEODORE V. PALERMO Vice President for University Relations DR. A. WESTLEY ROWLAND 33 25 Days of Campus Unrest 34 Heart Failure Detection 35 Health Sciences Clinical Center 38 Health Sciences Library 40 People 43 In Memoriam 45 Alumni Tours The cover features the annual Spring Clinical Days, the biggest event of the year for the Medical Alumni Association. The story of this year's event is on pages 21-27. The pictures were taken by Hugo Unger and the cover was designed by Richard Macakanja. THE BUFFALO PHYSICIAN, Summer, 1970 — Volume 4, Number 2, published The Buffalo Physician 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 1970 by the Buffalo Physician. �New Health Care System This is a summary of what Dr. John H. Knowles said at a news conference February 13, and at the third annual Har­ rington Lecture at the School of Medicine. THE POPULATION EXPLOSION, Harrington Lecturer Dr. John H. Knowles repeatedly emphasized, is our most serious problem. Every other problem — including environmental pollution, better health care — pales when confronted by this explosive force. The general director of the prestigious Massachusetts General Hos­ pital was bypassed as assistant secretary of health and scientific affairs, Health, Education and Welfare because of reported oppo­ sition by the American Medical Association. President Nixon named Dr. Roger O. Egeberg, dean of the University of Southern California Medical School, to the post. Over 40 per cent of all funds earmarked for health services to­ day are used to cover services to the aged 65 and over, he said. But what about the children in this country who have been disen­ franchised? In New York City over 300 children are dying from heroin poisons. Each year in this country 400,000 illegitimate chil­ dren receive no type of health service. "There is a population ex­ plosion," he repeated, "and 5J/2 million women of child-bearing age do not have family planning knowledge available to them. And they do want it. If you are really interested in health," the internist who is an outspoken critic of his profession implored, "you have to be interested in these subjects." He predicted that one day the spiraling costs for hospital care may well rise to $1,000 per day. This, he pointed out, makes a na­ tional health insurance plan inevitable. "We are the last de­ veloped country in the world to reach this point. But we must first prove to the citizens in our country that we can structure such a health insurance plan." He pointed to the problem-ridden Medi­ care and Medicaid programs. Quality ambulatory facilities and low cost health benefits must be provided to our 45 million poor or "we may well have a revolution on our hands." While he feels that the role of government lies in the policy making and funding areas, the "ultimate responsibility for health care must be in the hands of the medical profession." The over 300 health sciences student/and/faculty audience heard Dr. Knowles indict American medicine which does not op­ erate in a free economic system. "When it comes to medical care, the consumer has only the most tenuous way of judging the qual­ ity of the product. He's not in a position to bargain or shop for medical services," he said. The physician noted that competition in medical services is con­ sidered unethical but economists believe the medical industry has more of the characteristics of a monopoly than a competitive busi­ ness. While he does not feel that government control is the an­ swer, "our best defense is the offense of solving consumers' problems." He feels that our new health care system will call for a new emphasis on health education and preventive medicine. The changes that he is seeking will first be realized in the minds of medical students. "Here is where the revolution in medicine will be, they will want to get out into the community to prevent rather than to treat disease." 2 THE BUFFALO PHYSICIAN �Dr. Knowles chats with medi­ cal students prior to giving the annual Harrington Lec­ ture. Tomorrow's hospital, envisions the man who feels that physi­ cians must assume greater responsibility for solving society's trou­ bles, will be an institution which will "feed" satellite health centers located close to the poor in inner city communities. Such a center, he noted, has been established in Boston by the Massachusetts General Hospital to service poor whites. "The poor must be edu­ cated to their health rights, but once educated, we must be pre­ pared to deliver."D The School of Medicine has named a special seven-man Com­ mittee on Medical Manpower. Chairman of the Committee is Dr. Edward }. Marine, executive associate dean and director of aca­ demic programs at the Medical School. Serving with Dr. Marine will be Drs. Edward H. Wagner, M'65, clinical assistant instructor of medicine; James McDaniel, Jr., clinical associate of gynecology and obstetrics and assistant to the dean of medicine; Richard Carter, clinical assistant professor of social and preventive medicine; John Dower, professor of com­ munity pediatrics and associate professor of social and preven­ tive medicine; David L. Davidson, assistant professor of psychi­ atry; Christopher D'Amanda, M'62, resident assistant professor of medicine and assistant to the Dean of Medicine. Dr. Marine said the committee is charged with an evaluation of all current efforts in community medicine, ambulatory care and family practice. This includes an analysis of existing and planned facilities and resources in terms of their adaptability to a major new program in family practice and community medicine. The committee will develop specific proposals including facilities, fac­ ulty and curriculum in response to the new General Practice Act, passed by the New York State legislature March 25, 1969. The act states in part that medical schools that are a part of a state-op­ erated institution be required to establish and maintain a depart­ ment of general practice under the direction of a qualified general practitioner. The courses of study, a family care program, clinical experience, preceptorships, internships, and residencies will also be under the supervision of qualified general practitioners.• SUMMER, 1970 3 Medical Manpower Committee �The International Federation Meeting by Marc Leitner, Class of 1972 Today the newspapers are filled with reports of the war in Vietnam, the Biafran Ni­ gerian Conflict, and the smol­ dering hostilities in the Mid­ dle East. However, for us as medical students, the only war that should really exist is the fight against poverty and dis­ ease, a war with no geographic boundaries, and truly global in scope. The problem of good health care is one of the ma­ jor concerns of the Interna­ tional Federation of Medical Student Associations [1FMSA], This organization, set up over 18 years ago, consists of na­ tional medical student associa­ tions of over 40 countries. As the delegate from the Society of International Medicine, I hereby submit my report of the 18th General Assembly of the International Federation of Medical Student Associations which took place in Jerusalem, Israel, August 18-31,1969. 4 'J-'he OPENING CEREMONIES included many Israeli dignitaries, the director of the Ministry of Health, the deans of Israel's two medical schools, and representatives from 19 countries. The two-week conference schedule devoted the first week to reports and discussions from various working committees fol­ lowed by plenary sessions of the General Assembly which dealt with resolutions formulated in the working committees. For 18 years, the most successful activity of IFMSA has been its international medical student exchange program whereby over 5,000 medical students annually enjoy international clerkships. But many delegates, including myself, questioned whether this program was sufficient justification for an international organiza­ tion s existence. Was IFMSA willing to relegate itself to a posi­ tion of just being an international student travel bureau or could it serve a more useful role? Basically the discussions centered around the very fundamental question: "What are the medical student's responsibilities and in what way can IFMSA function to fulfill these tasks?" Two general conflicting philosophies were expressed. One, ad­ vocated by the European Common Market countries and ex­ pressed by the Italian delegate (other Common Market countries were boycotting the conference] was that political, social, and economic factors that operate in a country are very important in the pathogenesis of disease. There must therefore be changes in these areas if there is going to be any meaningful resolution to health problems. The opposing view, expressed by delegates from Canada, Czechoslovakia, and Ghana, was that IFMSA is strictly an a-political organization dealing only with medical and health problems and should not become involved in anything "political.' Thus, the European Common Market countries oppose IFMSA sending books, drugs, or supplies to a clinic in a developing country because this would only treat the symptoms of a disease and not try to eradicate the underlying cause of the problem. This conflict over whether IFMSA should become "political" was a frequent source of controversy and the subject of many discussions throughout the entire conference. SCOH (Standing Committee on Health] In the past IFMSA has had some very successful projects through the efforts of a few individual countries. Due to lack of interest on the part of its members, such IFMSA programs as the international book and drug appeal were completely ineffec­ tive during the past year. The major committee activity was to set general guidelines and work procedures for MESTUDEC projects (Medical Students to Developing Countries], In my opinion, these projects can be­ come one of the most important activities of IFMSA and serve concretely toward the realization of its goal of solving health problems, especially in the developing countries where they are the most severe. The idea is to have teams of senior medical stu­ dents going into the "bush" areas of developing countries to set up badly-needed health clinics. By several countries cooperating on the project, clinics could function continuously by staffing them on a rotational basis. THE BUFFALO PHYSICIAN �The South African Medical Student Association has already started such a project by sending teams of six students into the surrounding countries of Botswanna and Malawi. Other countries' programs and their needs follow: . . . International Drug Appeal—Denmark and the United King­ dom heavily contributed drugs which were distributed to World University Service clinics in Sudan, Ceylon, Indonesia, and Honduras. . . . Textbook Drive—A severe need of medical textbooks exists in developing countries, especially Africa. On his trip to Af­ rica, the President of IFMSA reported that the Congo des­ perately needed French medical textbooks. Sweden ran a suc­ cessful book appeal for the benefit of Afghanistan. . . . Medical Student Involvement—Canada sent 70 medical stu­ dents to Jamaica during a three-week period over the sum­ mer. The MESTUDEC project for Denmark involved 4-6 stu­ dents who spent six months in Indian leprosy hospitals. Because of the closing of their medical school as a result of guerilla fighting, medical students in Laos expressed a desire to continue their training in French-speaking countries. The only specific health problem discussed was one that I in­ troduced—severe health problems created by the Nigerian Biafran Civil War. I stated that if IFMSA was truly sincere in its objec­ tives to combat health problems and disease, it could not remain silent or inactive in light of the overwhelming human suffering. Initially there was much opposition to IFMSA involvement in a political situation. But after considerable discussion, the follow­ ing resolution was accepted: Whereas enormous health and medical problems of mal­ nutrition, disease, and starvation exist as a result of the Nigerian-Biafran conflict; we hereby propose that IFMSA/SCOH issue an appeal to its member associa­ tions requesting them to organize a campaign to con­ tribute to the existing relief efforts to both sides of the conflict in whatever way each association is capable. A report of each member association's activity in this area should be sent to the Director of SCOH and the in­ formation should be forwarded to SCOP and included in the IFMSA Newsletter. The Nigerian medical student association, in consistency with the Amsterdam Resolution 29, be requested for its approval before relief is sent to the Nigerian side of the conflict. SCOME (Standing Committee on Medical Education) The director of SCOME criticized delegates for paucity of news and information to IFMSA. Consequently they were unable to print the Medical Education Newsletter or complete its booklet on core curriculum. The committee organized an excellent symposia on Medical Ethics, emphasizing Human Organ Transplantation, at the Hadassah Medical School. A panel of Israeli transplantation experts— internists, surgeons, and psychiatrists—were featured. It was in­ teresting exchanging views with delegates from different parts of SUMMER, 1970 5 Mr. Leitner �the world on such problems as: "Should human life be preserved at all times, especially in circumstances dealing with cardiac re­ suscitation?" In my opinion this was perhaps the most meaningful discussion of the entire conference. Virtually all of the delegates attending the General Assembly felt that to be really meaningful IFMSA has to be more than just a clearing house for exchange of medical students. The major problem is how IFMSA can serve as a voice and act as a force to help medical students meet their responsibilities throughout the world. The answer, a very difficult one, evidenced by the philo­ sophical split between countries who want IFMSA to become more active in the political, social, and economic realm, and those who favor activism on purely medical matters. Its future de­ pends on a compromise between the two camps. I feel that by its very nature, the international body of IFMSA has certain politi­ cal connotations and cannot operate in a vacuum. It will there­ fore be influenced by political reality and at certain times must do what it deems necessary despite political consequences. Ex­ amples of IFMSA acting as a force in the world community: a let­ ter sent by a past president to the South African government supporting the South African Medical Students Association's ef­ forts to have equal pay scales for all African doctors; efforts by one of its past presidents to free two Spanish medical students arrested for protesting against the Franco government from jail. Perhaps its entire structure, as it is now constituted, is inap­ propriate for a truly active international organization. At the grass roots level, the individual medical student is bypassed and does not become involved. This results in apathy by member countries. The actions of the General Assembly reflect those of an or­ ganization in crisis. Rather than elect a new president, an interim director, Geoffrey Lloyd of the United Kingdom, served until the special winter General Assembly was held in Chur, Switzer­ land. This meeting was open to all countries and all organiza­ tions interested in international health to analyze and evaluate the present crisis of IFMSA and to make the necessary changes so as to produce a dynamic international medical student asso­ ciation. Among the benefits derived from my trip, aside from my fan­ tastic personal experiences of meeting medical students from all over the world and traveling to Israel: —Availability to the Medical School's registrar's office of valu­ able information on international summer clerkships, and the procedure of student exchange through IFMSA, as well as addresses of medical students in 20 different countries. —Valuable information based on other delegates' experiences in setting up MESTUDEC Projects (Medical Students to De­ veloping Countries], We are investigating the possibility of sending a Buffalo medical student team to a developing coun­ try such as Paraguay. —The Society of International Medicine's participation in the relief effort to Biafra has been continued by successfully in­ volving IFMSA in the problem.D 6 THE BUFFALO PHYSICIAN �c, IHANGE IS ESSENTIAL in today's system for delivery of health care, a Princeton political scientist said to the pediatrics faculty at Children's Hospital recently. But Dr. Herman M. Somers feels that it is still too early for a compulsory national health plan. "If you pour additional resources into our present system, a bad one as it now stands, you will freeze it." The only pressure for changing any system, he pointed out, is financial strain. But how do you best reorganize a system in need of a great deal of reform? More experimenting, the Princeton professor of poli­ tics and public affairs feels, is the answer. "We need to know more, to demonstrate projects that will work, so that we are sure that we are financing the right thing." An advisor to the Department of Health, Education and Welfare on both medicare and medicaid, Dr. Somers has served on four presidential commissions and task forces concerned with health problems. He was the second lecturer in the Pediatrics Depart­ ment's Experiment in Medical Education, a program now in its second year to acquaint both medical students and young physi­ cians with important areas outside of their traditional studies in medicine. Medicredit, a plan proposed by the American Medical Associa­ tion, is a way of getting universal financing without making any changes in the health system. "In this plan," he explained, "every­ one makes something on it. The government subsidizes insurance premiums paid by the taxpayer to an insurance company of his choice through a system of tax credits. While the poor receive a rebate of 100 percent or equivalent credit, the highest income group also receives a tax credit in the amount of 25 percent." The AMA, he feels, will fight for its plan but it probably will not win. But if it does succeed in holding back other reform, there will probably be a violent reaction. The need for change is so great that he cautioned we may not be able to negotiate. Many qualities of medical care can be improved, he feels. As a result of the great success of the Kaiser Plan, a managerial mas­ terpiece resulting in a string of hospitals located on the West Coast that offer complete health care to its subscribers, a group of prestigious physicians organized the San Joaquin Valley Plan, their defense mechanism in answer to the Kaiser Plan. In the licensing of physicians, Dr. Somers said that a periodic reevaluation of medical competence by peers will lead to better health care. But why hasn't group practice grown? Is money really the restrictive factor? No, he says, joint patient responsi­ bility is the real test. Physicians, both individually and collectively, wield a tremen­ dous amount of political influence in the field of medical care. While new arrangements are needed, they continue to offer great resistance to change. New problems that deal with both or­ ganization and management face the physician who was attracted to medicine because he did not want to become a businessman. Only society in trouble is receptive to change, he concluded, but it is difficult to attract an environment of change when the af­ fluent outnumber the poor.D SUMMER, 1970 7 Drs. Somers, Mitchel I. Rubin, Program Coordinator. Health Care Changes �Water Pollution Dr. Massaro \I\IATER POLLUTION is a byproduct of any technological so­ ciety and is here to stay says Dr. Edward Massaro, a young Uni­ versity biochemist, who is studying the effects of water pollution on the growth and development of fishes and fish populations. "What we must do is to learn how to live with it, to limit it to levels that are compatible with our health and economic well being." Can we do this? "Well, we can't wait for organisms to evolve and thereby 'fit' into new environments. One way to attack this problem may be biologically, that is, to understand the physiologi­ cal limits of adaptation of aquatic organisms and to restart its biological cycle in polluted waters with organisms that can sur­ vive and reproduce in less than ideal conditions." The assistant professor feels that this may be the only way we can hope to con­ trol this major national problem. "We cannot ask an industry that is employing large numbers of people to leave a city and thus end up with major unemployment and associated problems. Even if industry treats its chemical wastes to its economic limit, it may not be able to keep from pol­ luting water to a level that is deadly to organisms living in the water. But if we can maintain pollution at low levels, find or­ ganisms that can survive in polluted environments and intro­ duce them into these waters, we will have gone a long way to­ ward solving the problem of pollution," Dr. Massaro said. Through a major research effort, the University of Texas grad­ uate feels that it is feasible to look for organisms that may be able to thrive in polluted environments. "Our approach to the water pollution problem is to study the biochemistry and physiol­ ogy of adaptation in fishes. But an understanding of biological adaptation in general will be necessary to control environmental pollution intelligently." However, he cautioned that this will mean a national expenditure of billions for research; a major commit­ ment by the Federal government, private industry, and individuals as well. Bodies of water that are now relatively clean probably will be­ come badly polluted. And there are no existing techniques known today that warn us of incipient water pollution. "We need to solve very fundamental questions. For example, how do we de­ tect a change in the environment of a lake before it is too late? A biological probe, such as an alteration in the biochemical makeup of a particular fish species, may be able to tell us when the change — due to some alteration in the quality of the water — is taking place." But he pointed out that we now know too little to make this possible. Pollutionwise, Lake Erie is in very bad shape. If we can find answers to our questions, we may be able to save the lake. But we must start to do something immediately. If not, Dr. Massaro feels that we would do better to fill it in and erect on it a housing development. In another 20 years it may be one big bog. Why doesn't the University establish a first-rate department of environmental sciences to attack the pollution problems of lakes and New York State in general? THE BUFFALO PHYSICIAN �Industry is not the only polluter of water. It may be caused by the runoffs of agricultural fertilizers and pesticides so necessary to make certain areas inhabitable, or to offshore oil drilling (Santa Barbara and the Gulf Coast) which should be stopped. Certain shell fishes that reside at the mouth of the Connecticut River are now accumulating radioactive materials emitted from a nearby atomic power station, and numerous shellfish beds now harbor hepatitus virus. Our adjacent oceans are being fished to death by Russia, Scan­ dinavia, and Japan while the United States "zealously" guards only its three-mile off-shore limits. Pollution of our fresh water systems continuously pollutes our continental shelfs. Eventually, at the present rate, we will destroy our ocean's capacity to supply the world's increasing population with sufficient food. "Nothing is going to take care of itself," Dr. Massaro con­ cluded. "We have got to make a major commitment to solve the pollution problems ourselves."• A total of 41 alumni and faculty and their wives participated in the annual Medical Society of New York Convention and reception February 9 at the Americana Hotel, New York City. Mr. David M. Krajewski, Director of Medical Alumni Affairs, hosted the informal reception. In attendance were: Doctors Guy S. Alfano, M'50; J. Edwin Alford, M'34; Marvin L. Amdur, M'36; Harry Bergman, M'34; Paul K. Birtch, M'43; Vincent I. Bonafede, M'30; J. C. Brady, M'16 Thomas S. Bumbalo, M'31; Joseph Campo, M'54, and Mrs. Campo Max Cheplove, M'26, and Mrs. Cheplove; Louis C. Cloutier, M'54 George L. Collins, Jr., M'48; John Constantine, M'34; Thomas S. Cotton, M'39; Kenneth Eckhert, M'35, and Mrs. Eckhert; Donald Ehrenreich, M'53, and Mrs. Ehrenreich; Daniel Fisher, M'24; Soil Goodman, M'37; Bernhardt Gottlieb, M'21; Donald Hall, M'41 and Mrs. Hall. Also — Doctors Theodore C. Jewett, Jr., M'45; Herbert E. Joyce, M'45; Kenneth A. Kelly, M'50; Hans Kipping, M'47; Robert Kohn, assistant clinical professor of medicine, and Mrs. Kohn; L. Maxwell Lockie, M'29; William Major, M'44; Walter T. Murphy, M'30; Ber­ nard M. Norcross, M'38; James Nunn, M'55, and Mrs. Nunn; James F. Phillips, M'47; Edward C. Rozek, M'41; Sidney M. Schaer, M'44; S. Mouchly Small, Professor and Chairman, Department of Psy­ chiatry; William J. Staubitz, M'42; Clarence A. Straubinger, M'38; Wayne Templer, M'45, and Mrs. Templer; Joseph C. Tutton, M'63; Walter Scott Walls, M'31; David H. Weintraub, M'37; Carlton Wertz, M'15. Mr. Krajewski will host a medical alumni reception during the AMA Convention at the Palmer House in Chicago June 22 at 6 p.m.D SUMMER, 1970 9 Alumni Reception in New York �• Effects of Carbon Monoxide Dr. Farhi A BUFFALO PHYSIOLOGIST is one of nine contributors to a pio­ neering work on the effects to man of carbon monoxide, one of our major environmental pollutants. He is Dr. Leon Farhi, pro­ fessor of physiology at the University, who was invited by the di­ vision of medical sciences of the National Research Council to join a cooperative national effort to assess information known about carbon monoxide and to recommend further research that may provide some of the answers to those responsible for the development of a sensible and workable solution to environ­ mental problems. Said Dr. Farhi, "Our cooperative study revealed that there is no level of carbon monoxide in our environment that is known to be without effect. It is therefore important that we minimize our exposure to this pollutant." Each contributor to the recently published report worked on a specific aspect of the effect of low levels of carbon monoxide found on city streets and in traffic tunnels. They evaluated new psychologic and physiologic tests to assess the effects and at­ tempted to balance the factors of optimal health to those of eco­ nomic well being. While too high a level of carbon monoxide is harmful to the health of some, limiting carbon monoxide produc­ tion too severely may hurt the economy, Dr. Farhi said. With a carbon monoxide-free atmosphere therefore an impossibility, the question we want to answer is "what is a tolerable atmosphere?" With this in mind, Dr. Farhi, in collaboration with Dr. Solbert Permutt of Johns Hopkins University, reported on tissue hypoxia and carbon monoxide. What is the basic reaction of carbon monoxide to man? Its im­ portance, the report points out, lies in its ability to combine with hemoglobin, the oxygen-carrying pigment of blood. When it com­ bines to form carboxyhemoglobin, it can no longer carry out this function. This reaction however is reversible when exposure to carbon monoxide is reduced and, in time, the hemoglobin will once again be free to carry oxygen from the lungs to the body tissues. Attention has switched from studying carbon monoxide's acute effects during short-term exposure to its lasting effects during long-term exposure. In the early 1900's its sources were either from coal-burning heating devices or leaking illuminating gas fixtures. It was found that a healthy person could survive from its acute effects with moderately high levels (from 20-40 percent] of blood carboxyhemoglobin for as little as a minute to as long as a week. But today, with cigarette smoke and the internal com­ bustion engine as the two main sources of carbon monoxide, its long-term effect may last anywhere from a month to a lifetime and produce as little as 0.5 percent of blood carboxyhemoglobin. While this appears to be a trivial amount, research shows that there is a decrease in mental performance on breathing low levels of carbon monoxide. Also being looked at carefully is the circulatory system; recent studies of the effects of long-term, low-level exposure to carbon monoxide suggest circulatory effects. Further studies may prove even more important for those whose functioning has already 10 THE BUFFALO PHYSICIAN �been affected by disease or aging. Preliminary studies on deaths from heart attacks raise the possibility that part of the increase in deaths associated with cigarette smoking may be caused by the carbon monoxide content of tobacco smoke. The report on E f f e c t s of Chronic Exposure t o L o w Levels of Carbon Monoxide on Human Health, Behavior, and Performance, published by the National Academy of Sciences and the National Academy of Engineering, raises questions with important implica­ tions. Further research is needed to find the answers.• A 1927 Medical School graduate has been president of the Buf­ falo Eye Bank for the last 12 years. He is Dr. Milton A. Palmer. The Eye Bank is celebrating its 25th anniversary this year. Dr. Charles H. Addington, clinical assistant professor of sur­ gery (ophthalmology), heads the medical advisory committee. Since its founding the Eye Bank has received 5,400 eyes, and there has been 2,700 sight restorations through corneal trans­ plants. The other eyes are used for study and research by physi­ cians and medical schools. The Lions International Clubs of Western New York and north­ west Pennsylvania support the Buffalo Eye Bank through legacies and memorial gifts. These come from people in all walks of life. Police and sheriffs' departments assist in the speedy delivery of eyes to the Buffalo Eye Bank. A library on ophthalmology and eye surgery was given to the Medical School by the Eye Bank. Ophthalmologists from India, Brazil, Tasmania, and several other countries have sought guid­ ance from the Buffalo Eye Bank. Twenty-five years ago a patient requiring a corneal transplant had to go to New York, Baltimore, or Boston. Today eight local ophthalmologists transplant corneas in Buffalo hospitals.• Eye Bank Anniversary "Service in Vietnam was the most broadening experience of my life." That is what Dr. Thomas P. O'Connor said about his stint in Southeast Asia. He is a 1967 Medical School graduate, who is one of three physicians on the Entrance and Examining Section of the Buffalo Induction Center. "In Vietnam I spent eight months in the highlands among the primitive Montagnards. These people live in thatched huts on stilts. Underneath the hut the owner keeps his water buffalo or cow." It was here that Captain O'Connor and his staff provided medical aid for the seriously ill or injured Montagnards as well as our fighting men. During his last four months in Vietnam he con­ ducted a dispensary in Saigon. Although convinced that sooner or later, we must disengage our armed forces from Vietnam, he said, "it will be very difficult to leave nearly 17 million people to the unscrupulous North Vietnamese and Vietcong who are determined to impose, savagely, their rule upon the South Vietnamese." After his two-year term in the service Dr. O'Connor takes his residency at the Buffalo General Hospital, where he interned.• Dr. O'Connor SUMMER, 1970 11 Returns From Vietnam �The University as a Care Deliverer by Dr. Peter F. Regan and Dr. S. Mouchly Small The university has long recognized its obligation to pursue the health sciences as scholarly disciplines and to train health care professionals. But to what extent should the university serve as a deliverer of health care services? Aspects of this question are considered in the following paper co-authored by S. Mouchly Small, M.D., professor and chairman of the Department of Psychiatry (School of Medicine) at the University, and Peter F. Regan, M.D., professor of psychiatry and the University's act­ ing president. The address was originally presented November 21, 1969, before a meeting of the New York State unit of the American Psychiatric Association. 12 American universities have traditionally emphasized teaching and research as their primary commitments with service as an integral but secondary aspect of their mission. In the past, many functioned as enclaves or sanctuaries where scholars congregated, often in splendid isolation from the world about them, to pursue the classical tasks of storing, creating and transmitting knowledge. Today, universities have been swept into the maelstrom of revolutionary, scientific and technologi­ cal changes and have become intimately involved in and part of the new social order. There are ever-increasing calls from the public and government for the universities to engage in applied research, to effectively communicate their knowl­ edge and follow it through to the operational level to insure its optimum utilization. Health services are now considered a human right rather than a privilege by all segments of our society. Medical pro­ fessionals are no longer sacrosanct and beyond criticism. Sci­ entific spectaculars, such as organ transplantation, continue to evoke exclamatory approval, but it is short-lived as in­ dividuals are repetitiously faced with poignant and proximate experiences with pain, illness, disability and death. As the people become more aware of our deficiencies in knowledge and the lack of an effective system of health care delivery, their mounting concern will become increasingly manifest in social and political pressures for improved services. The role of the university in care delivery poses innu­ merable troubling and provocative questions. It is clear that the universities and medical schools in our country do have a major responsibility in this area. Yet there are a host of questions asked by sincere and dedicated physicians and ad­ ministrators concerning the propriety, extent, balance and capability of universities in their commitment to service, teaching and research. Many become almost paralyzed by the enormity of the problem, searching frantically for guidelines and rapid solutions in this terra incognita. It is the basic argument of this presentation that the territory of care de­ livery is not unknown to universities and that relatively clear guidelines do exist. The Role of the University in Society As a first step let us review the role of the university in so­ ciety. On this issue, the essential fact to recognize is that the university's role does not emerge from within the academic community; instead it is determined from without. Society determines what its needs are and creates institutions to deal with them. It is society which rewards and punishes these institutions according to how well they satisfy its needs. So­ ciety provides each of its institutions with resources and re­ sponsibilities and expects them to respond dynamically to the changes that engulf our entire body politic. Thus, the uni­ versities do not determine their mission in isolation but are, in fact, responsive to the organized communities in which they exist. In historical perspective, society seems constantly to call upon the universities to satisfy three basic needs: the need for a repository of knowledge at the most advanced levels, in a broad variety of disciplines; the need for an adequate number of citizens educated at this advanced level, and prepared to work in society as intellectual leaders, scholars, or profes­ sional practitioners; and the need for keeping the most ad­ vanced knowledge and the education of citizens geared to the changing configurations of the society. THE BUFFALO PHYSICIAN �Thus, through the centuries, we can see the trends emerge. In the early years of this millennium, the thrust of universi­ ties was focused on the production of professional people well prepared to serve the kingly elite. As special needs de­ veloped, special additions were made to the universities; one college at Oxford, for example, was founded in order to guar­ antee an adequate supply of clergymen for Wales. As the centuries advanced and population grew, a wider leadership was necessary, and universities added a pattern of general education, which would qualify the gentlemen not engaged in professions to serve in more general leadership roles in society. Over the last three centuries, in the face of interacting industrial and scientific revolutions, more and more fields of knowledge were added to disciplines encom­ passed by universities, until now every major university em­ braces more than a hundred disciplines and professions. Fi­ nally, the societal changes of the last hundred years have led society to demand that larger and larger proportions of its citizens should have the benefit of the most advanced edu­ cation in the form of specific public programs. In the United States this change was signalled by the es­ tablishment of the land grant colleges in 1862. As pointed out by Don Price, from those colleges grew the experiment sta­ tion, the extension program and a whole interlocking system of institutions which led to the federal government playing a more effective role in the agricultural economy than the bureaucracy of any supposedly socialized state. Today, uni­ versities, as responsive organisms trying to satisfy the everchanging needs of the society which established and which nurtures them, are being called upon for greater and uni­ versal participation in higher education and public health programs among others. Within this panoramic view, one can see that nations and societies display differences in their expectations from uni­ versities with changes in emphasis reflecting public values, needs and demands. With respect to research in the United States, for example, society appears to expect that most basic research will be done within universities but turns to other institutions for the bulk of its applied research needs. Thus the effective transmission of basic research findings to benefit the lives of our citizens depends upon the existence of in­ stitutions geared to applied research. This is particularly ger­ mane to our discussion of health care. It is this key linkage —applied research on health care—which now confronts American society and American universities with their dilemma. SUMMER, 1970 The remarkable advances in medicine ranging from anti­ biotics and new vaccines to organ transplants are of limited value unless we can get these wonders to the people. How is this to be accomplished? The bitter truth is that we do not know and that we have no adequate present means for guaran­ teeing that our citizens will receive the best health care available to them. In fact, the evidence leads to the conclu­ sion that the availability of the highest quality of health care is actually becoming more remote. Life expectancy in the United States is less than that in a dozen other industrialized countries. Natal and neonatal mortality rates in many areas of our country are unconscionably high. Whole communities in our rural areas are without ready access to physicians and hospitals. Analysis of Related Problems A recent article by John W. Gardner (Reader's Digest, September, 1969), the former Secretary of Health, Educa­ tion, and Welfare, cites the need to redesign our society with institutions capable of continuous change, renewal and re­ sponsiveness. We have plenty of debaters, blamers, provoca­ teurs and glory-seekers, but we do not have enough prob­ lem-solvers. As part of our effort to do so let us define some of the pertinent facts and central issues related to the univer­ sity's responsibilities as a care deliverer. Outstanding among these problems are the role of poverty as a pathogenic influ­ ence, the lack and maldistribution of professional manpower, the underrepresentation of disadvantaged minority groups within the professional pool and in our health educational institutions, and the delivery of care to those who are not being served because of our lack of a comprehensive approach. Pathogenic Influence of Poverty Unusually high rates of illness, disability and mortality are commonly found among those in the poverty group. Of various parameters that one could study, inadequate family income correlates most highly with other common factors which contribute to prolonged maladaptation, excessive mor­ bidity and decreased life expectancy. The poor are plagued with sub-standard housing in high population density areas and show low utilization of preventive care either through lack of knowledge, poorly accessible health facilities or a lack of motivation. Poor families have three times more disabling heart disease, five times more mental disorders, and seven times more visual impairment than the general population. (Reference 1: Policies Statements of the Governing Council of the American Public Health Association adopted Novem­ ber 13, 1968, published in the American Journal of Public Health, Vol. 59, 158, January, 1969). Even more appalling 13 �is the fact that as many as 60 percent of the population eligible for public assistance does not receive payments. It is apparent that despite great advances in the biomedical sci­ ences, unless we deal with the concomitant socio-economic aspects of health and illness, the meaningful application and utilization of this information with those in greatest need will fail. Poverty in our affluent society is by no means a rarity. A Census Bureau report issued August 19th of this year, classi­ fies 25.4 million persons in the United States as poor in 1968. One-third of the Nation's Negroes are classed as poor. Quan­ titatively there are more poor white families, but the blacks and other non-whites suffer the highest prevalence of poverty. Although these figures suggest an improvement, the enormity of the problem is still quite apparent (The New York Times, Wednesday, August 20, 1969). Dr. Regan Dr. Small Professional Manpower It has been estimated that one out of every 20 individuals employed in the labor force is engaged in the health-care industry. Health manpower literally comprises well over 100 different types of careers totalling approximately 4 mil­ lion persons. Of these, fewer than 300,000 are practicing physicians. The need for more medically trained professionals has been repeatedly asserted in various reports, attested to by numerous unfilled academic and service positions and re­ affirmed by our continuing to import many more physicians from other countries than we export. The numerous accusa­ tions leveled at the United States epitomized in the phrase "Brain Drain" suggest that our debtor status extends across the board to include experts in many different fields. Criticism of university medical centers extends beyond the quantitative lack of medical professionals to include lack of sufficient general practitioners or family physicians and mal­ distribution of those who have completed their medical edu­ cation. Physicians tend to cluster in the larger population centers where modern facilities and equipment are accessible and where consultations in all specialties are readily available. It is stated that in six years (1975) we will need an in­ crease of a million persons over those now working in all health professions. (Francis Keppel, National Responsibility for Health Manpower. Proceedings of the Conference on Job Development and Training for Workers in Health Sciences, 1966, p. 11. S. S. Steinberg, E. O. Shatz and J. R. Fishman, New Careers: A Major Solution to the Environmental Health Problem, American Journal of Public Health, 59, 1118, July, 1969). With the increasing complexity of medical practice the number of allied health workers per physician will con­ tinue to show an upward trend. Thus, it is likely that short­ ages will continue to exist in medicine and in the allied health professions as well. There is substantial agreement on the fact that this prob­ lem of health care manpower cannot be resolved simply by playing the numbers game. The bitter reality is the fact that we are presently educating fewer people in the health profes­ sions than we need to maintain in the present inadequate system, e.g., only 8,000 of the needed 10,000 physicians to maintain our present level of relationship between physicians and population are graduated each year, with the balance being recruited from other countries. Even were it possible to dou­ ble the size of the present system in less than 20 years, thereby increasing the cost from the present level of more than six per cent of the gross national product to a level greater than 12 per cent of the gross national product, there is no guarantee whatsoever that such a size increase would actually achieve the goal of bringing health care to each individual. �First t o p e r f o r m heart surgery in Buffalo, Dr. John R. Paine (left), re­ ceived the Roswell Park Medal of the Buffalo Sur­ gical Society from the society presi­ dent, Dr. Charles E . W i l e s , M' 4 5 , (right). Dr. Joseph T. Andrews (cen­ ter), past presi­ dent, formally pre­ sented Dr. Paine at the dinner meet­ ing. He was the 22nd Buffalo sur­ geon to receive the honor. Dr. Paine retired last year as chairman of the department of surgery at the Medical School. He is now living at Jekyll Island, G e o r g i a .• Disadvantaged Minority Groups The difficulty in communicating in a meaningful way with disadvantaged minority groups has received increasing rec­ ognition. Suspicion and distrust bred by many years of dis­ criminatory treatment by the "white establishment" has com­ pounded the difficulty. A greater representation of members of minority groups in the medical and allied professions would help immeasurably in opening channels of commu­ nication. An approach which has the advantage of broadening the base of allied health workers, increasing the efficient use of the most highly trained professionals and utilizing minority group members in substantial numbers is the development of programs for the training and employment of local resi­ dents in community health service programs. These persons have been referred to as indigenous non-professionals and have proven to be effective bridges with the people heretofore not receiving health services. In psychiatry new careers such as mental health worker or technician coupled with "career ladders" programs both for the new and well established professions will hopefully help to minimize manpower short­ ages and provide improved contact with the underprivileged. Evaluation of University's Performance Given this situation, what are the universities to do? To an­ swer these questions we can best begin by attempting to evaluate how well the universities and their professional schools are meeting society's expectations in the field of health. • In terms of maintaining an awareness of the most defini­ tive information about health, they are performing their mis­ sion. Information about health care delivery systems, how­ ever, is inadequate. SUMMER, 1970 • In terms of generating a sufficient number of educated people capable of satisfying society's needs for professional personnel, we are doing a commendable but inadequate job. In the medical area alone, we are satisfying only 80 percent of the need, and those who graduate have inadequate prepa­ ration and knowledge in the area of health care delivery. • With respect to adapting to the changing needs of so­ ciety, there is little evidence outside schools and departments of public health and departments of psychiatry of concern with methods for coping with the disease as it exists in patients, each one experiencing his illness in a characteris­ tically unique way, nor the treatment of patients as they exist in society. The admissions criteria of university hospitals are phrased in many ways, but they might generally be expressed more bluntly: "Bring us the right disease, and we will give you the best treatment available. If you don't have the right disease, don't call us; we'll call you." Without in any way minimizing the difficulty of changing this system, what needs to be done is to transform a con­ siderable portion of the clinical care now being provided un­ der the aegis of our universities from an exclusive orienta­ tion on disease and basic scientific research, to a balanced orientation designed to study and teach improved methods of health care delivery for all the people in a given area. An appropriate segment of the clinical care conducted by uni­ versities can and should be redesigned to provide health care services to the poor and the minorities in facilities which are accessible, acceptable and utilized by them. It takes extraordi­ nary mental gymnastics to justify not doing so from an edu­ cational point of view, for how can we expect the students who have never had the learning experience of working in a good health care delivery system to engage in an appropriate practitioner's role? 15 �authority to various members of the patient care team. At this moment in time, the physician works with an average of 20 other people on such a team, and these may be drawn from more than 100 professions and skills. New methods for inter­ locking the efforts of this team must be a hallmark of the clinical programs conducted by universities, if the future pro­ fessionals are to achieve that multiplication of effectiveness necessary to meet the health care needs of the nation. Models for Transforming the Provision of Health Care Within the University Setting It is our contention that universities should in fact engage in the applied research necessary for developing better health care delivery systems. At the conceptual level, one may recognize that a univer­ sity or group of universities should create those clinical pro­ grams which satisfy a number of educational criteria. These are of two types: professional and social. The clinical programs operated under the aegis of universities may run under several different kinds of patterns. At one ex­ treme, the clinical programs may be funded by university resources, and operated in university-owned facilities, with total university staffing. At the other end of the spectrum, the pro­ grams may operate in a wide variety of affiliated agencies (in­ cluding health departments and voluntary hospitals) where major funding, the provision of facilities, and the provision of basic personnel for the clinical program are the responsibility of the sponsoring agency. At any point on this spectrum, it is clear that the university's role derives primarily from its educational mission. In almost every situation, it is equally clear that the university can assume a potent leadership role; certainly, it does so de facto in a university-owned facility, and can assume simi­ lar leadership within the terms of most affiliation agreements. In those pages which follow, an attempt was made to establish those guiding principles which might be used by universities, as they carry on their educational activities in clinical settings. For purposes of simplification, it is assumed that these principles will be similar, irrespective of the detailed sponsorship of the agency in which the education takes place. In such a context the clinical programs operated under the aegis of a university should reflect the highest standards in the following areas: 1. All patients who enter the clinical programs conducted by a university should receive the highest quality of in­ dividual medical care now available. This is a standard now adhered to by all university-conducted programs. And en­ larging its scope from a disease orientation to include a social orientation should in no way diminish this level of excel­ lence. Especially in psychiatry, we must be cognizant of both intrapsychic conflicts and those resulting from the interaction between the individual and society, differentiating psychopathology and social pathology. 3. It seems apparent that a clinical program operated un­ der university auspices should reflect a system of regional or sub-regional coordination. A store-front health informa­ tion center or core area clinic, for example, would constitute a heartless deception if it was not linked to other facilities which could provide comprehensive and specialized services of all kinds. Similarly, an ivory tower citadel is a deception if it is not linked to satellite operations extending through sev­ eral levels of sophistication, with its roots firmly planted in community health centers located in the neighborhoods in which patients live. The specifics of how best to organize a broad pattern of care delivery which encompasses preven­ tion, ambulatory patients, partial and 24-hour hospitalization, rehabilitation, extended care facilities and home care, re­ quires the kind of experimentation which universities can readily undertake. 4. A university operated clinical program will necessarily involve active participation in the decision-making processes by the community in which it operates. At this point, we should take note of a strange dichotomy which exists in mod­ ern society, which can recognize that the faculty of a univer­ sity can appropriately deal with the board of trustees of a major metropolitan affiliated hospital, but has difficulty in giving more than titular "advisory" responsibility to the representatives of a community in which a so-called "com­ munity" health center is established. As the clinical programs of universities extend into operations within the community, ways must be devised in which the people in the neighbor­ hoods and towns which are served have a legitimate and permanent role in the decision-making processes which can affect their lives and the lives of their families and neighbors. 5. The clinical programs operated by universities should be geared to the reality of the nation and the world. While it is self-evident that additional costs and supplementary man­ power must be associated with educational clinical pro­ grams, in order that appropriate teaching and research can be conducted within those programs, the hard core essence of the programs must be replicable. The core clinical pro­ gram must be designed and operated in such a fashion that similar programs can be replicated outside of university auspices, without bankrupting the financial or human re­ sources of the nation. 2. The clinical programs conducted by a university should reflect the contributions that a variety of professional people must make, if care is to be provided to all of our citizens. Thus, there should be a planned teaching and research pro­ gram concerned with the assignment of responsibilities and 16 THE BUFFALO PHYSICIAN �6. If the clinical programs operated by universities are to avoid moving rapidly back to a preoccupation with disease, and to avoid the danger of becoming hot-house plants in­ capable of survival elsewhere, they must be subjected to continual and objective scrutiny and evaluation. As the health professional schools engage in such programs, they should draw upon the research resources of other university disciplines. Research teams including economists, political scientists, architects, sociologists, and lawyers, to name but a few, must be drawn into an ongoing appraisal of the pro­ grams. Only by this means, can the excellence and viability of the programs in application be continually assured. run by universities should be geared to educational excel­ lence and to social reality. The concept which we have pro­ posed can be expressed in terms of a matrix, with check­ points along educational and social axes. While it may be true that one or another of our nation's university health centers cannot take affirmative action at each one of the checkpoints on the matrix, almost all clinical programs op­ erated by universities can, if the university desires, satisfy most of the criteria called for by the matrix. By coordina­ tion among medical schools and universities, there is no reason why adequate insurance at a national level cannot be provided. The clinical programs operated by universities should also satisfy certain social education criteria: With respect to these models, detailed or general, several minor points should be noted: 1. They should embrace all points in the socio-economic spectrum of society. There is little doubt that clinical pro­ grams now operated by universities tend to focus their clini­ cal efforts on one or another segment of the socio-economic system in the United States. Some university medical centers cater to the affluent white, some to the poverty-stricken black. If a clinical system is to be a proper vehicle for teaching and research, however, it must be more, rather than less, comprehensive. Thus, the population covered by clinical programs operating under university aegis should be de­ signed in such a way as to cover an area which includes sev­ eral points on the socio-economic spectrum, so that crossvalidation of the system's effectiveness can be attained. In the first period of emergence for such systems, the deplorable lack of care now provided to the poor and to the black and Puerto Rican minorities should claim particular attention, as it is difficult to defend even a developing system which tol­ erates such discrimination. 1. Financially, the role of the university should be to en­ gage in its education and research programs. Insofar as it conducts the clinical programs which have been described or postulated directly, and not through affiliations with other agencies, funding should be provided in a joint fashion. Those portions of the program which are dedicated to the education and research ends should be funded through direct university support. Those portions which are dedicated to the delivery of patient care itself, should be supported by appropriate national resources; in this connection, such re­ sources may be given to the university directly for patient care, may be provided by governmental support programs, or by national health insurance. Whichever method is used, it should be the responsibility of the sponsoring university to insure that the core clinical program (as distinguished from the educational and research association) operates at a cost level commensurate with that of national potential. 2. Equal attention must be paid to the age distribution of the population. It is all too easy to turn our attention away from the unglamorous needs of children and the aged— after all, preventive medicine and the care of chronic disease do not provide the virtuoso satisfaction of a spectacular cure of a rare disease. It is just such unglamorous areas, however, that can mean the difference between a good life and a poor life, for tens of millions of citizens. The programs operated by universities, therefore, must pay careful attention to in­ suring that the design of the health care system reflects the true distribution of the population, and the true needs of people within that population. 3. Health care systems operated by universities should take care to insure adequate geographic distribution. Already, there is apparent a tendency to cluster medical facilities and professional personnel in those geographic areas more marked by comfort and convenience than by unmet patient care needs. With the transportation availability now present in the United States, there is no reason why every clinical program conducted by universities should not provide care to at least a representative sample of the population in the densely crowded urban centers and in the sparsely-populated rural areas which surround them. The helicopter can be as im­ portant in transporting patients from the hills of Appalachia to Buffalo or Rochester, for example, as it is on the plains of Texas. No listing of the criteria which should be incorporated into a clinical program run by a university can expect to be complete or final, nor can it expect to be infallible. It does seem reasonable, however, to think that clinical programs SUMMER, 1970 2. Nothing could be so destructive to the educational in­ tegrity of universities (in satisfying the needs for which so­ ciety has established them) as to engage in clinical programs which are of larger size than that which is called for by the educational mission of the university. The size of the clinical programs operated by the university indeed must be limited to that size which is the minimum necessary for its educa­ tional mission, and not the maximum available to entrepre­ neurial greediness. Realistically, the size of such a clinical program will always be sufficient to satisfy most of the edu­ cational and social criteria which we have put forth in our general model. Summary It is all too evident that this nation confronts a paradoxical crisis in its health care delivery system. In the midst of affluence and technical excellence of the highest order, too many of our citizens are deprived of health because we have not learned, and we have not taught, the best methods for delivery of health care. Yet good health care is not only the right of every citizen, but universal availability of comprehen­ sive high quality health care is a goal to be cherished by every­ one. It is within our American universities that the poten­ tial for this health care has been built up over the last 50 years. At this moment, it is their responsibility to so range their educational and clinical programs and to design and op­ erate those model systems of health care delivery which will bring the fruits of basic research to every citizen, without in any way diminishing the continued excellence that they have already achieved in other areas. 17 �National Intern Matching Program Everyone in the class is matched. The tension exhibited by the 94 seniors who assembled in G-22 (March 16) to learn the results of the National Internship Matching Plan seemed to ease a bit. It is better this year than ever before. They waited to receive from associate dean Harold Brody the envelope that would reveal the results of the program which at­ tempts to match the preferences of the students with those of the hospitals. A quick exit, for some, to the nearest telephone to inform anxious relatives where "home" would be for the following year. Over one third, he said, will remain in Buffalo, while 23 others will complete their internships in New York State (21 in New York City, two in Rochester). California, which has received as many as 15 over the past years, matched only six. Fifteen other states accounted for the remaining 31. Two university programs filled. "Our contribution to medicine at Buffalo General/Meyer Hospitals is 16 and to pediatrics at Chil­ dren's is eight," he said. Other area hospitals are Meyer (one in psychiatry), Millard Fillmore (one in surgery), Veterans (one in medicine) and Deaconess (three rotating and two in family prac­ tice). More than half the class, he pointed out, received their first choice. "While 57 will participate in straight programs, 34 are matched in rotating programs," he said. Over two-thirds of the class (74) will intern in hospitals with major medical school affiliations, six will go to those with limited affiliations, one to a hospital with a graduate training program under a medical school, eight to nonaffiliated, and two to public health hospitals. "All of you are to be congratulated," Dr. Brody said to his third and final senior intern matching class. "If there is to be any im­ provement in internships for future graduates, it will depend on how well you perform." 18 THE BUFFALO PHYSICIAN �JAMES M. BAKER, Providence Hospital, Seattle, Rotating General WILLIAM F. BALISTRERI, Cincinnati General Hospital, Cincinnati, Straight Pediatrics RONALD H. BLUM, Baltimore City Hospitals, Baltimore, Straight Medicine BRIAN A. BOEHLECKE, Buffalo General/Meyer Memorial Hospitals, Buffalo, Straight Medicine DENNIS L. BORDAN, North Shore Memorial Hospital, Manhasset, Long Island, Straight Surgery ELLIOTT BRENDER, The New York Hospital, New York City, Straight Surgery PETER L. CITRON, Buffalo General/Meyer Memorial Hospitals, Buffalo, Straight Medicine MARY E. CLEMENS, Buffalo General/Meyer Memorial Hospitals, Buffalo, Rotating Medicine SEBASTIAN CONTI, St. Lukes Hospital Center, New York City, Straight Surgery DONALD P. COPLEY, Buffalo General/Meyer Memorial Hospitals, Buffalo, Straight Medicine VINCENT G. COTRONEO, Buffalo General/Meyer Memorial Hospitals, Buffalo, Rotating Medicine SETH C. CRAIG III, Children's Hospital, Buffalo, Straight Pediatrics RICHARD T. CZERNIEJEWSKI. Children's Memorial Hospital, Chicago, Straight Pediatrics ELLIOTT S. DACHER, Michael Reese Hospital & Medical Center,Chicago, Straight Medicine ALLEN DAVIDOPF, Kings County Medical Center, Brooklyn, Straight Medicine WILLIAM P. DILLON, Children's Hospital, Buffalo, Rotating Oh/Gyn FREDERICK R. DOWNS, Deaconess Hospital, Buffalo, Family Practice JULIE L. DRATCH, Hun tington Memorial Hospital, Pasadena, Straight Medicine THEODORE N. DRATCH, Kings County Medical Center, Brooklyn, Straight Medicine DENNIS P. DuBoiS, Buffalo General/Meyer Memorial Hospitals, Buffalo, Straight Medicine NANCY L. ECKHERT, Cleveland Clinic Hospital, Cleveland, Rotating Medicine CARL ELLISON, Cincinnati General Hospital, Cincinnati, Rotating General ROGER A. EVANS, Medical College of Virginia, Richmond, Straight Surgery STEVEN J. FAIGENBAUM, Montefore Hospital & Medical Center, Bronx, Rotating Medicine EBEN FEINSTEIN, Kings County Medical Center, Brooklyn, Straight Medicine WILLIAM J. FIDEN, JR., Deaconess Hospital, Buffalo, Family Practice ARNOLD E. FINGERET, Cincinnati General Hospital, Cincinnati, Straight Pediatrics ALAN FINK, Buffalo General/Meyer Memorial Hospitals, Buffalo, Rotating Medicine ALLEN J. FINLEY, Bronx Municipal Hospital Center, Bronx, Straight Pediatrics CHARLES A. FISCHBEIN, Cincinnati General Hospital, Cincinnati, Straight Pediatrics ELLEN FISCHBEIN, Cincinnati General Hospital, Cincinnati, Straight Pediatrics JOHN D. FOLEY, Children's Hospital, Buffalo, Straight Pediatrics ROGER FORDEN, Children's Hospital, Buffalo, Straight Pediatrics LAWRENCE S. FRANKEL, Georgetown University Hospital, Washington, D.C., Rotating Pediatrics DONALD J. GABEL, Strong Memorial Hospital, Rochester, Straight Oh/Gyn ROBERT P. GALE, University of California Medical Center, Los Angeles, Straight Medicine NEIL W. GARROWAY, Barnes Hospital, St. Louis, Straight Medicine FRED E. GENSLER, Cincinnati General Hospital, Cincinnati, Psychiatry JOSEPH D. GENTILE, Veterans Administration Hospital, Buffalo, Rotating Medicine CHARLES GOLDBERG, Buffalo General/Meyer Memorial Hospitals, Buffalo, Straight Medicine ARTHUR R. GOSHIN, E. J. Meyer Memorial Hospital, Buffalo, Rotating Psychiatry STEVEN B. GRABIEC, Children's Hospital, Buffalo, Straight Pediatrics ELLIOTT L. GROSS, Meadow Brook Hospital, New York, Rotating Surgery THEODORE J. HAJEK, Children's Hospital, Buffalo, Straight Pediatrics FRANK M. HALL, JR., Rochester General Hospital, Rochester, Rotating General MARVIN W. HARRISON, University of Oregon Medical School Hospitals, Portland,Rotating DAVID S. IRWIN, U.S. Public Health Service Hospital, Boston, Rotating General RICHARD A. JUSTMAN, University of Chicago Clinics, Chicago, Straight Pediatrics MARILYN R. KASSIRER, St. Elizabeth's Hospital, Boston, Straight Medicine DENNIS J. KRAUSS, Brookdale Medical Center, Brooklyn, Rotating General THOMAS V. KRULISKY, Buffalo General/Meyer Memorial Hospitals, Buffalo, Rotating Medicine JOEL KRUMERMAN, Jackson Memorial Hospital, Miami, Straight Surgery (ContinuedJ SUMMER, 1970 19 �ROBERT E. LEE, University of Connecticut, Medical Sociology ALAN I. LEIBOWITZ, Brookdale Hospital Center, Brooklyn, Straight Medicine LAURENCE LESSER, Buffalo General/Meyer Memorial Hospitals, Buffalo, Straight Medicine MICHAEL LIPPMAN, Bronx Municipal Hospital Center, Bronx, Straight Medicine BRUCE H. LITTMAN, New England Medical Center Hospitals, Boston, Straight Medicine BARIS LITVAK, Jackson Memorial Hospital, Miami, Straight Pediatrics RUSSELL MASSARO, Buffalo General/Meyer Memorial Hospitals, Buffalo, Straight Medicine JOSEPH V. MCCARTHY, U. S. Public Health Service Hospital, Boston, Rotating General FRANK MILLER, Deaconess Hospital, Buffalo, Rotating General SUSAN M. MOSHMAN, Montefiore Hospital, Bronx, Straight Medicine PAUL R. MOYCE, LOS Angeles County - USC Medical Center, Los Angeles, Rotating General JAN M. NOVAK, Bronx Municipal Hospital Center, Bronx, Straight Medicine THOMAS A. O'CONNOR, Buffalo General/Meyer Memorial Hospitals, Buffalo, Rotating Medicine DANIEL PALCZYNSKI, Long Island Jewish Medical Center, New Hyde Park, Rotating General JEFFREY R. PINE, Buffalo General/Meyer Memorial Hospitals, Buffalo, Rotating Medicine ALAN M. PODOSEK, Deaconess Hospital, Buffalo, Rotating General BRUCE M. PRENNER, Presbyterian Hospital, New York, Straight Pediatrics JOEL P. PURSNER, St. Vincents Hospital, Staten Island, Straight Psychiatry HERBERT H. RABINER, Long Island Jewish Medical Center, New Hyde Park, Rotating General CAROL (FARBER) REDDY, Children's Hospital, Buffalo, Straight Pediatrics JOHN A: RIDER, Children's Hospital, Buffalo, Straight Pediatrics JEFFREY S. ROSS, Massachusetts General Hospital, Boston, Straight Pathology DAVID J. ROSSMAN, Temple University Hospitals, Philadelphia, Straight Medicine JEFFREY G. ROTHMAN, University of Pennsylvania Hospital, Philadelphia, Straight Medicine DANIEL J. SCHAFFER, General Rose Memorial Hospital, Denver, Rotating General STEPHEN SCHLESINGER, Children's Hospital of Pittsburgh, Straight Pediatrics JOHN G. SECRIST, U.C.L.A. Medical Center, Los Angeles, Straight Medicine SAMI SEHAYIK, Bronx Municipal Hospital (Einstein), Bronx, Straight Surgery ARTHUR M. SEIGEL, Buffalo General/Meyer Memorial Hospitals. Buffalo, Rotating Medicine PETER E. SILVERSMITH, Millard Fillmore Hospital, Buffalo, Straight Surgery JAMES K. SMOLEV, Johns Hopkins Hospital, Baltimore, Straight Surgery BRUCE A. SOBIN, Long Island Jewish Medical Center, New Hyde Park, Rotating General AGNES V. S. SZEKERES, Buffalo General/Meyer Memorial Hospitals, Buffalo, Rotating Medicine BRENDAN D. THOMSON, Good Samaritan Hospital, Phoenix, Rotating General SHAFIC Y. TWAL, Children's Hospital, Washington, D.C., Straight Pediatrics ROBERT M, UNGERER, Hartford Hospital, Connecticut, Rotating Surgery HAROLD M. VANDERSEA, Deaconess Hospital, Buffalo, Rotating General STEVEN F. WEINSTEIN, University Hospital of San Diego County, San Diego, Straight Pediatrics HENRY L. WHITED, Rhode Island Hospital, Providence. Rotating Medicine HOWARD A. WIENER, New York University Medical Center (Bellevue), New York City.Straight Pediatrics ALLAN S. WIRTZER, Veterans Administration Center, Los Angeles, Straight Medicine RONALD W. ZMYSLINSKI, Buffalo General/Meyer Memorial Hospitals, Buffalo, Straight Medicine 20 THE BUFFALO PHYSICIAN �Spring Clinical Days Dr. Bisseli Three major challenges facing the physician today — sex edu­ cation, social hazards, peptic ulcer — were this year's theme at the 33rd alumni Spring Clinical Days that opened on a snowy and 35-degree day at the Hotel Statler. "What our children want and need to know is here to stay," said national director of sex information and education council Mary S. Calderone. Sex education, she pointed out to the 250 alumni, student and faculty audience, is needed to make a better world. The physician has a key role to play in the community — educating adults and serving as a consultant to schools. But she cautioned that physicians must be aware of sex-related problems. "There are patients who may not realize what these problems are and are now suffering from their effects." For the woman who has lost a breast, had a colostomy or a historectomy per­ formed, and is deeply concerned as to "what this will do to my sexual life," the physician needs to assure her that it will not interfere. Another high anxiety problem is masturbation, she pointed out. Many physicians do not even understand that as an integral part of the "self" it is harmless. Moderator Harold J. Levy intro­ duced a panel that presented its personal experiences on sex education in the community. "It is far better to give sex informa­ tion too early," pediatrician Robert J. Ehrenreich said, "than too late." While the Medical Society has initiated a new program in human sexuality for hospitals and schools, "we as physicians are only consultants and it must be the hospital that becomes involved." He believes that the physician's role is to educate the parents, to teach them healthy sexuality attitudes to pass on to their own children. He noted that medical students, perhaps more than ordinary citizens, have sexual hangups. A sex education activist (as gynecologist Morris Unher calls himself] insisted that a program in sex education is a "must" for children in kindergarten through grade 12. Psychologist Shepard Goldberg concurred that parent education is the key to a sex education program. At best a film is an audiovisual tool and will not do the whole job. "You must therefore answer all questions completely and honestly," he said. Psychoanalyst Bernhardt Gottlieb pointed out "we may be making history this afternoon. As far as I know this is the first time that we as physicians are looking at ourselves and situations that occur in our everyday life in order to arrive at an understanding of what we can do, not only for our colleagues but others who come to us as drug addicts." The easy availability of drugs frequently leads to its improper use, a Philadelphia psychoanalyst said. Dr. Ralph B. Little warned that in self medication "you eliminate the doctor/patient rela­ tionship." He pointed out that "it can never happen to me" often presages the drug problem in physicians. But, he continued, one SUMMER, 1970 21 Dr. Calderone Dr. Evans Dr. Gottlieb Dr. Hoerr Dr. Roth �M e d i c a l students a t t e n d t h e sessions. Mrs. Stockton K i m b a l l w i t h Drs. L o c k i e a n d H e i l b run. I t was an interesting panel. The annual Stockton K i i Drs. C h e p l o v e , S t a f f o r d , Pesc h . �n b a l l luncheon a t t h e S t a t l e r H i l t o n Drs. Herbert W e l l s , Oscar J. Oberkircher. D r s . Morhous a n d F u g i t t during a c o f f e e b r e a k . D r s . M i l f o r d C h i l d s , S a m u e l B 1e i c h f e l d . Drs. Regan, Anthone. �Drs. Block, Goldstein, Gottlieb. Drs. Anthone, Mindell. Drs. Chepiove, Milch, Berman. has to be ripe or preconditioned before he becomes an addict, and the physician may be unaware of his vulnerability. "Expect poor motivation in the beginning of treatment," said the physi­ cian who has been involved in a continuing study of drug prob­ lems in physicians for the past eight years. "In your initial con­ tact with the patient, be certain that you use the term 'addict' to convey the seriousness of the problem." Alcohol-addicted physicians, pointed out Roosevelt Hospital internist, LeClair Bissell, drift into other addictions. Suicide attempts, arrests, jail sentences for many of those studied, few sanctions by colleagues appeared to be the picture. She predicted that between 13,000 — 22,400 physicians are or will become alco­ holics and after looking around the room cautioned that one out of every 100 physicians sitting there will end up an alcoholic. What can we do about it? "We as physicians should not join the addict in his own denial. We must show concern and when necessary impose sanctions — loss of job or license. But, don't threaten without offering help and the location of that help." Physician suicides, psychiatrist Harvey L. P. Resnik pointed out, exceeds the number of graduates from a large medical school. When dealing with a patient with multiple complaints, consider asking him whether he is depressed or has felt so badly that he has considered taking his own life. It is a myth, he said, that by doing so you will precipitate a suicide. The chief of the National Center for Studies of Suicide, who is on leave from the UB Medical School, said "what it does is to open up an avenue of communication." He cautioned that 80 percent of the suicide attempts — and there is a relation between drugs and alcohol — utilize physician prescriptions. "Control a prescription," he admonished. Psychia­ trists have the highest overall suicide rate, he said, followed by otolaryngologists who are significantly older. "As physicians we are less prone to seek treatment for our­ selves. We should be more aware of mental illnes in ourselves and our fellow physicians." The final session on modern concepts of treating peptic ulcer moderated by James F. Phillips opened with an overview of the physiology of gastric secretion. Gastroneurologist William F. Lipp traced its history from Pavlov in 1889 who developed the nervouscephalic theory of digestive secretion to the Gregory/Tracy team who in 1959 reexplored gastrin and isolated two pure forms. By characterizing natural gastrin and proving its structure by total synthesis they made available both for the first time. Hunter's theory of the viability of tissue as a factor in the ageold question of why the stomach does not digest itself — the food that we eat plus the mucosa preventing this from happen­ ing— should lead to the development of the entire peptic ulcer story. Ulcers do heal, Dr. Samuel Sanes optimistically opened his discussion on the pathology of the peptic ulcer. A peptic ulcer, he pointed out, is a defect in that section of the mucosa in the 24 THE BUFFALO PHYSICIAN �alimentary tract that is exposed to acid peptic juice. Focusing on the duodenal ulcer he noted that it takes between 30-60 years for its development for the ratio of five males to every female. A drug may participate in pathology of ulcers, warned a University of Pennsylvania internist, Dr. James Roth, by inciting localized damage to the mucosa, stimulating mucosal increase, or reducing mucosal resistance and thereby interfering with the healing process. He pointed to the general agreement that aspirin is a dangerous drug and that with its ingestion one or more mechanisms may operate to cause erosion and bleeding. He pointed to phenylbutazone as potentially ulcergenic, the cellular toxicity of caffeine, as well as ACTH and the still controversial adrenal steroids that may interfere with the healing process. A surgeon from the Cleveland Clinic described his experience in surgical therapy for peptic ulcer. In performing gastroresection, vagotomy, or the several different drainage processes for the chronic duodenal ulcer patient, Dr. Stanley O. Hoerr cautioned that you must pick the operation that is best for the patient. His experience revealed that a vagotomy with the appropriate drainage procedure works in nine out of ten cases and offers the patient the lowest possible risk. He predicted that no matter what you do, 80 percent will heal but there is the 20 percent who don't respond to the stomach rest program of hourly feed­ ings in small quantities. At the annual alumni luncheon the Stockton Kimball Memorial Lecturer emphasized that the "quality of care and continuing education are not just inseparable, they are the same." A pro­ gram of continuing education, Dr. Robert E. Evans emphasized, is part of a "basic charge to a learned profession, to assure the ability and performance of its members." Two recent court decisions, the York Hospital director of medical education and professional services said, mandate vital involvement at all levels of hospital staff and administration in both quality of care and continuing education. One makes the "governing board, medical staff, and administration responsible for the quality of care within the institution." The other means a doctor "must be able to practice at a national level of competence and his failure to do so can be interpreted as criminal neglect." Governing treatment is the standard of medical care for an immediate area, past court decisions indicate. More efficient use of a physician's time in the hospital is needed to benefit his patients, his continuing education, and that of other physicians. Dr. Evans believes that one way to do so would be to lengthen service for hospital staff. This would not only avoid 'total anarchy' that results in administrating a multimillion dollar budget for short tenure personnel but will offer consistent staff operation. Attendance he feels should be required at these continuing education sessions that should be pertinent to identified medical needs in the hospital. Research, which in all hospitals is vital, should feed back into medical care. It can either focus on bio­ medical problems or on how best to perform or improve a hos­ pital function, he concluded. SUMMER, 1970 25 Six members of the 1920 class attend the reunion dinner Fri­ day evening. They are: (stand­ ing) -— Drs. Cecil L. Schultz, Leon J. Leahy, Salvatore F. Sorgi and Stephen A. Graczyk. Seated are Drs. Carl C. Koester and Alvah L. Lord. Among the fourteen scientific exhibits displayed, first prize went to Drs. Leonard Berman and Robert Milch's exhibit on Newer Endoscopic Techniques in the Diagnosis of Esophageal and Gastric Disease. Drs. Eu­ gene V. Leslie, George J. Alker, Jr., Edward G. Eschner, Victor A. Panaro and Mr. Benjamin J. Kutas' exhibit on X-ray Sub­ traction earned second place while third prize was awarded to the Clinical Application of Computers exhibit prepared by Drs. Ronald J. Foote, Elemer R. Gabrieli, Worthington G. Schenk, Jr. and George P. Reading. NEWER ENDOSCOPIC TECHNIQUES IN THE DIAGNOSIS Of E05PHAGEAL AND GASTRIC DISEASES 7%, V- McicA 3%t>. �Dean LeRoy A. Pesch told the alumni that the last two years seemed more like two decades. "The last year has been reward­ ing. We have strengthened our ties with our alumni with the appointment of David Krajewski as director of medical alumni affairs. We have more interaction and visibility between the Medical School and our alumni." The Dean also told the physicians that the Medical School would play an important part of the University's 125th celebration in 1971. He also noted the "hole in the ground at Children's Hospital" is proof of continuing affiliation between the Medical School and the hospital. Dean Pesch acknowledged alumni support as well as the con­ tributions of the volunteer faculty. He mentioned specifically the financial contributions of Drs. Charles Heyd and Bernhardt S. Gottlieb. Dr. Peter Regan told the physicians that we need "positive, forward action and educational experimentation so we can keep on going on the tight rope between stability and change — but more rapidly. The threat comes from change that is not an added improving element, but that destroys what is good." The acting president emphasized that all groups in our society must be drawn more closely together to find new ways of doing things better and faster. "We need changes to meet the demands of society just as physicians must find new ways of delivering better health care." Three days after Spring Clinical Days (April 14) Dr. Regan submitted his resignation as executive vice president effective August 31. He will become professor of psychiatry in the Medical School.• Dr. Graczyk Dr. Block Dr. Howard Ten Class Reunions A total of 178 physicians and almost as many wives attended 10 class reunions during spring clinical days. The 1920 class had its reunion Friday evening, (April 10) while the other nine classes met the following evening. Mr. David Krajewski, director of medical alumni affairs, organized the dinner reunions. The physicians attending were: Class of 1920: Dr. Stephen A. Graczyk, Chairman; Drs. Carl C. Koester, Leon J. Leahy, Alvah L. Lord, Cecil L. Schultz and Salvatore F. Sorgi. 26 THE BUFFALO PHYSICIAN Dr. Zittel �Class of 1925: Drs. Marvin A. Block, William M. Howard, Harold E. Zittel, Co-Chairmen, Drs. William T. Clark, Emerson J. Dillon, Francis J. Gustina, Margaret L. Hogben, Norbert W. Kuch, Lucian C. Rutecki, Milton J. Schulz and Ethan L. Welch. Class of 1930: Dr. Irving Wolfson, Chairman; Drs. Vincent I. Bonafede, Anthony R. Cherry, Benjamin S. Custer, R. Edward Delbridge, Raymond L. Feldman, Raymond J. Germain, Carleton A. Heist, James G. Kanski, Leo M. Michalek, Walter T. Murphy, Samuel Sanes, Harold H. Saxton, Frank B. Smarzo, Richard G. Taylor and Herbert J. Ulrich. Class of 1935: Dr. Kenneth H. Eckhert, Chairman; Drs. Carl E. Arbesman, John F. Argue, Willard H. Bernhoft, Russell F. Brace, James H. Gray, Miles W. Kelly, James A. Mark, Domenic S. Mesina, Herman S. Mogavero, Paul N. Stoesser, Carl J. Streicher, Harry N. Taylor, Clayton G. Weig and Philip Willner. Class of 1940: Dr. Albert C. Rekate, Chairman; Dr. Harold K. Palanker, Toastmaster; Drs. Julian J. Ascher, John M. Benny, Victor M. Breen, Milford N. Childs, Marshall Clinton, Stuart V. Collins, George A. Harer, William Hildebrand, Robert D. Hubbard, Corydon B. Ireland, Bernard W. Juvelier, J. Richard Kline, Warren R. Montgomery, Lyle N. Morgan, Russell E. Reitz, James P. Schaus, Charles H. Severson, Allan W. Siegner, Louis A. Trippe, William O. Umiker, Stanley T. Urban, John D. White and John G. Zoll. Class of 1945: Dr. H. Paul Longstreth, Chairman; Dr. George W. Fugitt, Jr., Toastmaster; Drs. Richard H. Adler, William S. Andaloro, Raymond S. Barry, Craig L. Benjamin, Norman Chassin, Paul Barry Cotter, James A. Dejute, Martin J. Downey, Jr., George M. Ellis, Alton A. Germain, A. Arthur Grabau, Donald N. Groff, John F. Hartman, Theodore C. Jewett, Herbert E. Joyce, Vito P. Laglia, Victor C. Lazarus, William D. Loeser, Milton J. MacKay, Cornelius A. McGrew, William N. Mcintosh, Stuart J. Miller, Eugene J. Morhous, John K. Quinlivan, John G. Robinson, Lillian E. Rowan, Joseph E. Rutecki, Robert C. Schopp, K. Joseph Sheedy, Jacob M. Steinhart, William R. Taylor, Wayne C. Templer, Peter Terzian, Edward L. Valentine, Charles E. Wiles and Jane B. Wiles. Class of 1950: Dr. Mary Jane Tillou, Chairman; Dr. William S. Webster, Toastmaster; Drs. Guy S. Alfano, Roland Anthone, Sidney Anthone, Herbert L. Berman, Charles Brody, Carl A. Cecilia, Vincent Ciampa, Anthony Conte, Joseph F. Dingman, Adelmo P. Dunghe, James C. Dunn, Charles A. Howe, O. P. Jones [Guest], Richard J. Leberer, Karl L. Manders, Leo E. Manning, Joseph M. Mattimore, Henry L Pech, Roy W. Robinson, George M. Sanderson, Jr., Helen F. Sikorski, George E. Taylor, Hyman Tetewsky, Anne A. Wasson and Myra R. Zinke. Class of 1955: Dr. Laurence T. Beahan, Chairman; Dr. James R. Nunn, Toastmaster; Drs. William J. Breen, Vincent S. Celestino, James R. Collins, John F. Foley, Albert A. Franco, James M. Garvey, Frank J. Gazzo, Michael J. Gianturco, John H. Kent, Winifred G. Mernan, Anthony B. Schiavi, Ray G. Schiferle, Jr., David F. Weppner and John A. Winter. Class of 1960: Dr. Roger S. Dayer, Chairman; Drs. Theodore S. Bistany, John M. Budzinski, Gerard J. Diesfeld, Algirdas Gamziukas, Edward J. Graber, Thomas J. Guttuso, Donald A. Hammel, James R. Kanski, Francis J. Klocke, Erwin R. Lamm, John I. Lauria, Marshall A. Lichtman, Robert L. Malatesta, Harry L. Metcalf, Eugene T. Partridge, Daniel A. Rakowski, Charles J. Riggo, William J. Stein and John A. Tuyn. Class of 1965: Dr. Joseph G. Cardamone, chairman; Drs. Anthony V. Grisanti, Patrick J. Houston, Myron H. Marshall, David G. Publow and Robert N. Schnitzler. SUMMER, 1970 27 Dr. Eckhert Dr. Dr. Longstreth �Ernest Witebsky A Personal Vignette by Dr. James F. Mohn This special tribute was pre­ sented at the International Convocation on Immunology Banquet to Honor Dr. Witeb­ sky Monday evening, June 17, 1968 by Dr. Mohn, professor of microbiology. Dr. Witebsky died December 7, 1969. Had he selected the alternative pathway at that moment of cru­ cial decision in his teen years, we immunologists would not be assembled here to honor him. Instead this gathering might be com­ posed of distinguished musicians. Perhaps his early intense in­ terest in playing the violin, at which he became so skilled that he seriously considered this as a professional career, may have been the direct result of a very outstanding, indeed unique musical in­ fluence. As a consequence of the geographic partition agreements made at the conclusion of the first World War, many Germans migrated from Strasbourg to Frankfurt am Main. His father, Dr. Michael Witebsky, an obstetrician, and his uncle, an otolaryngolo­ gist, who were long residents in Frankfurt, became physicians to this group. Most prominent among these refugees was the magnanimous, noble, late Dr. Albert Schweitzer. The families developed social as well as professional contacts and this friendship afforded young Ernest Witebsky the rare privilege of privately listening to Schweitzer as he practiced on the organ. Later in a church in Heidelberg, he had the signal honor of sitting next to him on the organ bench to turn the pages of the music during one of Schweitzer's recitals. Many years later after finishing his medical training he was now so impressed with this facet of Schweitzer's career that he journeyed to Lausanne in 1933 to discuss joining him in Lamberene. But, as he told me personally, he quickly discovered during their discussions that Schweitzer desperately needed physicians who were also carpenters, and in such manual arts Dr. Witebsky possessed no dexterity whatsoever. Most for­ tunately for us in Buffalo, he decided to immigrate to the United States instead. To go backward in time now once again to pick up the chrono­ logical thread, on graduation, if that is what it is referred to in Germany, from the Goethe Gymnasium in Frankfurt, he ma­ triculated in the University of Frankfurt Medical School. During these first university years and similarly the last year at the gym­ nasium, he became an avid skiing enthusiast. He was among the first students in 1920 of the internationally famous Austrian ski instructor, Hannes Schneider, who later founded skiing schools in this country. It was at Vorarlberg in the Austrian Tyrol that he came under Schneider's tutelage. This athletic interest continued on completion of his medical studies and every winter from 19261933 while he was working in Heidelberg he traveled to St. Moritz to ski. Alternating as was customary in Germany in his medical school training between Frankfurt and Heidelberg, he received his Doctor of Medicine degree from the University of Heidelberg in 1926. During these formative medical school years, he was profoundly influenced to pursue the study of human blood groups by the late Dr. Ludwig Hirszfeld during the latter's working visit to Heidel­ berg in 1922-23. As a senior medical student, he presented a stu­ dent seminar on blood groups in the Department of Medicine in 1924. Research studies on blood group antigens and antibodies were to play a very prominent role in his investigations for the next thirty or more years. 28 THE BUFFALO PHYSICIAN �To digress briefly, it is more than of casual interest to note that his successor as chairman of our department of microbiology, Felix Milgrom, known among some of us as Felix Maximus, was the senior student and long-time associate of Hirszfeld. How in­ terwoven are the threads of our lives! From 1925-1933, Ernest Witebsky was attached to the research division of the Cancer Institute of the University of Heidel­ berg Medical School, headed by Dr. Hans Sachs, the famous pupil of Paul Ehrlich, first as assistant from 1925-29 and then as Privat Dozeut until 1933. It is significant that his public address in 1929 as part of the ceremony in connection with his promotion to Privat Dozeut dealt with his preliminary experiments on the organ specificity of extracts of the thyroid gland which he attributed to thyroglobulin. He made an auspicious or inauspicious entry—depending upon the eternal difference in viewpoints between the senior research hierarchy and the young, upstart investigators—into scientific meetings with his first presentation of a paper on his own investi­ gative studies in 1926. The occasion was a meeting on legal medicine presided over by Dr. Fritz Schiff. His paper was pre­ ceded by one presented by a now nameless professor from the University of Kiel. This hoch geheimurat reported the results of his study on the blood group distributions among the faculty, es­ pecially the professors, at Kiel and among the prisoners in the Kiel jail. He found a higher percentage of the professors to belong to blood group A and a higher frequency of blood group B among the prisoners than among the normal population. Naturally his conclusion on the basis of such scientific evidence was that group A was a characteristic related to superior intellect and group B one that was linked to criminal behavior. Gulping a few times, I feel quite sure, the young investigator then spoke on the findings of his research that 40% of German swine possessed a group A antigen. As you can well imagine, Sachs was furious at such an audacious performance by a young intern, but as a di­ rect consequence he was forced to take Dr. Witebsky's deep in­ terest in studies of blood groups seriously and he shortly for­ gave him. Following this same vein of interest, in 1927 the fresh young man delivered an address on the validity of blood group determi­ nations in cases of disputed paternity before a distinguished as­ sembly of lawyers and judges in the court house at Frankfurt. Far too few blood group geneticists and immunologists are aware that Dr. Witebsky published one of the earliest and best mono­ graphs on the existing knowledge of human blood groups in 1932. This was entitled "Die Blutgruppenlehre Unter Besonderer Berucksichtigung Physiologisch-Serologischer Fragestellungen" and appeared in the Ergebnisse der Physiologie. As recently as three weeks ago I heard a speaker refer to the great gap between the book by the Italian Lattes which appeared in 1923 and that of Wiener published in 1935. By 1933 dark clouds of hate had thickened in the skies over Germany and especially over the academic halls with their con­ centrations of superior intellects, such as the University of SUMMER, 1970 29 Drs. Milgrom, Witebsky �,-L Immunology Summer School Heidelberg, always a threat to the survival of any political dema­ gogue. The final impetus to a decision to leave Germany came when Dr. Witebsky could not exclude a prominent, local mem­ ber of the Nazi party from the paternity of an illegitimate child on the basis of his blood group examination. Where should they go? Since his father was a citizen of Geneva and he, Ernest Witebsky, possessed similar dual citizenships (Germany and Geneva) by vir­ tue of Swiss inheritance laws the answer was Geneva. Where however would he continue his research and how would it be supported? No doors were opened to him in any of the departments a bacteriologist and immunologist would naturally gravitate to. Finally Dr. Franceschetti, the professor of ophthalmalogy at the University of Geneva—isn't that something for us to ponder over—gave him a laboratory in his department of clini­ cal ophthalmalogy. Perhaps this explains the soft spot Ernest Witebsky has had in his heart for opthalmalogists which I discov­ ered after working with him years later. It could hardly be prop­ erly referred to as a laboratory since it was in a dark corner of the basement and was devoid of all furniture and any laboratory glassware or other supplies. This he proceeded to furnish in a make-shift fashion and he bought a few pipettes and test tubes from his own funds. Yet in spite of these physical limitations and the obvious in­ adequacy of such a research environment, his investigations here in roughly one year's time—from 1933-34—resulted in four publications from the Laboratories of Normal Anatomy and of Clinical Ophthalmalogy. These papers reported his studies on the Forssman antigen with his demonstration of so-called primary serum toxicity. In 1934 he emigrated from Geneva to the United States to be­ come a research fellow at Mt. Sinai Hospital in New York City. Here he was joined by a former student of his in the University of Heidelberg, Dr. Erwin Neter, an association that continues to this day. In 1935 while working here, Dr. Paul Klemperer, the eminent pathologist, brought Dr. Kornel L. Terplan, then professor of pathology in The University of Buffalo School of Medicine, who was visiting Klemperer to Ernest Witebsky for him to demon­ strate his chick embryo-Forssman antibody serum toxicity experi­ ments. This led to an invitation to join Dr. Terplan's department in Buffalo as associate professor of bacteriology, a position he held from 1936-40. In 1940, he was promoted and his title changed to that of pro­ fessor of bacteriology and immunology. The University of Buf­ falo created the Department of Bacteriology and Immunology as a separate entity distinct from the Department of Pathology in 1941 and named Dr. Witebsky its head. This morning we were privileged to hear Dr. Terplan's gracious remarks on Dr. Witebsky's contributions in those early developmental years of our medical school. In recognition of his many accomplishments as a devoted teacher and renowned investigator he was made Distin­ guished Professor of Bacteriology and Immunology in 1954, a rank held by only three other members of the entire University faculty. 30 THE BUFFALO PHYSICIAN �Dr. Witebsky honored by sophomore class January 21, 1967 As a young, slightly overwhelmed, and I'm sure equally bewil­ dered, freshman medical student, in the spring of 1942 Dr. Witeb­ sky invited me to join him in some student research project, if I were at all interested. This extraordinary offer, from my humble position and freshman viewpoint, became the turning point of my professional career. The "new" department in those days consisted of one room approximately 14 x 20 feet, which during the teaching portion of the year was completely used for making media, cultures, and all other student materials. Much of the research therefore was carried out in the Bacteriology and Serology Laboratories of The Buffalo General Hospital. This was possible because Dr. Witebsky had been appointed bacteriologist and serologist to this univer­ sity-affiliated hospital in 1936 when he joined the University fac­ ulty. This was a tangible expression to me of one of his most fundamental philosophies concerning pedagogy in our basic sci­ ence—that successful teaching of medical microbiology and im­ munology was dependent on the triad of teaching, research, and service. My indoctrination to this field as a student was to serve as a routine, diagnostic bacteriology technician trainee after successful completion of adequate probationary periods in glassware wash­ ing and media preparation. Again this approach reflected his strong feeling that successful administration of such a diagnostic laboratory service at a postdoctoral period required personal fa­ miliarity with each aspect of the operation. The entire full-time staff of the medical school department at that time consisted of a devoted technician, Miss Anne Heide, and what we then referred to as a laboratory diener, Mr. August SUMMER, 1970 31 �Dr. Charles Banas presents alum­ ni award to Dr. Witebsky at the 1968 Spring Clinical Days. Dr. Witebsky meets Her Majesty, Queen Juliana of Holland in the Royal Palace in Amsterdam in June, 1968. Dr. Witebsky received the Cross of Merit from the Netherlands Red Cross. Fischer. The total budget for supplies required to teach about 70 medical students and 50 dental students was roughly $500 per annum. Things were tight in other ways too. This was the period of the "conscience cigars." I couldn't be­ lieve he had really said that the first time I heard it so I begged his pardon whereupon to my disbelieving ears I heard again "conscience cigars." He must have appreciated I wore a most confused countenance because he promptly proceeded to demon­ strate what he meant. One of his real pleasures he told me was smoking cigars, instantly adding that this was a foul habit. Every time he pulled out his desk drawer he was conscience smitten over what his children, Frank and Grace, were being denied for him to afford this personal pleasure. To solve his conscience, therefore, he kept in a drawer right below the more expensive ones, a box of nickel cigars—yes, five cents bought a White Owl cigar then—which were his "conscience cigars," ones he could smoke on such occasions joyfully. The better ones were saved to celebrate successful experiments at which time conscience did not enter into the picture. The rest is history which is familiar to all of you—I joined the faculty in 1945, followed by Noel Rose in 1951, Sidney Shulman in 1952, Almen Barron in 1954, Ernest Beutner in 1956 and Felix Maximus in 1958. Dr. Witebsky has won many honors in his career, but if he had the choice I seriously believe that deep in his heart he covets most the Chancellor's Medal of the University of Buffalo. This is an award made annually from the bequest of Chancellor Norton, specifically to one who has brought honor to this University and has dignified Buffalo in the eyes of the world. And I would like to read to you the concluding remarks of the late great Chancellor Samuel Paul Capen in 1950 when he awarded this medal. His University which now honors him has still another reason for bestowing upon him its accolade. Throughout the prosecution of his work he has exemplified the high­ est standards of the university scientist. He has been at pains to see that the associates who have assisted him should share with him whatever professional credit might come as a consequence of their joint labors. He has insisted that any profits derived from patents on his discoveries should go to the support of further research and not to his personal gain. Despite his constantly growing reputation and the recognition he has received from all over the scientific world, he has remained the simple, modest scholar whose courtesy and helpfulness and wisdom his colleagues have come to cherish in equal measure with his great scientific attainments. Well, sir it has taken 26 years to present to me the occasion, the situation, the audience and the opportunity, and now I have it. So I would like to say to you personally how much of my deep af­ fection and appreciation you have for what you have taught me, what it has meant to me and my family and to my associates, and I have for you a non-conscience cigarlD 32 THE BUFFALO PHYSICIAN �"On strike, shut it down!" That was the shout heard on campus between February 24 and March 21, the beginning of the spring vacation. During this 25-day period of campus unrest, many classes were boycotted [peaceful and violent] by students and faculty. No Medical School classes were cancelled. There were charges and countercharges by hundreds of individuals and many groups. There were thousands of words spoken and written. The Medical School's "Project Themis" [a $300,000 Naval Re­ search contract awarded to the physiology department] was one of the focal points of the student demonstrations. Among the other demands were — the immediate resignation of Acting President Regan; self determination for the colleges; support of engineering students and black student demands; open admissions; lifting of the court restraining order; reinstatement of Luigi Bianchi and Jon Hamann, former faculty members; dropping of disciplinary charges stemming from campus demonstrations; removal of Buffalo Police from campus [they were removed after 18 days]; and immediate abolition of Air Force ROTC. The crisis had been brewing for several months, perhaps years. Then suddenly there was active violence — broken windows, police-student skirmishes, arrests, injuries, and other types of van­ dalism. Many investigations were launched and are still going on by student/faculty groups, the grand jury, as well as other city, county and state committees, commissions and task forces. • SUMMER. 1970 33 25 Days of Campus Unrest As we go to press the Univer­ sity community is hard at work talking and trying to solve its many problems. There has been peace on the campus. Then on May 5 the students here and across the nation began demon­ strating against the war in Cambodia and the four student deaths at Kent State University (Ohio). This national protest is continuing and no one knows when or how it will end. • �A . SENSITIVE PROCEDURE to measure contractility of the heart holds promise for earlier detection of heart failure. It is the result of a combined medical/engineering approach at the Uni­ versity to estimate how well the heart muscle is functioning. A paper on " v max as an Index of Contractile State in Man" was presented March 1 at the 19th Annual Scientific Session of the American College of Cardiology. Co-authors are Drs. Herman L. Falsetti, assistant professor of medicine; Robert E. Mates, profes­ sor and chairman of the department of mechanical engineering; David G. Greene, professor of medicine; and Ivan L. Bunnell, as­ sociate professor of medicine. Dr. Falsetti Heart Failure Detection Over a two-year period, a group of 45 patients with various types of heart disease were studied by the investigators. The 16 males and 29 females ranged in ages from 17 to 65 and included those whose heart was forced to pump more blood (volume over­ load]; those with a narrowed heart valve (pressure load); and those with a poor heart muscle (no volume or pressure load]. Dr. Falsetti explained, "Hoping to find a sensitive indicator to the heart's performance, we assessed the various indices of con­ tractility by two methods. The first was by use of cardiac pres­ sure measurements alone. The second was by use of cardiac pres­ sure measurements together with cardiac geometry. In this latter, Dr. Mates was instrumental in developing a simplified mathemati­ cal model to describe the pumping action of the heart. A oneplane cineangiography method (movies of the heart], developed in Buffalo by Drs. Greene and Bunnell a decade earlier, made measurements and statistical correlations of heart function pos­ sible." Dr. Falsetti pointed out that consistency with clinical evidence was also an important factor in assessing the various indices of contractility. While this procedure has been applied in children by other investigators, he noted that "ours is the first comparative study of the most commonly measured parameters of contractility. Our procedure — to estimate how much damage there is to the heart muscle — is the most sensitive as well as the most accurate indicator of the heart's performance of all indices for contractility that we have tested." Dr. Falsetti started his research on stress/strain relationships three years ago under grants from the Western New York Heart Association and United Fund. The results of this preliminary work has been published in the January issue of Circulation Research.O 34 THE BUFFALO PHYSICIAN �The changing nature of health, including the increasing demand for health care by a more sophisticated public, the rapid increase in medical knowledge, the realization within the profession of the importance of both environmental and personal preventative services and many others has put an acute strain upon the present concept of the hospital. From the Desk of Dean Le Roy A. Pesch The new Health Sciences Clinical Center will strengthen exising community health systems and develop new ones. This facil­ ity will offer a range of services from general medical care through referral service to the larger medical institutions. It will function primarily on an out-patient basis. It will reach many people in need of health care: those who don't know where to go for help; those who are unable to travel to health care sources; those who are overwhelmed by the nature of the hos­ pital; and those who are unaware of their need for medical attention. Health Sciences Clinical Center We are planning a facility that is sensitive to the constantly changing needs of physicians, administrators, nurses, and other professional students and patients — as affected by medical and technological progress. The new facility will provide for ongoing activities of health professionals; flexibility to permit conversion of any area to a new use; integration of the expansion or addition of any health related function into the already existing circulation systems (of personnel, supplies, patient, etc.]; structural and mechanical efficiency; and human scale environments. SUMMER, 1970 35 Health Facilities Planning Personnel: Gyo Obata, principal in charge of design; Terrence Cashen, vice presi­ dent for design; Alvin Lever, vice president for design. The State Uni­ versity Construction Fund. Copyright © 1970 by Hellmuth, Obata & Kassabaum, Inc. ��zq BLJ * * Inpatient • Out Patient A Research R Therapeutic *- The concept of the module is being used in the design of the new Health Sciences Clinical Center. Each module provides enough air, light, mechanical services and space for the needs of one person. In this new "activity oriented module" concept we are developing space for a variety of func­ tions — diagnostic treatment centers, ambu­ latory and in-patient areas, research labora­ tories, teaching space and common facilities related to patient care and health delivery (food preparation, maintenance, information resources, etc.]. Investigations indicate that an area of approximately 10,000 square feet (one-fourth the size of a football field) is a very effective space for the conduct of these various activities. ^ H Dx Diagnostic LL J I i LJ Teaching The cores link modules together vertically and horizontally. Expansion of a particular activity can be accomplished by plugging in more modules to the existing network. This system eliminates disruption and disorgani­ zation caused by erratic and incoherent growth. The network provides the physical basis for connecting related activities. Each module can have as many as six adjacent modules: one above, one below, and four on the hori­ zontal plane. This allows formation of hori­ zontal, vertical and combination activity clusters. Modules must serve many different uses and must have the built-in capacity to change functions to accommodate new programs. This means every module must be designed to be capable of accepting sophisticated equipment if the program requires it. Since each module is a large open space partitions can be mounted and demounted as the pro­ gram dictates. In concept, the entire complex is organ­ ized on the modular grid. The open-space volumes between the major functional areas are also modules of approximately 10,000 square feet. At the main levels, these mod­ ules provide floor space and additional ver­ tical and horizontal circulation for the coremodule network. Above, the module vol­ umes are open and admit light and air into the complex. The network is the basis of all circulation of personnel, patients, students, materials, equipment, etc. To achieve the program flexibility neces­ sary for major health care facilities it is necessary to establish a network to tie the modules together. Each module is related to four cores which contain stairs, elevators, mechanical and electrical distribution, etc. The modular concept does not impose solu­ tions on health care administrators. Rather, it offers them the means to implement their philosophy, growing as programs are planned and the funds to back these activ­ ities become available.• SUMMER, 1970 37 �The Health Sciences Library Mr. M e y e r h o f f FACULTY AND STUDENTS are impressed with the new improvements of the Health Sciences Library at 141 Capen Hall. Librarian Erich Meyerhoff is happy with the acceptance of the "new look" and the increased use of the library. A $19,000 Medical Library Resources Grant from the National Library of Medicine triggered the improve­ ments. Everything is new — tables, chairs, desks, files, racks, and lights — not to mention drapes and carpet. It all adds up to a pleasant, noiseless atmosphere that makes for easy and improved study. "We changed the flow of traffic and are utilizing our floor space (14,490 sq. ft.] to better advantage," Meyer­ hoff said. Some 750 people visit the library daily. They are in search for something in one of the 107,585 volumes (twothirds are journals and one-third books) or from one of the 3,275 periodicals. • THE BUFFALO PHYSICIAN ��Dr. Carel J. van Oss, associate professor of microbiology, has been appointed Honorary Dutch Vice-Consul for Western New York. Previously he had been named in a royal commission by Queen Juliana of the Nether­ lands.• Dr. Joseph L. Campo, M'54, is the new presi­ dent of the medical staff of St. Joseph Inter­ community Hospital, Cheektowaga. Other of­ ficers are — Drs. Eugene Cisek, vice president; John S. Sauer, secretary; and Eugene F. Nor­ man, treasurer. • Three alumni were elected officers of the Mount St. Mary's Hospital medical staff, Niagara Falls. Dr. Boris A. Golden, M'40 is the new president; Dr. Glenn R. Arthur, M'47, vice president, and Dr. Melvin B. Dyster, M'52, secretary-treasurer.• Four alumni have been elected officers of the Buffalo Gynecologic and Obstetric Society. The new president is Dr. Harry E. Petzing, M'46. Others named are Drs. Carmelo S. Armenia, M'49, vice president; Morris Unher, M'43, secretary; and Donald W. Hall, M'41, treasurer. Three alumni were elected to the executive council — Drs. William A. Potts, M'44; Harold J. Feldman, M'43; and Henry L. Pech, M'50. • The first joint meeting of the 132-year-old New York Academy of Science and a foreign scientific society will be co-chaired by Dr. Ernst H. Beutner, professor of microbiology. The meeting will be in Stockholm May 13-15, and will focus on Developments in the Application of Defined Immunofluorescent Staining.D THOUGHTS IN A MICROBIOLOGY LAB (1968) The cry of the wheezing guinea pig Screams through the rainy day's air To shatter my ears with its impending Death. It suffers the pain of asphyxiation To educate us with irrelevancies. You say that you want to bring humanity Back into medicine. You say that you Live for life and the human race. Physician, heal thyself of thine ills And stop this wanton murder Of a lowlier species, and, with this, Return life not to the dead rodent, But return life to your dead soul. — Ken Solomon, '71 State University of New York at Buffalo Dr. Bloom (Reprinted from THE NEW PHYSICIAN, June 1969) Dr. Marvin L. Bloom, M'43, is the new presi­ dent of the Annual Participating Fund for Med­ ical Education. Other officers are Drs. Harry G. LaForge, M'34, first vice president; Kenneth H. Eckhert, M'35, second vice president; Don­ ald W. Hall, M'41, secretary; and Kevin M. O'Gorman, M'43, treasurer. The immediate past president is Dr. Max Cheplove, M'26. • 40 THE BUFFALO PHYSICIAN �Dr. Eric A. Barnard, professor and chairman of biochemistry, is editor of the Journal of Molecular Evolution. He is also chairman of the Medical School's negotiating committee with minority group representatives.• Dr. John F. Moran, assistant professor of biochemistry, has been elected to the Board of Directors of the United Health Foundation of Western New York for a three year term.D Dr. Charles E. Wenner, research associate professor of biochemistry, is associate editor of Cancer Research.• Co-authors of a book, "Roentgen Diagnosis of Rheumatoid Arthritis", is Dr. Ru-Kan Lin, clinical assistant professor of radiology, and Dr. David L. Berens, clinical associate. Both are on the staff of Buffalo General Hospital.• Dr. Joseph D. Godfrey, M'31, has been elected vice-president of the American Acad­ emy of Orthopaedic Surgeons. He is clinical professor of surgery at the University and team orthopaedist for the Buffalo Bills. Dr. Godfrey is also chief of orthopaedics at Mercy and Children's Hospitals and attending ortho­ paedic surgeon at Buffalo General Hospital. Dr. Godfrey became a Fellow of the Academy in 1948, the nation's largest organization for specialists in bone and joint surgery. He has directed postgraduate education programs in sports medicine in the Buffalo area the last two years. He is a founder member of the Orthopaedic Research and Education Founda­ tion, a member of the Orthopaedic Associa­ tion, International Society of Orthopaedics and Traumatology, and Pan American Medical Association, and is a former Governor of the American College of Surgeons.• Dr. Godfrey GEORGE MILLER STERNBERG (1838-1915) bacteriologist and epidemiologist of the US Army Medical Corps, was born in Otsego County, New York, the son of a Lutheran minister. He attended the Buf­ falo School of Medicine and the College of Physicians and Surgeons in New York city. He enlisted in the Federal Army early in the War Between the States and was captured in the Battle of Bull Run. Sternberg held various posts in the Medical Corps and during the Spanish-American War became Surgeon General. Maintaining meanwhile, a deep interest in basic bac­ teriology and immunology and experimental epidemi­ ology, he recommended Walter Reed to the patho­ logical laboratory at Johns Hopkins University in preparation for his experimental studies on yellow fever in Cuba. Sternberg's most important treatise, A Manual of Bacteriology, appeared in 1892 followed by a monograph, Infection and Immunity. While in the Surgeon-General's office he supported the program which provided for a corps of female nurses for per­ manent Army hospitals and sponsored the founding of the Army Medical School. He served as President of the American Medical Association in 1897-1898. (Composite by G. Bako with permission from the Editor of The Journal of the American Medical Association) SUMMER, 1970 41 �A 1921 graduate of the Medical School was honored in February for his 21 years as a member of the Erie County Board of Health. He is Dr. Antonio F. Bellanca, a 71-year-old physician, who was appointed to the board in 1948, when the Buffalo Health Department was merged into a county health department. Dr. Bellanca, who retired December 31, 1969, is confident that he and his colleagues on the board have done an outstanding job for the citizens of the county. He pointed out that the Erie County Health Department has kept abreast of health care advances such as health clinics and immunization programs. He was president of the Western New York Heart Association in 1953; the Erie County Medical Society in 1954; and is chief of medi­ cine at Columbus Hospital. He served almost four years in the Army in World War II, most of the time as chief of the 40th Medical Sta­ tion in North Africa. Looking back on almost 50 years he has en­ joyed meeting patients face to face in his of­ fice. He doesn't believe he could fit into the computerization that will soon be the pattern of modern medicine. "The personal touch will be gone. I feel too old and rigid to accept computerized medicine, even though I know we must reconcile our­ selves to it if we are to offer good quality medical service to everyone," Dr. Bellanca said. "I want to continue my own practice on a personal basis. I like to sit down in my office and talk to my patients. This is what I intend to continue doing."D Three alumni have been re-elected officers at Lafayette General Hospital. They are Drs. Lucien Potenza, M'58, vice president; Mario Collura, M'53, treasurer; and Victor Lazarus, M'45, secretary. Dr. Alexander Perlino was re-elected president. Dr. Franklyn Campagna, M'58, chief of medicine was elected to asso­ ciate membership.• Dr. Jules Constant, clinical associate profes­ sor of medicine, has authored a new book, "Bedside Cardiology."0 42 Dr. John K. Dustin, clinical assistant profes­ sor in medicine, is the new president of the medical staff of Millard Fillmore Hospital. Three alumni were elected to other staff of­ fices. Dr. Kenneth S. Kelly Jr., M'50, is presi­ dent-elect; Dr. Paul M. Walczak, M'46, is treasurer; and Dr. Donato J. Carbone, M'46, was re-elected secretary. The immediate past president is Dr. Pasquale A. Greco, M'41.D Dr. Vincent Scamurra, M'50, won the Buffalo Squash Racquets Association's Veterans Tour­ nament for the first time. The former city champion defeated defending champion Jinx Johnson, University Club, in the finals.• Dr. S. Mouchly Small, professor and chair­ man of the department of psychiatry, has been elected to "corporate membership" of the Muscular Dystrophy Association. He has been on the national advisory board since its in­ ception.• Dr. Paul M. Walczak, M'46, is the new presi­ dent of the New York State Society of Sur­ geons Inc. He is an attending surgeon at Mil­ lard Fillmore Hospital.• Two physicians were installed Fellows of the American College of Obstetricians and Gynecologists recently. They are: Drs. Ronald E. Batt, M'58, and Theodore Schulman, a clini­ cal instructor.• Dr. Walter S. Walls, M'31, is the new presi­ dent of the New York State Medical Society. He is also clinical associate professor of sur­ gery at the University.• Three alumni and their spouses were in a special group that participated in a combina­ tion "business-pleasure" trip to Africa. They were Drs. Thomas Syracuse, M'33, Harry Schweigert, M'39, and Elizabeth Olmstead, M'39. The trip included medical and surgical seminars, a tour of the American Hospital Ship, the SS HOPE, and a camera safari. The physicians also visited hospitals in Rabat, Nai­ robi, and Tunis.• THE BUFFALO PHYSICIAN �In Memoriam Dr. Heyd Dr. Charles Gordon Heyd, M'09, died Feb­ ruary 4 in New York City at the age of 85. The distinguished surgeon, who retired in 1955, was president of the AMA in 1936-37. He was the oldest living past president. Dr. Heyd was a former director of surgery at New York Post Graduate Hospital and Med­ ical School, and a professor of clinical sur­ gery at Columbia University. He had also served as president of United Medical Service, a prepaid medical insurance service, from 1948 to 1951. A native of Brantford, Ontario, he became a United States citizen in 1917. He graduated from the University of Toronto in 1905. After graduating from the UB Medical School, Dr. Heyd took post-graduate work at Harvard, and in London, Berlin, and Vienna. In World War I as a major, he commanded a hospital unit in France. He was president of the County Medical Society in 1932, the state society in 1933, and was vice president of the American College of Surgeons in 1932-33. He was a former con­ sulting surgeon to Greenwich (Conn.) Hospital and the New York City Police Department. He was also a former president of the Ca­ nadian Society of New York. Dr. Heyd received the Legion of Honor of France in 1932, and was author of "Liver and Its Relation to Chronic Abdominal Infection," and about 200 monographs on surgery. Dr. Heyd opposed compulsory health insur­ ance and socialized medicine but advocated voluntary medical insurance and public health testing. He urged free state medical service for those who required it but were unable to pay. He maintained close relationships with the University throughout the years. Dr. Heyd founded the first New York City Area Alumni Club, was its first representative to the Gen­ eral Alumni Association and was a former trustee of the School of Medicine Alumni As­ sociation. He played a leading role in explain­ ing the University's merger with State Univer­ sity and the need for continuing alumni sup­ port, through a pamphlet entitled "The Chal­ lenge of Adaptation," which was widely dis­ tributed to his fellow alumni in the early 1960's. • SUMMER, 1970 A clinical professor of medicine, who re­ tired in 1968, died February 14. He was 71year-old Dr. Donald R. McKay. He was former president of the American College of Chest Physicians, Buffalo Academy of Medicine, and the medical staffs of E. J. Meyer and Millard Fillmore Hospitals. He was director of the Buffalo and Erie County Tuberculosis Asso­ ciation for more than 20 years, and president for seven years. He was also president of the Tuberculosis and Respiratory Disease Associa­ tion of Western New York. After graduating from the University of Toronto Medical School in 1925, he interned and did his resi­ dency at Buffalo City Hospital (predecessor to the Meyer). He stayed on at the Meyer in charge of tuberculosis service until 1939. He was also consulting physician at Millard Fill­ more and nine other Western New York Hos­ pitals. He authored many papers on pulmo­ nary disease, held honorary memberships in tuberculosis associations of Brazil and Mex­ ico, and was active in many professional so­ cieties at the regional, state, and national lev­ els. In 1960 the American College conferred upon Dr. McKay the degree of master of the College of Chest Physicians.• Dr. Carlton C. Rausch, M'43, died January 29, after a short illness. The 48-year-old gen­ eral practitioner was on the medical staffs of Millard Fillmore (obstetrical anesthesia divi­ sion) and St. Francis Hospitals. Dr. Rausch was a Captain in the Army Medical Corps in World War II and the Korean War. He re­ ceived a presidential citation for his service in the Philippines. He interned at Millard Fill­ more and Buffalo General Hospitals. He was active in several local, state, and national pro­ fessional associations.• 43 �In Memoriam Dr. Lauren G. Welch, M'34, died March 17 at the Niagara Falls Memorial Medical Center. The 62-year-old physician was Niagara County Health Commissioner. He was appointed to this position in October of 1969, after serving as assistant commissioner for several years. He was also quarantine medical officer at Niagara Falls International Airport. Dr. Welch enlisted in the U.S. Navy at the outbreak of World War II and was discharged six years later. During his four-year tour of the Pacific theater, he received the Bronze Star and the Purple Heart. Following the war he entered Columbia and Ohio State Universities for postgraduate work in medicine. At one time he was chief of staff of Mt. St. Mary's Hospital in the town of Lewiston and at the former Memorial Hospital of Niagara Falls. Dr. Welch also worked in industrial medicine with the Carborundum Company. He was active in sev­ eral civic and professional organizations. • Dr. Carol B. Graham, M'43, a former inter­ nist and associate professor at the Medical School, died March 22 at Roswell Park Memo­ rial Institute after a long illness. She retired eight years ago. Dr. Graham was on the faculty for 19 years, specializing in endocrinology. She joined the staff of the E. J. Meyer Memo­ rial Hospital in 1943 and was head of the En­ docrine Service when she retired.• Dr. Gerald W. Grace, M'42, died March 2 of a heart attack. The 54-year-old physician was director of Sisters Hospital Outpatient Department and Canisius College Student Health Office. He was also head physician for Mt. St. Joseph Motherhouse, and on the staff of Emergency Hospital. Dr. Grace was a Cap­ tain in the Army Medical Corps in the Pacific during World War II. He was active in sev­ eral local, state, and national professional as­ sociations.• 44 Dr. Frank A. Kruse, M'15, died March 3 after a brief illness. Two years ago he was honored by the Erie County Medical Society for his 50 years in medicine. Dr. Kruse served with the army in World War I.O Dr. Anthony Romeo, M'43, died March 6 in the Pamona, California Community Hospital of a heart attack. The 53-year-old physician practiced in Buffalo from 1947 to 1960. He was on the staffs of Millard Fillmore, Deaconess and Columbus Hospitals. Dr. Romeo served in Europe during World War II with the Army Medical Corps.• Dr. Bernard J. Dolan, M'24, died March 11 in Sisters Hospital after a long illness. The 70-year-old physician had practiced medicine in Buffalo for 41 years, after interning at the E. J. Meyer Hospital. Dr. Dolan was a past president of the staff of Sisters Hospital, and active in several professional organizations.• Dr. Thomas G. Allen, M'21, died March 17 in Buffalo General Hospital. The 76-year-old physician took over an industrial practice from his father. Dr. Allen served in the medi­ cal corps during World War I, and was a draft board physician during World War II. He was active in several professional organ­ izations at the local and national levels. • Dr. Arthur L. Runals, M'll, died March 19 in Fort Lauderdale, Florida at the age of 81. He was chief of staff and head of the department of surgery at Olean General Hospital, Olean, N.Y. until his retirement in 1953. Dr. Runals was a Fellow of the American College of Sur­ geons, a member of the Medical Society of the County of Cattaraugus, the Medical Society of the State of New York and the AMA.D THE BUFFALO PHYSICIAN �Two 1970 Alumni Association Tours I. "EXPO-70" TOUR — AUGUST 16 - SEPTEMBER 5 (21-DAYS) $1,389.00 per person from Buffalo $1,339.00 per person from Chicago $1,183.00 per person from San Francisco (plus $13.72 taxes payable at time of booking) Stops include: San Francisco, Honolulu, Manila, Hong Kong, Kyoto (Expo-70), Tokyo, Honolulu. Tour Escort: Henry E. Mark of Hallmark Travel Agency, Inc. II. "BAHAMAS HOLIDAY"—NOVEMBER 15-27 (8-DAYS, 7-NIGHTS) $285.00 per person (twin room occupancy) at the exclusive KING'S Inn & Golf Club, Freeport, Grand Bahama Island For details write or call: Alumni Office, 250 Winspear Avenue State University of New York at Buffalo Buffalo, New York 14214 (716)831-4121 The General Alumni Board Executive Committee •— M. ROBERT KOREN, '44, President; ROBERT E. LIPP, '51, President-elect; HERMAN COHEN, '41, Vice-President for Develop­ ment; MRS. ESTHER K. EVERETT, '52, Vice-President for Associations and Clubs; EDMOND GICEWICZ, '56, Vice-President for Administration; JEROME A. CONNOLLY, '63, Vice-President for Activities and Athletics; JOHN J. STARR, JR.,'50, Vice-President for Public Relations; CHARLES J. WILSON, JR., '57, Treasurer; WELLS E. KNIBLOE, '47, Immediate Past-President. Past Presidents: DR. STUART L. VAUGHAN, '24; RICHARD C. SHEPARD, '48; HOWARD H. KOHLER, '22; DR. JAMES J. AILINGER, '25; DR. WALTER S. WALLS, '31. Annual Participating Fund for Medical Education Executive Board for 1970-71 — DRS. MARVIN L. BLOOM, M'43, President; HARRY G. LaFORGE, M'34, First Vice-Presi­ dent; KENNETH H. ECKHERT, SR., M'35, Second Vice-President; KEVIN M. O'GORMAN, M'43, Treasurer; DONALD HALL, M'41, Secretary; MAX CHEPLOVE, M'26, Immediate Past-President. SUMMER, 1970 THE BUFFALO PHYSICIAN �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 Address Correction Requested §SH§ •»*S— � 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. 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Title A name given to the resource Buffalo physician, Summer 1970 Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--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 1970-Summer Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. 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Copyright 1970 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/e73851d26a7d569de821b4d801f23cbf.pdf 38f65211cd9cd8ec85983cf6b4bf0e12 PDF Text Text �BUFFALO PHYSICIAN Volume 30, Number 4 ASSOCIATE VICE PRESIDENT FOR UNIVERSITY S E R V I C E S Dr. Carole Smith Petro DIRECTOR O F PUBLICATIONS Kathryn A. Sawner EDITOR Jessica Ancker ART DIRECTOR Alan J. Kegler ASSISTANT DESIGNER Julie Greiten PRODUCTION MANAGER Ann Raszmann Brown STATE UNIVERSITY O F NEW YORK AT BUFFALO S C H O O L O F MEDICINE AND BIOMEDICAL SCIENCES Dr. John Naughton, Dean, Vice President for Clinical Affairs EDITORIAL BOARD Dr. John A. Richert, Chairman Dr. Martin Brecher Dr. Harold Brody Dr. Richard L. Collins Dr. Jack F. Coyne Dr. Alan J. Drinnan Brian Duffy Dr. James Kanski Dr. Barbara Majeroni Dr. Elizabeth Olmsted Dr. Charles Paganelli Dr. Stephen Spaulding Dr. Bradley T. Truax Dr. Franklin Zeplowitz TEACHING HOSPITALS AND LIAISONS The Buffalo General Hospital Michael Shaw The Children's Hospital of Buffalo Erie County Medical Center Mercy Hospital Millard Fillmore Health System Frank Sava Niagara Falls Memorial Medical Center Roswell Park Cancer Institute Sisters of Charity Hospital Dennis McCarthy Veterans Affairs Western New York Healthcare System © The State University of New York at Buffalo Buffalo Physician is published quarterly by the State University of New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. It is sent, free of charge, toalumni, faculty, students, residents and friends. The staff reserves the right to edit allcopy and submissions accepted for publication. Address questions, comments and submissions to: The Editor, Buffalo Physician, State University of New York at Buffalo, Office of Publi­ cations, 136 Crofts Hall, Buffalo, NY 14260 Dear Alumni and Friends, As THE MEDICAL SCHOOL ENTERS its next sesquicentennial period, the faculty have begun to introduce new, significant innovations into the curriculum. You are already aware from earlier reports that the third and fourth years have been reorganized to include a Family Medicine clerkship in the third year, and two advanced modules, one each in Internal Medicine and Surgery, in the fourth year. These changes have increased our emphasis on ambulatory education and generalism, and they havestrengthened students' experiences in medicineand surgery. In this academic year, major restructuring of the first two years begins with the implementation of two interdisciplinary courses, each of which will span two years. One, the Clinical Practice of Medicine, integrates all the previous coursesthat taught clinical skills, epidemiology, preventivemedicine, and commu­ nity health. The second course, the Scientific Basis of Medicine, emphasizes problem-based learning. Each course uses small groups and emphasizes independent learning. Clearly the introduction and implementation will require additional curricular reorga­ nization in the years to come. UB is fortunate that the first two directors are skilled and dedicated educators. Andrea Manyon, M.D., assistant professor of family medicine, will direct the Clinical Practice of Medicine course, and Murray Ettinger, M.D., Distinguished Teaching Professor of biochemistry, will direct the Scientific Basis of Medicine course. In preparation for these major undertakings, retreats have been held with the involved chairmen, faculty, and administrators. A two-and-a-half day workshop directed by a team from McMasters Medical School in Hamilton, Ontario focused on conducting problembased learning courses. The medical students are quite enthusiastic about the new directions. We will keep you posted on the school's progress in subsequent issues of Buffalo Physician. Sincerely John Naughton, M.D. Vice President for Clinical Affairs Dean, School of Medicine and Biomedical Sciences Dear Distinguished Alumni, THE CLASS OF 2000 has just begun medical school. They can almost touch their dream. When it's fulfilled, will their dream be anything like they imagined? 1 think so. More than half of these men and women will dedicate themselves to some form of primary care. They will engage themselves with the poor, the unemployed and underserved, the pregnant teen with AIDS, and the unwanted child. Managed care will not result in doctors overlooking these individu­ als. The medical community needs to remain stronger and more powerful than any special interest group. The students of the Class of 2000 will carry the message into the 21st century that doctors will heal and protect all patients, regardless of their ability to pay, or the pain and disease they may have. The Medical Alumni Association is dedicated to helping these medical students enter into the 21st century with a sense of vision and hope. Dr.Jack Richert, who has navigated the Alumni Association for the past 14 years, has fulfilled that mission as a liaison between the medical school and its graduates. It is with his leadership that we originated and supported some 37 new activities, including; the Match Day scroll, the hosting program for residency interviews, the Freshman Orientation Program, the Hope and Healing Project, student travel to scientific meetings, receptions at national medical meetings, the newsletter, community physicians' programs, and the past presidents' dinner. Dr. Richert has just announced his forthcoming retirement. Thank you, Dr. Richert, for your vision and energy. You will be missed and always remembered. Send address changes to: Buffalo Physician, 146 CFS Addition, 3435 Main Street, Buffalo, NY 14214 Sincerely, Cover photo by Frank Cesario Jack F. Coyne, M.D. President, Medical Alumni Association • �I U F F I L The Class of 2000 A FRESH PERSPECTIVE ON MEDICAL SCHDDL 14 V O L U M E 3O . N U M B E R 4 AUTUMN 1996 Double doctors RESIDENTS EARN M.D.S ALONG WITH THEIR ORAL FRDM UB'S NEWEST SURGERY CERTIFICATION STUDENTS by Andrew Danzo 20 The Women's Health Initative •N E W O M A N ' S S T O R Y by Jessica Ancker by Jessica Ancker photos by Frank Cesario Research and hospital news A student's perspective by Victor Filadora, class of 1998 PHOTO DYNAMIC THERAPY; THREE HOSPI­ TALS EXPLORE MERGER; ECMC EXPANDS INTO Letters Then and Now A DOCTOR FOR ALL COMMUNITY; HENRY SEASONS: ALBERT HEIMLICH JAMES MYER Medical school news by Bernard Wiggin MEL DIEDRICK; TEACHING AWARDS; STUDENT AWARD; SIMULATED PATIENTS Young faculty profile ALAN J . LESSE, M.D. Alumni news NEW ALUMNI POSITIONS; REUNION CHAIRS Classnotes �RESEARCH Photodynamic therapy: will oxidize anything it touches, kill­ ing the cancer cell but sparing sur­ rounding tissue. Because laser light doesn't penetrate far into tissue, PDT can only be used on tumors that are on or near the surface of organs that can be reached with an en­ doscope. Also, it is a local therapy; a treatment in one region of the body won't catch metastases elsewhere. Although it is not appropriate for all cancers, PDT is cheaper, quicker, and safer than many conventional cancer therapies. Photofrin's main side effect is that it renders patients' skin highly sen­ sitive to light. If they do not avoid pro­ longed exposure to the sun for 30 to 60 days after treatment, the photodynamic effect can cause severe sunburn. Re­ searchers are trying to develop new drugs without this side effect. In early experiments in the 1970s, Dougherty and his colleagues used PDT and conventional lamps to kill tumors DEVELOPED IN BUFFALO TO BENEFIT CANCER PATIENTS EVERYWHERE T STARTED OUT AS A NUISANCE that puzzled lab technicians: A chemical that was used to identify live cells in a culture could kill the cells if they were exposed to light. "I said, 'Hmm' when I found out about that," remembers chemist Thomas J. Dougherty, Ph.D., a UB research professor of radiation oncology at Roswell Park Cancer Institute. "The technician mentioned it to me asa warning, but I decided to see if this was something we could use." Canadian company that manufactures it under the name Photofrin. "Dougherty is the seminal figure in PDT," says Frank Mahoney, a project officer at the National Cancer Institute, which funds Dougherty's research. "Many of the people in the field around the country have passed through his lab." "The very first approval was a big hurdle because the FDA didn't know anything about it, and they had to look at the manufacturing methods and the laser equipment, as well as the drug." Was it ever. What began as a chemical's troublesome property led to a whole new modality of cancer treatment called photodynamic therapy, or PDT. Thanks in part to Dougherty's contin­ ued research activity in the field, Buffalo is now home to two photodynamic therapy centers. Researchers around the world are using PDT to treat cancer and other diseases, and the first PDT drug received Food and Drug Administration approval last year. The drug, porfimer sodium, was pat­ ented by Dougherty and Roswell Park Cancer Institute. It is licensed to a o PDT is a multistep process in which a harmless drug absorbed by body tissues is activated by laser light and releases cytotoxic substances inside tumors. First, the patient is injected with Photofrin, which is taken up by cells throughout the body, especially by rap­ idly dividing cancer cells. Then doc­ tors use a fiberoptic to deliver a beam of laser light at the correct frequency to the tumor. When Photofrin absorbs energy from the light, it releases a molecule called singlet oxygen. This molecule is so reactive that during its one-millionth-of-a-second life span, it B u f f a l o P h y s i c Thomas Dougherty, Ph.D., watches as colleague B. Dale Wilson, M.D., uses photodynamic therapy to treat a patient with basal cell carcinoma. i a n A u t u m n 1 9 9 6 �that had metastasized to the skin. "I found out later that a couple of re­ searchers had tried something similar much earlier—one in the 1930s, and one in the 1960s. But in those days, the equipment wasn't up to the demands, and they never did anything about it," Dougherty says. "It just shows you that there's nothing new. Somebody's always thought of it before." By 1980, with the development of lasers that could focus light of the correct wavelength through endo­ scopes, researchers in Japan began treating lung cancer. Scientists around the world have used PDT successfully on esophageal, blad­ der, stomach, and cervical cancers. In this country, Photofrin and the PDT laser equipment is only approved for treating late-stage esophageal cancer. Early-stage lung cancer may be next. "The very first approval was a big hurdle because the FDA didn't know anything about it, and they had to look at the manufacturing methods and the laser equipment, as well as the drug," Dougherty says. "I think future approv­ als should come much more quickly." Dougherty also blames himself for a tacticaf error that may have slowed the process of getting Photofrin on the mar­ ket. He and his colleagues started their own company to manufacture the drug, but lack of funds forced them to sell to Johnson &Johnson. The company then sold the rights to Photofrin to the Cana­ dian company, QLT, which finally made a success of it. "The new drugs will move through the process quicker, because we won't make the same mistakes," Dougherty says with a chuckle. Under Dougherty, the Photodynamic Therapy Center at Roswell Park is de­ veloping new PDT drugs, participating in clinical trials of new drugs and thera­ pies, and investigating the mechanisms that make PDT work. Roswell Park treats about 100 patients a year with PDT. B u f f a l o P h y s i c Meanwhile, following the FDA ap­ proval of Photofrin and PDT, the Buf­ falo General Hospital has opened its own photodynamic therapy center to begin treating esophageal cancer. The Buffalo General center is under the di­ rection of Thomas S. Mang, Ph.D., the former director of Roswell Park's PDT center and a longtime colleague of Dougherty's. In addition to patient treat­ ment, the Buffalo General center will also conduct phase II and III trials on another photosensitive drug, tin ethyl etiopurpurin, which is sensitive to a different wavelength of light. These tri­ als will build on successful preliminary trials on several cancers, including AIDSrelated Kaposi's sarcoma and recurrent breast tumors. Hiree hospitals explore merger THE BUFFALO GENERAL Hospi­ tal, the Children's Hospital of Buf­ falo, and Millard Fillmore Health System have announced they are ex­ ploring the possibility of merging. Officials from the three hospitals say that leadership committees are meeting to discuss whether a merger would be beneficial. It is not the first time that the region's hospitals have explored the possibility. In 1977, officials from Buffalo General, Children's, Deacon­ ess, and the former E.J. Meyer Me­ morial Hospitalasked medicalschool dean John P. Naughton, M.D., to lead a study into the feasibility of a merger. His report recommended forming a new nonprofit corpora­ tion to manage the consolidated hospitals, reduce underused bed ca­ pacity, and eliminate redundant ser­ vices. However, the plan failed to win the necessary support from the medical or lay community, or the Erie County Legislature. + i a n A u t u m n 1 9 9 Other potential uses for photodynamic therapy include treatment of psoriasis, port wine stain, and macular degenera­ tion, says Mang, UB research associate professor of oral surgery. Because pho­ tosensitive drugs accumulate preferen­ tially in cancer cells and fluoresce when exposed to the correct wavelength of light, they can also be used to pinpoint very early-stage cancers of as few as 100 cells. Dougherty welcomes the new PDT center at Buffalo General. "It's very helpful to have other people involved in PDT, because you expand your knowledge base," he says. The two neighboring centers are about to begin collaborating on a PDT training pro­ gram for gastroenterologists. "Besides, we are a research hospital," Dougherty adds. "It's important to get this technology out into other kinds of hospitals where it will benefit more and more people." + —BY JESSICA ANCKER ECMC expands into communityy T HE ERIE COUNTY MEDICAL Center Healthcare Network has opened four community-based primary care health centers, as well as the four already on the ECMC campus. All four provide health services for children, families, and seniors. In addition, the Cleve-Hill Family Health Center includes a dialysis center, and the Dr. Matt A. Gajewski Human Ser­ vices Center has pharmacy services, general dental services, eye and foot care, and human services. "We've seen tremendous growth in outpatients in the last couple of years, particularly in family medicine," ex­ plained hospital spokesman Joe Grano. "Since the industry is moving toward a more deregulated environment, it's very important that we maintain and build a strong outpatient base." + 6 o �HOSPITAL N E W S Henry Heimlich, M.D., gives grand rounds at Buffalo General DDLY ENOUGH, he has never used the technique that has made his name a household word. Henry Heimlich, M.D., laughed when asked about his own experience with the Heimlich maneuver. "You know, the chances of one per­ son out of the entire population of the world ever being in the situation of needing to use it are very slim," he pointed out during a coffee break in grand rounds at the Buffalo General Hospital in July. The 76-year-old surgeon and re­ searcher was in town to give a grand rounds presentation that whirled from subject to subject—from new ways to save lives with the Heimlich maneuver to plans to combat AIDS with malaria. "I just wanted you to know that my life is not over," he told the assembled residents and students. In an unexpected twist, Heimlich took the opportunity to criticize the Ameri­ can Red Cross on the subject of the Heimlich maneuver. He insisted that the American Red Cross is resisting evidence that the Heim­ lich maneuver should be the first rescue method used not only on choking vic­ tims, but also on victims of drowning. According to Heimlich, the Heimlich maneuver expels water from the lungs, jump-starts breathing, and massages the heart. Thus, he said, it should be used before mouth-to-mouth resuscitation is o A thoracic surgeon, Heimlich first gained prominence in the 1950s with his invention of the Heimlich operation, in which a damaged or defective esopha­ gus is replaced with stomach tissue. His Heimlich valve, which permits chest wounds to drain and seals them to pre­ vent lung collapse, saved lives during the Vietnam War and is still routinely used in thoracic surgery. He published his description of the Heimlich maneuver in 1974, after ex­ perimenting with pressure to different parts of the chest and back. He has founded his own nonprofit research and public education organiza­ tion, the Heimlich Institute, in Cincin­ nati, OH, and serves as its president. Heimlich concluded his Buffalo Gen­ eral talk by discussing his current re­ search into malariotherapy. In the 1920s and 1930s,doctors treated tertiary syphilis by infecting the patient with vivax malaria,which was then cured with quinine. A 1992 review article in the Journal of the American Medical Asso­ ciation concluded that the lack of mod­ ern controlled trials means that the effi­ cacy of the treatment was never proven. Heimlich pointed out that infection with plasmodium vivax is now known to increase the patient's levels of certain cytokines. He believes that these give a boost to the immune system that may be therapeutic for diseases including AIDS. His preliminary study on eight AIDS patients in the People's Republic of China indicated that a three-week course of malariotherapy increased patients' CD4 counts, he said. He presented his un­ published results at the 11th Interna­ tional Conference on AIDS in Vancouver, British Columbia, in July. Heimlich predicted that because ma­ lariotherapy was cheap, it would be ig­ nored by the big drug companies. Nev­ ertheless, Heimlich claimed, "This is the most promising method that was pre­ sented at that meeting." + tried on drowning victims. "It's ridicu­ lous to think you can blow air through water-filled lungs," Heimlich said. He said the Red Cross has included the Heimlich maneuver in its own drowning guidelines, but doesn't con­ sistently teach it. He accused the orga­ nization of being afraid to alter its pro­ tocol because it didn't want to admit that the old one was flawed. "People—particularly children—are dying because the Red Cross has not followed its own guidelines," Heimlich charged. "It's a coverup of past failures. The public has to be told that the same Heimlich maneuver they know for choking has to be used for people who are ' drowning." Heimlich has filmed two public service an­ nouncements on his theory. According to the American Red Cross handbook CPR for the Professional Rescuer, the organiza­ tion recommends using the Heimlich maneuver on a drowning victim only if the airway is obviously blocked, or if resistance to mouth-to-mouth resusci­ tation suggests a blocked airway. A spokesperson for the American Red Cross declined to comment on Heimlich's charges, saying only that the organization relies on medical consen­ sus when drawing up its guidelines. At this point, medical consensus does not support Heimlich. The Emergency Cardiac Care Committee of the Ameri­ can Heart Association recommends CPR and artificial ventilation for drowning victims. An Institute of Medicine panel concluded that "the available evidence does not support routine use of the Heimlich maneuver in the care of neardrowning victims." Their report was published in the May-June 1995Journal of Emergency Medicine. B u f f a l o P h y s i c -BY JESSICA ANCKER i a n A u t u m n 1 9 9 6 �TWO READERS RESPONDED TO THE SUMMER ISSUE OF BUFFALO PHYSICIAN MAGA­ "I N THE E ND— H OW ZINE , DOES MEDICINE DEAL WITH LETTERS DEATH." THEY HAVE GIVEN US THEIR PERMISSION TO PUBLISH THEIR LETTERS. Assisted death is protected by the IIS. Constitution Doctors must relieve pain F i To THE EDITOR: To THE EDITOR: n important fact that dominates the discussion of physician-assisted death was essentially absent in the articles on this subject in the Summer issue of Buffalo Physician magazine. Physician-assisted "suicide"—whether by removal of life-support or by making available a means to terminate life by the patient's own hand—is not an act that can be proscribed or allowed bylegislative or executive action; it is inherent in the individual rights protectedby the Constitution. Recent court cases have clearly placed this act in the same domain as that of the right of a woman to control her own body in her decision whether to continue or terminate a pregnancy. As Ronald Dworkin discusses in Aug. 6 New York Review of Books, the federal and state judiciaries are clearly establishing a reading of the Second and Fourteenth Amendments that extends the right to due process and to equal protection to individual action concerning one's own body as long as that action does not have consequences for another person or society at large. That is, the courts are saying that the state has no legitimate interest in what I do with my body, period. With respect to abortion, of course, this reading of the Constitution has raised the strong and significant question of the rights of the fetus, but with respect to a person's right to die, there is no such competing interest. Essentially, all of the physicians interviewed for the Buffalo Physician articles were expressing their moral values concerning life and death. It is certainly their right to do so, and it is their right to practice medicine in a fashion consistent with those moral values. However, their moral values have no standing in this issue as it is a point of law. What these articles could have done was to start from this legal reality and then to discuss how this reality was to be faced and dealt with in the patient-physician setting. As the articles pointed out, physician-assisted suicide is a reality. Physicians are not being convicted for it, even if prosecuted, and, at this point, it appears to be constitutionally protected. OK, so now what do we do to make this work? ifteen years ago, my wife was suffering constant pain from bony metastases. I gave her the sedative, anal­ gesic, and antidepressant tablets I had and called the physician in charge for a prescription for stronger narcotics. She sent me on an errand, and when I returned, she had killed herself. I blame myself for not supplying adequate analgesia, whether narcotics administration likes it or no. I do not blame her physician, for he was doing what many of us did, which is to worry more about addiction than about ad­ equate analgesia. This I have avoided since. In the 1940s, one of our teachers told us about an old doctor (him?) who treated terminal patients in pain by leaving a bottle of morphine tablets. "One or two for sleep or pain. If you take ten, you will not awaken." The pagan Seneca is quoted as saying, "If you can no longer live honorably, you may die honorably." Properly used narcotics will alleviate most pain. But there will be a difficult remaining few who find their lives intolerable and need a kindly assisted exitus. Few physicians could overcome ethics and training to do killing deliberately. Probably physician referral to the judicial process followed by technician intervention if or­ dered makes the most sense. There is an old Welsh legend about the "black draught" that a doctor gives to the terminal patient. The caring physician should not have to carry the "black draught" in his bag. Some of my old patients used to ask to see my "black draught" bottle. When they found I had none, they seemed relieved, as I would be. Sincerely, Donald N. Groff, M.D. '45 Sincerely, Daniel J. Kosman, Ph.D. UB Professor of Biochemistry B u f f a l o P h y s i c i a n A u t u m n 1 9 9 6 o �CO CO < THE O OF 2000 A fresh perspective on medical school from UB's newest students BY JESSICA ANCKER PHOTOS BY FRANK CESARIO "STUDY HARD. Fill out this questionnaire. Sit for this identification picture. Have compassion for your patients. Coop­ erate with your classmates. Sign up for this club. Study hard!" In a whirlwind of tours, lectures, instructions, and good advice, UB's Class of 2000 has been inducted into the world of medical school. Every day, professors make sure the new students understand the magnitude of their course load; school adminis­ trators make sure they know where to turn for help; senior students make sure they know where to go out on Friday nights. "I'm getting so much good advice I'm not sure who to listen to," says a bewildered—but pleased—first-year student, Julie Cheng. o B u f f a l o p h y s i c �Chuck Lau Jmajored in chemical engi­ neering as an undergraduate at UB, but he chose medicine because he wants to deal more closely with people. "I'd like to meet different kinds of people every day, and develop personal relationships with them." Lau says the little things are impor­ tant in the doctor-patient relationship. He remembers once undergoing some medical tests, and watching as the doc­ tor started writing up his report. "He could have told me right away that everything was fine, but he didn't say a thing until he was done filling out his forms," Lau says. "When I'm a doc­ tor, I'll try to remember how nervewracking that was!" The son ofTaiwanese immigrants, Lau has been a scout leader, an emergency room volunteer, and a designer of websites. "I thinkthere are otherthings I would be good at, but I want to apply my skills to an area where I can make the most difference," he says. He hopes to find time during the next four years to go fishing—at least once in a while. �Orientation In brief talks in Farber Hall's Butler Auditorium during the three days of orientation, Deanjohn P. Naughton, M.D., and other UB administrators and professors outline the first-year curriculum. Associate Dean Dennis Nadler, M.D., tells the students that they must shoulder the responsibility of the profession immediately, without waiting for graduation. To emphasize that, he leads the class in reciting a version of the Hippocratic oath. Then he says, "Welcome to the profession of medicine!" In a lighter moment, several senior students present a skit about cynical med school applicants. Outside the interview room, the mock applicants freely chat about their ambitions ("Surgery!" "Proctology!"). But in the interviews, they all parrot the answer they figure will get them into medical school: "Definitely primary care!" On the last day of orientation, the upper-level students divide the first-years into teams and send them on a scavenger hunt that introduces them to restaurants and landmarks all around Buffalo. Gross anatomy The first moment of gross anatomy lab feels like the real beginning of medical school. The students file in quietly, noting the smell of formalde­ hyde and trying not to be nervous. In the lab, they are urged to respect those whose bodies are on the covered tables, and they observe a moment of silence. "The tension was just building," Gretchen Schueckler says. "All I could think of was opening the cover, but first there was the introductory stuff, which seemed to go on and on." "I went in thinking, These are not people; they're just bodies,"' says Chuck Howarth. From that point of view, the introduction isn't exactly helpful. "Suddenly, it puts them back into the 'people' category." It is a relief, the students say, to uncover the body and get to work on the back muscles, selected as the first assignment because they are relatively easy to work on, and because the back of the cadaver is usually less upsetting to view. Lynn Barnhard admits, "I was looking around a little to see if anyone was going to faint." No one does. did," Barnhard says. "That's what you're there for. You're not just there to sit in a classroom all day, you're there to do something." But despite the changes in the curriculum, there's no way to avoid lecture classes altogether. By the end of the first week, Butler Auditorium, which had been so exciting during orien­ tation, is becoming old hat. The students are eager for labs, visits with doctors and real patients, and other forms of hands-on learning. Some stu­ dents choose to participate in a special section of the histology course in which an interactive computer program replaces videotapes. They also turn to an anatomy program that lets them perform an ideal dissection. In a virtual dissection, slips of the scalpel aren't irrevocable—each muscle, organ, and bone can be replaced! Student fellowship Within a week, most of the 135 students have met each other. Feeling a sense that they are all fighting a common battle against the massive workload, they begin forming study groups and teams. "The joy for learning is pulling people together," Charles Olisa says. He contrasts medical school with the intensive pre-medical course he has just completed, where he found the students competitive and a little suspicious of each other. "Here, there is no caution, or competition. People are eager to get in there and participate." Teamwork comes easy, Howarth says, because of the character of the students. "They're really nice people—which I guess isn't a surprise, because the school is looking for that kind of person to become a doctor." "We're all so happy to be here, I think," says Eric Kirker. "I've been walking around with a big stupid smile on my face all week." If they have happiness in common, they also share trepida­ tion. "I can't imagine how I'm going to learn all this stuff. Luckily, I know everyone else is scared, too," says Howarth. "I can tell right now that I'm going to be a miserable person for the next four years," he adds, grinning so widely it's hard to believe he means it. + Butler Auditorium —again? W h o are t h e m e m b e r s o f t h e Class o f 2 0 0 0 ? As part of UB's drive to begin clinical instruction earlier, the students take an intensive first-aid course in their first few weeks of class. The course includes certification in cardio­ pulmonary resuscitation. "I was really pleased that that was one of the first things we Their year of graduation isn't the only number that makes UB's Class of 2000 unique. The class's mean MCAT score of 10.39 has set a new high, in a substantial jump from last year's average of 9.77. And the o f f �students' undergraduate grade point averages have also set new records—3.56 in science courses and 3.65 overall. "People always say the quality of education is going down in this country, but it's certainly not true of our applicants," comments admis­ sions director Thomas Guttuso, M.D. '60. In part, that's because so many students are applying to UB. The number of applicants for this year's class was 3,39f (down slightly from a peak in 1994); there were 25 applicants for each of the 135 slots. But UB doesn't select its students based solely on grades and test scores. "We try to judge maturity, empathy, demon­ strated interest in medicine and in the commu­ nity and society," Guttuso says. "We're looking for something inside their hearts and souls, and not just inside their brains." As a result, it's no wonder this year's stu­ dents sound idealistic, enthusiastic, and dedi­ cated. An entrance survey conducted by assis­ tant dean Frank Schimpfhauser found that the top reason students gave for becoming doctors was a desire to help people and deal with them directly. Less frequently mentioned were earn­ ing a comfortable income, exercising leader­ ship, or winning community respect. The students are fairly savvy about the future of medicine. They understand that the changing marketplace is creating a greater demand for generalists, and they also know that UB is em­ phasizing primary care. About 50 percent of the entering class say they plan to enter one of the three primarycare fields—general internal medi­ cine, general pediatrics, and family medicine. Schimpfhauser's previous surveys have found that about 50 percent of students will change their career preferences during medical school. Even with all of those changes, however, just under half of last year's class did end up entering a primary care residency. Reflecting the applicant pool UB favors applicants from western New York; as a result, most members of the Class of 2000 are from the western part of New York State. The school also favors qualified members of f f Lynn Barnhard knows all about being a patient. Her enthusiasm for ballet, soccer, swimming, and cheerleading led to tendinitis and orthopedic problems at a young age. "Since it's your body, you're interested in it. I learned a lot about it." Sports are still important to her, though these days she only has time for a quick bike ride. Barnhard says her early experiences also taught her a lot about doctors, especially pediatricians, and how they interact with children and their parents. "That helped me develop a sense of what kind of doctor I'd like to be," she says. At Canisius College, she majored in biology and psychology and won guaranteed admission to UB's medical school as a sophomore under the early assurance program. o �underrepresented minority groups, such as Native Americans, African-Americans, and Latinos. Eight students are members of underrepresented minorities—down from previous years largely due to greater competition from downstate medical schools, Guttuso says. The average age of the students is 23, but 17 of them are 26 or older. Eleven members of the class have already earned master's degrees; for the first time in several years, none have doctorates. Women make up 47 percent of the class. Most students majored in science as undergraduates, but as always, a substan­ tial minority (46) studied non-science subjects instead. Many of them (32) earned their undergraduate degrees at UB. "In terms of demographics, we're gen­ erally approaching a mirror image of the applicant pool," Guttuso notes. Career Number Two Seventeen members of the Class of2000 are In t h e i r h e a r t s a n d s o u l s The lengthy admissions process involves an initial screening and interviews of almost 500 candidates by the 51 mem­ bers of the admissions committee. "It's fantastic. You meet unbelievable young men and women," Guttuso says. Over time, Guttuso has noticed changes in the applicants. "They've gotten more knowledgeable and wordly, more aware of problems that exist in the country and in the world," he says. "They're more mature. When I think of the way I was when I was 21,1 wouldn't have stood a chance with these people." + 26 or older. Most of them had begun careers and were earning comfortable salaries. What made these people want to return to school for four grueling years ? was ascending the career ladder in her human resources jobs in the banking industry when she realized her work wasn't fulfilling. "Every day at the bank, I thought, 'I'm doing nothing for society!remem­ bers Schueckler, 28. In an attempt to find more meaning­ ful work, she began volunteering in the Sisters Hospital emergency room in her spare time. "I loved working in the hos­ pital. Believe it or not, I even loved the way the hospital smelled!" Then her younger brother was accepted to the UB medical school. "That kind of put things in perspec­ tive for me," Schueckler remembers. She quit her bank position, got a job at the Buffalo General Hospital as a clerksecretary, and started working toward getting into medicalschool herself. "The initial pay cut was very difficult. I had to move out of my own apartment and move in with strangers. Plus, I was spending thousandsof dollars on school, so I had even less money!" She needed three years of evening classes in biology, chemistry, and phys­ ics before she could take the MCATs. Shueckler says that for the first time she found herself doing well in science. "In college, I was young, I was immature, I was distracted. But when I was taking evening classes, I loved it." During her years of preparation, she GRETCHEN SCHUECKLER �le doesn't ding the t Itherwise, began working at UB's Primary Care Resource Center, putting her human resources background to work counsel­ ing and recruiting medical students. All her efforts paid off: Shueckler was admitted to UB as part of the Class of 2000. "When I found out, I cried. It was the most incredible feeling." "My parents always told me, 'You would be the luckiest person in the world if you had a job you love,'" Schueckler says. "I think I've found it." Medical school is the culmination of a lifelong dream for CHARLES OLISA, a dream born during his childhood in a Nigerian refugee camp. During that country's civil war in the 1960s, Olisa lived and worked with his uncle, a doctor. "It was terrible," Olisa remembers. "There was a cholera epidemic going on and there were dead people all over the place." What reallyimpressed the young man was the single-minded dedication of his uncle and the rest of the medical team in caring for the victims and stemming the epidemic. "Cholera is very contagious. They could have caught it, but all they thought about was serving the sick people." Despite a four-year gap in his educa­ tion caused by the civil war, Olisa won a scholarship to come to the United States and study agriculture at Central Missouri State University. "My first choice was always medicine, but I couldn't get a scholarship to do that." After earning his degree, Olisastarted thinking about medical school again. But his mother in Nigeria retired, and he began working to help support his younger brothers. Most recently, Olisa worked for Corning Inc. During this time, he became an American citizen. "I always wanted to be a doctor, but as the years went by 1 thought it was slipping away." Finally, last year, he decided to go for it. He quit his job, and moved to Brook­ lyn, where he took an intensive postbaccalaureate pre-medical course and worked with AIDS patients at Montefiore Hospital. When he got a telephone call telling him he was admitted to UB, he didn't believe it. "I thought it was one of my friends playing games with me," he says. It wasn't until he received a faxed letter of admission that he decided it must be real. "It's a miracle, as far as I am con­ cerned," hesays. "I wake up every morn­ ing and thank God." At 38, Olisa is the oldest member of the Class of 2000. But he says there is such a sense of teamwork among the first-year medicalstudents that hedoesn't feel his age sets him apart. He does believe he has an easier time ignoring distractions. "It's taken me so many years to get here that I'm not going to let anything stand in my way!" Olisa hopes to join the National Health Service, which will underwrite his medical education in return for sev­ eral years of primary care work in underserved areas. "All I want to do is provide service where it is needed." + �The Oath of Medicine Chuck Howarth has a lot of unlikely skills, and they all came in handy during his first days in medical school. Hisfouryears asan emergency medicaltechnician made the CPR course a breeze. His under­ graduate major in mechanical engineering had given him a thorough knowledge of the equations governing capillary diffusion. And his high school job as a meat cutter had taught him what he needed to know to find his cadaver's scapula on the first try. But just because medical school feels famil­ iar, that doesn't mean it's boring—especially since Howarth was admitted to UB from the waiting list at the last minute. "I'm just so happy to be here. It's all so cool." A moment later, he is bemoaning the loss of his free time. He has always juggled hobbies, volunteering, school, and his job as a mechanical engineer, where he's been involved in products as disparate as a baby stroller and an artificial heart. "Doing a lot of different things always makes me happy. Now, I'm goingto have to focus on one thing." For the first time, UB administered a professional oath to students on the first day of orientation. "We want them to start internalizing these principles from day one," said associate dean Dennis Nadler, M.D. The oath used at UB is adapted from one written by Louis Lasagna, M.D., dean at the Tufts University School of Medicine. "I swear to fulfill, to the best of my ability and P®*" judgment, this covenant: I will respect the hardwon scientific gains of those physicians and sci­ entists in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow. I will apply for the benefit of the sick all measures which are required, avoiding those twin traps of overtreatment and therapeutic nihilism. I will remember that there is both art and science to medicine, and that warmth,sympathy, and understanding may outweigh thesurgeon's knife or the chemist's drug. I will not be ashamed to say, 'I know not,' nor will 1 fail to call in my colleague when the skills of another are needed for a patient's recovery. 1 will pursue the expansion of my knowledge throughout my life for the benefit of my patients. I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most certainly it is not my place to judge them. Most especially must I tread with care in matters of life and death. If it is given me to save a life, all thanks. But if it be merely within my abilities to help ease suffering at the end of a life, may I face this awesome responsibility with humbleness and awareness of my own frailty. I will remember that I do not treat a fever chart, or a cancerous growth, but a sick human being, whose illness may extract a substantial toll from both patient and family. My responsibility includes all related problems if I am to care adequately for the sick. I will prevent disease whenever I can; for prevention is preferable to cure. I will remember that I remain a member of society, with special obligations to all, those sound of mind and body, as well as the infirm. If I do not violate this oath, may 1 enjoy life and art, respected while I live, and remembered with affection thereafter. May I always act to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help." + �A party aboard the U.S.S. Little Rock on Buffalo's waterfront gives the new students a welcome chance to relax and mingle. The event is sponsored by the Medical Alumni Association. Julie Cheng comes from a family of doctors and nurses. But she says, that made it all the more important to decide for herself whether medicine was right for her. A native of Staten Island, Cheng worked for a year in a clinic in New York's Chinatown doing public health and educational activities. She also traveled to Brazil with a Christian group called Youth with a Mission. The group accompanied a doctor who was visiting remote areas of the Amazon region. Cheng was inspired by the doctor's dedication and skill. "There was no electricity, so everything he did he did with no diagnostic equipment or technology." She was also impressed by the importance his visit assumed for the local people. "They had no doctors, so they would travel for days to come to see him." The trip made her realize something important about the role of medicine in her life. "It's a way I can combine my faith and my skills." f f 0 �The former and current OMS department chairs; Joseph E. Margarone, D.D.S and Richard E. Hall, D.D.S.,Ph.D., M.D. DOUBLE DOCTORS surgery certification by Andrew Danzo 0 U f f �UB's six-year oral and maxillofacial surgery residency is now among a growing minority nationwide in which residents earn a medical school diplomaalongwith "The medical education is involved in all my their OMS certification. cases. It gives you a better global perspective The program, a joint on how to take care of those patients." effort of the School of J E F F R E Y Dental Medicine and the S . K I N G S B U R Y , D . D . S . , M . D . School of Medicine and Biomedical Sciences, is based in UB's Department of Oral and Maxillofacial Surgery. It has graduated six oral and maxillofacial surgeon/M.D.s since 1994. "It is quite successful," says Joseph E. Margarone, D.D.S., the former chair of the Department of Oral and Maxillofacial Surgery, who won the support of the medical and dental schools to initiate the program. "We have developed a wonderful relationship. The cooperation is more than I had hoped I could achieve at the time." UB's dental and medical schools have long had a close relationship. Students from both have mingled in shared basic science lectures for years. A number of faculty members have appointments at both schools. The dental school also cooperates with the medical school and area teaching hospitals as part of the Graduate Medical Dental Education Consortium of Buffalo. "That is a model that has caught the attention of people outside of Buffalo," notes John Naughton, M.D., UB's vice president for clinical affairs and dean of the medical school. "You don't often see dental schools and medical schools working together like that." B u f f a l o P h y s l c i a n A u t u m n 1 9 9 6 © �Recent graduate Jeffrey S. Kingsbury, D.D.S., M.D., practices in Buffalo. DOUBLE DOCTORS B • ® u f f a l o P h y s i c i a n A u t u m n 1 9 9 6 �Not that there isn't a bit of subtle rivalry. In Squire Hall, the dental medicine building, the new residency is known as the Oral and Maxillofacial Surgery/M.D. Program. But Medical OMS, or MOMS, is the favored label over at the medical school's end of campus. Licensing boards do not require a medical diploma to practice as an oral and maxillofacial surgeon, nor does the American Board of Oral and Maxillofacial Surgery, the specialty's national certifying body. Nonetheless, oral and maxillofacial surgeons have long received quite a bit of medical training, including clinical rotations in medicine and surgery. Margarone proposed the OMS/M.D. program shortly after the OMS residency was lengthened from 36 months to 48 months. "With that 48 months, we were almost but not quite mimicking the third- and fourth-year clinical courses of medical school," he recalls. "It seemed foolish that all this education was being acquired, but when they got through it they didn't have a medical degree." The first year of the six-year program is a combination of a traditional oral surgery residency and second-year medical school courses, after which the residents must pass the first part of the U.S. Medical Licensing Examination. During the second and third years of the program, the residents complete the last two years of medical school. They then do a year of general surgery in Buffalo, followed by two years of oral surgery, which includes clinical work, electives, and research. Along the way, the "It's really the specialty that bridges the residents must complete at least six months in other surgical specialties, such as neurosurgery or otolaryngology. gap between medicine and dentistry." William L. Cecere, D.D.S., M.D., who graduated from the residency in June and now practices in Buffalo, says that R I C H A R D it sharpened his abilities. "We learned invaluable patient E . H A L L , D . D . S . , P H . D . , M . D . care, patient management, and basic surgical skills," he says. The residency experience also promotes closer ties with medical colleagues. "We have a very good relationship with the surgical community," Cecere says. "I think it also helped in that a lot of people didn't know what oral and maxillofacial surgery was all about. It was an education for the medical community." The specialty includes the diagnosis and treatment of diseases, injuries, and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Oral and maxillofacial surgeons might be called upon to treat anything from impacted wisdom teeth to jaw dysfunction to serious facial injuries. They play a particularly important role in early detection of oral cancer. And, as the American population ages, oral surgeons are expected to encounter more complex medical problems. "Most people think it's just pulling teeth out, but it's not," notes Margarone. "It's really the specialty that bridges the gap between medicine and dentistry," says Richard E. Hall, D.D.S., Ph.D., M.D., Margarone's successor as department chair. B u f f a l o p h y s i c i a n A u t u m n 1 9 9 6 0 �Hall's own education "bridges the gap" very well. He earned his D.D.S. from UB, then went to the University of Rochester to a joint program in which he earned a Ph.D. in microbiology along with certification in OMS. Then, Hall earned his M.D. at UB. Margarone points out that an M.D. alone does not qualify oral and maxillofacial surgeons for broader hospital privileges or wider scopes of practice than their singledegree counterparts. The M.D., however, does open the door to more advanced medical training and specialization in areas such as plastic and reconstructive surgery or cranialfacial surgery. Of the UB program's graduates, four are in private practice. Another went on to a burn fellowship in "It does not make anybody a better Chicago and is now in a plastic and reconstructive surgery fellowship, and the sixth is completing a fellowship in surgeon. It does enhance their total aesthetic facial surgery. The M.D. adds to the surgeon's clinical perspective. "It approach to a patient. does not make anybody a better surgeon," Margarone says. "It does enhance their total approach to a patient." I O S E P H M A R G A R O N E , Research can also be an important part of the MOMS D . D . S . residency. The Department of Oral and Maxillofacial Sur­ gery has been intensely involved in three research areas: laser surgery, photodynamic therapy, and endocrine control of cancer. "The clinic feeds the basic science with the observations to direct it, and the basic science feeds back into the clinic," says Charles Liebow, D.M.D., Ph.D., the department's research director. Liebow, who once served as associate scientific director of the National Pancreatic Cancer Project, works with OMS residents and dental Ph.D. students on a variety of research projects. Some intriguing observations have come from laser surgery. "Patients seemed to have decreased pain and much less bleeding, almost hemostatic," Cecere remembers noticing. The observations led to experiments on how laser surgery wounds heal. "I was DOUBLE DOCTORS 0 B u f f a l o P h y s i c i a n A u t u m n 1 9 9 6 �able to show that there was an increased amount of epidermal growth factor and nerve growth factor in areas of the hamster cheek pouch." Jeffrey S. Kingsbury, D.D.S., M.D., who worked on laser-cancer research before graduating from the residency in 1995, has a new paper in publication on photodynamic therapy's effectiveness in treating precancerous lesions. Now in private practice outside Buffalo, he continues to do research. "It's done at times that would otherwise be off time or leisure time," he says. Part of his week goes to Erie County Medical Center and the Buffalo General Hospital, where he and his partner, Joseph E. Margarone III (the son of the former department chair), are involved with both outpatient and Oral and maxillofacial surgeons might inpatient care. At ECMC they're more likely to see gunshot wounds than impacted wisdom teeth. "The medical education is involved in b e called upon to treat anything from all my cases," Kingsburysays. "Itgives you a better global perspective on how to take care of those patients." impacted wisdom teeth to jaw dys­ According to the American Association of Oral and Maxil­ lofacial Surgeons, 39 of the nation's 106 OMS residency programs function to serious facial injuries. They now offer integrated OMS/M.D. training. "It's not a requirement to practice," says Cecere. "But you never know if it will be required in the future to belong to some play a particularly important role in of these HMOs and insurance companies. There is an element of discrimination already against single-degree oral surgeons in the early detection of oral cancer. And, a s health-care industry." The program receives about 100 applicants a year for its two the American population ages, oral openings, Hall says. Applicants are evaluated by a joint board composed of members of the admissions committees of the dental surgeons are expected to encounter and medical schools. Medical school admissions director Thomas Guttuso, M.D., was invaluable in helping to create the OMS/M.D. program and setting up its admissions and interview process, Hall more complex medical problems. and Margarone say. He remains a strong supporter. The MOMS program aims to cultivate the common ground between medicine and dentistry, they say. In parts of Europe, they point out, dentistry was traditionally considered a specialty of medicine rather than a separate discipline. "1 look at our department and our specialty as the causeway and the port of interaction between the medical school and the dental school," Hall says. "The medical component changes the perspective of the individual in assessing and caring for the patient." + B u f f a l o p h y s i c i a n A u t u m n 1 9 9 6 0 �One woman explains what the Women's Health Initiative means to her The women in the dietary and hormone groups are also being recruited to partici­ pate in a randomized calcium and vitamin D trial intended to quantify the effect of those nutrients on bone fractures and colorectal cancer. une DiGiacomo doesn't mind answering nosy questions about Depending on when they join the her most private feelings, medical history, and general aches and study, the women in pains. In fact, she willingly drove an hour to Buffalo from her the WHI will be fol­ lowed for nine to 12 home in rural Indian Falls, NY, for the ordeal. "I'm doing it for years. UB has also re­ my daughter," she says. "If this can help her and other women in the ceived funding and NIH approval to con­ future, it's worth it." duct two ancillary studies, the Women's The 67-year-old DiGiacomo is one of Principal investigator Maurizio Health Initiative 164,000 women across the nation who Trevisan, M.D., the chairman of UB's Memory study, which are participating in one of the largest Department of Social and Preventive will measure the ef­ clinical trials ever; the $625 million Medicine, says that the Women's Health fects of hormone Women's Health Initiative. Sponsored Initiative is also designed to address replacement therapy by the National Institutes of Health, the previous research biases toward middle- on cognition; and a multifaceted study is expected to pro­ class white subjects. There are extra study of the relation­ duce a vast database on the health of efforts to recruit African-Americans, ship between bone postmenopausal women. Asian-Americans, Native Americans and density and perio­ The research will focus on diseases other minorities, and to enroll women dontal health. that are unique to women as well as from all economic groups. Recruiting women those that manifest themselves differ­ UB, one of 40 participating centers for the hormone trial ently in women and men—topics that around the country, is expected to reach has been the hardest, have receivedscant attention in the past. its goal of enrolling 3,900 subjects this the researchers say. Morbidity and mortality from cardio­ winter. The women, all between the Some women refuse vascular disease, cancer, and osteoporo­ ages of 50 and 79, are being divided into to try hormones sis will be studied. two trial groups and an observational under any circum­ "Women are different from men, and group. stances because of the people are finally beginning to realize In a dietary modification trial, 1,067 fear of cancer, while that," says Karen Falkner, Ph.D., the women are being taught how to severely others can't wait to try WHI recruitment coordinator for UB. reduce their fat intake. In a hormone them because of the "Part of the problem, of course, is replacement trial, 611 women are being relief they provide from hot flashes and that there haven't been a lot of women randomized and given hormones or pla­ other symptoms of menopause. It's hard researchers, and women researchers cebo. The remaining 2,222 women— to find women who do not have strong generally have more of an interest in including DiGiacomo—make up the opinions about hormone replacement doing research on women," adds Jean observational group. These women will and therefore would be willing to be Wactawski-Wende, Ph.D., a co-princi­ answer annual questionnaires and have placed in a random trial, they say. pal investigator. two physical checkups three years apart. "This is an extremely important part J © B u f f a l o P h y s i c i a n A u t u m n 1 9 9 6 �says June DiGiacomo, a participant in the Women's Health Initiative at UB. •'/ >1 4s m t< * of WHI, because there is conflicting information about hormone replace­ ment, and there are really no long-term, clinical trials," Trevisan notes. While enrollment is nearly finished, it will be years before the first results are released. Meanwhile, both researchers B u f f a l o P h y s i c and subjects take pride in feeling that they are part of a historic endeavor. "We all have daughters," DiGiacomo says, gesturing to several other WHI par­ ticipants in an office in UB's Farber Hall. The women, several of whom are friends, chat about their families and drink coffee i a n A u t u m n 1 9 9 6 as they fill out the questionnaires. "I know that this isn't going to do me much good because we won't start to get any answers for another ten years," she adds. "But it will do other women some good. That's why I wanted to do it." + — B Y J E S S I C A A N C K E R 0 IE * �MEDICAL What medicine looks like man of the medical school's Department of Pathology. Terplan let Diedrick set up an easel in a corner of the department and soon named him assistant curator of the Pathology Museum at $70 a month. When a photographer at Buffalo Gen­ eral Hospital died, Diedrick took a twoweek crash course in the use of the camera and was hired in his place, bringing his monthly salary up to $200. "That was enough to get married on,in those days," he says. In 1937, he married the hospital's chief switchboard operator, Bertha Wagner. Another supporter at the medical school was Wallace Hamby, M.D. "Luckily, I was there when neuro­ surgery came to Buf­ falo," Diedrick says. "Wally Hamby had just recendy estab­ lished a new neuro­ surgerydepartment. And I was interested in this new and ex­ citing division of sur­ gery. I was in the right place at the right time." Hamby not only gave Diedrick steady work in a fascinating new field, but champi­ oned the need for real medical illustra­ tion throughout the school. "Hamby encouraged Mel," agrees Mildred Sanes, the former medical editor of the Buffalo Evening News and a friend of Diedrick's. "He felt there was a future for him at the university." And there was: Diedrick became an integral part of the school, illustrating lectures, presentations, and articles for publication in medical journals. Then came World War II. With many physicians away at the front, the demand for illustrations dwindled. To support his growing family—including his young sons, Douglas and Curtis, Diedrick painted physicians' portraits. SEEING ANATOMY THROUGH MEL DIEDRICK'S EYES F or more than 40 years, Melford Diedrick advanced the state of medi­ cal scholarship in Buffalo and con­ tributed to medical learning and research throughout the world. But Diedrick isn't a doctor. He's an artist. Diedrick, now 84, was the first trained medical illustrator in Buffalo and served as UB's director of medical illustration from f947 until his retirement in f977. A Buffalo native, he studied illustration at the Rochester Athenaeum and Mechan­ ics Institute (now the Rochester Institute of Technology) in the early 1930s. Soon his longtime fascination with medicine and human anatomy led him to thejohns Hopkins University. There he studied in a department called Art as Applied to Medicine under German emigre Max Broedel, considered the father of medi­ cal illustration in the United States. From dissecting cadavers and observ­ ing autopsies, Diedrick learned not only how to draw the human form, but how it worked. "Max Broedel was a great influ­ ence," notes Harold Brody, M.D., re­ tired chair of UB's anatomy depart­ ment anda close colleague of Diedrick's. "He was a passionate person about details—he felt every detail of a medi­ cal illustration had to be absolutely correct." Despite his training, Diedrick found that bringing medical illustration to Buffalo wasn't easy. "When I first came to the University of Buffalo in 1935," recalls Diedrick, "the dean of the medical school didn't know what I meant by medical illustration. I had to pull an example out of my briefcase to show him." "The faculty didn't know either. They 0 were largely clinicians, and didn't realize how illustrations could help in their teach­ ing. For example, Dr. Roswell Park wrote an important surgical text, but it had few illustrations, and they were poor ones." Armed with his "graduation certifi­ cate" from Johns Hopkins (a hand-writ­ ten letter from Broedel), Diedrick took his mentor's advice and offered his services to the university free of charge. Relatives provided room and board. He earned pocket money the first summer by substitut­ ing for vacationing morgue attendants and cleaning animal cages. And he Mel Diedrick admires his great-grandson, Michael William White. Above, an illustration that Diedrick considers one of his best: "Gracilis muscle used to repair severe radiation damage," created for John Graham, M.D. preached the gospel of medical illustra­ tion to anybody who would listen. One of his first converts was Kornel Terplan, M.D., the newly named chair­ B u f f a l o P h y s i c i a n A u t u m n 1 9 9 6 �MEDICAL SCHOOL Things picked up when Max Thorek, M.D., offered him the opportunity to es­ tablish a Department of Medical Illustra­ tion at his American Hospital in Chicago. The offer spurred UB to act, and in 1947, the university gave Diedrick the title of director of medical illustration at a salary matching the Chicago offer. "Mel was an on-the-spot illustrator," recalls Brody, who regularly requested Diedrick's services. "He would go into the surgery room and drawwhile surgery was being done, making sketches which he would develop later." "Occasionally physicians would try to tell Mel how they wanted him to make a drawing," says Sanes with a smile. "He had no hesitancy about telling them that medicine was their field but drawing was his, and that he was the best judge of how to present the subject." His drawings played an important role in teaching medical students in this coun­ try and abroad, including Sweden, where he went at the invitation of a surgeon at the University of Goteborg. His illustra­ tions have been included in a number of surgical atlases. He also illustrated in the entire 500-page text Vaginal Surgery, by two former members of the UB faculty, David Nichols, M.D., and Clyde Randall, M.D., which is now in its fourth edition. The illustrations were some of the last Diedrick drew professionally. "The last illustrations 1 did were the most exciting for me," he says."They were the most productive for clinical work." He also helped make medical matters more comprehensible to the general pub­ lic. In the 1950s, he illustrated a medical television show, "Modern Medicine," and later illustrated some of Sanes' weekly features in the Buffalo Evening News. But he didn't spend all his life at the easel. In 1946, he became a founding member of the Association of Medical Illustrators. He served as its president in 1963, and 30 years later was the recipient of its Lifetime Achievement Award—the seventh member to have been chosen. An enthusiastic violinist, he was a founding member of the Cheektowaga Community Symphony Orchestra in 1961 and played in its violin section for11 years. In 1982, Diedrick moved to Queenstown, MD, where he now lives with his son, Douglas. His wife, Bertha, B a u f f a l o P h y s l c i died in 1995. Brody recalls fondly what he valued about Diedrick's drawings. "His aim was to teach the body, not idealize it. That perhaps is what is most important about his work." + — B Y L U K A S H A U S E R Siegel awards recognize excellence in teaching T he Louis A. and Ruth Siegel Teaching Awards recognize excel­ lence in teaching by members of the preclinical, clinical, and volunteer faculty at UB. Based on student nominations and review by a student committee, they are presented at the medical school's spring faculty meeting. The awards were estab­ lished by the late Louis A. Siegel, M.D., a volunteer faculty member of the Department of Gynecology and Obstetrics. 1996 PRECLINICAL AWARD: Perry Hogan, Ph.D., Physiology Commendations: Charles Severin, Ph.D., Anatomical sciences Perry Hogan, Ph.D. John Wright, M.D., Pathology Roberta Pentney, Ph.D., Histology James Marshall, Ph.D., Social and Preventive Medicine Reid Heffner, M.D., Pathology 1996 CLINICAL AWARD: Jerry Chutkow, M.D., Neurology Commendations: Mary Jane Petruzzi, M.D., Pediatrics Harvey Bumpers, M.D., Surgery n A u t u m n 1 9 9 6 Scott Zuccala, M.D., Obstetrics and Gynecology Mary McGorray, M.D., Medicine Ehsan Afshani, M.D., Radiology Robert Scheig, M.D., Medicine 1996 VOLUNTEER AWARD: Thomas J. Foels, M.D., Pediatrics Commendation: Tad Traina, M.D., Pediatrics 1996 HOUSE STAFF AND SPECIAL AWARDS: Karen Houck, M.D., Obstetrics and Gynecology Leszek Kolodziejczak, M.D., Surgery Jose Aranez, M.D., Obstetrics and Gynecology Patricia Sticca, M.D., Pediatrics Calphor Carty, M.D., Pediatrics Kee Wee, C.C. IV Anand Singh, C.C. II © �Tut the hest seat in the house in yourgarage. © Gift establishes award for minority medical sludenls i $10,000 gift from the National Medical Association will support an annual award to honor a graduating minority medical student. Charles L. Anderson, M.D. '73, spearheaded the NMA's fundraising efforts to establish the award in the name of the Buffalo chapter of the NMA. "As a student at UB and now as a member of the clinical faculty at the medical school, I've become very much aware of how important it is for minority medical students to be honored for their hard work," said Anderson, UB clinical assistant professor of family medicine and imme­ diate past president of the Buffalo chapter of the NMA, which is the oldest and largest organization for minority physicians in the United States. Award recipients will be chosen on the basis of academic achievement, leadership qualities, and commitment to serving minority populations. "Only 6 percent of American physicians are minorities. We must recognize the medical students who are representative of these minority groups and who clearly reflect the NMA's vision," said Buffalo NMA chapter president Luther K. Robinson, M.D., UB associate professor of pediatrics and director of clinical genetics and dysmorphologyat Children's Hospital of Buffalo. The first award will be presented next spring. + 1997 Buick Riviera Riviera: the most sophisticated personal luxury car Buick has ever offered. It is designed to stir the spirit and excite the soul. We at Paul Batt Buick are proud to serve the people of Buffalo and its surrounding communities. For the last 43 years, we have offered the lowest prices possible, along with the very best in service. We value the professional and the hard working labor force in our community and will continue our efforts to maintain their loyalty. When you enter our showroom you will find helpful people, not pressure—so when you think of Buick sales and service, we know you'll think of us! Joseph R. Pera Paul V. Batt, Jr. Margaret Paroski, M.D., past president of the Medical Alumni Association, William Siener, Ph.D., the director of the Buffalo and Erie County Historical Society, Kenneth J. Levy, Ph.D., senior vice provost of UB, and medical school dean John Naughton, M.D., meet to dedicate a plaque at one of the original sites of the UB medical school in downtown Buffalo. 0 f f 1717 Walden Ave., Buffalo, NY 891-5595 u t u m �A PART OF HISTORY... THE UNIVERSITY AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES has a long and distinguished history—and you are part of it. In celebration of its Sesquicentennial, a beautifully illustrated pictorial history of the Medical School is available for your personal library or office. This hardcover, 192-page keepsake, Another Era, contains 250 photos, including rare, historical photographs that will transport you to a time when... Q) a) u Medical School tuition was $65 a year and "good board, with room, fuel and lights" could be found for $4.50 a week. UB medical students were the first in the United States to witness a clinical demonstration of o live birth—which caused an outcry in newspapers nationwide! Retrace 150 years of achievement, trials and tribulations in this special limited volume, and take pride in the Medical School's vision for its future. To order Anotherfraby credit card call Wadsworth Publishing Company at 1-800-369-2646 ext. 3339 — I $39.95 including shipping and handling. Gift cards available upon request. Charges will appear on your statement as Wadsworth Publishing. B u f f a l o P h y s i c i a n S p r i n g 1 9 9 6 © �MEDICAL PI S C H 0 0 I Simulated patients help teach med students E ach examining room in the Uni­ versity Physicians Office holds a man or a woman in a white coat prodding and questioning a gownclad patient. Seems like business as usual— only these patients aren't sick. They're actors making $12 an hour to help teach medical students how to be doctors. In these "standardized patient ex­ ams," actors follow scripts detailing a standardized patient's history, physi­ cal conditions, and personal character­ istics. Some of the medical problems portrayed include lung cancer, ectopic pregnancy, AIDS, and depression. Medical students are videotaped and scored after each 15minute clinical en­ counter. The exams are meant to test com­ munication, historytaking, and physical exam skills. Students talk to pa­ tients and may go so far as to feel a stomach or look in an ear, but do not perform any other physical exams. If the student recom­ mends that the stan­ dardized patient un­ dergo a particular test or exam, the patient will offer paperwork © showing simulated results of the test. The actors are ordinary people in­ The standardized patient exam pro­ cluding medical personnel from the gram began three years ago after a University Physicians Office, their survey showed that professors and friends and family, and graduate stu­ medical students wanted more pre­ dents who respond to postings on bul­ cise, standardized, and immediate letin boards. Karen Zinnerstrom, the methods of assessing clinical ability. patient recruiter and trainer, said that A growing number of medical she looks for people who "don't mind schools around the country use stan­ talking about their bodies and aren't dardized patient exams; the National condescending towards students." Boards are expected to incorporate Some of the 20 patient profiles are them within a few years. UB does not written at UB, while others are pro­ use the scores for promotion or gradu­ vided by the National Boards or other ation now, but may do so in the future. medical schools in the U.S. or abroad. "You really utilize what you've read UB uses 40 actor-patients in all, with and what you've learned," says Keung two actors trained to portray each stan­ Lee, 29, a fourth-year student in the dardized patient. M.D./Ph.D. program. "It's not what After each exam, the medical stu­ you know, learn, or read in a text­ dent fills out a form assessing the book, but how you apply that knowl­ patient's condition and outlining treat­ edge to realistic situations." ment plans. Standardized testing with trained The patient also fills out a form actor-patients is intended to be uni­ evaluating the student's performance, form, objective, and reliable, accord­ including whether students properly ing to Frank Schimpfhauser, Ph.D., washed their hands and introduced assistant dean for educational research. themselves at the beginning of the exam. The program has had the unexpected benefit of making the standardized patients much more savvy in their real-life dealings with doctors. Heidi Kueber, a doctoral stu­ dent in education who has served as a stan­ dardized patient since 1994, says, "I have be­ come a better patient, and when I have to choose my next doc­ tor, I will feel more comfortable doing it." + —ERIN S T . JOHN KELLY B u f f a l o P h y s i c i a n A u t u m n 1 9 9 6 �A STUDENT'S PERSPECTIVE Could medical school provide a different learning environment? BY VICTOR FlLADORA r at grades and test scores to measure stamina, motivation, and persistence." If Gomez is correct, and grades do rep­ resent other factors in addition to knowl­ edge, there should be alternative ways to gauge a student's success. There are many medical students who strive to perform well for reasons other than obtaining good grades. If students are not motivated by grades, why con­ tinue with that system? Do professors not feel confident enough in their stu­ dents, or in their own objective evalua­ tion skills, to use more innovative meth­ ods? How will medical school graduates be measured? By their practices, or by grades? Studying for grades is a non-produc­ tive way to demonstrate knowledge. Per­ formance-based compensation, on the other hand, is a system that is used for professionals in many fields, and should be considered as a possibility in medical education as well. Thomas Guttuso, M.D., direc­ tor of admissions at UB's medical school, stresses that it is impera­ tive to have a good knowledge base to be a successful physician. "No matter how good your personal qualities may be, your effective­ ness as a good physician is based on your knowledge base. So the better your knowledge base is, the better you are able to integrate that knowledge into a clinical setting, and the more effective you will be." An important factor in attaining that knowledge base is motivation. The intelligence may be there, but if the individual is not properly moti­ very studenr in medical school is an accomplished individual with J a solid educational background. V In order to gain admission, stuI dents have met a standard of edu* • cational excellence, measured by grades and test scores. Since the first day of kindergarten, these grades and scores have represented competency and success, and they have become a part of our identity. Acceptance into medical school is the culmination of years of hard work, dedi­ cation, and accomplishment which is based in large part on academic success. In professionalschools such as medi­ cal school, why does competency con­ tinue to be judged by grades after stu­ dents have proven their worth through the admission process? Ellis Gomez, M.D., of Niagara Fam­ ily Health Center believes that "we look B u f f a l o p h y s i c i a n A u t u m n 1 9 9 6 vated, the highest levels of success will not be achieved. New incentives would increase indi­ vidual motivation and create students who are more eager to learn. Does it make more sense to reward students with grades, or with opportunities that could further their careers and benefit the school? Rewarding students with grants for summer research, internships, or oppor­ tunities to study abroad instead of grades could create a whole new breed of stu­ dents. Pride would no longer be bound to a letter. It could be attached to meaning­ ful events throughout a student's educa­ tional experience and would create a valuable knowledge base in each of us. Students can read about any topic, but the most effective learning occurs when you actually participate person­ ally. Performance-based opportunities could provide students with the ability to experience many things they have only read about. They would also help students to retain their love for medicine. Many students have very fine thoughts in their hearts and souls as to why they want to enter medicine. They're usually very humanistic, and unfortunately many of them change because of what they go through in medicine. Performancebased opportunities could assist stu­ dents in maintaining that motivation and focus. The fundamental question that must be asked is what makes more sense? Do medical schools want to produce clini­ cians with good grades being the mea­ sure of competency, or would it better serve the profession to provide meritbased opportunities as motivation to those who perform at the highest levels of mastery? + In every issue, Buffalo Physician invites a current medical student to write an opinion piece about a topic of his or her own choice. Victor Filadora is in his third year at UB School of Medicine and Biomedical Sciences. © �Alan J. Lesse, M.D. protective capsule. "We're not sure how it manages to evade the host's defenses in the absence of a cap­ sule," Lesse says. BPF has also been identified in central Australia. The emergence of the same infection in widely separated populations of H. aegyptius means that the bacteria has acquired virulence more than once—and could do so again. "Our hypothesis is that the viru­ lence of the BPF organism arises from a confluence of several differ­ ent virulence factors," Lesse ex­ plains. "When all the factors are present, then you can have an or­ ganism that invades the host." Lesse and his colleagues have iden­ tified some of those virulence factors in the surface proteins of the BPF organism. Some can arise spontane­ ously even when there's no outbreak In 1984, a small town in Brazil was devastated by a deadly illness. Ten children, ranging in age from three months to eight years, were suddenly attacked by a virulent disease that caused high fever, vomiting, abdominal pain, purpura, and shock. Within 48 hours, all the children were dead. The illness was named Brazilian purpuric fever (BPF). It took several years and other out­ breaks before researchers discov­ ered that the disease was caused by an unexplained mutation of a very common bacteria, Haemophilus influenzae biogroup aegyptius. This particular bacteria usually causes nothing more serious than conjunctivitis. Somehow, in the BPF outbreaks, it had been trans­ formed from an annoying local infection to an overwhelming sys­ temic disease with a 70 percent mortality rate. It may not be immediately obvi­ ous why a faraway childhood dis­ ease should be of interest to Veter­ ans Affairs medical center research­ ers in Buffalo. But this summer, the VA's Alan J. Lesse, M.D., won a $160,400 grant to perform a fouryear study of the disease. macology and Toxicology, and Microbiology, Lesse is also the as­ sociate program director for the Department of Internal Medicine's house staff. In addition to his re­ search, Lesse sees patients in the VA's clinic and wards, and teaches pharmacology and microbiology at UB. He has twice been the recipi­ ent of UB's Siegel Award, which is based on student nominations for excellence in teaching. Lesse, 40, earned his bachelor's degree and M.D. from the Univer­ sity of Virginia, completed an in­ ternship and residency in internal medicine at Temple University,and did a combined fellowship in in­ fectious disease at the University of Virginia and its Affiliated Hospi­ tals Program in Roanoke, VA. It was during his fellowship that Lesse first started researching H. influenzae in connec­ tion with meningitis. After coming to Buf­ falo, he turned his at­ tention to the bac­ teria's lipooligosaccharides. When the Centers for Disease Control distributed the BPF bacteria to in­ terested researchers, Lesse joined col­ leagues at UB to in­ vestigate it. Lesse explains that Brazilian purpuric fever, which has been classified as an emerging disease and a potential threat to the U.S., is relevant to the entire world. "No one knows how the Haemophilus bacteria acquired thevirulence fac­ tors that make it so deadly. If we understand how that works, it might help us learn something about other emerging diseases." Researchers also want to know whether bacteria can transfer these virulence factors, or epitopes, to other bacteria of the same or differ­ ent species, he adds. An associate professor in UB's Departments of Medicine, Phar­ B u f of BPF. In fact, one of the epitopes has been discovered in a 1981 culture from a patient in Buffalo. "You might be able to find in nature an organism that has one or two of these factors," Lesse says. "Our goal is to identify all or most of these factors and then deter­ mine how they interact with the host to cause the disease." + fay Jessica Ancker One mystery is that, unlike many virulent bacteria, the BPF organism is not surrounded by a f a l o P h y s i c i a n A u t u m n 1 9 9 6 �Why stay home for the holidayo? Reunion chairs prepare for reunion weekend festivities I ft, t's not too early to plan for the 1997 Spring Clinical Day and Reunion Weekend. A cocktail reception will be held on Friday, April 25, 1997. The 60th Spring Clinical Day and Reunion Dinners will be on Saturday, April 26. For more information, call the Medical Alumni Association at 716-829-2778. The reunion classes are the classes of 1947, 1952, 1957, 1962, 1967, 1972, 1977, 1982, 1987, and 1992. Here's what your reunion chair has to say to you! CLASS OF 1947 I I $399 mo. 59 mo. leave $o down # s f W CLASS OF 1957 CLASS OF 1952 The front-wheel drive 1nfiniti® G201 Germante Bancaldo, chair It's time to get to­ gether! We need to see each other. Burton Stulberg, co-chair Don't miss the 45th reunion. How great it will be to see how nobody really changes. It won't be hard to get reacquainted—and what fun it will be to get together again. $319 mo. 50 mo. leant . $0 down <A> CLASS OF 1962 Sebastian Fasanello J T\\ u f f a l o P h y s i c Our past reunions have been wonder­ ful—this one will be magnificent!! 1^9 •IT Help us to win the attendance trophy again by your pres­ ence at your 45th. Xj: Like every Infiniti, the G20 comes with an extensive list of standard luxury features; A 4-year/60,000 mile Basic New Vehicle Warranty; 2-l-hour Roadside Assistance Prayram Trip Interruption Benefits; and our Free Service Loan Car Propram. Neat Fuhr, co-chair B performance and oervtce of Infinite A 45th reunion may not seem as impor­ tant as a 50th, but don't waituntil then! Come to your 45th! Let's all get together and reminisce about the last 50 years as physicians. « An interior more opaciotu than a Roi/.i Royce Silver Spur III. An exceptionally generate' Hot of otandard luxury featured. A 190-hp V6 capable of out-accelerating many luxury V8o. And of couroe, the otandard-oetting Robert Baumler, co-chair William Bukowski, chair P\ The front-wheel drive Infinite' I 30'" a n A AUTO PLACE INFINITI 8129 MAIN ST., WILLIAMSVILLE 633-9585 East of Transit Rd., Near Eastern Hills Mall lb n i I N Ft NITI G20 42 mo./130 42 mo. lease with cash or trade equity down. (G20-5495) (130-5450). Bank fee + tax and license due at inception. 12,000 annual mileage. $.12 per mile in excess. u t u m n 1 9 9 6 © �HURWITZ & FINE, PC A T T O R N E Y S CLASS OF 1967 Donald Miller and Thomas O'Connor, co-chairs Thirty years ago we partied big time. Let's plan to do it again. It won't be the same unless you are here. We'll be in touch with all the details. CLASS OF 1982 CLASS OF 1977 NEEDS OF THE HEALTH SCIENCES COMMUNITY • Managed Care • Purchase & Sale of Practices • Business & Tax Planning CLASS OF 1987 • HCFA Safe Harbor Regulations and Physician Self-Referrals • Contracts with Private & Public Entities • Employee Relations Counseling Alan Beitler, co-chair Ten years—how time flies! Do you won­ der where everyone is, and what they are doing? Come to our reunion, catch up, and have a great time. See you there. • Fringe Benefit Programs • Representation Before Government Agencies on Audit & Business Issues Thomas Smith, co-chair Ten years is no t long enough to forget all the fun we shared. Hope to see all at the reunion. • Facility Finance and Construction • Credentialing CLASS OF 1 992 and By-Laws Paul Paterson, chair Five years—such a short time, but so much has happened. Come get together in April 1997 to catch up! + Nedra Harrison, co-chair It has been 20 years since graduation! We have a lot to share with everyone. Come, enjoy, share, and have fun! • Hospital/Medical Staff Issues Please contact Robert P. Fine or Lawrence M. Ross at 716-849-8900 Gregory Young, co-chair Twenty years have come and gone. Don't miss this chance to get together before any more slip by! Nedra and I are look­ ing forward to seeing you. Take the time to help us renew old friendships. © L A W SERVICING THE LEGAL Michael Cesar, chair "Blessed is the man that walketh not in the counsel of the ungodly, nor standethinthewayofsinners, nor sitteth in H Br the seat of the scorn• m ful. But his delight is in the law of the Lord, and in his law doth he meditate day and night." CLASS OF 1972 Murray Morphy, chair Jimi Hendrix and Janis Joplin won't be here, but we hope you will. Share life's best revenge and live well with your 25th reunion classmates next spring. A T 1300 Liberty Building Buffalo, New York B u f f a l o P h y s i c i a n A u t u m n 1 9 9 6 �Save $60 off Next Computer Purchase! UB alumnus heads medical society '66, is medical director and administra­ tor of the Millard Fillmore Surgery Cen­ ter and chair of the hospital's Depart­ ment of Anesthesiology. He served as an anesthesiologist in the Vietnam War. Elizabeth F. Maher '85 is the organization's new treasurer. An at­ tending physician at Medina Memo­ rial Hospital, she is also a clinical in­ structor in the UB Elizabeth L. Maher B ussell W. Bessette, D.D.S. '69, M.D. '76, was installed in May as the new president of the Medical Society of the County of Erie. Bessette, who is in practice with the Buffalo Medical Group, P.C., is the clinical chief of plastic surgery at Buffalo General Hospital and a clinical professor of surgery at UB. Currently serving a six-year term on the New York State Public Health Coun­ cil, he was appointed chair of the group this June. Bessette is also a past president of the UB Medical Alumni Association. Two other UB alumni were also in­ stalled into new positions with the Medi­ cal Society: Franklin Zeplowitz '58 as president-elect, and Nedra J. Harrison '77 as vice president. + Zeplowitz chairs UB fundraising organization f a l o P h y s i c Call for current pricing and availability! SURF THE NET! Create Your Own Web Page! Adobe PageMill MAC...$61 WINDOWS.... AVAILABLE THIS FALL! MODEMS F i J f Check Out Our Compaq Presario Line! • Adobe SiteMill Mac...$153 • PC Anywhere Win...$65 Win95....$73 • Netscape Navigator Mac...$55 WinAVin95..$45 Can't connect from home without one! ranklin Zeplowitz '58 is the chair of the James Piatt White Executive Committee. Founded in 1986, the James Piatt White Society is made up of donors whose annual gifts to the medical school are $1,000 or more. It is named after one of the founders of the UB medical school. + ack F. Coyne '85 began his tenure as president of the board of the Medical Alumni Association at this year's Spring Clinical Day in May. Coyne, a pediatrician at Niagara Falls Memorial Medical Center, is also a Greek Orthodox priest with a particular interest in providing medical and social services to the poor. He is medical director at Memorial Pediatrics, which provides a wide range of services for children and families. He is also the medical director of child advocacy teams in Erie and Niagara counties that in­ vestigate sexual abuse. Coyne's message to fellow alumni appears on the in­ side front cover of this is­ sue of Buffalo Physician. The Medical Alumni Association's new vice Jock F. Coyne president, Jared C. Barlow u COMPAQ. Department of Emergency Medicine. Maher chaired and mediated the May 1996 Spring Clinical Day program. + New alumni board members elected B Save 3% off advertised price on cash sales of $200 or more. Alumnus chairs radiology department INTERNAL Starting at... $79 EXTERNAL Starting at... $83 Many Brands! Supra • US Robotics • Boca Modems • Practical Peripheral • Global Village ngelo M. DelBalso, D.D.S. '72, M. D.' 78, has been appointed chair of UB's Department of Radiology. DelBaso, the author of Maxillofa­ cial Imaging, is director of radio­ logy at Erie County Medical Cen­ ter. He also holds faculty appointments at the Uniformed Services University of the Health Sciences in Bethesda, MD, and UB's School of Dental Medicine. A colonel in the U.S. Army Reserves, he is chief of radiology with the 865th U.S. Army Reserve General Hospital in Niagara Falls, NY. + WORKSHOPS Introduction to the Internet's Services...$119 Oct 15 & 16 (OR) Dec 4 & 5 Customized These private workshops are tailored to your needs. They are available and very affordable. Call 645-3560 for information! American Express Cards Welcome! Open Mon, Tues, & Fri 11am-5pm,Wed & Thurs llam-6:30pm Call for current pricing and availability. Prices subject to change without notice. UB •mM C R O A non-profit University program for students, facutty & staff The Commons » North Campus » (716) 645-3554 « Fax: 645-3884 i a n A u t u m n 1 9 9 6 ® �Elliott C Lasser, M.D, radiologist LASSER WINS DISTINGUISHED ALUMNUS AWARD FOR HIS WORK IN THE FIELD OF CONTRAST MATERIALS RESEARCH B Y J E S S I C A E A N C K E R lliott Lasser '46 didn't choose radiology. He was ordered into it. His career choice was made for him at Camp Lejeune, NC, where he was serving in the U.S. Navy after going through college and UB medical school in the accelerated military training program. "Our commanding officer, who hap­ pened to be a radiologist, had developed an anemia of some kind," Lasser re­ members. "He came to me and said, 'Lasser, from now on you're the radiolo­ gist around here.' I went to the books frantically looking up everything I needed to know." Despite this unpromising beginning, Lasser's marching orders developed into a lifelong love of radiology. During nearly 50 years of research and practice, Lasser has established the field's stan­ dard screening tests for new contrast media, learned how to identify patients at risk of severe reactions to contrast media, and determined ways to prevent the reactions. He is also the founder of an unusual set of international meetings that regularly bring together academics and representatives of rival pharmaceu­ tical companies to discuss contrast me­ dia research. Contrast Media Research '97 will be held in Kyoto, Japan. "If I really contributed anything of substance, that's probably the thing that will have the greatest impact over time," says Lasser, 73. "It's the only meeting where representatives of various com­ panies discuss their work without try­ © ing to hide everything from each other. It's contributed to the speed with which research is being carried on in this field." Lasser has served as chief of the radi­ ology departments at Roswell Park Can­ cer Institute, the University of Pitts­ burgh, and the University of California at San Diego, where he is an emeritus professor and an active researcher. "As long as I have the interest and funds I hope to keep on going," says Lasser, the winner of this year's Distin­ guished Alumnus Award from the UB Medical Alumni Association. Lasser began his formal training in radiology, after his two-year stint at Camp Lejeune was up, at the University of Minnesota, where he completed a radiology residency and earned a master's degree in radiology. He trained in neuroradiology at Serafimer Hospital in Stockholm, Swe­ den, where he learned special proce­ dures involving insertion of catheters to inject contrast media to targeted struc­ tures. Later, as chair of radiology at Roswell Park, he began investigating the causes of the occasional reactions to the contrast media, which could range from mild to fatal. "Every radiologist has had patients who experience reactions. I never had a death myself, but I was lucky," he says. "I went to the standard textbooks ex- Elliott Lasser, M.D. (right), with Medical Alumni Association president Jack Coyne, M.D., and Dr. Lasser's wife, Phyllis. Lasser was awarded the Distinguished Alumnus award in an October ceremony in Buffalo. B u f f a l o P h y s i c i a n A u t u m n 1 9 9 6 �RARANSKI AI'A'JUJUIJN "EVERY RADIOLOGIST HAS HAD PATIENTS WHO EXPERIENCE REACTIONS," LASSER SAYS. "I WENT TO THE STANDARD TEXT­ BOOKS EXPECTING TO FIND ALL THE INFOR­ MATION I NEEDED, AND TO MY SURPRISE I DIDN'T FIND ANYTHING ABOUT IT." Your advertising presents your company image to the public... and to prospective pecting to find all the information I needed, and to my surprise I didn't find anything about it." Contrast materials and patient reac­ tions became the focus of his research. He has found that patients with asthma, allergic diathesis, or certain other hy­ persensitivities are more likely to expe­ rience contrast media reactions. He has indentified at least three mediators that play a role in contrast media reactions: histamines, heparan sulfate, and bradykinin. Lasser's recent research involves nitric oxide and contrast media reac­ tions. It was Lasser who helped demon­ strate that a simple two-dose course of oral corticosteroids protects patients from reactions; the treatment is now routinely used for high-risk patients. Tests he developed are now used rou­ tinely by pharmaceutical companies evaluating new contrast media for tox­ icity. His interest in contrast media reac­ tions led to research into asthma that has suggested a possible evolutionary advantage to the condition. Lasser has B u f f a l o P h y s i c shown that a substance commonly found in asthmatics' blood, heparan sulfate, appears to protect against arteriosclero­ sis. Asthmatics also have higher blood levels of high-density lipoproteins, pro­ viding another level of protection against arteriosclerosis. "When I presented this to my own group, my colleague said, 'How can I get asthma?'" In his free time, Lasser enjoys tennis and golf. He also recently took up wood carving. He says he had never forgotten the good smell of carved wood from the summer camp he attended as a child, so with his wife, Phyllis, he took a few lessons from a friend. "I picked up a piece of wood from his wood pile, and tried it, and lo and behold, 1 wasn't as much of a klutz about it as I thought I would be." In fact, he has become pro­ ficient enough that his wife stopped doing it—she says he's too competitive about it. Lasser has no plans to give up radiol­ ogy any time soon, though. "Throughout my whole career I've been paid for something I love doing," he says. "I'm very lucky." + i a n A u t u m n 1 9 9 6 clients and customers. At Baranski Advertising, we are proud to represent some of the finest publications in Western New York, publications where your advertising message is sure to reach a quality audience. CALL US TODAY (716)645-6933 MICHAEL J. BARANSKI Marketing Representative P.S. We did this book! Q �T H E N a n d n o f Albert James Myer, the founder of the National Weather Service B Y B E R N A R D L . W l G G I N he man who developed the National Weather Service would have enjoyed the satellites and computers that it relies on today. Albert James Myer, who earned his M.D. from the University of Buffalo in 1851, was a man for innovation and advance. Myer, born September 20, 1828, spent much of his father, a Buffalo judge, died in 1857. youth in Buffalo with a straitlaced aunt who taught him He developed a military signaling system called the severe mores of a God-fearing Scottish home. "Wigwag" cross signal communications, using At the age of 14, he went to Geneva College (now flags in the day and torches at night. After the Hobart and William Smith), where hespread himself thin military adopted the Wigwag system, Myer be­ between studies, sailing, horseback riding, and faculty came a signal officer and later took charge of baiting. His interests were the sciences, languages, and the signal office. He served with valor in the mathematics, but for five years top grades eluded him. Civil War, where his signals helped summon After the University of Buffalo Medical School was founded in 1846, Myer returned to Buffalo, HE DEVELOPED A MILITARY SIGNALING SYSTEM CALLED "WIGWAG" becoming a telegraph op­ erator by night and a CROSS SIGNAL COMMUNICATIONS, USING FLAGS IN THE DAY AND TORCHES AT medical student by day. His graduate thesis, "A NIGHT. AFTER THE MILITARY ADOPTED THE WIGWAG SYSTEM, MYER BECAME A Sign Language for Deaf Mutes," showed his early SIGNAL OFFICER AND LATER TOOK CHARGE OF THE SIGNAL OFFICE. HE interest in visual commu­ nications systems. Myer suffered a physi­ SERVED WITH VALOR IN THE CIVIL WAR, WHERE HIS SIGNALS HELPED SUMMON cal breakdown after his graduation in 1851 and RELIEF TROOPS TO HELP THE UNION CAUSE IN SEVERAL TIGHT SPOTS. was ordered to have a complete rest. He soon recovered to practice medicine in Charleston, SC, and Monticello, FL. In 1854, relief troops to help the Union cause in several he received a commission as an assistant surgeon with the tight spots. U.S. Army. He was reorganizing the corps when he be­ He served at Forts Davis and Duncan in the heart of came involved with a bill authored by congress­ Apache country in Texas; married his grammar-school man and general Halbert E. Paine of Milwaukee sweetheart, Kate Walden; and became wealthy when her to create a national weather service. A Joint © B u f f a l o P h y s i c i a n A u t u m n 1 9 9 6 �T H E N A N Congressional Resolution was passed and signed into law in 1870 by President Ulysses S. Grant. To set up the new service, Myer asked for $15,000 for the first year and $25,000 for the second year. He solicited advice from scientists around the world, and expanded the Fort Whipple Signal School in Arlington, VA, to train weather observers. (Fort Whipple has since been renamed Fort Myer in his honor.) In October 1870, 25 weather observers with the rank of ser­ geant were sent on de­ tached duty to 25 loca­ tions between Boston, MA, and Omaha, NE. The reports were tele­ graphed to Washing­ ton and a selected list of reports sent back to the stations in under 90 minutes. At first, reports con­ sisted only of current weather information. Myer himself issued the first forecast on November 8, 1870, and soon hired profes­ sional forecasters. The National Weather Service be­ came a success almost overnight. Metropoli­ tan newspaperslike the New York Herald be­ gan to publish the com­ plete daily output of the weather bureau. More forecasters were hired and trained, and demand grew for such services as flood warnings and river stage reports. Under Myer, the National Weather Service began to exchange reports with Canada, and observation stations were established on Mt. Washington in New Hampshire and Pike's Peak in Colorado. Instrumented balloons were flown over the U.S. and Europe. Two polar expeditions carried observers from Myer's bureau. B u f f a l o P h y s i c i a n A u t u D N 0 W In 1873, the International Meteorological Conference in Vienna adopted Myer's idea of asking all countries to make simultaneous observations each day at 7:55 a.m., Washing­ ton time. Two years later, the first international weather bulletin was issued from Myer's office, followed in 1878 by a weather map covering the northern hemisphere. With his service attracting interna­ tional acclaim and curiosity, Myer re­ turned to Buffalo in failing health in 1880. Upon hearing of his illness, Congress pro­ moted him to briga­ dier general. Myer died Au­ gust 24 of that year in Buffalo's Palace Ho­ tel overlooking Lake Erie, surrounded by his wife and their six children and bya spe­ cial staff of medical friends. He had truly expended his life in the service of his country. + The late Bernard Wiggin worked for the National Weather Service in Buffalo from 1945 to 1965. This story is condensedfrom an article published in the December 1970 Smithsonian magazine, with the gracious permission of the author's wife, C. LeonaWiggin. In June of this year, the National Weather Service,now under the jurisdiction of the National Oceanic and Atmospheric Ad­ ministration, dedicated its new weather forecast office in Buf­ falo to Myer. It is the only weather forecast office to be dedicated to an individual. m n 1 9 9 6 1 3 5 �CLASSNOTES 9 3 O staff of the Cornwall Hospital in s and Lisa is in eighth grade. Cornwall, NY. KENNETH GOLDSTEIN '39. ELLIOTT A. SCHULMAN '74, of Williamsville, NY, retired in D A N I E L A . P I E T R O ' 7 3 , of of Wynnewood, PA, has moved 1983. He spends six months in Canton, MA, was recently named his neurology practice to Crozer- Florida and six months in medical director and vice presi­ Chester Medical Center in Williamsville each year, and he dent at Sturdy Memorial Hospi­ Chester County, PA. He is the tal in Attleboro, MA. He also director of the Center for Head­ continues to practice cardiology ache Management. He and his on a limited basis at the Harvard- wife, Bonnie, have two sons: Brockton-West Roxbury Veter­ David (10) and Andrew (9). plays tennis three times a week and golf four times a week. T H E O D O R E W . K O S S ' 4 1 , of ans Affairs Medical Center, and Smithville, TN, had a total hip is assistant professor of medi­ replacement but writes that he cine at Harvard Medical School KATHLEEN BRAICO '74, of was "up and about in no time." and Brigham and Women's Hos­ Queensbury, NY, share a pediat­ Retired, he livesa half-mile from pital. He recently celebrated his ric practicewith three other doc­ his fishing boat, Marian, and goes 25th wedding anniversary and tors and a nurse practitioner in fishing every day. 19 6 s I R V I N G S . K O L I N ' 6 5 , ofWinter Park, FL, will participate as BRAICO '74 Glens Fall, NY, at the edge of the of surgery at UB and an adjunct Terresa are at Tufts University, Adirondacks. As well as practic­ clinical associate professor at the Daniel is a junior in high school, ing general pediatrics, John is heavily New York College of Osteopathic Medicine. involved in tionwide studies of a new psy­ choactive compound to be tested ALAN in the treatment of schizophre­ Wilmington, DE, was voted by nia. He also made a presentation fellow physiciansone of the "Top J. FINK '70, of AND CALL ME IN THE MORNING! ft on "New advances in the treat­ Docs in Delaware" in neurology ment of drug dependency" at in Delaware Today magazine. the winter meeting of the Fink American OsteopathicSociety in Lippmann '70, who is in pulmo­ St. Petersburg, FL. nary medicine in Philadelphia, higher education level than was named to a "Top Docs" list any other car owner group, of Kailua-Kona, HI, writes, " I writes that Michael M I C H A E L B A R O N ' 7 1 , of 1996 and working for Kaiser Blountville, TN, is affiliated with Permanente at their Kona Clinic Midway Medical Group in as the pediatrician." Bristol. He writes, "I am con­ of East Aurora, NY, has been elected 1996-97 president of the Sisters Hospital medical staff. A surgeon specializing in breast care, Eckhert is the medical di­ hospital are trying to manage health care and not be managed by it." Iowtomid20's; leases starting at $299 per month. * According to the Insurance Institute for Highway Safety (IIHS), the Saab 9000 has the lowest fatality rate of any (FRON^ f 56J" (H«IR^ production car on the market. SOUTHTOWNS SAAB $ 3580 Southwestern Blvd JOHN Center. He has been chief of Washingtonville, NY, has been surgery at Sisters since 1988. He elected president of the medical E. K N I P P ' 7 2 , of B u f f 0w*\ fOefe/. * Saab purchase prices starting tinuing my practice of pulmo­ in an area where the doctors and yOuf * Fact: Saab owners have a nary and critical care medicine rector of the Sisters Breast Care © iryJ in Philadelphia magazine. am moving to Hawaii in August KENNETH H. ECKHERT '68. the TAKE TWO... principal investigator in two na­ DONALD J . WALDOWSKI '65, and has four children. Michael and is an assistant clinical professor 0 JOHN (1 Mile east of Rich Stadium) (716)662-8008 �CLASSNOTES neurodevelopmental evalua­ in the United Kingdom, and I as director of refractive sur­ Carolina in Charleston, SC. 1 tion of children with learning teach at both Tufts Medical gery and director of the have just begun a general ra­ disabilities. Kathy also serves School and the New England Montefiore Laser and Eye Cen­ diology practice at Heritage as the medical director of the School of Acupuncture. My ter. He previously spent more Hospital in Tarboro, NC, and Hole-in-the-Woods camp for first two books, Natural Medi­ than 12 years in Tampa, FL, at an outpatient clinic in Rocky seriously ill children in Lake cine for Heart Disease and where he served as director of Mount, NC. I am married with Luzerne, a Paul Newman Natural Medicine for Back Pain, cornea services and vice chair four children, ages 7-13." camp. She describes it as "not have just been published by of the Department of Ophthal­ unlike repeating one's resi­ Rodale Press." Emma, the old­ mology at the University of dency every summer!" est of his four children, is start­ South Florida. G L E N N S . R O T H F E L D ' 7 5 of '76, M.D. '79. of Williamsville, NY, was chosen for the ing at Columbia University this fall. Somerville, MA, is the founder LEONARD G. FELD, PH.D. B A R R Y R O S E N B E R G ' 7 8 , of American Health special issue Rocky Mount, NC, is board featuring "The Best Doctors in America: The Nation's Top and medical director of Spec­ L E W I S R . G R O D E N ' 7 7 , of certified in internal medicine trum Medical Arts of Arling­ Pleasantville, NY, has returned and practiced in West Palm M.D.'s Chosen by their Col­ ton, MA, a primary care prac­ to New York to join the full- Beach, FL, for 10 years. "I have leagues." Chief of pediatric nephrology at the Children's tice combining conventional time faculty of the Department recently made a change in and complementary medicine. of Ophthalmology, Montefiore careers, having completed a Hospital of Buffalo and a pro­ He writes, "I trained in acu­ Medical Albert radiology residency at the fessor at UB, he is a pediatric puncture in Leamington Spa Einstein College of Medicine, Medical University of South representative to the National Center, WNY's Largest Volume BMW Dealer IF BEING STARED AT MAKES YOU BLUSH, PLEASE CONSIDER YOUR CHOICE OF COLORS ACCORDINGLY. THE ULTIMATE DRIVING MACHINE.' town | R G. DOWNING Towne BMW 3030 Orchard Park Rd. Orchard Park, New York 14224 Phone: 675-2550 $29,320 With a plethora of colors to choose from, you'll want to pick a roadster that goes with the crimson hue you'll be sporting each time you take it for a spin. 1996 BMW Z3 Service Loaners Available...Minutes From Rich Stadium B u f f a l o P h y s I c I a n A u t u m n 1 9 9 6 © �CLASSNOTES Pediatric Transplant Commit­ JOHN CLAUDE KRUSZ '83, It was great seeing everyone at tee of the United Network of of Dallas, TX, is the medical the reunion. See you all again Organ Sharing. director of Nursefinders Home in 5?" Health Co. He writes that he is the only board-certified neu­ C A R L G . C O L T O N ' 8 6 , of rologist also certified in Lancaster, PA, began working pain management in the as a gastroenterologist in July north Texas area. 1995 in Lancaster. He and his wife, Mary Katherine, have Buffalo Physician has e-mail! three children: Ashley (8), '84, of Worthington, OH, Brittany (5), and Graham (2). was granted tenure at Ohio M I C H A E L T . R O S S ' 8 1 , of Detroit, MI, is developing and implementing a customer ser­ vice and communication train­ ing program for medical and State University, where he ANDREW P. GIACOBBE '86, was promoted to associ­ of Buffalo, NY, is enjoying his ate professor of neurology. third year of plastic surgery He remains director of practice in Buffalo and recently neuro-oncology. His fam­ became certified by the Ameri­ ily announces the birth of daughter Ashley Rene New­ can Board of Plastic Surgery. He and his wife, Laura, re­ ton, born onjanuary 23, 1996. cently celebrated the birth of She weighed 8 pounds, 13 their second child, Andrew ounces and was 22 inches long. Alexander. Their daughter, Cristina, is 4. Ashley's older brother, Alex, is 3. Our e-mail address support staff of the Henry Ford for dassnotes and Health System in Detroit. He continues to work in emer­ J O N W A R D N E R ' 8 5 , of Ann gency medicine. He writes, Arbor, MI, is "in busy group private practice in central New "Jacob Edward, our third PM&R practice at St. Joseph Jersey as a board-certified child, joined the family on Mercy Hospital and a clinical general surgeon. She has two March 29. We're ecstatic. instructor at the University of boys: Jonathan (5), and Vanessa, now 7, enjoys piano, Michigan Medical School. Had Nathaniel (1). She writes that a rendezvous with Jim Esser classmate Bob Halpern is an comments is bpnotes@pub.buffalo.edu Please send us the ballet, and acrobatics. Joshua, 3, loves raising Cain." latest news about ARLENE ROSE CURRY '82, your life, career, and of Brooklyn, NY, is working fulltime in the Department of L E I L A S . G R A Y S O N ' 8 7 , of Freehold, NJ, has relocated to '85 at the University of Michi­ emergency department physi­ gan/Indiana University foot­ cian at Edward Hospital in Naperville, IL. ball game in Bloomington in October 1995. He came in from Kentucky. Michigan won." PEGGY (MOREY) STAGER '88, of Cleveland Heights, OH, family. Don't forget Emergency Medicine at Saint Vincent's Hospital in New K A R I N E . C H O Y ' 8 6 , of Las to include your home York City. "My husband, Vegas, NV, writes, "I'm leav­ nounce the birth of their son, ing the chilly winds and snow­ address and the year John, and I are the proud par­ ents of Alyssa (4 1/2) and Tristan (1)." Samuel, on April 1, 1996. you earned your M.D. from UB. A L B E R T S P E A C H ' 8 2 , ofLex- ington, KY, and his wife, Terri Speach, announce the birth of Byron Nelson Speach on May 2, 1995. © HERBERT B. NEWTON B U F F falls of New England for the heat of the Desert Southwest to start up a new pediatric clinic for Kids Health Care, an outpatient center affiliated with Columbia-Sunrise Chil­ dren's Hospital in Las Vegas. Everyone come visit and play! and her husband, Richard, an­ M I T C H E L L T U B L I N ' 8 8 . and Mary C. Davitt '88, have re­ cently moved to Albany, NY, where they have joined the faculty of the Albany Medical College as assistant professors of radiology and pediatrics, �CLASSNOTES respectively. They proudly an­ nounce the birth of their sec­ DOUGLAS P. PREVOST '90, ond son, Joshua Martin, born of Snyder, NY, writes, "My April 15, 1995. wife, Anita, and I are proud to announce the birth of our P A U L A S A N D L E R ' 8 9 , of fourth child, Jack Anthony, Yonkers, NY, has started a fel­ who arrived May 8, 1996. He lowship in neurology, voiding joins his two brothers, Ryan dysfunction, and urodynamics (4) and Connor (2 1/2), and at Columbia University. Be­ his sister, Claire (17 months). fore that, she had been in pri­ It is quite a houseful!" vate urology practice in Beckley, WV, since complet­ H O W A R D L . S T O L L III ' 9 0 , ing her residency injune 1994. Vf of Charlottesville, VA, is com­ pleting a residency in radio­ H O W A R D C H A N G ' 8 9 , of San logy at the University of Vir­ Diego, CA, will be joining the ginia, and will be returning to pulmonary and critical care Buffalo to join the Southtowns medicine group at Sharp Me­ Checkpoint Foreign Car, Inc. Radiology Group. "My wife, morial Hospital in San Diego. Sales and Service TheDollar Doctor... • 487 Kenmore Avenue Buffalo, NY 14223 836-2033 Information Insights Opinions Finances Stocks & Bonds Call in Listen In Your WNY Leasing Specialist Serving WNY proudly for 33 years WWKB, 1520 Saturdays 9:05 to 10:00 am (J§)aperston I. I I S I A . I S I C : i a i . I N C . Member: American Stock Exchange, NASD, SIPC 237 MAIN STREET Tel: 854-7541 B u f f a l o P h y s i c i a n A u t u m n 1 9 9 6 © �CLASSNOTES Theresa, and I had our first resident in orthopedics at the child, Christopher Howard University of Colorado. They Stoll, on Nov. 16, 1995." add, "Neil Waldman '92 lives ROHIT "ROB" BAKSHI '91, of Buffalo, NY, writes that he is "pleased to have returned to c around the corner. He just took an ER position in Montrose, CO, and is married to Nori Garcia, D.D.S." his hometown to begin an aca­ demic practice at the Dent A N D R E W B A U E R ' 9 3 , of Neurologic Institute and the Tacoma, WA, completed his UB DepartmentofNeurology." pediatric residency at Madigan After medical school, he served Army Medical Center in an internship at Massachusetts Tacoma and is moving to General Hospital and Harvard Heidelberg, Germany. In Medical School before com­ March, he presented a poster pleting a neurology residency at the Uniformed Services Pe­ at the UCLA Medical Center. diatric Society meeting in He has recently completed an Maclean, VA. Bauer has a new MRI and CT neuroimaging daughter, Samantha, born fellowship at the Dent Insti­ Jan. 18, 1996. Marriott tute. A board-certified neu­ rologist, he will concentrate MICHAEL F. SWEENEY '93, on both clinical and research of Akron, OH, is married to interests in the areas of Liz (Zylka) and has a daugh­ neuroimaging and multiple ter, Molly Erin (1 1/2). He is sclerosis, as well as a general in the fourth year of his OB/ neurology practice. GYN residency at Akron City elebrate the From elegant parties to informal get-togethers, let the Buffalo Marriott host a celebration filled with warm fellowship and gracious hospitality. A , For Exceptional Entertaining . . . Banquet rooms accommodating 10 to 1000 "(S) Superb catering with choice of packages Expert planning assistance Hospital. MARY For Your Office Festivities . . . (CAPPUCCINO) BONAFEDE '91 and JOE BONAFEDE '91 , of Cleveland Heights, OH, announce the birth of their first child, Jo­ seph Samuel ("Sam") on Jan. 15, 1996. GAYLE(FRAZZETTA) SINGH ' 9 2 and VINEET SINGH '92. of Denver, CO, announce the birth of Vijay Rocco Murphy Singh in September 1995. They write, "Call for the story of (Vijay's) name. He spends *•'*» O B I T U A R I E S Enjoy a special holiday luncheon or dinner with Panache Restaurant's delicious steaks, seafood and pasta. G O R D O N J . H I P P E R T ' 4 5 . of For Anytime Holiday Cheer! Tucson, AZ, died May 12. He fgj Stop in The Night Club Lounge for dan< and socializing with old friends and new! served as a captain in the U.S. Book your holiday party today! Army Medical Corps before Call the Catering Office at 689-6900 Ext. 61. returning to UB for his resi­ dency in obstetrics and gyne­ Harriott. BUFFALO cology. A founding member of the American College of Ob­ stetrics and Gynecology, he 1340 Millersport Highway Amherst, NY 14221 (716) 689-6900 (800) 334-4040 FAX (716) 689-0483 was chief of staff at St. Mary's Hospital and Tucson Medical Center. most of his time eating and laughing—the apple doesn't fall far from the tree." Gayle is enjoying private practice in family medicine, and Vin is a © B u f f a l o P h y s i c i a n A u t u m n 1 9 9 6 �Our Risk Management Education Programming is always prime time. Who says there's nothing good on TV? As busy as they are, physicians and other health care providers always take the time to watch MLMIC's top-rated risk management education programs. • When they tune into high quality programming broadcast over our satellite network, viewers know whatthey see will help enhance patient safety and reduce injuries. They also appreciate the policyholder discounts available to participating physicians. • MLMIC programming is sponsored by the largest Risk Management Department of any professional liability insurer in the state. Policyholders also enjoy the protection of one of the country's largest and most experienced professional liability Claims Departments. Most importantly, MLMIC has successfully defended more physicians than all other available insurers combined. E These are some of the reasons why MLMIC is the only medical liability insurer approved by the Medical Society of the State of New York. • To find out more, call 1-000-356-4056 in Upstate New York, or 1-000-ASK-MLMIC in the New York metropolitan MLMSC area. Ask for free copies of our risk management Medical Liability 3 Mutual Insurance Company guide for office practices. • Our defense never rests. INVESTIGATE OUR NEW LOWER RATES. 2 Park Avenue New York, NY 10016 2 Clinton Square Syracuse, NY 13202 90 Merrick Avenue E. Meadow, NY 11554 ©1996 Medical Liability Mutual Insurance Company �BUFFALO PHYSICIAN Non Profit Org. STATE UNIVERSITY OF NEW YORK AT BUFFALO U.S. Postage 3435 MAIN STREET -• BUFFALO NEW YORK 14214 -- Buffalo, NY ' Permit No. 3 ADDRESS CORRECTION REQUESTED PI.ANTING A TREE UNDER WHICH YOU WILL NEVER SIT DR. DEVILLO W. HARRINGTON, class of 1871, knew how to make his money grow. In fact, this man who in 1905 provided $5,000 through his will for the University at Buffalo School of Medicine, is still supporting UB today through the endowment his bequest created. T H I S P E R M A N E N T endowment in Dr. Harrington's name has grown to over $300,000 and today it supports the famous Harrington Lecture Series, which twice a year brings distinguished scientific speakers to the School of Medicine and Biomedical Sciences. DR. HARRINGTON'S LEGACY to UB is just one of many bequests which have established permanent and important endowed funds at the school. They enable UB to provide scholarships to outstanding students, enhance scientific research, support excellence in teaching and meet the ever-changing needs of the school. You TOO can provide the School of Medicine with a measure of permanence through a bequest. Proper estate planning helps you develop a smart financial plan. A charitable bequest provides the satisfaction that comes from planting a tree under which you will never sit, but which will bear fruit for generations to come. FOR A CONFIDENTIAL consultation on making a bequest to the UB School of Medicine and Biomedical Sciences, or to receive materials to share with your attorney or estate planning advisor, please contact: STEPHEN A. EBSARY, JR. ASSISTANT DEAN AND DIRECTOR OF DEVELOPMENT, SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES UNIVERSITY AT BUFFALO UNIVERSITY AT BUFFALO (716) 829-2773 � 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. 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Title A name given to the resource Buffalo physician, Autumn 1996 Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--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 1996-Autumn Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. 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Changes in version imply substantive changes in content rather than differences in format. v30n04 Extent The size or duration of the resource. 44 p. Spatial Coverage Spatial characteristics of the resource. New York (State)--Buffalo Rights Holder A person or organization owning or managing rights over the resource. Copyright 1996 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/acfbca490d0d46a29daa4cd49fe460a7.pdf d977bd88a38ba6e93f3ba303194d32e0 PDF Text Text �_ F R O M T H E D E A N Buffalo Physician VICE PRESIDENT FOR UNIVERSITY ADVANCEMENT Jennifer McDonough ASSISTANT VICE PRESIDENT FOR NEWS SERVICES AND PERIODICALS Arthur Page Dear Alumni and Friends, EDITOR Stephanie A. Unger ART DIRECTOR & DESIGN Alan J. Kegler and David J. Riley n August I had the pleasure of speaking to the Class of 2007 at their White Coat Ceremony. This ceremony is held as a symbolic "rite of passage" to mark their first steps towards en­ tering the medical profession and emphasizes the importance of professionalism and empathy in the practice of medicine. I warned these students that part of our profession involves telling people things they don't want to hear. This is not restricted to telling a patient he or she is facing a fatal illness. We deliver far more mundane "bad news" on a daily basis. I recalled a colleague once telling me, "If you never want to see a patient again, tell them they're fat or tell them they're crazy. If you really never want to see them again, tell them they're fat and crazy!" While said in jest, this remark high­ lights how uncomfortable most physicians are about talking to patients about these issues. We don't want to embarrass an obese patient by bringing up the topic of weight loss, and as a result obesity has become a national epidemic. We don't want to upset a patient by suggesting that a referral to a psychiatrist would be helpful, so conditions such as anx­ iety and depression go untreated. Our discomfort with discussing these issues is hurting our patients and we need to address it. Money is one of those topics that can be difficult to talk about. For years, our Medical Alumni Association has prided itself in being a "friend-raiser," not a fund-raiser. We were willing to solicit donations for class gifts at reunions, but otherwise wanted to stay at arm's length from the perceived distastefulness of fund-raising. We no longer have that luxury, because our discomfort with fund-raising is compromising the growth and evolution of our school. Years ago, when my father, James A. Werick,MD '49,was chief of medicine at St. Francis Hospital, he was concerned about how little money the hospital had available for con­ tinuing education for the nursing staff. So he started a fund called "Gimme Your Dough" (I kid you not, that was really the name; subtlety was never my father's strong suit!). I once asked him if he found it embarrassing to strong-arm the medical staff (which by then included me) into making donations. Not at all, he assured me. Not only was he not embarrassed, he was proud to raise money for this worthy cause. So today it is with pride, not embarrassment, that I am asking you to invest in the future of your medical school. Calvin Coolidge counseled us, "No person was ever honor­ ed for what he received. Honor has been the reward for what he gave." A recent cartoon in The Chronicle of Philanthropy showed one gentleman earnestly telling another. "I'm always embarrassed that I'm not giving more, so I don't give anything." Many of us assume that because we don't have the funds to endow a chair or a named scholarship, that our gift is meaningless. I assure you that every dollar donated makes a measurable difference in the quality of our school. If you haven't already, you will be receiving a call from a student about making a gift to the annual fund for the School of Medicine and Biomedical Sciences. Your generosity will make a real difference and your investment will generate important and tangible returns for our students, faculty and programs. M A R G A R E T PAROskf) M D " s o , M M M Interim Dean, School of Medicine and Biomedical Sciences Interim Vice President for Health Affairs DESIGN Karen Lichner CONTRIBUTING WRITER Lois Baker PRODUCTION COORDINATOR Cynthia Todd-Flick UNIVERSITY AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES Dr. Margaret Paroski, Interim Dean EDITORIAL BOARD Dr. John Bodkin Dr. Harold Brody Dr. Linda J. Corder Dr. James Kanski Brian Neubauer,Class of 2006 Dr. Elizabeth Olmsted Ross Dr. James R. Olson Dr. Stephen Spaulding Dr. Bradley T. Truax Dr. Franklin Zeplowitz TEACHING HOSPITALS Erie County Medical Center Roswell Park Cancer Institute Veterans Affairs Western New York Healthcare System KALEIDA HEALTH: The Buffalo General Hospital The Women and Children's Hospital of Buffalo Millard Fillmore Gates Hospital Millard Fillmore Suburban Hospital CATHOLIC HEALTH SYSTEM: Mercy Health System Sisters of Charity Hospital Niagara Falls Memorial Medical Center © UNIVERSITY AT BUFFALO. THE STATE UNIVERSITY OF NEW YORK Letters to the Editor Buffalo Physician is published quarterly by the University at Buffalo School of Medicine and Biomedical Sciences in cooperation with University Communications. Letters to the Editor are welcome and can be sent c/o Buffalo Physician, 330 Crofts Hall, University at Buffalo, Buffalo, NY 14260; or via e-mail to bp-notes@buffalo.edu. Telephone: (716) 645-5000, ext. 1387. The staff reserves the right to edit all submissions for clarity and length. I University a t Bu f f alo , 9 The State University of New yotk �V O L U M E 38, N U M B E R © P H Features Remembering Samuel Sanes Professor—and cancer patient— whose teachings about physician communication skills still resonate 25 years after his death BY JACOB STEINHART, MD '45 Where Are We Today? A look at how UB medical students and residents today are being trained to be skillful communicators BY MARIA SCRIVANI Roseanne Berger. MD, senior associate dean for graduate medical education, left, and surgeons Robert Milch, MD '68, center, and James Hassett, MD, right, are leading efforts to teach communications skills to UR residents. COVER: PHOTO OF SAMUEL SANES PROVIDED BY UNIVERSITY ARCHIVES Medical: 18 UB selected by the AMA to develop professionalism curricula 19 Humanism in Medicine Award 22 "Lights, Camera, Suction," a look at the work of emergency medicine physician and photographer Elsburgh Clarke, MD '77 i isaipu Dealing, MD '43, endows dermatology chair at UB 32 2003 Stockton Kimball Award, Dean's Award 34 In Memoriam: Ellen Dickinson, Leon E. Farhi 36 UB molecular biologists discover novel way to inhibit the replication of poxvirus Development Classnotes 40 More on 45 News from Samuel Sanes and his legacy "Beyond the Classroom" 41 Annual list of endowments your UB classmates and other alumni 4R In memoriam: Harold Planker, MD '40 �E d i t o r ' s n o t e : Samuel Sanes, MD '30, was a much-loved professor of pathology and legal medicine who taught at the University at Buffalo for forty years, retiring in 1971. In the 1950s, he was coordinator of Modern Medicine, one of the first medical shows on television. He was also a moderator of the university's Summer Medical Roundtable, a talk show first on radio, then television. Sanes was dedicated to educating the public, and when he contracted cancer in 1973, he wrote a series of ten articles for Buffalo Physician on what he learned being a patient. Remembering The articles evoked strong and widespread responses from readers; by the time the fourth article was published, Sanes had received more than 100 letters from 17 states and two foreign countries. The majority of writers were physicians, colleagues and former students representing 24 areas of medicine; others included residents, spouses of physicians, nurses, members of the religious community and the public, including cancer patients and their families. Samuel Sanes P A T H O L O C S T T E A C H E R F R I E N D This year marks the 25th anniversary of Sanes's death. In the following article, Jacob Steinhart, MD '45, a former student and friend of Sanes, honors this anniversary by reviewing and commenting on the articles Sanes wrote for Buffalo Physician about his illness. In doing so, Steinhart acknowledges that, among other things, these articles played a role "in awakening our profession to the fact that medical students need to be taught communication skills while in school, rather than expecting them to learn these skills in a haphazard way through 'on-the-job-training.' He also commemorates the fact that "much progress has been made in end-of-life care over the past 25 years." — S.A.Unger I L L U S T R A T I O N S Buffalo Physician B Y M I C H A E L C E L E N A u t u m n 2 0 0 3 �n 1943,1 was a medical student in Dr. Samuel Sanes's pa­ thology class at the University of Buffalo* School of Med­ icine. I remember him so well. He was extremely popular. No one fell asleep during a session with him, as his booming voice kept us alert and eager to be prepared when called upon. Some brave souls even volunteered to give answers. If a student did not give a correct answer, however, he was never berated or left to feel bad. In the early 1970s I was invited to join the medical school's admissions committee and I sought Dr. Sanes's advice since he had been a member of the committee for many years. He generously gave me advice, which made me enthusi­ astic, and three years of interesting experiences followed. When he retired in 1971 after teaching at UB for 40 years, Dr. Sanes was looking forward to relaxation and travel. Because he was embarking on a new phase of life, he thought it advisable to have a thorough physical checkup. This he underwent, and his doctor gave him a clean bill of health except for previously detected cervical arthritis. He was ad­ vised to go ahead with the plans he had made for retirement and was not told to restrict his activities in any way. Sadly, 17 months later, in February 1973, he found a lump on his shoulder that on biopsy showed disseminated reticu­ lum cell sarcoma. He then had a complete diagnostic work­ up, from urinalysis and blood count to lymphangiograms and total body gallium scan, which confirmed the diagnosis. When I learned of Dr. Sanes's illness, I phoned him sev­ eral times to see if he would like a visit. I felt close to him not only because of these calls and the earlier advice he had given me, but also because he had sent me postcards when he traveled abroad. As his health continued to decline, he never had me over to visit. At first this left me disappointed and confused; later, I was able to understand his not wanting to be seen as his condition deteriorated. He was a very courageous man. He was a fabulous teacher. *In 1962, the University of Buffalo, a private institution founded as a medical school in 1846, merged with the State University of New York system to become University at Buffalo, The State University of New York. He was always well organized. He was a good friend and counselor. -J.S. A u t u m n 2 0 0 3 Buffalo Physician 3 �This year marks the 25th anniversary of Dr. Sanes's death. Those of us fortunate enough to be his students and his colleagues know that he not only was a talented teacher but also a gifted philosopher. This was demonstrated in a series of ten articles he published in Buffalo Physician between 1974 and 1978, titled "A Physician Faces Reticulum Cell Sar­ coma in Himself," in which he chronicles his illness. On the following pages are passages excerpted from these articles, along with brief commentaries I have added in an attempt to provide a context for Dr. Sanes's remarks where needed. It is clear to anyone reading these passages—whether 25 years ago, or today—that Dr. Sanes hoped his experiences and insights would prompt physicians and other caregivers to closely reflect on how they care for and communicate with patients who have a terminal illness. Certainly his writings had their desired effect on me, as having read them, I was—and am—more able to comfort­ ably and competently visit and talk with cancer patients. I can't help but think that Dr. Sanes's effort to publish these articles also played a role in awakening our profession to the fact that medical students need to be taught commu­ nication skills while in school, rather than expecting them to learn these skills in a haphazard way through 'on-the-job training.' As Dr. Sanes's experience demonstrated, this former way of learning left a wide and lonely gap in the care provided to some patients and, at times, put the patient in the position of having to better educate the physician. By publishing excerpts from these articles, it is my hope that we may be reminded of the fact that first and foremost Dr. Sanes was an exemplary teacher and that, through his writings, his legacy endures and is honored. Perhaps by reprinting his words here we will also be reminded of how much progress has been made in end-oflife care over the past 25 years. This, in turn, may inspire physicians practicing today to rededicate themselves to ensuring that this momentum continues. Excerpts from Buffalo Physician Part I A Physician Faces Reticulum Cell Sarcoma in Himself OMEONE ONCE SAID cancer is a lonely disease. It is especially true if its victim is a physician. No one who hasn't faced cancer in himself can truly imagine what a cancer patient is experiencing. Even those closest to the patient, who love him, can only sympathize. They can't empathize. Individual reactions toward disease and death spring from individual minds and hearts. They depend on various fac­ tors in one's personal life situation, character and personality, social and cultural background, what one knows about his disease. The cancer patient has not only a medical problem but a semantic one. The word "cancer" carries terrifying connotations accumulated over the centuries when it was practically 10Q. percent untreatable, incurable, fatal. u ffa Io Physician Autumn 2 oo3 Dr. Sanes found that the first three months following his diagnosis were the most difficult, as they were devoted largely to treatment, follow-up exami­ nations and resting at home. During this time, all of his physical problems seemed traceable to the radiation treat­ ment; for example, loss of hair, loss and perversion of sense of taste, diminu­ tion of appetite, fairly constant nausea, dry mouth, painful swallowing, weight loss, fatigue, and an episode of herpes zoster with fever. Before treatment he had no com­ plaints apparently referable to his dis­ ease, except the lumps. He was active, met social obligations and traveled. The disease and its treatment will be a monkey on a patient's back for the rest of his life. To the healthy person, even if he is no longer young, the future seems infinite. With his cancer diagnosis a curtain drops across it. Life becomes a matter of day-to-day planning. Goals are short-term ones. There is gratitude for a remission and despair over a relapse or resistance to further treatment. Many patients have to curtail social, recreational, orga­ nizational and community activities... Before taking a trip he may have to make arrangements for seeing a physician or physicians at intervals during his absence from home. To fight emotional and mental battles, Dr. Sanes formulated what he called "The Three A's": Acceptance of his disease, Adjustment to it, and �Assurance ... with the latter dependent His battle was won with time. As the cancer patient adjusts to life on the attention, notice, understanding Time, he found, was not only a with its limitations, through reason and sympathy of others. medium in which reason could neu­ and determination or as many do, tralize the potency of fears, but in itself through faith and prayer, he also adjusts When his cancer appeared, reason fail­ acted as a dilutent. His thinking and to death. No matter how self-sufficient ed to allay and dispel his fearful feeling became more positive. He de­ the patient may have been before his dis­ thoughts and he became increasingly termined to continue living and en­ ease wasdiagnosed, hecannotdo it alone. self-occupied. His fears were not so during, to make the best of life within Like most cancer sufferers, I needed much for his life as for the loss of all the limits imposed by his disease, to the assurance of others, wanted desper­ ately to be remembered by family, that made life worthwhile and enjoy­ fulfill as best he could his personal and able: useful work, multiple interests, social roles; in other words, not let the friends, professional colleagues and professional and personal relations. cancer take over all aspects of his life. co-workers. P a r t II R e s p o n s e s o f Lay P e r s o n s a n d P h y s i c i a n s to Patients with Disseminated Cancer R. SANES ATTENDED a clinic at Ros- education and practice. well Park Memorial Institute (now Ros- ... during the past one-and-a-half well Park Cancer Institute), where he years, with the exception of my immedi­ ate family, I have felt closer to no one met patients with disease similar to his. more than my fellow lymphoma patients. Forgetting the chronically ill—especially those with disseminated cancer—is easy for those who are chronically healthy. don't want to be reminded of death!" Thus the patient with disseminated Dr. Sanes further felt that physi­ cancer, who must contend with his own cians who are trained in oncology ap­ When we do respond to disease in an­ fears, is deprived by the fears of the healthy proach the patient and his family in a other person, we do so best when his illness of the assurance he needs. Unfortunately more understanding way, yet hold out is one that leads to recovery or cure after physicians in general have the same hang no false hope. five to ten days in the hospital and a brief ups about cancer that lay persons do. convalescence at home... But what of the For medical students, Dr. Sanes You might assume that as students in quoted the following words from Dr. Frances Peabody, professor of patientwhose recoveryis complicated;e.g., medical school and teaching hospitals by a stroke? ... The visitors stop coming. they should have acquired a holistic and medicine at Harvard University, who The occasional person who does drop in human approach to their patients, one died from malignant disease at age 46: enters the room reluctantly and departs as that would enable them to look at any­ quickly as possible. Few Americans re­ one with cancer as a sick person with a spond with understanding to chronic, lin­ variety of problems and needs, thoughts not just a photograph of a man sick in gering disease in other persons. and feelings. bed. It is an impressionistic painting of "What is spoken of as a 'clinical picture' is Patients with disseminated cancer [The physician] looks at patients in carry the heaviest burden. Psychologi­ terms of overcoming disease in as rapid a work, his relations, his friends, his joys, cally, I did need reassurance that I was fashion as possible, or holding it in check his sorrows, hopes and fears ... thus the still part of life. I didn't want to feel over the long run. Fie is liable to think less physician who attempts to take care of a forgotten, discarded, cut off from the about relief and almost not at all about patient while he neglects this emotional real world. comfort and consolation. factor is as unscientific as the investigator the patient surrounded by his home, his An empathetic physician can be the who neglects to control all the conditions crucial factor in preventing a family from that may affect his experiments ... Treat­ throwing away their time and money on ment of disease immediately takes its pro­ quackery ...I realize that in what I have per place in the larger problem of the care "People are cowards; they're terrified written about care and empathy for merely by the word 'cancer.' They don't chronic "incurable" patients I may have of the patient... the treatment of disease may be entirely impersonal; the care of want to see sickness or suffering. They done an injustice to today's medical the patient must be completely personal." He quoted a nurse who had years of practice with cancer patients: Buffalo Physician �P a r t III R e s p o n s e s o f P r o f e s s i o n a l C o l l e a g u e s a n d C o w o r k e r s to a Physician with Disseminated Cancer I AM NOW—18 months after diagnosis Dana Launer, MD '73, who had been of disseminated reticulum cell sarcoma diagnosed with Hodgkin's disease while and the onset of therapy—psychologi­ a second-year student. (Dana was in cally adjusted to my disease and its treat­ the last laboratory section Dr. Sanes ment. I am physically fairly comfortable taught before his retirement and, for­ and leading a satisfying active life intel­ 4. I would not overlook or minimize his tunately, his disease came under con­ lectually and socially. Yet it is good to symptoms or physical state and as­ trol and he graduated. Currently, he is hear from old friends and former stu­ sume—or pretend—that everything chair of surgery at Scripps Memorial dents, to know they are thinking of me, is the same as it was before his diag­ Hospital in La Jolla, CA. See related nosis and treatment. article on page 40; also, comments from that I am not forgotten. 5. I would guard against revealing any Based on his own experience, Dr. Sanes listed ways in which a physician should respond to a patient with dis­ seminated cancer: John Wright, MD, on page 11.) undue pessimism or offering extrava­ gant optimism on prognosis. 6. As to ways of expressing assurance, "Dr. Sanes, I heard through the med­ ical grapevine of your illness and can't I would consider the needs of the tell you what shocking news that was to patient. me. To be faced with malignancy is never 1. I would keep in touch with him, 7. As to discussions and conversations, I an easy experience, but to have this particularly during critical periods of would keep in mind some patients burden so soon after starting a 'new' life his illness. with disseminated cancer want to talk makes matters so much more difficult. 2. I would not necessarily express my openly about their disease. assurance and good wishes in the "I have felt the fear and frustration you feel now. I know very well what it is conventional way ... such as those Dr. Sanes found discussion of his for a patient with a recoverable, con­ experiences to be a catharsis. It helped Carpe Diem.' We must learn to ap­ trollable, curable disease. him accept reality and make adjust­ preciate each day and prize every oppor­ ments easier. tunity to enjoy our lives and loved ones." 3. I would determine whether he wel­ comes the opportunity to discuss his He appreciated receiving the follow­ disease and its treatment and, if so, ing note from a former student of his, like to wonder what the future will bring. discuss it with him. P a r t IV H i s R e l a t i o n s h i p w i t h O t h e r C a n c e r P a t i e n t s a n d S o m e o f t h e T h i n g s He L e a r n e d f r o m T h e m s a surgical pathologist turned lympho­ nisms of facing and coping with cancer, ma patient I came to see cancer as more about the meaning of anger, of faith and than a structural abnormality in a gross prayer, of humor and wit, of mutuality. specimen and histologic specimen. I also I must go on. I'll beat this son-of- saw it as involvement of the total hu­ man being in all the relatedness to him­ 6 a-bitch. cancer institute I have found myself a This is the anger bent on life and self, to other persons, and to the world source of information, a partner for sci­ survival. This is the anger I felt and around him ... I became keenly aware of entific discussion, a depository for con­ expressed. the changes that cancer, particularly dis­ fidences and a provider of assurance and We derive our philosophic ways of seminated cancer, brings about in inter­ personal example to other cancer pa­ coping from our upbringing, education personal relationships ... As a physician tients ... I have learned from my fellow and personal thinking and experiences. in the lymphoma-leukemia clinic of the patients'.. 7 of the fundamental mecha­ Buffalo Physician Autumn 2003 Men and women who have prided �Dr. Sanes did not turn to the super­ natural, but stated the following: patient's faith and prayer as part of the The cancer patient who believes in God as call in a qualified clergyman to assist in ity, cachexia and dehydration, urinary a loving Father, is never alone ... faith the care of the patient, particularly if the and fecal incontinence. and prayer are important coping mecha­ patient indicates an interest in religion but has no clergyman of his own. themselves on their self-sufficiency are no longer able to go it alone in the face of fear and depression, insomnia, pain, nausea and emesis, loss of weight, debil­ The wise physician will utilize a therapeutic armamentarium ... He can nisms for many cancer patients. Conclusion ANCER IS NOT a matter for levity and The empathy of flippancy. cancer patients for Cancer patients resent—even more each other can be of than healthy patients do—any indica­ real value as a coping tion that others take cancer lightly. mechanism ... A college girl composed ... an epic is an excellent coping mechanism for some New patients are "surprised" and "re­ poem, covering the whole struggle for cancer patients. It saves them from deny­ adjustment by the patient discovered to ing their predicament, from indulging in lieved" that others felt have lymphoma-leukemia: self-pity. It relieves inner tensions. It per­ helplessness, uncer­ 'Mope mits them to make other patients as well tainty and frustration Hope as themselves feel brighter and better. just as they do. Cope' Cancer patients identify with each Humor, genuinely felt and expressed, other... Part V Response of Readers by Letter t o Dr. S a m u e l S a n e s ' s S e r i e s here were many wonderful letters. The response to the series indicated that Dr. Sanes's experiences, observations and reactions struck a common note beyond anything he had anticipated. A typical letter stated, "I am glad you chose to communicate your expe­ rience to us in order to help us treat our patients with more understanding." P a r t VI, A, A C a n c e r : I t s E f f e c t s o n t h e F a m i l y o f t h e P a t i e n t r. Sanes introduced his next article, published in the winter 1976 issue of Buffalo Physician, with the following explanation: winter in Guadalajara, Mexico, I re­ families—pay more than superficial at­ my former students, who is now retired tention to the family of a cancer patient in Florida. "What did that for the present' In the autumn 1975 issue of Buffalo Physician, the Editors mentioned that experience of cancer in their immediate ceived a letter from a pathologist, one of mean?" she asked? "When are you going to resume the series?" for whom they have accepted primary responsibility? The physician who accepts a cancer pa­ tient professionally... has a dual respon­ my series of articles . . . had ended Here is my answer. sibility. Primarily he is responsible for for the present.' How often I thought do physicians— the well-being of the affected person, but A few months later, spending the healthy themselves and without the also, in a measure for that of his family. Autumn 2003 Buffalo Physician 7 �In any type and stage of cancer both Cancer in a family may be so divisive On the other hand, it may be so may need help in coping with the initial and destructive a force that it produces strengthening and unifying that it leads psychologic shock and panic induced by sufficient tension and friction to lead to to a closer, deeper and more sustaining the diagnosis. estrangement, separation and divorce. relationship than ever existed before. P a r t VI, B, Cancer: I t s E f f e c t s on t h e Family of t h e Patient OR SOME PHYSICIANS, communi­ cation with the family of the cancer patient is ... more difficult than com­ V «f5Tr'" i £ sometimes more so. Lack of proper com­ it difficult to talk frankly and sufficiently, emphatically patients and their families as total, inti­ and helpfully with the family ... mately related, interdependent human The following are a number of factors Dr. Sanes identified in an at­ tempt to explain this: as lay persons to the mental, emotional, economic and other effects of the disease, munication with the patient ... Some physicians ... find A physician who has cancer, and mem­ bers of his family, can be just as vulnerable munication intensifies that vulnerability. Some physicians may think or find beings, especially in a chronic, serious themselves too busy professionally and illness like cancer. personally to spend time communicating Conventional medical education has with patients and their families ... done little to equip the young doctor with I must be fair. knowledge how to convey the diagnosis Sometimes communication with the Even before applying for admission to of a potentially fatal disease or how to family of a cancer patient is notaproblem medical school, some individuals offer continuing emotional support which lies in the physician's personality through inborn and acquired influ­ along with physical care. ... Rather, it's a dilemma imposed upon ences develop a type of personality that Some primary care physicians relin­ the physician by the cancer patient him­ will inhibit or prevent them from re­ quish their relationship with a patient self who requests that the family not be sponding openly and confidently, un- and his family after they refer the patient informed of his disease. derstandingly and compassionately to to a center, clinic, group or specialist. Part VI, C, Communication, continued assistance and reassurance. The physician, too, benefits from free g^\ OMMUNICATION WITH a fellow pro- \- j fessional or his family in regard to cancer The patient who knows his diagnosis and open communication with the involves the same consideration as com­ and understands his disease with its family and with the patient. They will munication with a layman and his family. treatment and prognosis is better able to have more confidence in him, accept his (It) should include not only the giv­ cope and adapt to it than the patient recommendations and carry out his or­ whose physician keeps him in the dark. ders more faithfully. ing of the facts of the diagnosis and management of the disease, but help in ... and the knowledgeable, under­ (The physician) who so often feels understanding the treatment, course standing family is better equipped to defeated by medicine's failure when a and prognosis. It embraces continuing give him the day-to-day care and sup­ patient dies may find positive satisfac­ professional attention, information and port he needs. In so doing the family is, tion in continuing his relationship with referral for certain practical problems at the same time, helping to preserve its and supporting the remaining members that may arise (transportation, finan­ own well-being, stability, unity, perhaps of the family. cial assistance, etc.) and psychologic its very existence. Buffalo Physician Autumn 2003 �Part VI, D, Communication, continued E MUST CONSIDER both the giver and Patients and family welcome ancil­ receiver of information and support. lary personnel if they need and want The first is the physician—or those information and support that their members of today's medical team whom physicians cannot or will not give them. he calls in for communicating in their special fields of expertise. Ancillary personnel can smooth the ture, the primary care physician should path almost every step of the way but... The second is the family member or retain his relationship with the family, will not satisfy patients and their fam­ members who deserve, seek and need visiting the patient daily when he is in ilies when it comes to information about the hospital and continuing his visits as the medical aspect and problems of needed after the patient returns home. their disease. information and support. Even when specialists enter the pic­ Part VI, E, Communication, continued T ALL TIMES the physician should tell (The physician) at no time should ... Tell the truth as far as it is known the responsible family member or destroy hope by projecting personal feel­ from a scientific clinical basis. Beware of members the truth as far as it is known. ings, fears and liang-ups. He should not personal, emotional influences which That means during the initial workup, make unjustified predictions based on project pessimism and defeatism or false at diagnosis and throughout the entire his own lack of up-to-date knowledge optimism. Preserve hope if possible. course of the illness. and experience in oncology. Take all measurable and unidentified In his relationship with a family Hopelessness and helplessness may variables into consideration. Avoid spe­ member, or members, a physician ought disorganize family life. They can send cific chronologic predictions. Keep in not be just a scientific diagnostician and patients and families to other physi­ mind the possibility of future diagnosis therapist. He should also be an all- cians or even lead them to consult and treatment. Set up control as a more around compassionate communicator. quacks or to use scientifically unproven realistic goal than cure at a certain limit He should supply factual information, methods at a time when cancers may of oncologic knowledge and practice. educate, advise, counsel, make arrange­ still be in controllable form. ments and referrals, support the family psychologically. 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. Samuel Sanes giving his final lecture upon retirement from the medical school in 1971. Autumn 2003 Buffalo Physician �P a r t VI, F, C o m m u n i c a t i o n , c o n t i n u e d OR THIS FINAL ARTICLE, Dr. Sanes no Here are some of the reactions he can longer could write because of muscular expect from families: weakness; instead, he dictated to his wife. 1. No apparent reaction or denial 2. Pyschologic shock The WAY we tell a patient and the family is as important asWHAT, WHY, WHEN and WHERE we tell them. ... if a physician can't be all things to all people there are steps he can follow to communicate with all of his patients. 3. Tears 12. See that the family gets information, 5. Insistence on more communication, nonmedical problems that may arise a second or third opinion, referral to as a result of the patient's cancer. another physician or to a medical or 13. Give the family your phone number. cancer center, a written report. Don't 1. Establish rapport. Advise them they should feel free 2. Be available and be on time. to call. 14. Advise the family that you will stick 3. Take time. 4. Go through the formalities of intro­ duction. Be calm and poised, open but not casual, objective but not cold, with the patientand with them for the and to expand upon it. 5. Avoid interruptions. 6. Be truthful and honest within the limits of available knowledge. 7. Use simple, understandable English, not medical terminology or jargon. 8. Avoid expressing your thoughts and emotions in nonverbal form which developments, including changes in Physician is still publishing my articles, I shall write about the HOW of commu­ 17. Keep your promises to the patient and nication during the apparent terminal the family. 18. Don't get angry if asked about a new proven or unproven treatment or 9. If the patient has cancer, say the elsewhere and whether it could be applied to the patient's case. 19. Don't get angry if a friend of the family intervenes. 10. Use a printed sheet or diagram to help 20. Preserve hope, encouragement and support as far as possible. get the message across. If I live long enough, if my physical treatment and reasons for them. procedure reported in the press or explain it. A final n o t e by Dr. S a n e s reads: condition permits and if Buffalo facial expression, tone of voice, etc.). When you do give a verdict of cancer, thing that is going to happen, and exactly how and when. 16. Keep the family informed as to new may upset the patient or family (e.g., word. And specify the type of cancer. respond angrily. 6. An obsessive desire to know every­ duration of the illness and beyond. 15. Don't try to give all the information at one time. Be prepared to repeat... warm and concerned. 4. Anger or rage education, advice and counsel about 11. Listen to the questions the family member asks and then answer them to the best of your ability. episode, of course based on my wife's observations and experience. There were no more articles due to Dr. Sanes's death. One can see that just as he taught us about tissues, organs, and the human body, he was even more determined to teach us about humanity, empathy and understanding of patients and their families facing the strong possi­ bility of death from cancer. We should be forever grateful. About the Author J a c o b M. S t e i n h a r t , MD ' 4 5 . i s a clinical p r o f e s s o r e m e r i t u s of p e d i a t r i c s a t t h e University a t B u f f a l o S c h o o l o f M e d i c i n e a n d B i o m e d i c a l S c i e n c e s . F r o m 1 9 5 1 t o 1 9 9 5 , h e w a s i n p r i v a t e a nndd g r o u p p r a c t i c e in A m h e r s t . NY. d u r i n g which t i m e h e a l s o s e r v e d on t h e f a c u l t y of t h e UB m e d i c a l school. He continues to teach one morning a week in the ambulatory clinic a t Kaleida Health' Women and Children's Hospital of Buffalo, where he supervises students, residents and nurse practitioners. Buffalo Physician Autumn 2003 �r Comments from Former Students and Colleagues t~l ONE OF THE MOST MOVING presentations I ever witnessed was one in which Sam teamed up with a UB medical student who, unknown to his classmates, was being treated for Hodgkin's disease.* Since it was Friday afternoon, the class was, to put it mildly, 'restless.' He introduced the student and observed they had become close friends; then he asked what a young medical student and an older man like himself had in common. When the medical student replied, 'We both have cancer,' silence was immediate—you could hear a pin drop. Sam, as usual, had the students' rapt attention for the duration of the session and not only taught them the pathology of lymphoma but dealing with malignacy in general. He was truly a marvelous human being and a teacher extraordinaire. His former students—most of us getting a little on in years—fondly remember this outstanding mentor, educator and friend. John R.Wright. MO Professor of Pathology *Seepage 40for more about this student, Dana Launer, MD '73. . DR. SANES SPENT much of his time at Millard Fillmore with the pathology residents and the OB/GYN residents ... He was always available to those of us who wished to learn and listen to his mini-lectures at our microscope. At these moments he was no longer the lecturer but an understanding teacher. A few years later, something momentous occurred when this gentle, quiet, modest man startled us with articles about his own illness, and more importantly, how he had been received within the medical community. In his later years he grew in stature. He became a voice for reform and compassion, and for some of us, a hero. Ray G. Schiferle. MD Clinical Assistant Professor Emeritus of Medicine IT IS AN HONOR to be asked to comment on Dr. Samuel Sanes. I remember being so impressed with the series of articles he wrote in this very same [magazine]. Thankfully, I had a chance to express to him that I thought they should be required reading for everyone in family practice residency. This is hereby recommended to every doctor who takes care of patients. George Ellis, MD '45 Cornersville, Indiana THE WEEK BEFORE SAM DIED unable even to turn from one side to the other without assistance, he lay in his hospital bed in Roswell Park Memorial Institute. I sat at his side. "Anyway," he murmured, knowing what lay ahead, "I still have my children." For a moment I thought he was dreaming! "Children?" I asked. "Yes," he replied, "my students." That says it all. He loved you all. Thank you for loving him too. Mrs. Mildred Spencer Sanes Former Buffalo EveningNews medical writer l! Unabridged versions of the articles Dr. Sanes wrote for Buffalo Physician—and additional comments from former students and colleagues—can be read at www.smbs.buffalo.edu/bp. The articles are also published in a book, titled A Physician Faces Cancer in Himself. which is available at the University at Suffalo's Health Sciences Library. Autumn 2003 "J Buffalo Physician 1 �Where ARE WE Today ? Assessing communication skills 25 years later BY MARIA SCRIVANI The practice of medicine, lately dominated by high technology and rampant pharmacology, is getting a heart transplant. a return to the kinder, gentler medical art practiced before the mid- to late-20th century avalanche of information— and the more recent focus on costs—had a decidedly negative impact on the doctor-patient relationship. Such was the insight of the revered UB professor of pathology Samuel Sanes, MD '30, who, prior to his death from cancer 25 years ago, wrote a series of articles in Credit a dedicated team of professors at the University Buffalo Physician about his experience as a patient (see re­ at Buffalo School of Medicine and Biomedical Sciences for lated article on page 2). "The physician looks at patients in aiding in the development of this treatment, which focuses terms of overcoming disease in as rapid a fashion as pos­ on training medical students and residents to be better sible, or holding it in check over the long run," he wrote. communicators. Among other things, this includes edu­ "He is liable to think less about relief and almost not at all cation in ways to present bad news to patients, as well as about comfort and consolation." how to skillfully address complex issues that arise in the care of patients with terminal or life-altering illnesses. In the years since Sanes's death, an appreciation for the need to teach medical students and residents effective and "It's not just about making patients feel better; it's sensitive communication skills has only increased, accord­ about practicing better medicine," says Jack Freer, MD '75, ing to David Milling, MD '93, assistant professor of clini­ an ethicist and UB associate professor of clinical medicine cal medicine and director for the introduction to clinical who helped develop the "How to Deliver Bad News" mod­ medicine course for second-year medical students. ule in the clinical practice of medicine course at UB. "What we've come to realize is how important it is for What is being taught today in the medical school the physician to understand the impact information has classroom and on residents' rotations is "an alternative on the patient. The patient must be made to feel comfort­ approach to being cool, collected and scientific," says able asking questions and must get the answers needed," Roseanne Berger, MD, a family physician and senior explains Milling, who is also assistant dean for multi­ associate dean for graduate medieafedacation at UB. It is cultural affairs in the UB Office of Medical Education. �Giving students a global perspective is the goal, he continues. "They tend to have tunnel vision when they come in, thinking communication skills are important in delivering bad news to, say, a cancer patient. But it's teaching and training programs in the field include a psy­ chologist or a behavioral scientist on its faculty to focus on teaching students and residents about communication and doctor-patient relations," she explains. "The expan­ much more than that. In a recent rehabilitation-medicine session, for example, we had a patient speak to a portion of the class about his experience with medical care. What he remembered most was how the news that he wouldn't walk again was delivered to him." Starting about 25 years ago, three factors in health care began to push patient-physician communication skills to the foreground, according to lames Hassett, MD, UB pro­ fessor of clinical surgery and director of the medical school's surgical residency training program. "The first was the realization that we had a responsi­ bility to interact more effectively with patients who were dying," he says. "The second factor was informed consent. How can a patient give this without being well informed? "The third was malpractice—and, over the years, what we have learned is that physicians are vulnerable to this not because of what they do so much as what they say or don't say; that is, how they discuss issues with a patient and his or her family." In the past five years, two additional factors have plac­ ed further emphasis on the need to train physicians to be good communicators, says Hassett. sion of this emphasis into other specialties has been very exciting." "The first is that patients are much more knowl­ edgeable about their health condition than they used to be," he explains. "They come to their physician's office with pages from the Internet and online queries and all sorts of other information. And they're right to do so, but they have much higher expectations and have learned to ask better questions." The second new factor is that the Accreditation Council for Graduate Medical Education (ACGME) now requires that communication skills be taught to residents. "And not only are we required to teach these skills to residents," Hassett notes, "but we must also prove that we have taught them before we can graduate the residents." Berger points out that family medicine was the first area of medicine to formally recognize the importance of teaching communication skills. "Ever since the inception of family medicine as a medical specialty, it has been mandated that all STANDARDIZED PATIENT PROGRAM EXPANDED A decade ago, UB instituted the Standardized Patient Clinical Competency Program to ad­ dress concerns that third- and fourth-year students were not learning the skills necessary to forge good doctor-patient relations. Standardized pa­ tients are persons trained to portray patients in specific scenarios in order to help evaluate medical students' com­ munication skills. "It's a way of carefully looking at perfor­ mance and trying to improve it,"says Karen H. Zinnerstrom, PhD, program coordinator for training and evaluation. Since its inception, the Standardized Patient Program has expanded to include first- and second-year students, as well as residents. During their first semester, first-year students are taught how to conduct a medical interview, including how to introduce themselves, how to elicit a chief complaint, how �to do a history of personal illness, and how to take a doctors, nurses, social workers and chaplains, so they get pharmacy record, according to Zinnerstrom. to see the patient through other professional eyes. Too, The students then combine what they have been taught and practice their skills with a variety of patients; for they take part in team meetings and family conferences to get used to the idea of communicating frequently." example they are required to complete a medical interview This is not the traditional multidisciplinary model, with a teenager and a geriatric patient. During the second where the doctor is on top and "everyone else tags along semester, they also learn how to complete a medical inter­ after," emphasizes Milch. Communication in the old mod­ view with a patient involved in domestic violence. In their second year, students take the "How to Deliver el is inconsistent, infrequent and too often "through the chart," rather than face-to-face or mouth-to-ear, he says. Bad News Module" and continue developing the clinical In addition to gaining exposure to a rich hospice exam skills they were introduced to during the second experience, participants in the elective also receive train­ semester of their first year. ing in other kinds of palliative care, such as that available "Currently, we also work with residents in surgery, family medicine and psychiatry," explains Zinnerstrom. "In psychiatry, for example, how do you tell someone through Roswell Park Pain Clinic, where participants can learn firsthand about symptom management. Within the elective, there is also a strong communica­ that his or her son has schizophrenia? There are many tion skills component, and the standardized patient pro­ different forms of bad news. gram is implemented. "Because we are teaching students and residents the "The focus is on dealing with the family and psychoso­ skills required for such difficult interactions, I think they cial and spiritual issues," explains Freer, course coordina­ are a lot more comfortable than they used to be." tor for the palliative-care elective. This focus, he adds, Getting doctors-in-training to hone their communi­ must take into account the fact that "ours is a death- cations skills is sort of like "imprinting in ducks" in the denying culture, and death has meant failure to us as phy­ sense that a skill learned early on is a skill retained and sicians, as well as to the system within which we work." passed on, according to Robert Milch, MD '68, medical Given this context, communication skills taught in the director for the Center for Hospice and Palliative Care and elective include how to begin talking to a patient about UB clinical professor of surgery and family medicine. "We the possibility that there is no cure, that his or her hopes have lost the opportunity to mentor, particularly at the cannot be met, and that it is time to start thinking bedside," he observes. "More and more medical work is about hospice. being done in the office and at outpatient clinics. You don't get to see the great doctors at work anymore." Milch sees a tremendous need for physicians to return Establishing a comprehensive and patient-centered care plan is the goal under these circumstances, explains Milch. "The one thing we hammer home with residents to the old model of hands-on medical care, especially and students is that they must ask: 'What are the patient's when treating highly symptomatic or terminally ill pa­ goals of care?' Then a plan of care is much easier to tients. "Our medical capabilities have rapidly outstripped articulate. The goals might be to maximize comfort, pro­ our wisdom," he says. vide psychosocial support to stressed family members, and PALLIATIVE CARE ELECTIVE It all adds up to better medicine for the patient and, to look at the body and mind needs in an advanced illness. A t Hospice, Milch and his colleagues oversee UB's palliative-care elective, designed to give professionally, it's a lot more gratifying for the doctor." participants "a full experience" with Hospice COMMUNICATIONS SKILLS—A CORE COMPETENCY and palliative care—interdisciplinary care that addresses the multiple needs of patients with ad­ vanced illness. "They learn about our services, what we can offer, and when it is appropriate to make a Hospice refer­ ral," he explains. "They are taught about the hospice Med­ icare benefit on which all hospice care is based, regardless of whether someone is a Medicare patient or not. They spend time in the unit, and make home care visits with irst-year surgical residents at UB are required to spend a week in the palliative-care elective, learning the kind of communication skills not generally attributed to those in this technology-driven specialty. (UB is one of the first schools in the nation to require this for surgical residents.) "Communicating with a patient about routine health �concerns is one thing, but communicating about end-oflife issues is very different and hard for surgeons to do," says Hassett. "It's hard because they're accepting defeat. "Many surgeons in training also have a sort of person­ al battle with cancer or trauma," he continues. "Although they realize they aren't going to be able to help everyone all the time, it's extremely difficult because they see them­ selves in that terminally ill patient and it forces them to admit, 'Hey, I'm just as vulnerable; that could be me.' So, it's a very complex process. That's why we place such an emphasis on learning these skills, not only in the one-week elective, but also at every conference we can, every activity." Berger, who focuses on resident medical education,em­ phasizes the fact that the ACGME recently revamped its standards for residency program curricula across the coun­ try. "Communication skills have been identified as one of the core competencies physicians must acquire," she notes. "Residents, as opposed to medical students, are playing a central role in patient care. My hope is that, through our initiatives, UB medical faculty and residents will become more comfortable with not just delivering bad news, but dealing with dying patients," she continues. "Ifyour patients aren't comfortable sharing informa­ tion with you, then you do not have all the data you need to treat them effectively, nor can you assist them in making informed decisions." Hassett adds: "The most inti­ mate thing you can do to someone else is operate on them, and if a patient is going to allow you the privilege of doing that, you have to be able to talk to them about their options and about the relative risk of doing a procedure. And if, as a surgeon, you don't have the com­ munication skills to do that, it doesn't matter how much you know or how well you can perform a procedure. Sooner or later, you will have a real problem because the patient won't trust you." The most common reason resi­ dents do not complete training to­ day is their failure to communicate well, according to Hassett. "If they can't explain an issue to a patient or can't communicate well with other physicians or colleagues, then we begin to exclude them because they can't compete," he says. In an ongoing effort to teach residents how to commu­ nicate in a skillful, compassionate way, a new training tool called the National Wit Project was recently incorporat­ ed into UB's graduate medical education program at the suggestion of Milch. Wit, a film in which Emma Thompson plays a literature professor afflicted with ovarian cancer, is a wrenching por­ trayal of a dying patient who does not receive the human contact she needs from her physicians. A copy of the film is distributed to all UB medical residents, who then attend discussions facilitated by Milch and Freer. A ROAD MAP FOR DIFFICULT TERRAIN I n emergency medicine, physicians refer to the first hour of care following trauma as the "golden hour" because what happens—or doesn't happen—then determines treatment options from that point forward. For physicians working in the palliative-care setting, it could be said that the gold­ en hour for their patients is the time they are told of the �serious nature of their illness, because how this informa­ tion is presented will significantly affect the patient from that point forward. Recognizing that the communication skills needed to deliver bad news in a caring, effective way are best learned in a supervised setting rather than haphazardly on the job, medical educators at UB have integrated the teach­ ing of these crucial skills into the school's curriculum in recent years. "When you give a patient unhappy news, it's difficult. And because it's something that's hard to do well, we've tended to avoid it. As a result, it's a skill that was not taught—until now," says Freer, who five years ago as­ sisted Alan Baer, MD, associate professor of medicine, to develop the "How to Deliver Bad News" module at UB. Though the structure of the module is continually being revised and updated, the key components remain the same. In a lecture format, Freer outlines a simple, clear protocol for breaking bad news, as developed by Robert Buckman, MD, an oncologist and professor of medicine at the University of Toronto. To help students quickly grasp the fundamentals of the protocol, the mne­ monic "SPIKES" is used. "S" is for setting: arrange for privacy, close the door; both patient and doctor should be sitting down. "P" is for perceptions: find out what the patient knows. "I" is for invitation by the patient for the information: Do they want lots of detail? Is there some­ one else they'd like to be involved in the decision making? If a patient says, "Do you have my test results?"—that's an invitation to a dialogue. "K" is for knowledge, as in sharing the knowledge. "E" is for emotions, and dealing with those emotions in a direct way. The final "S" is for summarize. Following the lecture, Freer shows a video of Buckman delivering bad news to a standardized patient. The class is invited to critique the doctor's performance, according to the objective outline. "I've been doing this for about five years, and everyyear the students come up with new observations," says Freer. The didactic portion of the program is followed by a more hands-on exercise that provides students with an opportunity to meet with patients one-on-one and in larger groups. Actual cancer survivors participate in a panel discussion with the UB class. Notes Freer: "This is a wonderful opportunity for students to learn from pa­ tients. How were they told about their disease? How might it have been handled better? "In teaching clinical medicine, which is basically teaching someone how to practice medicine, there are cognitive elements—the book learning and'the memoriz­ ing—in which all the medical students do well," he con­ tinues. "They're good at that; that's how they got into medical school in the first place. "But then there are the skills like learning how to deal with actual patients. The truth is, [in this module] we're practicing on people; there's no other way to do it. "People such as cancer survivors, who have been in dire situations, sometimes have been hurt by a caregiver's inexperience. That's why we take any opportunity to give students a chance to work with these patients, as well as standardized patients, before they talk to someone who is really vulnerable. It's as if we're providing a road map for how to do these things." COMPREHENSIVE, INTEGRATED TRAINING ilch envisions a coordinated curriculum J\ /I in palliative care for all the health sciences I \/ I schools at UB, a goal that is only partially attained right now, as each of the schools has at least some involvement with the program. "We need to start at the beginning of the education process to get that interdisciplinary communication going," he stresses. "Doctors should be learning early on to work with nurses and social workers." In his articles in Buffalo Physician, the prescient Sanes warned 25 years ago of our current predicament when he commented that "... the treatment of disease may be entirely impersonal; the care of the patient must be com­ pletely personal." At UB, the problem of physicians' poor interpersonal skills has been recognized and addressed, but how is pro­ gress measured? Anecdotally, there are many reports of residents and students feeling more comfortable and test­ ing better in simulated patient settings. "In the real world, we have the instant feedback of compliments or com­ plaints from patients," notes Berger. "Hospitals are asking patients to fill out satisfaction surveys after a stay, and physician communication skills are part of that." In addition, the ACGME measures competency with tools like the "360-degree evaluation" in which residents are evaluated not only through the eyes of their attending physicians or their teachers but also through the eyes of nurses, other hospital staff, and patients, thereby provid­ ing multiple assessments of residents' skills. There also is a self-evaluation form, as well as peer-evaluation process in which residents observe and assess each other. "Residents need to become good self-assessors," says Berger. "Some of our programs have begun to use portfolios in evaluations that contain written examples �of consultations, lists of procedures performed, letters from patients, and so on." With all these efforts under way, Milch is full of hope. "It's a relief that we're finally doing something," he says. "We can identify deficits and figure out the tools we need to address them." A challenge now, Freer concludes, is to "get this new information out there, so more general internists, surgeons and neurologists who are teaching can incorpo­ rate it into their lessons and it becomes part of the med­ ical culture. "My hope," he says, "is that someday we won't need to teach these types of skills because everybody will be prac­ ticing them and learning from one another." Hospice Care in Buffalo Almost 30 years ago, an ecumenical group of physicians, nurses, clergy members and University at yospicE Buffalo faculty members began discussing a concept that started in England. They wanted to bring to BUFFALO Buffalo a hospice, a unique organization that helps to comfort, counsel and care for the terminally ill tn > pa and their families. Hospice Buffalo was born from these visionaries and celebrates its 25th anniversary of service this year. In fact, 2003 marks the silver anniversary of New York State's approval for c,n 1 9 7 8 - 2 0 0 3 hospice to become part of the state's health-care system. Hospice Buffalo began in 1978 with 20 patients. Today, it is the core program of The Center for Hospice & Palliative Care, serving more than 2,400 patients a year in homes, hospitals, nursing facilities, adult homes, and at the Hospice Mitchell Campus in Cheektowaga. —ROSEMARY COLLINS For young and old. For patients and families Hospice care touches everyone, including children with a sick mom or dad, grandparent or sibling. Wit chaplains and social workers helping out, the whole family feels better. The sooner you call, the more we can help Hospice. A plan for living. 686-8077 hospicebuffalo.com T H E C K V I t R F O R HOSPICE & PALLIATIVE CARE �M Medical Professionalism UB s e l e c t e d t o d e v e l o p c u r r i c u l a B Y The University at Buffalo School of Medicine and Biomedical Sciences is one of 10 medical schools nationwide selected by the American Medical Association (AMA) to participate in a new initiative aimed at integrating medical professionalism issues into the medical-school curriculum. L O I S B A K E R and sounding boards for uncomfortable emotions and difficult situations. "The integration we are planning com­ bines a reflective look at the art and liter­ ature of medicine with their own daily encounters on the wards and a variety of experiences that we think are key to devel­ oping professionalism," she adds. The readings, case studies and Webbased learning assignments will be based on specific study topics geared to each medical school year. The "Professional­ ical errors, the AMA noted in announcing ism" course begins with the White Coat Teaching and Evaluating Professionalism, the selections. The 10 institutions taking part Ceremony that initiates students into the or STEP. Nancy H. Nielsen, PhD, MD '76, in the initiative will develop educational medical world. First-year issues to be ad­ clinical professor of medicine and interim programs to incorporate these issues and dressed include medical codes and oaths, senior associate dean for medical educa­ others into a medical school curriculum. The initiative is called Strategies for tion, developed the UB medical school's proposal and will direct the project. health-insurance regulations, paternalism model, four-year, self-directed course in in medicine, ethical disparities in medical "We're delighted and honored to par­ professionalism. ticipate in this important undertaking," The plan involves says Nielsen. "There's nothing more criti­ Web-based and cal in the education of a physician than printed readings, developing an understanding of profes­ case studies, stan­ dardized patient sionalism." Issues of professionalism unrelated to encounters, on- specific clinical proficiencies currently are site experiences, addressed by each institution individually. and student jour­ Through the STEP project, the AMA aims nal keeping. "There to develop a set of educational tools that is a can be used by all medical educators and body of material would establish consistency across U.S. that needs to be medical education. imparted," says care and impairment in "Students need to reflect, health professionals. to experience and to inter­ studied during the sec­ act with faculty mentors years of medical school who can serve as guides and sounding boards for uncomfortable emotions and difficult situations." Nielsen, "but the Today's physicians confront increasing­ privacy and confidentiality, federal UB's contribution will be to develop a Issues that will be ond, third and fourth include cultural compe­ tence, health literacy, domestic violence, endof-life care, homelessness, human sexuality, organ donation, com­ plementary medicine, spirituality in health care, ethics of managed ly difficult ethical and professional chal­ students also need to combine earlier care and malevolent and benevolent uses lenges, given the scientific advances of knowledge with later experiences and to of medical science. modern medicine and the need to address make the concept of 'professional' mean­ Students will spend time at a refugee issues such as end-of-life care, rationing of ingful in their daily lives. Students need to shelter, clinic for the homeless, hospice, expensive medical technologies, potential reflect, to experience and to interact with conflicts of interest and disclosure of med­ JacuJty mentors who can serve as guides I 11 f I a I 1 P h y s i c i a n A u t u m n 2 0 0 3 I CONTINUED ON PAGE 21 �f 2003 Humanism Award Chester Fox, MD, clinical associate professor of family medicine, was presented with the University at Buffalo School of Medicine and Biomedical Sciences' Humanism in Medicine Award at this year's White Coat Ceremony. In addition to his teaching and practice responsibilities, Fox serves as sole physician advisor to UB medical student volunteers at the Lighthouse Free Medical Clinic. Nominations for the award are made by students in the clerkship years. In presenting the award, CharlesSeverin, PhD, MD '97, interim associate dean of medical education and admissions, read a composite of the comments made by students who nominated Fox for the award. "I can think of no more deserving individual than Dr. Fox. He not only meets but far exceeds all of the attributes this award recognizes. Before the Lighthouse Free Clinic ever opened its doors, Dr. Fox worked tirelessly to establish its foundational building blocks. He selflessly set aside countless hours when we need­ ed his guidance or that extra assurance that our dreams and our vision for this clinic were indeed obtainable. "Dr. Fox consistently demonstrates compassion and empathy and delivers the same quality of care for the less fortunate among us as he does for his regular patients at Deaconess Medical Center. With our clinic's diverse clientele we are lucky to have Dr. Fox to demonstrate the sensitivity needed to develop a trusting, caring and productive relationship with all patients. "It has been said that the most effective way to learn is by having a living example. Dr. Fox is ours." Support for the Humanism Award is provided by the Healthcare Foundation of New Jersey. < l-> —S. A. UNGER White Coat Ceremony, a "Class Profile" The sixth annual White Coat Ceremony at the University at Buffalo School of Medicine and Biomedical Sciences was held on August 15, 2003, in Slee Auditorium. During the ceremony, Charles Severin, PhD, MD '97, interim associate dean of medical education, shared the following "profile" of the Class of2007: Class Size: 135 The 2004 Spring Clinical Day and Reunion Weekend will be held April 30 to May 1 at Roswell Park Cancer Institute. Male-Female Ratio: 63 MEN, 72 WOMEN Where They Call Home: 54 FROM WESTERN NEW YORK.; IS FROM Events include the first- EXTENDED WESTERN NEW YORK; 14 FROM UPSTATE; 30 FROM DOWNSTATE; 19 FROM OUT OF STATE ever All Reunion Class Dinner at the Pierce Arrow Age: AVERAGE AGE IS 23; THE OLDEST IS 34; THE YOUNGEST, 20-, Car Museum. 12 ARE OVER 26 Academic Background: AVERAGE GPA IS 3.57; MEAN MCAT IS 9.48. ONE STUDENT HAS A PHD AND EIGHT HAVE A MASTER'S DEGREE; 109 ARE SCIENCE MAJORS AND 26 ARE NON-SCIENCE MAJORS For more information, call the medical school's Office Number of Applicants: 2,063; INTERVIEWED 464 of Alumni Affairs and Devel­ opment at (716) 829-2773; The White Coat ceremony is sponsored by the Arnold I! Gold Foundation, the University at Buffalo Medical Alumni Association, and the UB Medical School Parents Council. Autumn 2003 or email: kventi@buffalo.edu. I ii f f a I o Physician 1 �M E D I C A L S C H O O L N E W S Residents Honored Student Clinicians' Ceremony S ix University at Buffalo residents were presented the Arnold P. Gold Foundation Humanism and Ex­ cellence in Teaching Award at the Student Clinicians' Ceremony held on August 3, 2003, in Slee Audito­ rium on UB's North Campus. The ceremony was initiated last year by the School of Medicine and Biomedical Sci­ ence's Professional Conduct Committee. This year's awards were presented by Troy Pittman, Class of 2006, on behalf of Recipients were chosen by Class of 2004 based on Rating a commitment to [compassionate treatment lilies, students and col[lts selected to receive the aelow, followed by a comj by a nominating student: VID, earned a medical deveis University in BudaI in 1998, after which he served a preliminary year in surgery at UB. Currently, he holds a position in psy­ chiatry at the Medical College of Virginia. "Dr. De Luca was always approachable and eager to help and teach me. Each day he tried to show me something new, and SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES University at Buffalo The State University of New York ireil; YY?' - Left to right: Jeanette Figueroa. MD 01; George Deeb. MD: Jan Penvose-Yi, MD: John Improta. MD; Toni Ferrario, MD. assistant professor of surgery, who delivered the keynote address; and Mark De Luca. MD. anatomic pathology (1997) and anatomic/ clinical pathology (2003), the latter of which was at UB. Currently he is an oncologic surgical pathology fellow at Roswell Park Cancer Institute. In 2004, he will begin a hematopathology fellowship at the University of Wisconsin, Madison, WI. whether it was a new procedure or a new concept for me, he was the ultimate teacher. // University School of Medicine. Upon graduation, he entered residency training in psychiatry at UB. Currently, he is resi­ dent representative for the American Psy­ chiatric Association, Western New York chapter. In 2003, he received the Resident Service Award for outstanding service to the Department of Psychiatry. "Dr. Deeb is an outstanding teacher. He It was a pleasure to watch him and to learn makes an effort to gradually increase stu­ "The special thing about Dr. Improta's from his interactions. I have come to think dents' responsibilities. He creates a relaxed teaching style is that he does not just talk at of Dr. De Luca as a mentor and a friend. environment that encourages discussion and you. Rather, he draws the answers out of He has all of the qualities of knowledge, un­ questioning. He is always professional and you, which builds your confidence and keeps derstanding of disease, compassion and bed­ respectful when interacting with colleagues. you engaged. In addition to being a solid side manner that I hope to have one day." And, finally, he sets a superb example that I teacher, he demonstrates a professional hope to emulate as I enter my residency." attitude and solid ethical behavior. Dr. John Improta, MD, a native of Buffalo, NYYeafried Amedical degree at St. George's edge that medical students need to witness George Deeb, MD, graduated from Dam­ ascus University School of Medicine in Syria, in 1995. He completed residencies in Buffalo Physician Autumn 2003 Improta personifies the energy and knowl­ during their third year of medical school." �Jan Penvose-Yi, MD, a native of the City of Tonawanda, NY, graduated cum laude from Rensselaer Polytechnic Institute in 1992 with a bachelor of science degree in chemistry. She worked for several years as a medicinal chemist before returning to school to earn a medical degree at Michi­ gan State University College of Human Medicine. Currently she is a second-year resident in obstetrics/gynecology at UB. "Dr. Penvose-Yi is the type of physician that I which is home to a predominantly underserved Hispanic population. "Dr. Figueroa's most noteworthy character­ istic is her sensitivity to others. She demon­ Match Day Correction strates compassion and empathy on a daily basis, not only to her patients, but to her In the summer 2003 issue of Buffalo Phy­ colleagues and students. She is a role model sician it was incorrectly reported that of ethical behavior and cultural sensitivity. Elizabeth Bourke, Melissa Franckowiak She knows what resources are available in and Maria Podebryi-Tsur-Tsar, Class of the community so that she can provide ad­ 2003, matched for residency training in vice that is specific and helpful. She treats all anesthesiology at New York Presbyterian want to be and the kind that I want as my her patients with respect—so much so that Hospital (Cornell Campus), New York. All doctor. She treats every patient with respect, you can't imagine her giving better, more three are training in anesthesiology in the regardless of their situation. She always has sensitive care to her own family or friends. I SUNY at Buffalo Graduate Medical-Dental an encouraging word for her students and hope to someday display a similar level of Education Consortium. colleagues. When I think of an ideal phys­ patience, empathy, sensitivity and compe­ ician, Dr. Penvose-Yi comes to mind." tence in my teaching and clinical practice." Jeanette Figueroa, MD '01, a native of Buffalo, NY, graduated cum laude from UB in 1994 with a bachelor of science degree in biochemical pharmacology. She earned a medical degree from UB in 2001. Emily Tenney, MD '02, graduated from St. Lawrence University 1997, after which she earned a medical degree at UB. "From her dedicated teaching to her compas­ the answers to other questions and situations. Currently, she is a third-year resident in family medicine. Her outpatient clinic is located in Buffalo's Lower-West Side, sion and professionalism, Dr. Tenney is an Her commitment to teaching is evident in every interaction she has with her students." encouraged our desire to be active members of the team and therefore gave us the opportu­ nity to do that. She not only answered our questions, but provided the context to apply intern that any medical student or physician would love to work beside. She respected and —S.A. UNGER Medical Professionalism continued from page 18 organ procurement agency and other sites as necessary. They will meet quarterly with faculty mentors to review their progress and to evaluate their understanding of the principles of professionalism studied. Standardized patient cases, exams and essays will be used to assess students' competency. "We've already begun planning activi­ ties," Nielsen says, "and we'll join with the other schools chosen in a fall meeting. Elements of the project will be implemen­ ted with the incoming first-year class." Core faculty for the STEP program, in addition to Nielsen, are Margaret Paroski, MD '80, professor of neurology, interim vice president for health affairs and in­ terim dean of the medical school; Jack Freer, MD '75, clinical associate professor of medicine;Charles Severin, MD '97, PhD, associate professor of pathology and ana­ tomical sciences and interim associate dean for medical education; David Mill­ ing, MD '93, clinical assistant professor of medicine and assistant dean for multi­ cultural affairs; Robert Milch, MD '68, clinical assistant professor of surgery and medical director for the Center for Hos­ pice and Palliative Care, and Jack Coyne, MD '85, clinical assistant professor of pediatrics. David Block, incoming fourthyear medical student, who spent a year at the AMA Institute of Ethics before com­ ing to medical school, will serve as the core's student advisor. Also selected as STEP program par­ ticipants were medical schools at Indiana University, Loyola University Chicago, McGill University, Michigan State Uni­ versity, New York University, University of Minnesota, University of North Dakota, University of Pennsylvania and University of Texas-Houston. < ' -* Autumn 200 3 Buffalo Physician 21 ��After 25 years as an emergency medicine physician, ilsburgh Clarke, MD 77, is harmoniously in synch with an erratic and highly spontaneous line of work, the nature of which is aptly symbolized by the wide-angle lens and high-speed Kodachrome he reaches for to capture lives on film when he's not busy saving them. In addition to his demanding work as a physician, Clarke is a professional photographer who, not surprisingly, is drawn to creating tableaux that are steeped in emotion and energy, whether they be of emergency departments, NASCAR race tracks, NFL end zones or U.S. Naval Academy midshipmen. Clarke is currently medical director of emergency services at the Methodist Medical Center of Illinois in Peoria, Illinois, a 40,000-visit-per year, Level 2 trauma center. In this position, as throughout his career, he has successfully melded his dedication to medicine with his passion for photography, earning a reputa­ tion as a talented practitioner in both fields. In 1997, photographs that Clarke entered in Emergency Medicine News's annual photography contest were selected "Best Overall" by a panel of judges, one of whom stated, "The emergencyphysician [who took these] may have missed hiscalling as a photographer." Autumn 2003 Buffalo Physician �Navy vs. Georgia Tech graphy," but notes that it became more than a curiosity when he left home to attend Howard University in In 1997. this photograph Washington D.C. by Clarke was named "My father used to take pictures, and he kept a scrapbook of his college days that he would show me," "Best Overall" by the Clarke recalls. editorial board of When it was time for Clarke to depart for college, his emergency Medicine father gave him a Kodak Instamatic camera, thinking his News in its annual son might like to chronicle his own college experiences. photography contest.lt After graduating from Howard with a bachelor of science was taken at Milford degree in zoology, Clarke bought himself a 35mm Pentax Memorial Hospital in K1000 with his first American Express card. But it wasn't until he arrived at the University at Buffalo's School of Milford. Delaware, where Medicine and Biomedical Sciences in 1973 that his pas­ Clarke served as medical sion for photography started to become a force in his life. director of the Emergency Soon after arriving in Buffalo, Clarke began to take Department prior to advantage of Western New York's world-famous scenery to improve his photography skills. "I lived in Tonawanda moving to Peoria. and I used to drive up to Niagara Falls in the dead of Rather than feeling that he's missed out, Clarke prefers winter just to take pictures of the natural beauty," he to think he's been extraordinarily fortunate to have the says. "This allowed me to be outdoors, which I enjoyed." opportunity, and artistry, to fulfill his dual calling in life. I Since Clarke had no formal training in photography, Born in Westchester County and raised on Long Island, he learned by trial and error, by reading about photo­ Clarke remembers "always having'an interest in photo­ graphic processes and by talking to other photographers. �Indy Racing League,Dover Downs NASCAR. Dover Downs San Francisco 49ers vs.the Los Angeles Rams Soon after coming to UB Clarke purchas­ working with black-and-white film. Using the darkroom facilities at the LA Arts Center, Sipsey taught Clarke how ed a Nikon and started to shoot, develop and print black-and-white photo­ snapping candid pho­ graphs, which further sparked his interest in the photo- tos of his fellow classmates—between classes, at class func­ journalistic style. It didn't take long for Clarke to get per­ tions, and any time an opportunity arose—gradually mission to photograph action in the hospital's ER and to becoming a kind of unofficial documentarian of student launch an avocation that continues to the present day. life. Many of Clarke's photos from this time were publish­ Following his residency, Clarke spent 13 years as a cli­ ed in the 1977 edition of Iris, the medical school yearbook. nician and administrator in the emergency departments In particular, Clarke remembers how gratifying it was to at a number of Los Angeles-area hospitals, including 10 have taken photos of classmate Leonard Spicer, who died years at Pomona Valley Medical Center, five of which several months before graduation. were as assistant director of the emergency department. The spontaneity of photographing unposed subjects is In 1993, he moved back East to become medical what appealed to Clarke early on, he says, as did the director of the emergency department at Bayhealth- challenge of documenting the essence of a scene. "I enjoy Milford Memorial Hospital in Milford, Delaware, as well capturing moments," he observes. "Every photographer's as medical director of the Sussex County Paramedics. At dream is to capture people's moments on film because that time, the governor of Delaware also appointed him After completing his internship at the University of Committee and the EMS Oversight Council. In addition, California at Irvine, in 1978, Clarke began his residency Clarke served as chair of both the State Trauma Commit­ in emergency medicine at the LA County/University of tee and the Sussex County EMS Advisory Committee. those moments will never happen again." to the Emergency Medical Services (EMS) Improvement Southern California Medical Center. There he befriend­ While living in Delaware, Clarke continued to photo­ ed Jeff Sipsey, MD, one of the attendings on staff, who was graph hospital ERs, often collaborating with his wife, an experienced photographer with a strong interest in Patricia, also a photographer. Together they shot thou- Autumn 2003 Buffalo Physician �Firefighters, Los Angeles County Fire Department Rams' quarterback in a 1993 game against the Giants sands of emergency department photos in hospitals where Clarke worked, as well as at Bellevue Hospital and Bronx Jacobi Medical Center in New York City, and while ac­ companying paramedics at trauma scenes. In 1997, Clarke was named photo editor for the maga­ zine Emergency Physicians Monthly, a national trade mag­ azine, and in 2001, a chapter he wrote, titled "Medical Photojournalism," was published in the Handbook of Medical Photography. An accomplished essayist, Clarke also published a series of photojournalism features for the regional magazine Delaware Today between October 1999 and June of 2000. These included an article titled "On the Edge," which gave an insider's view of two hos­ pital emergency departments, including BayhealthMilford Memorial Hospital; an article, titled "Crash Course," on the NASCAR medical clinic at Dover Downs, where he'd worked as both a photographer and a physi­ cian; an article profiling three female midshipmen from Delaware who were attending the U.S. Naval Academy; and an essay about a historic black barbershop. Sports photography, another one of Clarke's special­ ties, has led to freelance assignments with several Na­ tional Football League teams, including the Philadelphia 26 Buffalo Physician Autumn 2 003 Eagles, the Miami Dol­ phins and the former Los Angeles Rams. He has also completed as­ signments for the U.S. Naval Academy foot­ ball team, NASCAR, and the 1995 United States Olympic Festi­ val Committee. Though action in the ER can at times be as fast-paced as a sport­ ing event, Clarke's approach to photographing ER scenes is somewhat different. He almost always uses black-andwhite film instead of color, which results in more dramat­ ic pictures, he says, and avoids the greenish tint so often inherent in photos taken under an ER's fluorescent light­ ing. He rarely uses a flash, preferring instead to use a faster film speed of at least 400 or higher in whichever one of his eight Nikons he's using that day. He takes lots of pictures, sometimes as many as 30 to 35 rolls of 36exposure film. (When using a motor-drive camera, as �Clarke does, and shooting 1 to 2 frames per second— compared to the 3 to 5 frames per second in sports photography—it's easy to go through a lot of film.) Looking back on some of the photos he took 20-odd years ago, Clarke notes that he has not only chronicled patients and their caregivers, but also a bit of medical history. He says it's interesting to see that some equip­ ment used at the time, such as an EKG machine, looks dated now because of rapidly changing technology. When taking photographs, Clarke says he tries to cap­ ture the intensity, emotions and feelings of his subjects. "I like to photograph the eyes," he explains. "1 like clarity; I like close-ups of a person's hands." Clarke feels that one of his most enduring medical photographs in terms of emotion and intensity is a black- says he hasn't had as much time for taking pictures as he would like due to his increased responsibilities and the emergency department's high patient volume. Still, he and his wife plan to continue working on a book that will be a series of photo essays about the daily activities of emergency medical physicians, nurses and staff. When envisioning this ambitious project, Clarke says he'd like to take advantage of his close proximity to Chicago, two hours away, to shoot some of that city's ERs. Another project he's considering is a 24-hour photo essay on Peoria. Would Clarke ever give up emergency medicine for photography? "Maybe—if I won the lottery," he says with a laugh. "But I love the ER, too," he quickly adds. "With photogra­ and-white shot he took of a surgeon holding a heart, "cradling and massaging it over the patient's open chest, literally holding life in his hands." Since moving to Peoria in November 2000, Clarke phy I get to meet people and it's an extension of what 1 do every day, which is take care of people. Ultimately, it's about capturing moments: I love people, and I love to capture their expressions. To me, that's priceless." 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We are seeking BC/BE physicians to join our prestigious Come Home to Amberleigh AMBERLEIGH CAPITAL SLSK >K CORPORATION Here's what we've got! would bring life in some citiesto a grinding halt are no A Rental Retirement Community 2330 Maple Road, Williamsville For a free brochure or personal tour, call 689-4555 roster of health care professionals. Suicide wings at the Anchor Bar Reeling in fresh fish for sizzling backyard BBQ Find out how Lifetime can fit your life by sending CV to: Physician Recruitment, Lifetime Health, 205 Park Club Lane, Buffalo, NY 14221. PH: 877-217-7465 FAX: 310-917-5062 EMAIL: lscreeney@earthlink.net Lifetime Health Autumn 2003 Crossing into Canada for an evening of fun Downhill winter adventures on snow covered mountains www.fitsyourlife.com Equal Opportunity Employer, m/f/d/v. B u f f a l o P h y s i c i a n �# NEWS ABOUT UB'S SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES AND ITS ALUMNI, FACULTY, STUDENTS AND STAFF Patnways Fischer Joins Bioinformatics Center Daniel Fischer, PhD, who coordinates the bioinfor­ matics track at Ben-Gurion University of the Negev in BeerSheva, Israel, has been named di­ rector of educa­ tional programs for the University at Buffalo Center of Excellence in FISCHER Bioinformatics. FISCHER WILL DEVELOP UB'S EDUCATIONAL PROGRAMS IN BIOINFORMATICS AT THE UNDER­ GRADUATE AND GRADUATE LEVEL, AS WELL AS CERTIFICATE PROGRAMS. BuM9I a Physiciin In addition, he will serve as a professor in the Department of Computer Science and Engineering in the UB School of Engineering and Applied Sciences. As director of educational programs for the UB Center of Excellence in Bioinfor­ matics, Fischer will develop UB's educational programs in bioinformatics at the under­ graduate and graduate level, as well as certificate pro­ grams. He will also teach and conduct research in the UB Graduate School of Education. A u t u m n 2 0 0 3 For the past five years, Fischer has been with BenGurion University, where he is a tenured senior lecturer in its Department of Computer Science. He holds a bachelor's degree in computer science from Universidad Autonoma Metropolitana in Mexico, a master's degree in computer science with honors from Technion, Israel Institute of Technology and a doctoral degree in computer science with honors from Tel Aviv University in Israel. Before joining the faculty at Ben-Gurion, Fischer was an assistant researcher in the Molecular Biology Institute at UCLA from 1995-1998. He also has worked as a CAD developing engineer with Intel in Haifa, Israel, and as a postdoctoral fellow in the Department of Mathematical Biology at the National Cancer Institute of the National Institutes of Health. —ARTHUR PAGE Kuramitsu Elected a Fellow in the AAM Howard Kuramitsu, PhD, University at Buffalo Distinguished Professor in the Depart­ ment of Oral Biology in the University at Buffalo School KURAMITSU of Dental Medicine, has been elected a fellow in the American Academy of Microbiology, an honorific leadership group within the American Society of Microbiology. One of only 1,800 scientists elected to fellowship status in the academy's almost 50-year history, Kuramitsu was recognized for his work defining virulence factors of potentially pathogenic oral biology. Kuramitsu holds a joint appointment in the Depart­ ment of Microbiology in the UB School of Medicine and Biomedical Sciences and is a member of the Center for �* Refiling Endows Dermatology Chair At his 60th Class Reunion in April, Ralph T. Behling, MD '43, announced plans to endow a $1.5 million chair in dermatology at the University at Buffalo School of Medicine and Biomedical Sciences. "Dr. Behling's generous gift will help the University at Buffalo attract nationally known faculty to the Department of Dermatology," says Margaret W. Paroski, MD '80, UB interim vice president for health affairs and interim dean of the School of Medicine and Biomedical Sciences. "Although he moved across the country years ago, he has never forgotten his roots here at UB, and for that we are grateful." A native of Buffalo, NY, Behling graduated from UB with degrees in pharmacy and medicine. His remarkable career as a dermatologist and his pioneering work with penicillin and the Pap test were highlighted in the summer 2003 issue of Buffalo Physician. The chair, which will be known as the Rita M. and Ralph T. Behling, M.D., Chair in Dermatology, in part memorializes his first wife, who died in 1998 and who also was a UB graduate. Behling says his motive for endowing the chair is to ensure that "future students enjoy the same kind of quality education I had at UB." Behling lives in San Mateo, CA, with his second wife, Eileen. Between them, they have ten children, all over age 40. —Lyn Corder, PhD, associate dean Advanced Molecular Biology and Immunology (CAMBI) at UB. He and his colleagues have found that oral bacteria can exchange genes, raising the possibility that organisms in the oral cavity can be transformed from harmless to destructive, and from antibiotic-susceptible to antibiotic-resistant. —S U E W U E T C H E R Fudyma Named Medical Director The Erie County Medical Center (ECMC) Healthcare Network Board of Managers has appoint­ ed John R. Fudyma, MD '85, to the position of medical director of the Health­ care Network. FU D Y M A Fudyma previously served as associate medical director of ECMC (2001-2002) and as a member of the ECMC board of managers (1998-2001). He is currently associate profes­ sor of clinical medicine in internal medicine (1998present) and associate program director of the Internal Medicine Residency Program A (1996-present) at the UB School of Medicine and Biomedical Sciences. Originally from Utica, NY, Fudyma obtained his under­ graduate degree in biology from Hamilton College, Clinton, NY, and his medical degree from UB in 1985. He completed his resi­ dency in internal medicine in Buffalo (1990) and a year as chief medical resident at ECMC (1991). — JO E CI R I L L O Urologic Oncology Chair Named James L. Mohler, MD, has been named chair of the Department of Urologic Oncology at Roswell Park Cancer Institute (RPCI). He comes to RPCI from the University of North Carolina (UNC), Lineberger Compre­ hensive Cancer Center, Chapel Hill, NC, where he served as associate professor of surgery, associate professor of pathology and laboratory medicine, and director of the UNC Prostate Cancer Research Program. At RPCI, Mohler will work with Robert Huben, MD, chief of clinical urology, on training programs for urologic oncology residents and fellows, as well to enhance as RPCI's translational research activities. Mohler received a medical degree from the Medical College of Georgia, Augusta, GA, and completed an internship in internal medicine at Duke University Medical Center, Durham, NC. He completed residency training in surgery and A u t u m n urology at the University of Kentucky Medical Center, Lexington, KY, and a research fellowship in urologic oncology at The Johns Hopkins University School of Medicine, Baltimore, MD. —D E B O R A H P E T T I B O N E Vision Research Funded by NIH Two researchers in the University at Buffalo School of Medicine and Biomedical Sciences have received grants from the National Institutes of Health to conduct research into the function and development of the human vision system. Malcolm M. Slaughter, PhD, professor of physiology and biophysics, has received a grant of $369,700 to study the different ways in which glycine can increase vision clarity and benefit the nervous system. A pioneer in the study of vision, Slaughter has r CONTINUED ON PAGE 31 20 03 Buffalo Physician �V A ^ PA T H W A Y S BREAST CARE CENTER OPENED I n July 2003, Kaleida Health opened its Breast Care Center on the fifth floor of the Women and Children's Hospital of Buffalo. Staffed by eight, the center includes state-of-the art mammography equipment, ultrasound, a patient resource center, and a stereotactic core biopsy suite. In addition, KENNETH ECKHERT JR LISA A. HANSEN genetic counseling and evaluation are provided for patients and families. The Breast Care Center's concept—which is to provide patients optimal diagnoses and treatment in days, instead of weeks—was developed by breast surgeon and center director Kenneth Eckhert Jr, MD '68, assistant clinical professor in the University at Buffalo School of Medicine and Biomedical Sciences. Eckhert is a founding partner of Breast Health Associates, a private practice focused on the evaluation of management of breast conditions. Prior to joining Kaleida Health in October 2002, he served as chief of surgery at the Sisters of Charity Hospital in the Catholic Health System. Lisa A. Hansen, MD '91, was recruited back to Buffalo to serve as a dedicated mammographer at the Breast Cancer Center. Following graduation from UB medical school, Hansen completed a pediatrics internship at Children's Hospital of Buffalo. She finished her residency training in radiology at the University of Toronto, followed by a breast imaging fellowship at Thomas Jefferson University in Phila­ delphia, PA. Prior to joining Kaleida, Hansen was director of the Breast Imaging Clinic at the University of Mississippi in Jackson, MS. The Genetics Division located at The Women and Children's Hospital, led by Richard W. Erbe, MD, will provide genetic counseling and evaluation for Breast Care Center patients. fr> RICHARD W. ERBE Hospital Name Change THE WOMEN AND CHILDREN'S HOSPITAL OF BUFFALO In April, Kaleida Health's Children's Hospital of Buffalo was renamed The Women and Children S Hospital of Buffalo. One impetus for the change, as reported in the KaleidaScope newsletter, was a decision by the hospital's OB/GYN group to remain at the facility, where it will play a key role in the development of new services for women in the entire Kaleida Health organization. Another reason for the change was the hospital's history of offering specialized services and facilities for women, including care for low- and high-risk pregnancies, a perinatal center, and The Breast Care Center. ""We've been caring for women for more than 85 years. The staff is very excited that the hospital is being recognized for the work we do for women," says Craig L. Anderson, MD, the hospital's chief medical officer and Kaleida Health vice president. In a parallel move, Kaleida Health is looking at the gap in women's services nationwide, asking health-care professionals, community leaders and women what services they'd like to see offered, according to Cynthia Ambres, MD, executive vice president and chief medical officer for Kaleida Health. "It's critically important for us to listen to what the community has to say as we work to develop a strategic plan for women's services throughout our system," she says. C3> 30 Buffalo P hy sic ia i A u t u m n 2 0 0 3 �such injury. His research group is studying the molecular basis of inherited retinal diseases and is focusing on developing gene-directed therapeutic approaches for these blind­ ing disorders. |CONTINUED FROM PAGE 29 published past research findings in Nature and Science, as well as in leading journals in the vision field. His research focuses on information processing in the retina; in particular, the events that occur at synapses. Shahrokh C. Khani, MD, assistant professor of ophthal­ mology and biochemistry, received a $271,703 grant to study the enzyme rhodospin (which can cause retinal disease) and the susceptibility of the retina to light-induced —SUE WUETCHER Bodkin Wins Top Research Honors A project submitted by John J. Bodkin, III, a master's candidate in physiology in the University at Buffalo School of Medicine and Bio­ medical Sciences, received injury and how to prevent second place at the annual in­ ternational meeting of the Under­ water Hy­ perbaric Medical Society held in Quebec City, Quebec. His project was titled "Prevention and Treatment of Decompression Sickness: Potentially Field-Usable Methods to Enhance Inert Gas Elimination." Bodkin, who earned a bachelor of science degree in physiology and neurobiology in 2000 at the University of Connecticut, was mentored on the project by Claes Lundgren, MD, PhD, professor of physiology and biophysics at UB and director of the university's Center for Research and Education in Special Environments. Timothy B. Curry, MD, PhD, at the Mayo Clinic in Rochester, MN, collaborated on the project. Bodkin plans to continue research in hyperbaric medicine and to pursue a doctorate in physiology. —S. A. UNGER Osteoporosis causes a spine fracture every 45 seconds KyphX Xpander® Inflatable Bone Tamp (Balloon)a new minimally invasive tool doctors are using in the treatment of spine fractures Vertebral compression fracture Through two small incisions, the doctor creates narrow pathways into the fractured bone and inserts two KyphX Xpander Balloons. The KyphX Xpander Balloons are inflated, moving the collapsed portion of the vertebra. The purpose is to restore the fractured bone to its original shape. Once the doctor has achieved the desired result, the KyphX Xpander Balloons are deflated and removed. The doctor can then finish the procedure. KV^j-KHvfc• ' UB I 1350 Bordeaux Drive Sunnyvale, CA 94089 877-459-7466 £ www.BalloonsForBones.com M' * .> ^ KyphX Xpander Inflatable Bone Tamps are intended to be used as conventional bone lamps for the reduction of fractures and/or creation 8 v0'd 'n cancellous bone in the spine, hand, tibia, radius and calcaneus. For complete information regarding precautions, method of use, warranties and limitations of liability, please reference the device Instructions for use. ©2000-2003 Kyphon Inc. All rights reserved. 16000135-02 Autumn 2003 Buffalo Physician �F)earis Award THE DEAN'S AWARD IS GIVEN IN SPECIAL RECOGNITION OF EXTRAORDINARY SERVICE TO THE SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES. This year, Interim Dean Margaret Paroski, MD '80, presented the award to Alexander C. Brownie, PhD, DSc, SUNY Distinguished Professor Emeritus, "for his phenomenal dedication to developing and rolling out the new curriculum for the preclinical years." "In addition to teaching extensively in the new curriculum, Dr. Brownie has helped collect feedback, integrate modules and revise the content of the modules," says Paroski. "He is ever present for the students and has helped soothe the anxieties— of students and faculty—regarding the new curriculum. This kind of commitment and enthusiasm is what impressed the LCME about our new curriculum." A member of the University at Buffalo faculty since 1963 and former chair of the Department of Biochemistry (1977-1989), Brownie has received many awards from the UB School of Medicine and Biomedical Sciences. These include the Louis A. and Ruth Siegel Excellence in Teaching Award (1983) and the Stockton Kimball Award (1986) for his research on control of the adrenal cortex, as well as for his outstanding teaching and service to the university. In 1993, Brownie was named SUNY Distinguished Professor, the highest rank in the State University of New York System, by the SUNY Board of Trustees. A native of Scotland, Brownie was educated at Edinburgh University. In 1996, he was elected a Fellow of the Royal Society of Edinburgh. —S. A. UNGER We practice law for those who practice health care. Phillips, Lytle understands that health care providers face unique legal challenges. HIPAA, STARK, compliance issues, DOH regulations, reimbursement, the OPMC, and let's not forget about MFCU audits. These are all hot topics that we are prepared to help you with. Experience Breadth Depth Have questions or concerns? Call or e-mail Lisa McDougall, Esq., the health care practice group coordinator, at (716) 847-5478 or lmcdougall@phillipslytle.com. P H I L L I P S , L Y T L E . H I T C H C O C K . T T O R N E B L A I N E Y 8 S est. 1834 3400 HSBC Center, Buffalo, NY 14203 (716) 847-8400 website: www.phillipslytle.com BUFFALO 32 u f f a Io Physician A u t u m n 2 0 0 3 • FREDONIA • JAMESTOWN • NEW YORK • ROCHESTER H U B E R L L P �Sforlcfori Kimball Award Stanley Schwartz, MD, PhD T he Stockton Kimball Award honors a faculty member for senior associate dean for research and academic accomplishments and worldwide recognition as an biomedical education at UB, who presented investigator and researcher. Stockton Kimball, MD '29, was him with the award. the dean of the University at Buffalo School of Medicine from "He has been recognized by his peers not 1946 to 1958, and his contributionsto the training of physicians in Buffalo only as demonstrated by his competitive fund­ spanned more than a quarter of a century. ing record, but also his selection to serve on The 2003 recipient of the Stockton Kimball Award is Stanley Schwartz, the editorial boards of several top immunol­ MD, PhD, professor of medicine, pediatrics and microbiology, and direc­ ogy journals," she added. "In hiscareer, Stan tor of the Division of Allergy, Immunology, and Rheumatology in the UB has been rewarded and honored with an NIH Department of Medicine. Research Career Development Award, the Schwartz received a doctorate in cellular biology from the University Metier Award for Outstanding Research (Memorial Sloan-Kettering of California at San Diego in 1968, and a medical degree from Albert Cancer Center), and as an American Association for the United Nations Einstein College of Medicine in 1972. He was a postdoctoral fellow at World Travel Fellow, among others." the University of California, San Diego, and later at the Albert Einstein According to Laychock, Schwartz has published well over 100 scien­ College of Medicine, where he was an American Cancer Society Postdoc­ tific articles, most recently on the subject of AIDS and immunoregulatory toral Scholar. He completed residency training at the Albert Einstein activities of HIV-1 proteins and their effects on cytokine expression. College of Medicine and continued his research training as a clinical Besides outstanding scholarship, the Stockton Kimball awardee also fellow in immunology at Memorial Sloan-Kettering Cancer Center and must demonstrate significant service to the University at Buffalo. Since Sloan-Kettering Institute for Cancer Research. joining the University at Buffalo, Schwartz has served as director of the Schwartz began his clinical academic career in 1978 at the University Division of Allergy, Immunology and Rheumatology. He has also served as of Michigan, Ann Arbor, where he rose through the ranks to become chair and facilitator for the Ad Hoc Committee on Specialist Training, on professor of pediatrics and communicable diseases and professor of the Program Directors Committee for the Graduate Medical/Dental microbiology and immunology (1983-92). He also became a charter Education Consortium of Buffalo, as a member of the Buswell Fellowship member of the University of Michigan Cancer Center. Committee, and on the professional staff of the Witebsky Center for In 1992, Schwartz joined the faculty at the University at Buffalo as professor of medicine and, subsequently was appointed professor of pediatrics and microbiology. Immunology at UB, in addition to other service activities. "Dr. Stanley Schwartz exemplifies the balance of research and clinical dedication that makes for an outstanding academic clinician and transla- Throughout his career, Schwartz has primarily focused his research tional scientist," concluded Laychock. "The Stockton Kimball Award is a on the mechanisms of immunoregulation in humans and the immuno- testament not only to the success of Dr. Schwartz as one of UB's most pathogenesis of HIV infections. talented professors of medicine but also his participation as a generous "Stan has been consistently funded by NIH grants and other grants and awards to support his research," said Suzanne Laychock, PhD, and concerned faculty member who has contributed to the betterment of our university and the School of Medicine and Biomedical Sciences." A u t u m n 2 0 0 3 Buffalo Physician �Leon E. Farhi, MD exchange and the human circulatory Born in Cairo and raised in department chair from 1982 to —Former chair of physiology system. He was instrumental in Lebanon and Italy, Farhi moved to 1991. He was promoted to the and biophysics developing new approaches for mea­ Israel in 1947 to fight for the Israeli rank of Distinguished Professor— suring cardiac output and distri­ underground. He received his medi­ the highest rank in the SUNY Leon E. Farhi, bution of respiratory gases within cal degree in 1947 from the system—in 1989. MD, SUNY the lung and tissues of the body. Universite St. Joseph in Beirut and Distinguished Farhi ran the Themis Project, a Farhi received numerous honors completed his medical training in and awards over the course of his Hadassah Hospital in Jerusalem. career, including the Stockton Professor in the Defense Department-funded study Department of that assessed the effect of different Physiology and environments on breathing. Inter­ the United States in 1952 to treat of Medicine and Biomedical Biophysics, died ested in how deep-sea diving and tuberculosis patients at Saranac Sciences, a Humboldt Fellowship on July 9, 2003, high- and low-gravity environments Lake. After serving postdoctoral fel­ and a fellowship in the American in the Cleveland Clinic while under­ affected respiration, he conducted lowships at Johns Hopkins University Institute of Medical and Biological going surgery for a heart infection. experiments for NASA with astro­ and the University of Rochester, he Engineering. He was 79. nauts on Spacelab missions, as well joined the UB faculty as an assistant as in the human centrifuge in UB's professor. Farhi rose through the 54 years, Haya; daughter, Nitza F. 1958, Farhi studied physiological Center for Research and Education ranks at UB, being promoted to full Ellis, MD '77, clinical assistant problems of human lung-gas in Special Environments. professor in 1966 and serving as professor of pediatrics in the UB A UB faculty member since A pulmonologist, he came to Kimball Award from the UB School Survivors include his wife of GENESEE HEARING SERVICES THE AUDIOLOGY CENTER 61 Wehrie Drive (Near Harlem) Amherst 14225 630 Orchard Park Rd. (Near Ridge Rd.) West Seneca 14224 837-6213 712-2000 since 1954 • Diagnostic audiometric evaluations (pediatric and adult) • Digital & programmable hearing aid fittings on 60-day trial basis • Tinnitus evaluation and therapy • Vestibular evaluation for patients with dizziness/vertigo • Vestibular therapy • State of the art facilities "The Ear is the Road to the Heart (Voltaire) " Buffalo Physician A u t u m n 2 0 0 3 Daniel Schneider, AuD Jennifer Schneider, MA Jerri Kaplan Joyce, MA �School of Medicine and Biomedical Ellen Dickinson, MD and had served the university in a neurologist there and at Millard Sciences; and son, Eli R. Farhi, MD, —Interim chair of psychiatry many capacities, including a term Fillmore, the Veteran Affairs West­ associate professor of clinical medicine, also at UB. Contributions can be made to Ellen S. Dickinson, a neurologist and psychiatrist who served as as co-chair of the medical school's ern New York Healthcare System admissions committee. and BryLin hospitals. She was chair Dickinson also was clinical of the psychiatry department at the Leon E. Farhi Memorial Fund interim chair of director of psychiatric services c/o UB Foundation and addressed the Department at Erie County Medical Center to P. Davison, Department of of Psychiatry in (ECMCI for eight years. In May having a double specialty when she Millard Fillmore from 1992 to 1995. Dickinson fulfilled her dream of Physiology and Biophysics, 124 the University at 2002, she was the first woman attended Cornell University for resi­ Sherman Hall, University at Buffalo, Buffalo School honored as Physician of the Year dency training in psychiatry in 1983. School of Medicine and Biomedical of Medicine and at ECMC's annual Springfest. Sciences, 3435 Main Street, Biomedical Sci­ Buffalo, NY 14214. —SUE WUETCHER ences, died on A native of Barker in Niagara County, Dickinson received a In May 2003, Dickinson was named a distinguished fellow of the American Psychiatric Association. July 31, 2003, in Roswell Park Can­ bachelor's degree from Ohio cer Institute after a brief illness. Wesleyan University and a medical Dorothy Wilson Dickinson, of Buf­ She was 61. A clinical assistant professor, Dickinson taught at UB since 1971 Survivors include her mother, degree from Indiana University. falo, and two brothers, James L. of She completed residency training Barker, and Robert J. of Buffalo. in neurology at ECMC and worked as —SUE WUETCHER at CANTERBURY WOODS COMMUNITY. It's a full, worry-free lifestyle for independent adults, 62 and older, offering asset protection and health care guaranteeconvenience and value you won't find anywhere else. Episcopal Church Home and Affiliates Call today for more information and a personal prospectus... Canterbury Woods • 705 Renaissance Dr., Williamsville, NY 1422 Autumn 2003 1 II f I a I o Physician �\ 1 R E S E A R C H N E W S Poxvirus REPLICATION INHIBITED Work could result in a new treatment for smallpox BY LOIS BAKER M olecular biologists at the Univer­ sity at Buffalo have discovered a novel way to inhibit the replica­ tion of poxviruses (the group that includes smallpox virus) by interfering with messenger RNA synthesis necessary for the viruses to reproduce in a host or­ ganism. The discovery, which has a patent pending, could lead to the development of drugs to treat the potentially deadly disease in the event of a bioterrorismrelated outbreak. Such drugs also would be effective against related poxviruses such as monkeypox, which recently has infected dozens of people in the U.S who came in contact with animals imported from Africa, where monkeypox is indigenous. "Any success that results in a treatment is a success for everyone," says Edward Niles, PhD, professor of microbiology and biochemistry in the University at Buffalo School of Medicine and Biomed­ ical Sciences and primary discoverer of the new anti-replication mechanism. "We need something." Work that could lead to new drugs is in the early stages, Niles notes. To date, there is no effective treatment for smallpox or other poxviruses. Small­ pox was declared eradicated in 1980 after a worldwide vaccination campaign. The U.S. and Russia maintain the only autho­ rized repositories of the virus, but virolo­ gists acknowledge that the virus may exist outside these sites. Existing vaccines that could be used to Buffalo Physician Autumn 2003 Edward Niles. PhD. professor of microbiology and biochemistry, left,and Mohamed Ragaa Mohamed. PhD. right, a postdoctoral fellow who collaborated with Niles on the poxvirus research. protect against smallpox bioterrorism have a high incidence of side effects and may not be administered to certain seg­ ments of the population, notably preg­ nant women, persons with compromised immune systems due to disease or medi­ cations, persons with a history of eczema and children under one year of age. Drugs developed using this novel ap­ proach could be stockpiled for use if an outbreak occurs, says Niles. If a new small­ pox vaccination campaign were under­ taken, such drugs also could be available to treat persons who have serious reactions to the vaccine. Niles's discovery, achieved working with vaccinia virus, exploits a peculiar as­ pect of poxvirus biochemistry: Instead of creating copies of itself in the nucleus of the infected cell like other DNA viruses do (such as the herpes virus), poxviruses rep­ licate in the cell's cytoplasm, the gel-like material surrounding the nucleus. "Since poxviruses replicate in the cyto­ plasm, they can't use the host's enzymes present in the nucleus to make viral mRNA, which is translated to synthesize viral proteins," explains Niles. "These vi­ ruses have evolved in a manner that allows them to produce their own enzymes, �which are used to express their genes and permit their replication. "This quirk in the poxvirus replication process should make it possible for scien­ tists to design drugs targeted to those unique viral enzymes without interrupting nor­ mal cellular functions," he says. Vaccinia virus is the virus strain used for immunization against smallpox. The initial interest of Niles and colleagues was to understand the basic process in the early stage of poxvirus gene expression (virus gene expression takes place in three stages: early, intermediate and late). "The early phase is unique in that for transcription (mRNA synthesis) to pro­ ceed, it requires an initiating event at a site on the DNA called a promoter," he explains. "Another signal, called a termi­ nator, is required to stop the early gene transcription. We wanted to know what that terminator signal does." To study this mechanism, the UB re­ searchers synthesized a short RNA frag­ ment, or oligonucleotide, that contained the known termination signal. They then added the fragment to a test tube transcrip­ tion reaction and measured RNA synthesis. "We expected the oligonucleotide to inhibit the termination reaction," says Niles, "but instead of stopping it, the pres­ ence of the oligonucleotide stimulated premature termination. This resulted in the synthesis of truncated RNA mole­ cules, which would be unable to direct the synthesis of normal proteins. "This termination mechanism is unique to poxviruses, and this method of inhibition of gene expression should work on all poxviruses," he continues. "If this oligonucleotide could be delivered as a drug, it would inhibit synthesis of all pox­ virus proteins early in infection and stop the virus from replicating in the host." The work is in its very early stages, Niles cautions, with many steps that must be completed before a viable drug can be developed. "We have to identify the most active compounds in vitro, test their activities on virus replication in tissue culture, and then figure out how best to deliver it in an animal model before we can even begin to test it in humans." Mohamed Ragaa Mohamed, PhD, a postdoctoral fellow working in Niles's lab­ oratory, collaborated on the research, which was funded by the National Insti­ tute of Allergies and Infectious Diseases of the National Institutes of Health. CT> An article about this work was originally published in the Journal of Biological Chemistry. An abstract can be found at JBC Online at www.jbc.org/cgi/content/ abstract/278/14/11794. A law firm that stands out..., Suburban location, extended hours and personal service. We practice law for your peace of mind. Autumn 2003 Buffalo Physician �S T C O L U M N The Electronic 1 Patient Record i^&9g Will it finally happen? his past summer, I participated in a conference that could presage a sea change in the way patient medical records are kept. The conference, "Developing a National Action Agenda forNHII (National Health Informa­ tion Infrastructure) 2003," was sponsored by the U.S. Department of Health and Human Services. It set forth what its organizers called "an initiative to improve the effectiveness and efficiency of overall quality of health and health care in the United States." Keynote speaker Secretary Tommy Thompson challenged the invited stakeholders to "develop a comprehen­ sive, knowledge-based network of interoperable systems of clinical, public health and personal health informa­ tion that would improve decision making by makinghealth information available when and where it is needed." Over the course ofthe three-day meeting, certain standards were recommended, but the program is voluntary and does not envision a centralized database of medical records or government regulation. P atient medical records are traditionally paperbased and kept by the patient's doctor or hospital. As a patient moves from one doctor or hospital to another, medical knowledge becomes fragment­ ed and no one has a clear, long-term view of the pa­ tient's progress. In an electronic era, medical data on a patient could be shared; however, all systems now in use were originated to address particular local conditions and utilize disparate hardware and software. As a result, data cannot be readily moved from one such system to another. Government concern over this problem is not new. In 1991, the Institute of Medicine recommend­ ed that "health-care professionals and organizations adopt the computer-based patient record (CPR) as the standard for medical and all other records related to patient care." Since then, much effort has been ex­ pended to realize a common model, but consensus has Autumn 2003 been elusive. The NHII initiative challenges stake­ holders in health care to come up with a "national health information infrastructure" and offers leader­ ship, as well as possible financial incentives. A point made at the conference is that health care currently spends much less on information technology than do many grocery chains. One expert warned, however, that throwing more money into conventional dataprocessing approaches would be pointless. Patient Privacy versus Public Good I fundamental tenet of medical record keeping is that patients are unlikely to disclose to their phy­ sician intimate details that are necessary for their proper medical care unless they trust the physician to keep that information confidential. Clearly, no one should have access to private health-care information without a patient's authori­ zation, and patients should be able to see their records �and correct erroneous information in them. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 tried to apply these basic privacy rules in an era of electronic communication, and at a time when the U.S. health-care market was driven by large health plans and fiercecompetition, as it is today. The original HIPAA rules were complex and have since been changed several times, reflecting the fun­ damental conflict between the need for privacy for the patient and desires of public health workers, researchers, insurers, employers and others to gain access to the patient data. Even the use of medical rec­ ords in research currently has no national standard, and local institutional review boards often retain dis­ cretionary authority to grant waivers of consent. My Interest in Medical Informatics T hroughout my professional life I have been fasci­ nated by how medical information is categorized and utilized. A particular area of interest was how diagnoses were made. When individual computers became affordable I began to develop programs for that purpose. Gradually I became aware that the diag­ nostic problem was part of a larger task. If I could organize all medical knowledge, then diagnosis would be a subtask of a universal organization. This approach became "Framemed," a computer-based framework for medical knowledge that is based on hierarchies in various domains of medicine. "Diseases" became a hierarchy, as did "Agents," "Findings," "Tests," "Pro­ cedures" and more than 20 other traditional areas in medicine. When the concept of a computer-based patient record (CPR) became popular, that task began to dominate my activities with Framemed. Fortu­ nately, I was able to interest my son, Geoffrey, who brought to the problem the newer computer skills involving Web technology with browsers and servers. The Framemed CPR I he Framemed CPR is built on the premise that the patient controls his or her own record and how its content may be used. The key is that the patient appoints a surrogate (e.g., a hospital, health mainte­ nance organization, or physician group) to maintain the CPR on its server. At each medical encounter, the patient asks the surrogate, over a secure Internet con­ nection, to download the CPR. Results of the medical encounter are appended to the CPR, and it is uploaded to the surrogate's server. The patient may empower a doctor (or other health-care professional) to read or write on the CPR. The results of all laboratory testing, procedures and consultations are returned to the CPR, where the patient can immediately see them. The patient may record his or her own findings, such as weight, blood pressure, blood glucose, accidents, etc. All encounters in the CPR are dated and signed by the initiator and may not be altered thereafter except that encounter amendments may be added. To further protect patient confidentiality, the CPR is divided into two parts: an administrative file and a medical file. The latter contains no direct identification of the patient and hence its data may be used for statistical purposes without infringing on patient confidentiality. A surrogate managing many CPRs possesses a valuable cross section of medical data. With the pa­ tients' permission, the surrogate can make aggregate medical data available to outside agencies for various uses; for example, how many in the group have asth­ ma and how many take a particular drug. The mortal­ ity and morbidity following certain procedures can be assessed. Unusual activity of a particular nature might signal an impending or even in-progress epidemic or terrorist attack. Such data could flow from the CPRs without revealing any patients' identities, hence rec­ onciling patient privacy with public good. Also, in the Framemed system, concepts in the various hierarchies (e.g., diseases, drugs, tests) are hyperlinked to corresponding knowledge records, a feature that can be utilized independently (as a medi­ cal encyclopedia) or as part of the CPR (to find out more about a concept before selecting it from a pick list in our CPR). Moving On About the Author Charles W. Bishop, PhD, is associate professor of medicine and biochemistry at the University at Buffalo School of Medicine and Biomedical Sciences and a facilitator in the problem-based learning program for first- and second-year D octors have traditionally scribbled their patients' records and retained them. The government now asks if these can be incorporated into standardized, lifetime patient records for effective and efficient patient health care. Framemed has developed the soft­ ware by which a patient can keep his or her own, professional-quality medical record. We have recently set up a secure Web site to test and improve this software. The next step is for surrogates to license our medical students. He can be e-mailed at cbishop@buffalo.edu. software and offer patients generally the ability to maintain their own medical records. Doctors and medical groups can use the same records, leading to true patient-centered medical records, as promoted by the NHII initiative. Autumn 2003 Buffalo Physician �D N Beyond the Classroom By Linda J . Corder, PhD, CFRE S IS EVIDENT BY THIS ISSUE OF BUFFALO PHYSICIAN, mother died of breast cancer when he was 11. Dana met memory of Samuel Sanes, MD '30, lives on at our school. It Sam during his first semester in medical school; in his is here that he spent innumerable hours teaching students second year, he was diagnosed with Hodgkin's disease. pathology, answering their questions and assuaging their During Dana's initial treatments, Sam visited him every frustration—and fatigue—by listening and providing re­ day in the hospital, taking a bus from Millard Fillmore sponses that elicited laughter, or at least a chuckle. Sam Hospital to Buffalo General. He tutored Dana, kept his Sanes's dedication to students extended beyond classroom spirits up and convinced him to stay in doors, however, as reflected through myriad stories of medical school. When Dana returned to former students. class and reported sitting through lectures Take Maxine Hayes, MD, '73, who returned to UB in in the middle of a ring of empty seats, Sam 2000 to deliver the Stockton Kimball Lecture. Maxine was listened. When Dana's father died of lym­ raised in the South in the 1950s. Her family was poor and phoma four months after Dana's diagnosis, "lived on the other side of the tracks"; however, they instilled Sam comforted him. He also encouraged him in her the belief that there was nothing she couldn't do if she through clinical rotations and helped to find worked for it. She was awarded a scholarship to Spelman "someone to take a chance" on him for resi­ College in Atlanta and had an opportunity to study abroad dency training. in 1968. That year, Martin Luther King, Jr, and Robert Shortly before Dana began his residency, Sam was diag­ Kennedy were assassinated, protests against the Vietnam nosed with cancer, which subsequently claimed his life in War were at their height and demonstrators called for changes 1978. Suddenly the tables were turned and Dana became the throughout society. As a result, leaders in higher education teacher, encouraging Sam through rounds of chemotherapy began to reconsider admissions policies. In 1969, UB sent and radiation similar to what he had experienced. During recruiters to Atlanta who met with Maxine and offered her a his residency, Dana couldn't visit Sam often, but he wrote place in its medical school and a scholarship. to him regularly. During her time in Buffalo, Maxine, who is African American, had difficulty finding a place to live. However, Later, Dana moved to California. Currently, he is chief of surgery at Scripps Memorial Hospital in La Jolla. she was mentored and encouraged by Sam Sanes and his For both Maxine and Dana, Sam's friendship made all wife, Mildred, who frequently invited her to their home. the difference in their lives. Today they each remain friends They applauded her residencies at Vanderbilt University with Mildred while carrying the memory of Sam—an ex­ and Children's Hospital Medical Center in Boston, her traordinary teacher and a true gentleman—in their hearts. completion of a master's degree in public health at Harvard A decade after Sam's death, his sister, Thelma, estab­ University and her establishment of a family health clinic in lished a scholarship in her name and the name of their Mississippi (which recentlycelebrated its 25th anniversary). brother, Harold. Neither Harold nor Thelma went to col­ Today, Maxine serves as the Washington State Health lege, and Sam had to work his way through. This was the Officer, working closely with the medical community, local reason Thelma gave for wanting to help others at health departments and community groups to provide the "Sam's medical school."CO public the latest scientific information on how to become and stay healthy. Lyn Corder, PhD, is associate dean in the Office of Develop­ Or ask Dana P. Launer, MD, '73, who was raised in New York City by his father and future mother-in-law after his 40 Buffalo Physician Autumn 2003 ment and Alumni Affairs. She can be contacted via e-mail at ljcorder@buffalo.edu; or by phone at 1-877-826-3246. �Endowments ofJ the School AND BIOMEDICAL SCIENCES Endowments, especially for scholarships, are vital to the future of this school. A list of all of the school's current endowments—as well as those for the Health Sciences Library—follows. Those with an asterisk (* ) were initiated during the past fiscal year. Those in bold print had one or more additional gifts during this timeframe. New endowments that were funded or partially funded have both an asterisk and appear in bold. Read through the list. Thank your friends, colleagues, classmates who have initiated endowments or those you know who are helping to build funds, such as the Medical Alumni Endowed Scholarship Fund, through annual gifts. Please consider the school's endowment program in your philanthropic plans, either by adding to an existing fund or by setting up a new one. As always, your friends in the Office of Alumni Affairs and Development will answer any questions you might have. School of Medicine and Biomedical Sciences PAUL K. BIRTCH, M.D., FUND H.W. ABRAHAMER MEMORIAL SCHOLARSHIP MARVIN A. AND LILLIAN BLOCK FUND SIDNEY ADDLEMAN MEMORIAL WILLARD H. BOARDMAN, M.D., AND JEAN BOARDMAN FUND DR. GEORGE J. ALKER FUND FOR NEURORADIOLOGY DR. SOLOMON G. BOOKE AND ROSE YASGUR BOOKE FUND THEODORE M. & BESSIE G. ALPERT SCHOOL OF MEDICINE SCHOLARSHIP JAMES H. BORRELL UROLOGY FUND ALPHA OMEGA ALPHA ENDOWMENT ANNE AND HAROLD BRODY ANATOMY LECTURE FUND ALPHA OMEGA ALPHA LIBRARY FUND CLAYTON MILO BROWN MEMORIAL AMERICAN ACADEMY OF FAMILY PHYSICIANS PRESIDENT'S AWARD BUKOWSKI FAMILY ENDOWMENT* ANATOMICAL SCIENCES LIBRARY FUND GEORGE N. BURWELL FUND ANESTHESIOLOGY DEPARTMENT ENDOWMENT DR. WINFIELD L. BUTSCH MEMORIAL LECTURE IN CLINICAL SURGERY ANNUAL PARTICIPATING FUND FOR MEDICAL EDUCATION VINCENT CAPRARO LECTURESHIP FUND—CLASS OF 1945 BACCELLI MEDICAL CLUB AWARD DR. CHARLES F. CARY MEMORIAL FUND L. B. BADGERO MEDICAL SCHOOL FUND DR. AND MRS. JOSEPH A. CHAZAN MEDICAL SCHOLARSHIP VIRGINIA BARNES ENDOWMENT CLINICAL PREVENTATIVE MEDICINE FELLOWSHIP DR. WALTER S. BARNES MEDICAL SCHOOL FUND ALMON H. COOKE SCHOLARSHIP DR. WALTER S. BARNES MEMORIAL SCHOLARSHIP FUND PATRICK BRYANT COSTELLO MEMORIAL DR. ALLEN BARNETT FELLOWSHIP IN PHARMACOLOGY CTG ONCOLOGY FUND DR. CHARLES A. BAUDA AWARD IN FAMILY MEDICINE JAMES H. CUMMINGS SCHOLARSHIP THOMAS R. BEAM, JR MEMORIAL FUND EDWARD L. CURVISH, M.D., AWARD IN BIOCHEMISTRY GILBERT M. BECK MEMORIAL FUND ALFRED H. DOBRAK, M.D., RADIOLOGY LECTURE FUND RITA M. AND RALPH T.BEHLING.M.D., CHAIR IN DERMATOLOGY* ALFRED H. DOBRAK, M.D., RADIATION RESEARCH FUND DR. ROBERT A. BENNINGER FUND IN ORTHOPEDICS MAX DOUBRAVA, JR SCHOLARSHIP FUND ROBERT S. BERKSON MEMORIAL AWARD IN THE ART OF MEDICINE THE ELIZABETH MEDICAL AWARD BERNHOFT FUND FOR THE NEUROANATOMY MUSEUM DR. ROBERT M. ELLIOT SCHOLARSHIP ERNST BEUTNER SKIN IMMUNOPATHOLOGY AWARD GEORGE M. ELLIS, JR, M.D. ENDOWMENT FUND FOR MEDICINE LOUIS J. BEYER SCHOLARSHIP ELEANOR FITZGERALD FAIRBAIRN SCHOLARSHIP Autumn 2003 II u f f a I 0 P h y s i c i a 1 41 �I I j I EXPERIMENTAL NEUROLOGY FUND HILLIARD JASON AND JANE WESTBERG FUND FOR EDUCATIONAL INNOVATION FAMILY MEDICINE ENDOWMENT JAMES N. JOHNSTON SCHOLARSHIP FAMILY MEDICINE RESEARCH FUND* C. SUMNER JONES LIBRARY FUND FEYLER FUND FOR RESEARCH IN HODGKIN'S DISEASE HARRY E. AND LORETTA A. JORDON FUND DR. GRANT T. FISHER FUND FOR MICROBIOLOGY H. CALVIN KERCHEVAL MEMORIAL FUND L. WALTER FIX, M.D., '42 '43, ENDOWED SCHOLARSHIP FUND DEAN STOCKTON KIMBALL MEMORIAL AWARD EDWARD FOGAN MEMORIAL LECTURE/PRIZE FUND DEAN STOCKTON KIMBALL MEMORIAL SCHOLARSHIP FORD FOUNDATION FUND FOR MEDICAL EDUCATION DR. JAMES E. KING POSTGRADUATE FUND THOMAS FRAWLEY, M.D., RESIDENCY RESEARCH FELLOWSHIP FUND MORRIS LAMER AND DR. ROBERT BERNOT SCHOLARSHIP FUND FOR CELEBRATING PHILANTHROPY DR. CHARLES ALFRED LEE SCHOLARSHIP MARCOS GALLEGO, M.D., CLINICAL EXCELLENCE AWARD FUND DR. HEINRICH LEONHARDT PRIZE RONALD GARVEY, M.D., STUDENT LIFE ENRICHMENT FUND DR. GARRA K. LESTER STUDENT LOAN JAMES A. GIBSON ANATOMICAL PRIZE LLOYD LEVE FUND LAWRENCE AND NANCY GOLDEN LECTURESHIP IN MIND-BODY MEDICINE THE LIEBERMAN AWARD WALTER S. GOODALE SCHOLARSHIP HANS J. LOWENSTEIN AWARD IRENE PINNEY GOODWIN SCHOLARSHIP LUPUS SCHOLARSHIP FUND A. CONGER GOODYEAR PROFESSORSHIP OF PEDIATRICS WILLIAM E. MABIE, D.D.S., AND GRACE S. MABIE FUND GEORGE GORHAM FUND MILFORD C. MALONEY AND DIONE E. MALONEY SCHOLARSHIP FUND* DR. BERNHARDT S. AND DR. SOPHIE B. GOTTLIEB AWARD DR. WILLIAM H. MANSPERGER FUND ADELE M. GOTTSCHALK SCHOLARSHIP FUND MEDICAL ALUMNI ASSOCIATION LIFE MEMBERSHIP FUND* CARL V. GRANGER, M.D., ENDOWMENT MEDICAL ALUMNI ENDOWED SCHOLARSHIP DR. PASQUALE A. GRECO LOAN FUND MEDICAL SCHOOL CLASS OF 1957 SCHOLARSHIP GLEN E. AND PHYLLIS K. GRESHAM FUND FOR CLINICAL RESEARCH MEDICAL SCHOOL CLASS OF 1958 SCHOLARSHIP GLEN E. GRESHAM, M.D., VISITING PROFESSORSHIP MEDICAL SCHOOL CLASS OF 1963 SCHOLARSHIP ADELAIDE AND BRENDAN GRISWOLD SCHOLARSHIP MEDICAL SCHOOL CLASS OF 1973 SCHOLARSHIP DR. THOMAS J. AND BARBARA L. GUTTUSO SCHOLARSHIP & AWARD MEDICAL SCHOOL PROFESSORSHIP FUND GYNECOLOGY-OBSTETRICS DEPARTMENT ENDOWMENT SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES ENDOWMENT JEAN SARAH HAHL MEMORIAL MARIAN E. MELLEN FUND EUGENE J. FIANAVAN SCHOLARSHIP MICROBIOLOGY ENDOWMENT FUND FLORENCE M. & SHERMAN R. HANSON FUND FOR MEDICAL EDUCATION DR. DAVID KIMBALL MILLER AWARD DEVILLO V. HARRINGTON LECTURESHIP EUGENE R. MINDELL, M.D., CHAIR IN ORTHOPAEDIC SURGERY THE HEKIMIAN FUND G. NORRIS MINER, M.D., MEMORIAL AWARD HEWLETT FAMILY ENRICHMENT FUND FOR PSYCHIATRY COLLEEN C. AND PHILLIP D. MOREY, M.D., SCHOLARSHIP CHARLES GORDON HEYD MEDICAL RESOURCE FUND RICHARD J. NAGEL, M.D., ANESTHESIOLOGY RESEARCH DR. FRANK WHITEHALL HINKEL SCHOLARSHIP FUND DR. ANGE S. NAPLES MEMORIAL SCHOLARSHIP RALPH HOCHSTETTER MEDICAL RESEARCH FUND DR. S. ROBERT NARINS MEMORIAL AWARD DR. SUK-KI HONG MEMORIAL FUND NATIONAL MEDICAL ASSOCIATION BUFFALO CHAPTER SCHOLARSHIP FUND ABRAHAM M. HOROWITZ FUND JOHN P. NAUGHTON AWARD FUND LUCIEN HOWE PRIZE FUND NEPHROLOGY RESEARCH ENDOWMENT DR. MYROSLAW M. HRESHCHYSHYN MEMORIAL ENDOWMENT DR. ERWIN NETER MEMORIAL FUND R.R. HUMPHREY & STUART L. VAUGHAN NU SIGMA NU ALUMNI SCHOLARSHIP ANTOINETTE AND LOUIS H. NEUBECK FUND BUFFALO PHYSICIAN A u t u m n 2 0 0 3 �NEUROLOGY DEPARTMENT ENDOWMENT FUND IRENE SHEEHAN FUND DEPARTMENT OF NUCLEAR MEDICINE ENDOWMENT FUND* DEWITT HALSEY SHERMAN AND JESSICA ANTHONY SHERMAN FUND DR. BENJAMIN E. & LILA OBLETZ PRIZE FUND IN ORTHOPAEDIC SURGERY DR. LOUIS A. AND RUTH SIEGEL TEACHERS'AWARD FUND DR. ELIZABETH P. OLMSTED FUND IN BIOCHEMISTRY S. MOUCHLY SMALL, M.D., AWARD IN PSYCHIATRY OMEGA UPSILON PHI OF PHI CHI MEDICAL FRATERNITY SCHOLARSHIP FUND S. MOUCHLY SMALL, M.D., EDUCATION CENTER FUND JOSEPHINE HOYER ORTON TRUST FUND IRVINE AND ROSEMARY SMITH ENDOWED CHAIR IN NEUROLOGY VICTOR A. PANARO MEDICAL SCHOOL FUND DR. IRVING M. SNOW FUND F. CARTER PANNILL, JR, M.D., AWARD ENDOWMENT MARY ROSENBLUM SOMIT ENDOWED UNDERGRADUATE SCHOLARSHIP FUND STEPHEN J. PAOLINI,M.D., MEMORIAL FUND MORRIS AND SADIE STEIN NEURAL ANATOMY PRIZE FUND ALLAN WADE PARKER DNA RESEARCH GIFT DIANE AND MORTON STENCHEVER LECTURE FUND PARKINSON'S DISEASE RESEARCH FUND JOHN J. AND JANET H. SUNG SCHOLARSHIP FUND JOHN PAROSKI MEMORIAL AWARD FUND JOHN H. TALBOTT VISITING PROFESSORSHIP FUND PARTICIPATING FUND FOR MEDICAL EDUCATION KORNEL L. TERPLAN, M.D., LECTURE FUND DR. MARK A. PATRINO MEMORIAL AWARD TREVETT SCHOLARSHIP ROBERT J. PATTERSON RESIDENT AWARD UROLOGY DEPARTMENT ENDOWMENT FUND* PRIMARY CARE ACHIEVEMENT FUND RICHARD E. WAHLE RESEARCH FUND PROGRESSIVE MEDICAL CLUB OF BUFFALO FUND MILDRED SLOSBERG WEINBERG ENDOWMENT PSYCHIATRY DEPARTMENT ENDOWMENT FUND E. J. WEISENHEIMER OPHTHALMOLOGY AWARD DR. HERMAN RAHN MEMORIAL LECTURE ENDOWMENT DR. MARK W. WELCH AND BEULAH M. WELCH SCHOLARSHIP FUND REHABILITATION MEDICINE ENDOWMENT JOHN A. WENDEL ENDOWMENT FUND* ALBERT AND ELIZABETH REKATE CHAIR IN CARDIOVASCULAR DISEASE JAMES PLATT WHITE SOCIETY ENDOWMENT ALBERT C. REKATE REHABILITATION MEDICINE LIBRARY FUND WILLIAMS/BLOOM MEDICAL RESEARCH FUND DONALD RENNIE PRIZE IN PHYSIOLOGY DR. MARVIN N. WINER FUND FOR DERMATOLOGICAL RESEARCH MARY CECINA RIFORGIATO STUDENT AWARD IN BIOTECHNICAL AND WITEBSKY FUND FOR IMMUNOLOGY CLINICAL LABORATORY SCIENCES DR. ERNEST WITEBSKY MEMORIAL FUND DOUGLAS RIGGS AWARD IN PHARMACOLOGY AND THERAPEUTICS FARNEY R. WURLITZER PRIZE FUND THE RING MEMORIAL FUND FARNEY R. WURLITZER PSYCHIATRY FUND MEYER H. RIWCHUN, M.D., PROFESSORSHIP IN OPHTHALMOLOGY DR. MAREK B. ZALESKI AWARD FUND EMILE DAVIS RODENBERG MEMORIAL AWARD FRANKLIN AND PIERA ZEPLOWITZ, M.D., SCHOLARSHIP FOR MEDICAL THOMAS A. RODENBERG AND EMILE DAVIS RODENBERG SCHOLARSHIP FUND HARRY AND FAYE ROSENBERG PEDIATRIC ONCOLOGY RESEARCH FUND* STUDENTS* HERMAN AND ROSE ZINKE MEMORIAL SCHOLARSHIP ELIZABETH ROSNER FUND IRA G. ROSS AND ELIZABETH P. OLMSTED ROSS, M.D. CHAIR OF OPHTHALMOLOGY Health Sciences Library DR. SHELDON ROTHFLEISCH MEMORIAL FUND ROBERT L. BROWN HISTORY OF MEDICINE COLLECTION HAROLD S. SANES AND THELMA SANES MEDICAL SCHOLARSHIP DR. BERNHARDT S. AND DR. SOPHIE B. GOTTLIEB COLLECTION IN THE PHILIP P. SANG MEMORIAL FUND BEHAVIORAL SCIENCES SARKARIA FAMILY PROFESSORSHIP IN DIAGNOSTIC MEDICINE C. K. HUANG LECTURE FUND MARIA NAPLES SARNO, M.D., SCHOLARSHIP STOCKTON KIMBALL SCHOLARSHIP IN MEMORY OF SYLVIA KIMBALL SCHAEFER FUND IN CARDIOVASCULAR DISEASES DR. EDGAR R. MCGUIRE HISTORICAL MEDICAL INSTRUMENT FUND SCHOLARSHIP OF THE PROGRESSIVE MEDICAL CLUB OF BUFFALO LILLIE S. SEEL SCHOLARSHIP A u t u m n 2 0 0 3 BUFFALO PHYSICIAN �MEDICAL ALUMNI ASSOCIATION Dear Fellow Alumni, hope you're having a great autumn! With the start of the academic year, the Medical Alumni Associa­ Officers and Board Members 2 0 0 3-2 0 0 4 tion (MAA) Governing Board has remained busy, organizing activities within student and alumni circles and making plans for next year's Spring Clinical Day and Reunion Weekend. The board has been revitalized this year by the addition of three new members: Helen Cappuccino, MD '88, Charles Niles, MD '83, and Indrani Sinha, MD '96. PRESIDENT Stephen B. Pollack MD '82 VICE PRESIDENT Colleen Mattimore MD '91 TREASURER Martin L. Brecher MD '72 Helen, Chuck and Rini have already proven to be energetic, outspoken board members who will play an active role in the functions of the organization. Addition­ ally, we have been able to retain the expertise of our outgoing past president, John Bodkin II, MD '76, who has agreed to remain on the board as an emeritus member. During Orientation Week, the MAA proudly sponsored the annual White Coat Ceremony, in which first-year students were presented with their first white coats. The association also sponsored the Student Clinician Ceremony, helping the third-year medical students "kick off' their clinical training. MEMBERS Rohit Bakshi MD '91 Helen Cappuccino MD '88 Martin C. Mahoney MD '95, PhD Colleen Mattimore MD '91 Charles Niles MD '83 In September, the past presidents of the MAA gathered with friends, guests and alumni of the medical school to honor our newest distinguished alumnus, Michael Cohen, MD '61. We congratulate Dr. Cohen on receipt of this award and invite you to read more about his career and accomplishments in the winter issue of Buffalo Physician. Plans are taking shape for Spring Clinical Day and Reunion Weekend, scheduled for April 30May 1, 2004. After noting the fantastic response to this year's program, which showcased downtown Buffalo, we will invade the city again next spring. The Clinical Day program is titled "Medicine 2004: Challenges 8c Innovations." We are pleased to report that Richard O. Dolinar, MD '72, a renowned expert on diabetes, will serve as our Stockton Kimball Lecturer. In addition to the wonderful venues Indrani Sinha MD '96 utilized last year, the Pierce Arrow Museum (one of Buffalo's well-kept secrets!) will be the site of the EMERITUS MEMBERS events planned for the weekend. John J. Bodkin II MD '76 Donald P. Copley MD '70 Robert E. Reisman MD '56 REGIONAL MEMBERS Joseph A. Chazan MD '60 Rhode Island Max Doubrava MD '59 Nevada Saturday evening Reunion Dinner Reception. In the next issue of Buffalo Physician, I will preview On a financial note, I must report that review of the MAA's annual budget has driven home the fact that the cost of providing these and other services continues to escalate. After many years of maintaining member dues at $65 a year, it will be necessary to raise dues slightly, to $75 a year, in order to continue to support our medical school, students and alumni. This increase will take effect with the 2004-2005 year. Additionally, the cost of lifetime membership will increase to $1,000. That means that a lifetime membership—at this year's price of $750—is a bargain! For your convenience, membership materials are enclosed in this issue of the magazine. As always, your support of our alma mater through your interest, time, membership in the MAA and gifts remains the backbone on which our efforts and accomplishments are built. We are all part of the family; let's show it in any way we can. Dorothy C. Rasinski MD '59, JD California STEPHEN B. POLLACK, MD '82 President, Medical Alumni Association �lassnotes AUTUMN 2003 1940s Correct! Maxine Hayes. MB '73, 2003 issue of MPH, Wash­ Buffalo Physician, the University of also assistant professor Washington, School in the Department of of Public Health. Molecular and Cellular Biophysics at RPCI. ington State Peter R. Reczek, PhD '79, has Reczek earned his doc­ the photograph of health of­ been appointed director toral degree in Physiology the Class of 1948 ficer, was presented the Washington of technology transfer in Fiscal Administration, and Biophysics from RPCI Graduate Division, Office of University at Buffalo in Health Foundation's 2003 Health Re­ 1979 and completed a Heroes of Health Care search, Inc. (HRI) at postdoctoral fellowship in Award on June 19, 2003. Hayes has been with the Roswell Park University in 1980. He Cancer In­ through California State Department of Health stitute (RPCI). Reczek has served on the faculty at Harvard Medical School University, Dominguez since 1991 and is clinical served as a consultant to and the Dana Farber Can­ Jay B. Belsky, MB '51. Hills. I was fortunate to professor of pediatrics at RPCI since 2001 and is cer Institute until 1989. writes: "I have been re­ have been able to attend on page 39 was 1948 Class chair Daniel Fahey. center, with classmatesWilliam iloom. left.mi Francis Peisel. 1950s incorrectly dentified as the ilass of 1943. tired since 1988, after my medical school 50th practicing for over 33 Reunion in 2001, and I years with Kaiser am looking forward to Permanente in Harbor the 55th in 2006. My City, CA. I was a staff in­ ternist, then chief of the first wife, Georgette, died Department of Internal years of marriage. I re­ Medicine, then area asso­ married a year later to ciate medical director. In Carolyn. Between the two 1976 I ended my admin­ of us, we have seven istrative work, took a adult children, ranging in year off to retrain and recertify in internal age from late 30s to early medicine, then returned to practice as a staff ranging from 9 to 23, and three great grand­ internist until my retire­ children, ranging in age ment in 1988. After retir­ from several months to ing, I became involved in adult literacy tutoring, several years." Favorite medical and tutoring of young school memory: "I have children through the lo­ loving and happy memo­ ries of Oliver P. Smith, who gave me the won­ derful news that I had cal library and Boys and Girls Club. For the past several years, I have been a member of Omnilore, a learning-in-retirement program adminstered Lifetime Achievement biochemistry at Brandeis Doc? ion form in 1983, after almost 38 50s, 20 grandchildren, been accepted to medical school and who was my favorite teacher." YOUR CLASSMATES WOULD LIKE TO HEAR FROM YOU! Here's how to update them in three easy steps... Visit the UB School of Medicine and Biomedical Sciences' Web site at www.smbs.buffalo.edu click on Alumni click on What's Up, Doc? Things your fellow alumni tell us they would like to read about: • family updates • interesting 'trips and trails' • happy occasions, humorous interludes • moves/promotions • retirement • honors and awards • publications • public service/election to office • research endeavors • musings on life as a doc .... A u t u m n 2003 B u f f a l o P h y s i c i a n �s 1980s N O T E s ing Schering-Plough, lege of Law on May 18, Cohen, Fetter & Burstein, provide health services to Koestler served as a se­ 2003, summa cum laude PC, in Syracuse, NY. women has been ex­ Thomas P. Koestler. PhD nior vice president and (highest academic aver­ Knoll's wife, Maritza panded to include con­ '82, has been appointed head of global regulatory age). A member of the Alvarado. MD '85, contin­ sultative second opinions executive vice president affairs at Pharmacia Cor­ Syracuse Law Review, his ues her work as an at­ for breast cancer. The for worldwide regulatory affairs, worldwide re­ search quality assurance poration, which has since tending neonatalogist. services are being pro­ merged with Pfizer. He note, "Mea Culpa, Mea Culpa: A Call for Privi­ The couple celebrated vided at NFMMC by has more than 20 years lege for Self-Disclosure of their 17th anniversary Helen Cappuccino, MD and project management experience in the phar­ maceutical industry and is credited with securing Error in the Setting of in October. tion," won the 2002 Helen Cappuccino. MD '88. more than 60 regulatory American Health Law­ The collaboration be­ approvals, including ap­ proval of 24 new molecu­ lar entities. yers Association Student Writing Contest and was tween brings an expertise in Roswell breast cancer that previ­ published in 35 Journal of Park Cancer ously was unavailable to Health Law 419 (2002). Institute women locally," said Andrew M. Knoll. MD '84. He has accepted a posi­ (RPCI) and Joseph A. Ruffolo, the JD, FACP, internal medi­ cine, graduated from Syracuse University Col­ tion as an associate in the at Schering-Plough Research Institute (SPRI). In this role, he will also assume leader­ ship of the allergy and inflammation therapy team at SPRI, charged with ongoing develop­ ment of strategies and direction for this area of research. Before join­ '88, clinical assistant pro­ Primary Medical Educa­ fessor of surgery health law department of Scolaro, Shulman, at RPCI. "Dr. Cappuccino Niagara Falls Memorial Medical medical center's presi­ dent and chief executive Center (NFMMC) to officer at the time the ex- "Experience the tranquility of Tropical Fish" LARGEST SELECTION IN THE AREA Surgeons Onnnn tltn Complete set-ups from table/desk top to large central displays Equipment and supplies Tropical fish, gold fish & Koi (domestic & imported), dwarf frogs, bottom feeders, mollusks, crustaceans & other unusual varieties. Imported livestock and frozen foods • Wide selection of aquarium accessories and decorative items • Food, antibiotics and water conditioners • Aquatic plants (live & artificial) • Lighting accessories MAT IDEAS: «• Numerous Dry-Scape Displays in Our Showroom Beta Vase Plant Aquariums #" Lucky Bamboo Plants Are you interested in publishing an advertisement in Buffalo Physician? <•" Set-Up and Maintenance Programs Available If so, contact: Sharon Russell-Moore Account Representative Gift Ideas & Gift Certificates Tropi^1 Pish Sharmore Enterprises 248 Broad Street Tonawanda, NY 14150 Transitown Plaza 634-9344 www.tdstropical.com OPEN: Mon, Wedjhurs 9am-9pm;Tues & Fri Noon-7:30pm Sat 10am-6pm; Sun Noon-5pm Buffalo Physician A u t u m n 2 0 0 3 Visit 'Little Joe'- the Giant Pacu (roughly 30 lbs.) or Our Large Predator - Tiger Shovel Nose Cat-Fish. Main St. - Rt. 5 n Tropical Fish TRANSITOWN PLAZA -I-90- �RELOCATION HUNT REAL ESTATE ERA E-mailr pansion in services was Department of announced. "Roswell Cell and Mo­ Park is nationally re­ lecular Biology nowned as a cancer treat­ from RPCI's ment center. We are Graduate Division most fortunate to have and completed one of its physicians as a postdoctoral training consultant to our out­ in the Department of standing team of surgeons." Molecular Virology, 1990s Classnotes can also be submitted by e-mail to: bp-notes@buffalo.edu Immunology and Medi­ to that, she served as re­ cal Genetics at OSU. His search assistant profes­ research interests include sor in the Department of the study of DNA methy- Social and lation, its contribution to Preventive currently living in Alex­ the carcinogenesis and andria, VA. In June 2003, Medicine identification of potential he earned a master of at UB. DNA methylation targets McCann Paul Seeman. MO '93. is public health degree. E-mail address is: paul seeman@sprintnrail.com. Dominic J. Smiraglia. PhD '97, has been appointed assistant member in the Department of Cancer Genetics at Roswell park Cancer Institute (RPCI). for early detection and earned a diagnosis of cancer. doctorate in epidemiol­ Smiraglia has authored or ogy and community co-authored more than health at UB in 1998 and we help people move. 30 journal publications, is also a registered dieti­ Call for a free relocation portfolio regarding your destination city. Call 1-800-688-1170 or go on-line and visit our web site at book chapters and ab­ tian. Her research inter­ stracts. He is an ad hoc ests focus on nutritional reviewer for the Journal of and molecular epidemi­ Medical Genetics and Can­ ology, including the im­ cer Research. pact of diet on cancers of He returns to RPCI from the Division of Human huntrealestate.com Totally customized service portfolio including the reproductive organs. Susan McCann. PhD '98, She is currently conduct­ has been appointed as­ ing an investigation of State University (OSU), sistant member in the the relationship between where he served as a Division of Cancer Pre­ dietary phytoestrogen in­ research scientist. In vention and Population take and genetic suscepti­ 1997, Smiraglia earned a Sciences at Roswell Park bility to breast cancer. doctoral degree in the Cancer Institute. Prior Cancer Genetics at Ohio Tc Michael D. Banas, MD '00, and Anne C. (Wolpiuk) Banas, MO '02 Michael writes [in late June]: "Anne and I just re­ • Nationally trained relocation experts • Complete family needs analysis • Global home sale assistance • Special services for seniors • Full community tour • A complete cost of living analysis • A list of all school systems throughout WNY • Complete spousal placement assistance including resume writing and corporate contacts • 24 hour or less response time • Confidentiality assured turned from our honeymoon in Maui. We are living in Williamsville, NY. Anne finished her preliminary year in internal medicine at UB, where she is now a neurology resident. I finished my residency in inter­ nal medicine at UB and started a fellowship in MARY CROGLIO Corporate Relations Officer cardiology at UB, where I am also working as a research fellow at The Center for Research in Cardiovascular Medicine." Hunt ERA Relocation Center 5570 Main Street Williamsville, New York 14221-5410 Email: huntrelocation@huntrealestate.com A u t u m n 2 0 0 3 Buffalo Physician �Victor A. Filadora, Jr, MO '99, has been appointed to the Department of 2000s Rose C. Graham-Maar. MD, Anesthesiology and 00. writes: "I completed Critical Care Medicine my pediatrics residency at In Memoriam at Roswell Park Cancer The Children's Hospital Institute. He comes from of Philadelphia and began Brigham and Women's a three-year fellowship in Harold K. Palanker, a long time Buffalo surgeon, died on March 24, 2003, at Hospital, Harvard Medi­ pediatric gastroenterology his home in Albuquerque, NM. He was 89. Harold K. Palanker. MD '40 cal School, Boston, MA, and nutrition at CHOP where he completed on July 1, 2003.1 married age of 17. Following graduation from UB medical school in 1940, he com­ residency Stefan Maar on June 14, pleted his residency at Buffalo General Hospital (BGH). He then entered pri­ training 2003, in Delaware. We vate practice and held surgical and teaching positions at Children's Hospital in the had a fantastic honey­ of Buffalo and BGH. Palanker was also associate professor of surgery at UB Depart­ moon in Hawaii. E-mail and served as president of the Buffalo Surgical Society. After retiring from ment of address is: rosecorinne private practice in 1979, he moved to Albuquerque, where he worked for Anesthesia. @alumni.brandeis.edu. <3> eight years in the Ambulatory Care Unit of the Veterans Hospital. He earned his medical A native of Romania, Palanker moved to the United States in 1930 at the Surviving are his wife of 55 years, the former Janice Powsner of Albu­ degree in 1999 and querque; four daughters: Maureen Leshendock of Reno, NV, Robin and completed an internship Abby Gail, both of Los Angeles, CA, and Leslie of Paris, France. in medicine in 2000 at UB. ^ — — • www.buffalo-medical.bkstr.com Your medical resource is just a click away. University a t Buffalo The State University of New York UNIVERSITY MEDICAL BOOKSTORE Main Street • Phone:(716)833-7131 Buffalo Physician A u t u m n 2 0 0 3 �nsatisfied with midafternoon programming, 17-yearold Melissa Stagg sat in front of a 25-inch television screen, changing the channels with a remote control. "Stop flipping those channels like that," her mother, Shirley Dawson of Buffalo, called out. "You're not at home." But for Melissa, a senior at Grover Cleveland High School, making a trip to Dr. Vincent Cotroneo's of­ fice was like visiting a relative. Cotroneo, 86, who recently retired from his prac­ tice after 57 years of service, said he wouldn't have had it any other way. At first glance, the reasons for Melissa's comfort were obvious. The wildlife paintings covering the walls and the oversized chairs and large brown couch made for a seating area with all the comforts of home. Signs on the walls, encouraging patients to "Make an appointment for your next mammogram" and "Sign in at the desk," were the only indications there was a doctor behind the dark wooden doors leading into the office. "I've always wanted my patients to feel comfortable," Cotroneo said. "I try to take care of both their physical and emotional needs. I've always tried to be both a friend and a doctor." An old-fashioned family practitioner and surgeon, Cotroneo said he has delivered thousands of babies over the years, including members of the Stagg family. "He took care of my mother, father, aunts, uncles and my grandmother, too," said Melissa. "He took care of my whole family. He even delivered me and my brother and my mother." "I really don't want to see him go," said Dawson. "I'm really going to miss him. He's an honest man, he comes right out and tells you what's wrong without beat­ ing around the bush." Born and raised in South Buffalo, Cotroneo earned his medical degree from the University of Buffalo and served as a physician during World War II. For his efforts during the war, he received the Silver and Bronze stars. Shortly after returning from the war, Cotroneo pur­ chased his home at 777 McKinley Parkway. The first floor became his family practice, and on the second floor, he and his late first wife, Rose, raised eight children. "We would come home from school and there would always be patients sitting on the steps, waiting to see him," said his son, Carl. "I think some of them were there more to socialize than to be treated for an illness." Cotroneo continued to make house calls and was a member of the medical staff at Our Lady of Victory and Mercy hospitals until he retired at the end of June. "He's a little sad about leaving," said Paula, Cotroneo's wife. "Many of his patients begged him to stay. He's always treated his patients as if they were family members. I know he'll miss them all. Reprinted with permission from the Buffalo News. �Buffalo Physician University at Buffalo The State University of New York 3435 Main St. Bldg. 22 Buffalo. New York 14214-3013 Non-Profit Org U.S. P o s t o g e d I) r F A L u P H Y S I C I A N Address Service Requested Remember this old friend? Between June and November of 2003, University at Buffalo undertook an ambitious project to renovate the Hayes Hall bell tower, restoring the South Campus landmark to its former glory. Masonry was updated, windows replaced and rust from structural steel removed. Before UB acquired the 1870s Georgian-style building, it served as an insane asylum, as the Erie County Almshouse and, later, as the county hospital. UB added the tower during a 1927 renovation. The bell chimes and tower clock were installed in 1928, a gift of Kate Robinson Butler, wife of a former publisher of The Buffalo News. The four gigantic bells inside the tower range in weight from 400 to 1,800 pounds. They are Westminster chimes and are tuned to F, B flat, C and D. When the bells were temporarily silenced during the renovation project, UB received calls from residents in the university neighborhood: "Hey, what happened to the bells?" BP 0004-03 p^gp B u f f a l o , NY P e r m i t No. 3 1 1 � 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Journals and magazines 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, Autumn 2003 Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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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. v38n02 Extent The size or duration of the resource. 52 p. Spatial Coverage Spatial characteristics of the resource. New York (State)--Buffalo Rights Holder A person or organization owning or managing rights over the resource. Copyright 2003 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/b3b4f366c107aeef5d132a68e63d822d.pdf bbf6bde95fa05a2a7dc4d35e6b9c29f5 PDF Text Text MANAGING MEDICAL INFORMATION IN UB'S �Dear Alumni and friends, BUFFALO PHYSICIAN Volume 28, Number 1 ASSOCIATE VICE PRESIDENT FOR UNIVERSITY ADVANCEMENT Dr. Carole Smith Petro DIRECTOR O F PUBLICATIONS Timothy J. Conroy EDITOR Nanette Tramont Kollig, R.N. ART DIRECTOR Alan J. Kegler ASSOCIATE ART DIRECTOR Scott Fricker PRODUCTION MANAGER Ann Raszmann Brown STATE UNIVERSITY O F NEW YORK AT BUFFALO S C H O O L O F MEDICINE AND BIOMEDICAL S C I E N C E S Dr. John Naughton, Vice President for Clinical Affairs, Dean EDITORIAL BOARD Dr. John A. Richert, Chairman Dr. Martin Brecher Dr. Harold Brody Dr. Richard L. Collins Dr. Alan J. Drinnan Dr. Timothy Gabryel Dr. James Kanski Dr. Charles Massaro Dr. Charles Paganelli Dr. Robert E. Reisman Dr. Thomas Rosenthal Dr. Stephen Spaulding Dr. Bradley T. Truax TEACHING H O S P I T A L S AND LIAISONS Batavia VA Medical Center Arlene Kelly The Buffalo General Hospital Michael Shaw Buffalo VA Medical Center The Children's Hospital of Buffalo Erie County Medical Center Mercy Hospital Millard Fillmore Hospitals Frank Sava Niagara Falls Memorial Medical Center Roswell Park Cancer Institute Sisters of Charity Hospital Dennis McCarthy © The State University of New York at Buffalo Buffalo Physician is published quarterly by the State University of New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. It is sent, free of charge, to alumni, faculty, students, residents and friends. The staff reserves the right to edit all copy and submissions accepted for publication. Address questions, comments and submissions to: Editor, Buffalo Physician, State University of New York at Buffalo, University Publications, 136 Crofts Hall, Buffalo, New York 14260 A lthough a little over two years away, a working committee co-chaired by Dr. Harold Brody and Dr. Ronald Batt and staffed by Dr. Joyce Vana, has begun to plan the Sesquicentennial events with special emphasis directed to UB's anniversary found­ ing date on May 11, 1996. More will be reported about the proposed activities. However, the Health Sciences Campus development on the Main and Bailey Campus and future planning is moving forward. 1 am pleased to report that construction of the new research building is well ahead of schedule and occupancy should be underway in late 1994 or early 1995. The program planning that will convert Harriman Hall to the administrative locus for the medical school and serve as the main entrance to the complex at this site is well underway. We are hopeful that this project, together with the removal of Diefendorf Annex, can be completed by the anniversary date. Once completed, the medical school and its health sciences colleagues will have a core that will I include the Health Sciences Library; the School of Dental Medicine; the new research building; the animal facility; and the components of » Cary, Farber and Sherman Halls together with the Schools of Nursing and Health Related Professions. Despite all this, more will be needed. In the formative stage is the concept to develop a Comprehensive Health Education Center that can house those programs that will emphasize and direct our efforts in primary care, community medicine, epidemiology, preventive medicine and statistics. We hope you will join us when we celebrate the good fortune of reaching 150. Sincerely, John Naughton, M.D. Vice President for Clinical Affairs Dean, School of Medicine and Biomedical Sciences Dear Fellow Alumni I n September a new activity of the Medical Alumni Association was initiated with the first visiting lectureship by an outstanding alumnus, Dr. Joseph Chazan. Dr. Chazan, Class of 1960, is medical director of the Artificial Kidney Centers of Rhode Island and director of the renal division at Rhode Island Hospital. While in Buffalo, he conducted nephrology grand rounds at the Buffalo VA Medical Center and consulted with the nephrology service. A second visiting lectureship is planned for later in the year. This educational activity exemplifies the strong desire of the Medical Alumni Association to add unique dimensions to the teaching program, taking advantage of the exceptional qualifications of many of our alumni. The Community Physicians Program has been enthusiastically received by the first- and second-year medical students. This year, the program, chaired by Elizabeth Maher, M.D., Class of 1985, has expanded to four sessions. Physicians from various specialties dis­ cuss their medical practice from the viewpoint of what they do, their practice commitments and life styles. This innovative program provokes unlimited questions concerning the effect that different types of medical practice have on all aspects of professional and personal life. The Governing Board again solicits your continued support in order to maintain and expand these representative functions. Best regards, Send address changes to: Buffalo Physician, 146 CFS Addition, 3435 Main Street, Buffalo, New York 14214 Robert E. Reisman, M.D. '56 �i i r F i i V O W I L . N 2 T 8 E N R 1 O 9 9 4 Research Hospital News Computing the Need • The medical school enters the information age as it undertakes an ambitious new program to integrate computers into every aspect of education, research and patient care. Building the Future • UB s plan for its Health Sciences Campus makes sense for now and the years to come. Medical School Alumni The School of Dental Medicine's William Feagans retires after over 20 years. Page 21. A Spoonful of Humor Graduate Education Classnotes Hcautjonary tale. Page 22. Alum Deborah Richter — working for people in need. Page 24. �RESEARCH Chemotherapy shown effective in treating brain tumors in infants i multi-center study headed by a Uni­ versity at Buffalo pediatric neurolo­ gist has shown that very young children with brain tumors can be treated successfully with chemo­ therapy immediately after surgery, postponing, and in some cases eliminat­ ing, the need for radiation treatments that are devastating to the developing brain. The study was the lead article in the June 17 issue of The New England Jour­ nal of Medicine. "To understand the importance of these results," said Patricia K. Duffner, M.D., professor of neurology and pedi­ atrics, "you need to consider the situa­ tion when we began this study in 1986. At that time, children less than one year old with brain tumors were let die. The only treatment available was radiation, and the survival rate was terrible. Children who did sur­ vive were so profoundly retarded, so damaged, that survival brought no quality to life." The study, which was conducted by the Pediatric Oncology Group in institutions in both the United States and Europe, involved 198 children under the age of three with malig­ nant brain tumors. Following com­ plete or partial removal of their tu­ mors, 132 children who were less than 24 months of age when diag­ nosed received multi-agent chemo­ therapy for two years. Sixty-six chil­ dren between the ages of 24 and 36 months when diagnosed received the chemotherapy regimen for one year. Following completion of che­ motherapy, all children received radiation therapy. The results showed that chemo­ © B u f f a l o therapy produced a complete or greater than 50 percent reduction in the tumor size in 39 percent of the children. Cancer had not progressed in 41 percent of the older group after one year of chemo­ therapy and in 39 percent of those under 24 months after two years of chemo­ therapy. Researchers found no deteriora­ tion of brain function as a result of the chemotherapy. Certain tumors responded better than others, the study showed. Emryonal tu­ mors did not respond well, while 61 percent of infants and very small chil­ dren with ependymoma tumors were still alive after three years. Results showed children who had no tumors following chemotherapy sur­ vived nearly as long as children whose tumors were removed completely through surgery. + | fPfiP Low cholesterol levels found in Mennonite men despite their diets ne of the first dietary studies of clois­ tered Old Order Mennonites provides further evidence that physical activity can help lower cholesterol levels. The UB study found that despite consuming a diet high in saturated fat and cholesterol, the Mennonite men, who do the daily farm work, not only had lower cholesterol levels than their female counterparts — a reversal of the national norm — but had significantly lower cholesterol levels and blood pres­ sures than the national average for males. Information on the community's eat­ ing habits also showed that members know they should avoid foods high in saturated fat and cholesterol, but be­ cause such foods are basic to their agrar­ ian diet, they eat them regularly anyway. In addition, half of the members reported a family his­ tory of heart disease. The study of 250 adults was conducted by Andrew Michel, M.D., and Myron Glick, M.D., while they were medical stu­ dents, and Thomas Rosenthal, M.D., chair ofthe department of family medicine. Resultsof the study were published in The Journal of the American Board of Family Practice. Little scientific data exist on life among Old Order Menno­ nites; anecdotal evidence sug­ gests their diet puts them at risk for heart disease. The aim of the researchers was to assist primary care physicians respon­ sible for their care by defining the population's cardiovascular risk factors. + Hard work equals low cholesterol for Mennonite men. P h y s i c i a n w i n �1st cervical' or Atlas. 2nd cervical -0 or Axis. RESEARCH 3-1 New pain relief technique speeds recovery for back surgery patients D B neurosurgeons have pioneered a new method to relieve pain fol­ lowing surgery to repair a herni­ ated disk that increases comfort dramatically and gets patients on their feet and out of the hospital two to three days sooner than conven­ tional pain-control methods. A research team headed by Kevin J. Gibbons, M.D., assistant professor of neurosurgery, placed an absorbable gela­ tin sponge filled with morphine over the disk-surgery site in 45 patients before suturing the incision. The team com­ pared the comfort and recovery time of these patients with a control group of 15 disk surgery patients who received stan­ dard post-surgery morphine injections to control pain. All surgeries were per­ formed at Millard Fillmore Gates Circle Hospital. Thirty-three of the patients receiving the morphine sponge were able to walk the same day they had disk surgery, and all were walking by the following day, Gibbons reported. More than a third required no additional pain medication on the day of surgery, and by the first post-operative day, half of the patients needed no further pain relief, he said. Thirty-one were discharged on the first post-operative day, 10 on the sec­ ond, three on the third and one on the fourth. None of the 15 patients who received conventional treatment for pain could go home on the first post-operative day, he reported. Three were discharged on the second day following surgery, eight on the third post-operative day and four on the fourth. "We hit upon the idea of injecting morphine into the sponge as a possible way to provide effective, long-lasting u f f a I o P h New polio vaccine schedule could eliminate vaccine-related disease pain con­ \\ trol after the surgery," he said. UB neurosurgeons 2 have been using the morphine sponge successfully for 18 months. Other surgeons have begun using the technique as reports of its effective­ ness have spread by word of mouth, Gibbons said. Additional members of the research team were Adrienne P. Barth, a certified neuroscience nurse; Arvind Ahuja, M.D., clinical assistant instructor of neurosurgery; James L. Budny, M.D., clini­ 1st lumbar.. cal I noculating infants with two doses of a new enhanced-potency form of inactivated poliovirus vaccine followed by a single oral dose of live attenu­ ated virus may be the best way to protect against the disease and guard against vaccine-related cases. f" A study by UB researchers showed that children who received the vaccines in that sequence dem­ onstrated the highest antibody ti­ ters during a four-year follow-up after being challenged with a single dose of the oral attenuated poliovirus vaccine (OPV) at age five. Howard Faden, professor of pediatrics and co-director of the division of infectious diseases at The Children's Hospital of Buffalo, who directed the study, said, "The use of sequential immunization with EIPV (enhanced potency inactivated poliovirus vaccine) followed by OPV may be a major step toward ultimate eradication of poliomyelitis." The Buf­ falo study involved 158 children who received three immunizations in one of four sequences — OPV-OPV-OPV, EIPV-EIPV-EIPV, EIPV-OPV-OPV or EIPV-EIPV-OPV — at two, four and 12 months of age. Follow-up serologic evaluation showed that both forms of vaccine were "highly effective" in stimulating pro­ tective levels of immunity, but that two doses of EIPV followed by a single dose of OPV produced the highest neutralizing antibody titers. Faden's co-authors were Linda Duffy, Ph.D., Martha Sun and Cynthia Shuff. + tr 1 w associate professor of neurosurgery, and L. Nelson Hopkins "'(MS® III, M.D., professor and chair of neurosurgery. Gibbons presented the study results at the annual meeting of the American Association of Neurosurgery. + — B Y y s L O I S B A K E R i 37. -Lateral c i a n W i n t e r 1 9 9 4 © �HOSPITAL N E W S Children's Hospital appoints Dias chief of pediatric neurosurgery able by the new ablation procedure, which is typically performed under lo­ cal anesthesia, are generally those that are mediated by an extra electrical path­ way, according to Donald Switzer, M. D., UB clinical assistant professor of medi­ cine and electrophysiologist at Millard Fillmore Hospitals. He adds that physi­ cians "traditionally have had to resort to chronic drug therapies, which are often only partially effective and may result in side effects for these patients." The radio-frequency ablation proce­ dure uses specialized, electrode-tipped cardiac catheters that are positioned within the heart at specific abnormal targets. The high-energy, radio-fre­ quency current is then passed directly through the catheter to cauterize the abnormal pathway within the heart, destroying only the targeted area with­ out affecting the overall heart function. Following the procedure, the heart's electrical system stabilizes to a normal conduction pattern. Patients are monitored overnight and generally resume normal activity the next day. Switzer adds that "over 95 percent of these abnormal pathways can be effec­ tively and permanently cured with this procedure." + T he Children's Hospital of Buffalo has appointed Mark Dias, M.D., chief of the division of pediatric neurosurgery. Dias was previously an attending neurosurgeon at Children's Memorial Medical Cen­ ter in Chicago and assistant professor of neurosurgery at the Northwestern Uni­ versity School of Medicine. Dias obtained his medical degree from the Johns Hopkins University School of Medicine. He also completed neurosurgical resi­ dency training at the University of Pitts­ burgh and neurosurgical fellowship training at Primary Children's Medical Center of the University of Utah. In 1987 he received the Pittsburgh Neuroscience Society Award for Clinical Re­ search. The author of various publications in pediatric neurosurgery and developmen­ tal neurobiology, Dias maintains a spe­ cial interest in developmental malfor­ mations of the brain and spinal cord and in the surgical management of pediatric brain tumors. + Construction begins on Summit Park Medical Mai expansion C Millard Fillmore offers radiofrequency ablation procedure onstruction began in late August for a 21,000-square-foot expansion of the Summit Park Medical Mall in the Town of Wheatfield. The expansion will accommo­ date the Summit Immediate Treat­ ment Center, a new service operated by Niagara Falls Memorial Medical Center since May. Memorial will also operate a linear accelerator at the expanded site to illard Fillmore Hospitals is one of a limited number of facilities in the country using radio-fre­ quency ablation to treat certain types of tachycardia. The tachycardias that are cur­ B u f f a l o P h y s i c i a n W provide radiation therapy as part of its comprehensive cancer treatment pro­ gram. The expansion also includes ad­ ditional space for physician office suites. Construction is expected to be com­ pleted this spring. The Summit Park Medical Mall is a 30,000-square-foot medical office com­ plex that opened in 1990. In addition to physician offices, the complex houses primary care and outpatient services provided by Memorial Medical Center. The complex includes the Summit Im­ mediate Treatment Center; Niagara Fam­ ily Medicine; X-ray, laboratory, physi­ cal therapy and pharmacy services; and a satellite office of the Milestones pro­ gram that provides treatment for alco­ hol and substance abuse. + Rosweil Park inks referral pact with Daughters of Charily system T he Daughters of Charity National Health System (DCNHS) and Rosweil Park Cancer Institute have signed a memorandum of under­ standing to facilitate patient refer­ rals from any DCNHS hospital to Rosweil for specialized cancer treat­ ments, including bone marrow trans­ plants. The agreement, which culminates 18 months of deliberation, is expected to foster development in the areas of pa­ tient care, research and understanding. It will see Rosweil, the nation's first cancer treatment and research center, assist and consult in the development of specific cancer treatment and educa­ tion programs at DCNHS hospitals and in the training of DCNHS physicians at Rosweil. The Daughters of Charity National Health System — with more than 60 facilities in 18 states and the District of i n t e r 1 9 9 4 �HOSPITAL N E W S Columbia — includes acute care hospi­ tals, nursing homes and psychiatric fa­ cilities. Four of its hospitals are located in New York State: Our Lady ofLourdes Memorial Hospital in Binghamton, St. Mary's Hospital in Rochester, St. Mary's Hospital in Troy and Sisters of Charity Hospital in Buffalo. Roswell Park Cancer Institute is a National Cancer Institute-designated comprehensive cancer center that serves patients from 38 states and 17 coun­ tries. It is in the process of a $241 million renovation project that includes all new clinical facilities. The DCNHS-Roswell agreement will explore a variety of activities, including participation of DCNHS patients in Roswell's special cancer registries, the development of continuing medical education programs and the creation of special education programs in such areas as cancer prevention and detection. + Enrollment is limited to 30 to 35 cancer cases and deaths. "We have the ways and the means to patients with advanced cancer, particu­ larly lung cancer patients, who have provide direct assistance to families who failed to respond to either conventional may be at high risk for developing colorectal cancer," or investigational therapies. said Miguel A. Rodriguez-Bigas, The research­ M.D., associate chief er's goal is to de­ of the department of termine opti­ surgical oncology mum drug dos­ and director of the ages, evaluate registry. "Our objec­ side effects and tive is not only to identify — and collect research later target — data, but also to pro­ those cancers vide important care, that respond best genetic testing and to the taxolcounseling, educa­ carboplatin regi­ tion and peace of men. mind to those who Co-investiga­ are registered." tors on the Ros­ well Park trial are: The Family Can­ cer Syndrome Reg­ VickyJones,M.D.; Ellis Levine,M.D.; istry identifies fami­ Tracking the course of cancer. lies in which at least Gregory Loewen, three members in D.O., Neal Meropol, M.D., Raymond Perez, M.D., and two generations have had colorectal can­ Lakshmi Pendyala, Ph.D., all of the de­ cer, with one of the members diagnosed partment of medicine, and Youcef before age 50. Such families are known Rustum, Ph.D., and Raymond Baker, to carry the gene for Hereditary Ph.D., of the department of experimen­ Nonpolyposis Colon Cancer. The Family Cancer Syndrome Regis­ + tal therapeutics. try becomes the third registry estab­ lished and headquartered at Roswell. The Familial Adenomatous Polyposis Registry was established in the mid1980s and currently lists 42 registered families with 25 living affected persons new cancer registry designed to and 55 persons at risk. The Gilda Radner pinpoint, track and ultimately re­ Familial Ovarian Cancer Registry — duce a family's genetic predisposi­ named after the comedienne who lost tion to colorectal cancer has been her life to the disease — is an interna­ established at Roswell Park Can­ tional listing of women with two or more first-degree relatives who have cer Institute. developed ovarian cancer. Established The Family Cancer Syndrome Regis­ by M. Steven Piver, M.D., chief of the try is designed to help individuals whose department of gynecology, it is the only family medical history reveals a dispro­ one of its kind in the country. + portionately high number of colorectal Roswell Park conducting clinical trials of taxol and carboplatin B oswell Park Cancer Institute is one of only a handful of research facilities in the country conduct­ ing clinical trials to assess the ef­ fectiveness of taxol and carboplatin in patients with ad­ vanced cancer. Taxol has been widely publicized in the popular media for its dramatic, but preliminary successes with ovarian can­ cer. Researchers began clinical studies of taxol in 1983, and some reports sug­ gest that the drug is also effective in treating cancers of the breast and lung. Patrick Creaven, M.D., Ph.D., senior investigator, and Derek Raghavan, M.D., Ph.D., chief of the division of solid tu­ mor oncology and investigational thera­ peutics, head the studies. B u f f a l o P h Family Cancer Syndrome Registry will track genetic propensity i y s i c i a n w i n t e r 1 9 9 4 �w mi • B Y N A N E T T E T R A M O N T K O L L I G n a science as information-intensive as medicine, it was only a matter of time before scientists would use computer technology to manage that information. At UB's School of Medicine and Biomedical Sciences, the time is now as the medical school and its affiliated teaching hospitals embark on an ambitious new medical informatics and medical information processing program that puts them in a leadership role for now and the future. Medical informatics — the academic discipline associ­ ated with the processing and management of medical information — involves areas such as expert systems development, clinical information systems, computer-as­ sisted instruction and software programs that can bring new information on a patient to a student or clinician. And although the management and processing of medical data isn't necessarily done with computers, principally nowa­ days it is. I L L U S T R A T I O N S B Y T R O Y The medical school's project consists of a number of initiatives on both the academic and clinical fronts in various stages of development; all will serve to make medical information more accessible to practitioners and further the school's mission of quality education, research and patient care. Among the initiatives are the medical school's mandatory undergraduate medical computing course; a database to aid the physician credentialing process; the linkage of hospitals and physicians' offices to T H O M A S iNJO ThE to �MOUSING the medical school, its Health Sciences Library and each other via computer network; and real-time, on-line con­ sults and sophisticated videoconferencing capabilities. A recent $1.5 million gift will establish a chair in medical informatics at the medical school, one of the first in the country. Also under development is an electronic patient index shared between the teaching hospitals, and perhaps the ultimate realization of the promise medical informatics holds for medicine — the computer-based patient record. The main thrust of UB's medical information process­ ing program — and the infrastructure that supports many of its initiatives — is the development of the Western New York Health Sciences Consortium Interfacility Communi­ cations Network. When complete in 1997, this "informa­ tion superhighway" will link the school and its affiliated teaching hospitals with communications capabilities able to transmit complex medical data such as PET images from one to another in a matter of seconds. The development and implementation of the network is under the direction of John Hammond, director of infor­ mation services for the Western New York Health Sciences Consortium, a spin-off of the Graduate Medical Dental Consortium of Buffalo, formed in 1987. "Each hospital campus has its own internal communi­ cations network already. What we establish will become a 'network of networks,' or what is known as a CHIN — Comprehensive Health Information Network," Hammond explains. Phase 1 of the project, to be completed in 1995, will see UB linked with Millard Fillmore Hospitals' Gates Circle facility, The Buffalo General Hospital and Erie County Medical Center via New York Telephone's FDDI (Fiber Distributed Data Interface) Network lines. FDDI lines operate at a band width of 100 million bites per second and are able to accommodate the transmission of images and real time, motion data, Hammond says. Erie County Medical Center and Buffalo General already have in place between them a microwave Ethernet connection (Ethernet connections transmit informa­ tion at 10 million bites per second) and a T-l existing phone line that sends data at a "snail's pace" 1.54 million bites per second. A chest X-ray, which requires 2 million bites of infor­ mation, now takes about two seconds to transmit, Hammond says. Phase I also will realize Ethernet connections between the Buffalo VA Medical Center and UB, and Roswell Park Cancer Institute and UB via microwave. The completion of Phases II and III (from mid-1995 until 1997) will see FDDIs emanating from a central New York Telephone hub to Sisters Hospital, Millard Fillmore Suburban, The Children's Hospital of Buffalo and Mercy �Hospital, as well as the existing Phase I hook-ups. Millard Fillmore will also have a T-l between its Gates Circle and Suburban facilities. A connection to the Southern Tier hospitals, which have already formed their own rural health care network supported by Sprint's Healthcare Application Network Delivery System, New York Telephone's fiberoptic and digital network and Compres­ sion Labs Inc.'s videoconferencing equipment, will also be established. Other potential FDDI sites include Roswell, Blue Cross, Blue Shield, Niagara Falls Memorial Medical Center and the Maple Road MRI Center. "Seventy percent of medical data is already available in some form of digitized information already. What we have to do is construct a central repository for the data, which now exist in eight, nine or 10 areas. "And we want to have automatic feeds as much as possible," Hammond says, adding that of the affiliated teaching hospitals, Erie County Medical Center is farthest along in its systems development. "After each repository has that in place, we have to find a logical mechanism to connect them." He estimates it will take eight to 10 years and $20 million to develop and implement the CHIN. Representatives from UB have already engaged in dis­ cussions with SUNY Central to solicit support; UB's project could serve as a model for other academic health centers in the system. "We could establish it here," Hammond says, "and then give it to Upstate and the others. "And we're so diverse," he adds. "It's one of our strengths. If it can work here, with all our diversity, it can work anywhere. "We have a federal facility, a county facility, a cancer center, a children's facility, two Catholics and two not-forprofit privates. Our information services directors meet regularly and the CEOs meet every two weeks." Hammond credits those CEOs and information services directors for working to establish the network. "The direc­ tors develop a list of what each has worked on and it's my job to broker deals to move those things along in a shared fashion. We capitalize on ways to benefit and increase the chances to exchange information to make it available at multiple sites," Hammond adds. The network and its participant hospitals will also realize monetary savings in its economies of scale as well as the cost- and time-savings benefits inherent in medical information processingsystems. According toJohnLoonsk, M.D., director of medical computing and assistant profes­ sor of biophysics at UB, the implementation of these systems in hospitals can have dramatic care and costsaving benefits. "There's evidence that by giving quality information to residents, attending physicians and students at the time of decision-making and ordering, you can encourage good practice patterns," Loonsk says. One study, he said, demonstrated an over $800 reduc­ tion in cost per hospital stay when residents were given information on the cost and appropriate parameters of their orders at the time they placed them. "There are some examples of actual length of stay reductions with similar systems," he adds. The network will also foster the development of a physician-credentialing database that would automati­ cally track physicians credentialed at multiple facilities; most medical staff are re-credentialed every two years. A similar system, albeit based only at the medical school's office of graduate medical education, tracks and aids in the management of resident credentialing. In addition to its benefits to the medical school and its teaching hospitals, UB's medical informatics project meshes well with projected health care reforms as well as the medical school's existing primary care focus, notes John Naughton, M.D., vice president of clinical affairs and dean. �"It makes the educational outreach to community aca­ tools such asjournals (among them TheNew England]ournal demic practice sites more real," he says, putting more of Medicine, The Lancet, Pediatrics, JAMA) and textbooks expert tools in the hands of primary care physicians in (suchas Scientific American Textbook ofMedicine) with graph­ both the clinical and educational arenas. ics, the Cancerlit database, the Physician's Desk Reference, "Bringing more information to practice is also re-engi­ drug information databases and clinical information systems neering relationships in medicine," the dean notes. "It's such as expert systems, computer-assisted instruction and a really on the cutting edge of reform." health care planningand administration And most experts agree that one of database. the main thrusts of reform will be in "HUBNET is an integration of many HUBNET THE HOSPITALSreforming the way medical informa­ resources from several difUB LIBRARY RESOURCES tion is ordered, stored and retrieved, ferent database providers. and what is done with it. NETWORK — WAS CREATED Some are updated quar­ UB's multifaceted program offers terly, some even weekly," AT A COST OF $ 2 5 0 , 0 0 0 practitioners many innovative features explains John Loonsk, THROUGH THE JOINT EF­ that will benefit both them and the M.D., director of medical FORTS OF THE MEDICAL ultimate end-users of health care — computing and assistant SCHOOL'S OFFICE OF M EDI their patients. professor of biophysics and CAL COMPUTING, UB'S HEALTH SCI­ iBNE[ ENCES LIBRARY AND THE WESTERN NEW YORK HEALTH SCIENCES architect of the HUBNET system. Users of the system now have access to the equivalent of 6.5 million pages of medi­ cal data, Loonsk adds. In addition to its menu of resources, HUBNET provides physicians, resi­ dents and medical students with a uni­ form access method to those resources as they rotate from hospital to hospital. Previously, users had to learn several systems to gain access to only part of the information that is now available llhl .^a!i CONSORTIUM. EACH HOSPITAL Created through the SHIBr CI WILL PAY $ 9 , 1 0 0 ANNUALLY joint efforts of the medical I school's office of medical TO SUBSCRIBE TO THE ELEC computing, the Health TRONIC SERVICE Sciences Library and the hospital librarians through the Western New York Health Sciences Consortium, HUBNET (Hospitals-UB Library Resource Network) provides the hos­ on the system. pitals (as well asanyone with the right computer hardware, HUBNET also runs Internet-enabled electronic mail. software and a password to log onto it) with immediate "And we're bringing up a bulletin board service as well," access to UB's fifth-ranked-in-the-nation Health Sciences Loonsk says. Library and its considerable electronic resources. Jack Freer, M.D., a 1975 medical school graduate who HUBNET offers its users the National Library of is now a clinical assistant professor of medicine based at Medicine's MEDLINE resource (previously only the miniMillard Fillmore Hospitals, praises the new system on a MEDLINE bibliography was available at UB), full-text number of fronts. H �"It's super for getting messages to people who have became clear that the mini-medfile system was aging and not mailboxes and regularly check their mail. For example," up to modern standards. Freer says, "I'm the course coordinator for the third year "Two of the hospitals were on the cusp of changing to try ethics course, and the pediatric coordinator and I can get to offer these types of resources to more sites than just their messages back and forth in no time — often the same day. single hospital sites," Loonsk says, adding, "but the costs We also have a patient management system that prints then go up dramatically. progress notes and prescriptions." "So we had interest from a num­ Freer also cites FIUBNET for its po­ ber of places." tential to improve the quality of prac­ Funded as well as developed THE SCHOOL USES SOPHISTI­ tice. jointly by the medical school and its CATED COM PUTER-ASSISTED IN­ "You can use it to teaching hospitals, HUBNET went search in a matter of "live" last fall when its network con­ STRUCTION PROGRAMS SUCH AS minutes virtually any­ nections (existing and special phone ADAM (ANIMATED DISSECTION thing you could do in a lines as well as Ethernet and micro­ OF ANATOMY FOR MEDICINE), A library.Just yesterday," wave connections), hardware and soft­ SOFTWARE PROGRAM THAT AL­ he says, "a question ware development and acquisition were LOWS STUDENTS TO "DISSECT" came up about a new completed. treatment using beta blockers for heart "There are some hospitals and medi­ - FROM GROSS ANATOMICAL STRUC­ failure, which have traditionally been cal schools with shared medical data­ TURES RIGHT DOWN TO THEIR HIS­ contraindicated. Now there are reports bases," Loonsk says. TOLOGY ON A COMPUTER that it is useful if used judiciously for "But few have the mag­ SCREEN AND MULTIMEDIA tachycardia. nitude of the resources TEACHING TOOLS THAT WILL With the MEDLINE you can search we have, few have the beta blockers and come up with 1,500 system's communica­ BECOME COMMONPLACE IN articles, then search heart failure and tions capability and few THE NEXT DECADE. come up with 1,200 articles and then represent the level of co­ combine them and come up with 70 operation we have here." articles. Annual operating "All you need is a computer and a costs of the $250,000 library resource modem," Freer notes, adding, "the resi­ network are expected to tally about $100,000. dents and students use it from home." "Each hospital contributes $9,100 a year to subscribe to At Millard, officials are trying to ensure an adequate HUBNET," Loonsk says. number of computers will be available for use at its large "When people see what's available, and its potential, we number of off-site facilities, Freer says. hope to bring other resources on line, such as Poisondex, In large part, FIUBNET got its impetus when the medical a database used in emergency situations for dealing with school and its teaching hospitals wanted to switch from poisoning. A citation index is also attractive," Loonsk mini-MEDLlNE to MEDLINE "over a year ago when it adds. © �Medical Informatics in the Classroom screen. Other developments include computer-based multimedia teaching tools that may eventually replace microscopic and other conventional teaching tools and Well ahead of most medical schools in its use of medical techniques, as well as serve as resources that can be informatics in the classroom, The School of Medicine and retrieved in clinical settings. Biomedical Sciences has required its medical students to take A computer-based patient record (CPR), developed by a medical computing course in their sec­ Loonsk and M.D.-Ph.D. student ond year since the mid-1980s. Harold Litt, is also in use. Students are "It's not really a computer literacy assigned a patient case — each CPR course," says John contains a complete intake history and Loonsk, M.D., director physical, admitting notes, orders, labo­ VIDEOCONFERENCING — WHICH of medical computing ratory data and radiological studies — and assistant professor INTEGRATES VOICE, DATA AND and are asked to review all of the of biophysics who VIDEO CAPABILITIES BRINGS clinical information, apply medical in­ teaches the course. formation tools contained in the CPR REAL-TIME SU B SPECIALIS T CON"But we do have to ad­ to their patient and determine a diag­ SULTS TO PR I MARY CARE PRACTI dress literacy issues in a nosis and suggested treatment. TIONERS AT THEIR PRACTICE remedial fashion in some instances," he adds. SITES AS WELL AS "BRINGS" "The course is designed to give stu­ PATIENTS IN RURAL LO­ dents exposure to and the theory be­ CALES TO URBAN MEDICAL hind medical informatics tools as they CENTERS FOR EVALUATION would apply them to clinical cases," AND ASSESSMENT. Loonsk says. Videoconferencing — "It's a brief overview of diagnostic which integrates voice, programs, designed as an introduction data and video capabili­ to ensure people are comfortable with ties — has the ability to computers, since they're so common in bring real-time sophisti­ hospitals," says medical student Tom cated subspecialist consults to primary Guttuso, currently on a leave-of-absence care practitioners at their practice sites as for a Howard Hughes Medical Institute Research Training well as "bring" patients in rural locales to urban medical centers Fellowship after completing his second year. for evaluation and assessment. The school has only recently begun using computer"We're doing a lot with videoconferencing," according to assisted instruction — such as ADAM (Animated Dissec­ John Hammond, director of information services for the tion of Anatomy for Medicine), a software program that Western New York HealthSciences Consortium. Hammond allows students to "dissect" — from gross anatomical has worked to establish the Western New York Health structures right down to their histology — on a computer Sciences Consortium Interfacility Communications Net- B u f f a l o P h y s i c i a n w i n t e r 1 9 9 4 �"He has a video otoscope scheduled for implementation work that will carry videoconferences from one site to early this year." another. A link between rural Cuba (New York) Memorial Hos­ pital and Children's Hospital has already been in place since last spring when physicians from Children's evalu­ ated a six-year-old patient in Cuba — saving the girl and The capability of computers to manage her parents the 150-mile round trip and integrate the array of diverse data they have had to regularly travel dur­ and information inherent in the prac­ ing her recovery and C O M P U T E R B A S E D P A T I E N T tice of medicine probably will realize rehabilitation from the its ultimate application in the com­ cerebral hemorrhage RECORD DEVELOPMENT HAS puter-based patient record (CPR). she suffered two years BEEN SPURRED BY RECOMMEN Computer-based patient record ago. DATIONS FROM THE FEDERAL development and implementation have The Cuba link is the INSTITUTE OF MEDICINE. MOST been bolstered by recommendations start of a connection to HEALTH CARE REFORM PRO from the federal Institute of Medicine Southern Tier hospitals as well as by practical that have already POSALS ALSO CALL FOR application as hospitals formed their own rural health care AUTOMATION OF PATIENT DATA use computers to man­ network supported by Sprint's FROM MEDICAL RECORDS TO age the wealth of infor­ Healthcare Application Network De­ BILLING INFORMATION TO mation they amass on livery System, New York Telephone's AVOID DUPLICATIONAND REDUCE their patients. Most fiberoptic and digital network and health care reform pro­ Compression Labs Inc.'s video­ PROCESSING INEFFICIENCIES posals also call for auto­ conferencing equipment. mation of patient data — Using the technology, the hospitals from medical records to billing informa­ will be able to send diagnostic-quality tion — to avoid duplication and reduce images to specialists for viewing on processing inefficiencies and their inherent costs. high-resolution, gray-scale monitors or printed onto film for traditional light box viewing, regardless of image Toward that end, the Western New York Health Sci­ modality — CT, MRI, DSA, X-ray, ultrasound, etc. "We ences Consortium has already begun to develop the first can use the techniques developed to exchange information step in building a CPR — a patient index, listing the name, address and identifying number of every patient served by and teach," Hammond adds. "We've identified three groups of physician practices its members, according to John Hammond, director of that want to move to implement. Dave Ellis [M.D., assis­ information services for the consortium. The index would tant professor of emergency medicine at ECMC] has be shared and integrated among the teaching hospitals and probably gone the farthest, using the technology to triage eventually provide a complete medical record that would "follow" a patient regardless of which hospital he is treated patients at New York State Department of Corrections prison sites. at. Computer-Based patient Rpcort © �John Loonsk, M.D., director of medical computing and assistant professor of biophysics, and M.D.-Ph.D. student Harold Litt have developed a prototype computer-based patient record used to train students using case-based learning. The CPR includes systems for writing and dis­ playing physicians' notes, orders, con­ sults, lab values and radiological stud­ ies, including actual images, and re­ ports. Perhaps the most immediate ben­ efit the CPR offers is its ability to allow physicians to view all clinical informa­ tion about a patient in one place, with access to lab values, consults, medical imaging and reports, ostensibly as soon as they are completed. The computer-based patient record in use at the medical school also has integrated medical information tools, such as drug references, clinical manu­ als, textbooks, literature searching, ex­ pert system decision support and elec­ tronic communication, that students can use to facilitate diagnoses and the development of treatment plans. The CPR uses a Win­ dows format that allows users to use and display several items (or "pages" from a chart) of information at the same time. UB's CPR is modeled on existing B u f f a l o P h y s i c paper-based medical records — with data from different sources presented independently — but with some no­ table enhancements. The computer-based patient record offers users the ability to view lab results in two different ways: all the values for a given day and lab group, with high and low values noted; or a single value followed graphically over time. Other enhance­ ments in the works include increasing the flexibility oflabdata represen­ tation to allow graphical display and statisti­ cal analysis of many values over time and incorporating special computer languages that would allow commu­ nications with mainframe patient da­ tabases. But Loonsk sees almost unlim­ ited potential in a newer paradigm of medical information management that moves away from the existing paper-based structure of the patient chart — the visual chart, which would use object-oriented program­ ming techniques to allow a more visual and intuitive representation of medical data and offer a way of using and interacting with data that would change the way physicians practice medicine. + i a n w i n t e r 1 9 9 4 © �I r | 1J y ) "i| J— . < r I w/ I N ^ J J r1 ^ R y '1 | 1J J- J B u f f a l o P y s i c BY ANDREW BANZO $ "I h U| 1 l. 1 (J) w/ A L- i a n W i n t e r 1 9 9 4 �UB takes the first steps toward an integrated health sciences campus hen Charles V Paganelli, Ph.D., arrived at UB 35 years ago, the east wall of Sherman Hall was several steps from the room he now occupies. Today, there's a set of swinging doors in that wall, and beyond them is the Hermann Rahn Laboratory of Environmental Physiology. The laboratory, a two-stage addition built in the early 1970s and mid-1980s, is home to the Center for Research in Special Environments. Inside one theater-sized room is a centrifuge that can subject a person to seven times the force of gravity. Across the hall, in a room filled with instruments, is a hypobaric/hyperbaric chamber that can simulate conditions ranging from the edge of space to the ocean floor. "It's got a pressure capability as great as any pressure chamber in this country," proudly declares Paganelli, professor of physiology and interim chairman of the Physiology Department. B u f f a l o P h y s i c i a n W i n t e r 1 9 9 4 ( J ) �he laboratory addition is just one of the developments that have occurred in recent years at the UB School of Medicine and Biomedical Sciences. Any­ one who's been away for a while will still find much that is familiar on the campus. But from the school's new wing to the six-story research build­ ing now nearing completion, some striking changes have been taking place. "The campus has now had about a decade of infusion of support that came with the promise when the state took it over to make a health sciences complex on this campus," says John Naughton, M.D., the medical school's dean and vice president for clinical affairs. Now, the university is on the verge of taking another big step toward that goal. Officials from UB and the State Univer­ sity Construction Fund started preliminary work this fall on a new master plan that could serve as a blueprint for the final transformation of the Main Street campus into an integrated health sciences center. Officials caution that it isstill too early to get into specifics, but the outline is clear. "Our goal is to have the South Campus operate as the health sciences campus for UB," says Ronald Nayler, associate vice president for university facilities. Naughton sees definite benefits. "It's a concentration of the faculty expertise in the various health science areas and the ability to integrate, where appro­ priate, certain educational and training opportunities for future professionals," the dean says. "As this movement toward health reform comes, the interrelationship of physi­ cians and nurses and therapists working in a team model will evolve, and we can better structure those educational oppor­ tunities." In the early 1960s, when the state absorbed UB, it was thought that the entire university might move to one huge new campus. But there wasn't enough money, and it soon became obvious that the South Campus would continue to play an important role. The university decided to gradually move remaining academic departments from the South Cam­ pus to the new North Campus in Amherst over a period of years, with the eventual aim of turning the South Campus into a health sciences complex. That's why there's been so much renovation and new construction on the South Campus in recent years. But until the new effort to update the master plan, the work had been piecemeal, occurring without a comprehensive blueprint. "There had never been a physical layout, there had never been detailed planning as to how that should be accom­ plished," says Nayler. "So we had the goal and some specific �objectives, but we never had a physical plan. This will get us there." Over the coming 18 to 24 months, UB administrators will work with faculty, state officials and others, including com­ munity representatives, to develop a consensus on where the university is headed and what facilities it needs to get there. They will pore over everything from classroom and labora­ tory requirements to plumbing and roadway design. Along the way, they're even putting the campuses' existing blue­ prints onto computer. "It's mainly looking at what exists and what the possibili­ ties are," says Naughton. The resulting master plan will serve as the physical design to achieve UB's long-range goals, among them the health sciences campus. UB will forward the plan to Albany. "Then it's a question of, given the fiscal status of the state, how quickly that can be accomplished," says Nayler. It probably will take years to implement larger goals like the health sciences campus, and the work will most likely be incremen­ tal. But the master plan will give UB a better platform to set priorities and establish needs when it makes its funding requests, Nayler explains. "Our goal is sooner rather than later, of course," he adds. Even without the new master plan, the South Campus already has seen considerable progress in the shift toward health sciences. "I think the South Campus renovation projects to make it B u f f a l o P h y s i c i more of a health sciences complex began around 1982," says Naughton. "The first major change was the conversion of Squire Hall, formerly Norton Union, which had been the student union until that time, into the School of Dental Medicine." Nayler says dentistry still has room to grow in Squire Hall. The school is developing plans to expand the use of dental clinics, and he says that probably will be possible without new construction. Another big change was renovation and expansion of Abbott Hall into the Health Sciences Library during the mid1980s. "We preserved all the historic aspects of that building on the Main Street side, and now we have a first-rate health sciences library," says Naughton, adding that the library is rated the fifth best in the nation. He also cites the rehabilitation of what had been cramped space in Foster Hall for laboratory facilities and the addition of a small wing for clinical practice activities. "We ended up with a very first-rate facility," the dean says. About four years ago the Department of Nuclear Medicine began moving into Parker Hall on the southwest corner of the campus. And this summer it finished installation of a cyclo­ tron in Parker as part of the PET imaging center operated in conjunction with the Buffalo VA Medical Center. Of course, there is also the medical school's new wing, known as the Cary-Farber-Sherman Addition and opened about six years ago. a n W i n t e r 19 9 4 © �arts center opened in August, taking in the school of Arts and Letters, which vacated Harriman and Wende halls on the South Campus. Naughton says he would like to renovate Harriman after next summer, then move the medical school administration there. Also next summer, the university hopes to move the Chemistry Department into a new natural sciences and math complex under construction on the North Campus. Nayler says the first phase of that complex, including an eight-story tower, will be ready for the fall semester, and preliminary planning is underway for the second phase, which will include math, computer science and geology. "That's our next highest priority in terms of facilities for the North Campus," Nayler says. In all, the state has spent about $200 million on new construction and renovation at the North and South cam­ puses in recent years, he says. The flurry of activity owes partially to the recent availability of bond funds, he adds. When chemistry moves to the North Campus, that will free up Acheson Hall on the South Campus. The intention is to use Acheson for health sciences, but final decisions have yet to be made, Nayler says. In any case, he added, "We'll need to do almost a gut renovation." There is no date yet for math to move from Diefendorf Hall, but Naughton says he expects the Diefendorf Annex to be razed by 1996, restoring the mall that the warehouse-like building has occupied for nearly three decades. Once the natural sciences are consolidated on the North Campus, the only non-health program remaining on the South Campus will be Architecture and Planning. Though there currently is no money budgeted for it, Nayler says plans have long called for moving that school to the North Campus, too. "In fact, there's a site that's been chosen, and we've intentionally kept it open," he added. The School of Pharmacy, meanwhile, seems settled in Amherst. "There are some natural interactions between the chemistry and pharmacy faculties," says Naughton. "So 1 would think it would remain on the North Campus." While it's too early to say what the South Campus would look like as a health sciences center, administrators would like to bring Nursing and Health Related Professions closer to the main academic core. They are now in Kimball Tower, part of the dormitory complex on the campus's north end. The dormitories will probably change, too, as the number of undergraduates on campus shrinks. The new master plan is expected to take account of the housing and social needs of older students, including married couples. "It will be a changing campus," says Nayler. + THE FIRST MAJOR CHANGE WAS THE CONVERSION OF SQUIRE HALL9 FORMERLY NORTON UNION, WHICH HAD BEEN THE STUDENT UNION UNTIL THAT TIME, INTO THE SCHOOL OF DENTAL MEDICINE, "That greatly improved our teaching ability," says Paganelli. The CFS Addition includes classrooms, laboratories, an animal facility, a modern auditorium and offices. It was designed to provide a more comfortable learning environ­ ment, right down to the lobby space. "We furnished it so that students, between classes and at exam time, could use the facility more to their needs," says Naughton. The new space also allowed the medical school to consoli­ date faculty in areas like biochemistry and biophysics. They previously were based at the old Bell Aircraft plant on Buffalo's West Side, the Ridge Lea building in Amherst and other locations. As the health sciences improvements were going on, the university was also building on the North Campus to accom­ modate departments moving from Main Street. A new fine B u f f a l o P h y s i c i a n W i n t e r 1 9 9 4 �UB'S NEW RESEARCH BUILDING BLENDS FORM WITH FUNCTION f all the recent changeson UB's search building may now encourage them to do that. South Campus, the medical "I view the new building not simply as extra space, but as school's new research build­ a catalyst by which we can revamp or expand a variety of ing is easily the most visible. research programs," he added. When it's ready for occu­ As researchers move to the new building, UB plans to pancy, possibly as soon as early renovate existing research space in the Cary-Farber-Sherman 1995, the 112,000-square-foot Addition. "It'll be an ongoing process over the next several building will also be one of the years," Holm says. "There are already plans for whole floors university's major assets. Lo­ to be revamped." cated between the dental Recently the medical school's primary care initiative has school and the CFS Addition, its six floors will house labora­ been attracting grant money, and though the amount is small tories, offices and conference rooms, as well as animal facili­ compared to basic science, the research effort is growing. ties for pathogen-free work. Primary care studies tend to rely more on offices than the "Everyone's sort of excited about it," says John Naughton, traditional "wet" labs used in basic science, and the university M.D., vice president for clinical affairs and medical school dean. will be reviewing those needs as it develops its new master "The laboratories will be state of the art, flexible and easily plan. expandable," says Ronald Nayler, associate vice president for Holm, however, emphasized that researchers need not fear university facilities. "It's going to be one of the better research a new competition between "wet" and "dry" laboratory needs. facilities in the country for a medical school in terms of the "One of the messages that needs to get out to the faculty is that we're not forsaking one for the other," he says. "We can and way it's designed and outfitted." will be strong in both." + Total cost is expected to be more than $50 million. Bruce Holm, Ph.D., the medical school's associate dean for research and graduate studies, says ap­ plications to use the building will be reviewed in coming months, and deci­ sions are expected during the summer. "Space will be assigned based on the existence of interdisciplinary centers," he adds. Such centers, which bring scientists from different backgrounds together under a common theme, provide en­ hanced research capability and are more competitive in securing grants, Holm says. Some already exist at UB, such as a microbial pathogenesis center that deals with parasitology, infectious dis­ ease and sexually transmitted disease. Holm says there are other research groups that are similar, but haven't formally organized themselves as in­ The six-story, 112,000-square-foot research building will house laboratories, offices and terdisciplinary centers. The new re­ conference rooms, as well as animal facilities for pathogen-free work. B u f f a l o P h y s i c i a n W i n t e r 19 9 4 Q �UB physicians play critical support role in World University Games I Susan Udin, Ph.D., Thomas J. Guttuso, Jr. and one of their research subjects. Thomas J. Guttuso, Jr, receives Howard Hughes research grant T homas J. Guttuso, Jr., a UB medi­ cal student who recently com­ pleted his sophomore year, has received a year-long grant under the Howard Hughes Medical Institute's Research Training Fel­ lowships for Medical Students program. Guttuso, son of assistant dean and director of medical school admissions Thomas J. Guttuso, will receive a $24,000 stipend to study the effects of the pineal gland on neuronal plasticity in aquatic frogs. He will take a year'sleave of absence from medical school and re­ main in Buffalo to complete his research. "The main application of the research is strongly related to healing and regen­ eration," he says. "I'm working on de­ velopmental issues. It's found that young frogs heal a lot better — as do young humans — because they have a 'plastic' system." Guttuso credits Susan Udin, Ph.D., professor of physiology, for sup­ + porting his research efforts. ast summer, UB played host to college athletes from around the world as the World University Games '93 were held in Western New York. But while the focus was on the athletes, another group was hard at work behind the scenes to meet the Games' medical needs. Led byfour UBphysicians, this group was responsible for managing and staff­ ing the medical office on UB's North Cam­ pus and coordinating care at venue sites. The Games' four chief medical offic­ ers were James Hassett, Jr., M.D., asso­ ciate professor of surgery and a surgeon at Millard Fillmore Hospitals; Richard LaFountain, M.D., assistant professor of emergency medicine and director of emergency services at Millard Fillmore Gates Circle; Richard Weiss, M.D., as­ sociate professor of orthopaedic sur­ gery and a surgeon at The Buffalo Gen­ eral Hospital, and Gregory Young, M.D., clinical associate professor of emergency medicine and clinical assistant profes­ sor of internal medicine and corporate director of Millard's emergency services. Hassett, medical director for hospital­ ization, coordinated support for patients admitted to Millard, the designated pri­ mary receiving hospital. Of the 7,000plus athletes and officials from 89 coun­ tries, only five required hospitalization. "The staff of the hospitals provided tremendous support and expertise," Hassett says. "Since most of the patients could not speak English, we had to use translators and provide for their needs." LaFountain, director of the Village Polyclinic, was responsible for arrang­ ing continuous coverage by 180 physi­ cians and medical personnel. Together, they treated 550 people, including ath­ letes, officials and Games staff. "We transformed dormitory and office space into an emergency facility complete with X-ray, pharmacy, physical therapy and exam/resuscitation services that simply are not available in many of the athletes' own countries," LaFountain says, add­ ing staffing was totally voluntary. Weiss was responsible for the venues and recruiting physicians as well cover­ age for the opening ceremonies at Rich Stadium. "A great deal of intensity ex­ isted at the venue sites because minor injuries affecting the athletes would in­ volve discussion with the Games' site physician, the country's physician and FISU [the Games' governing body]," Weiss says. Young, medical director of emergency services, coordinated spectator care, en­ sured advanced EMTs were available at all sites and worked closely with the advanced life support coordinators of three counties as well as the coordinator from the Prov­ ince of Ontario to provide equipment and necessary supplemental staffing. + Naughlon honored as Citizen of Ihe Year by Columbus Hospilal J ohn Naughton, M.D., vice presi­ dent for clinical affairs and dean of the medical school, and Ernestine Green, a Buffalo educator and Nia­ gara Frontier Transportation Author­ ity commissioner, were recently honored as Citizens of the Year by the Buffalo Columbus Hospital Foundation. Naughton was recognized for his dis­ tinguished service as dean, his leader­ ship in health, hospital and medical education issues, and for his more re­ cent advocacy for and assistance to Buffalo Columbus Hospital's develop­ ing clinical affiliations with the medical school and its resources. + �Wrapping up a distinguished career F ORMER DENTAL SCHOOL DEAN W ILLIAM F EAGANS RETIRES AFTER OVER TWO DECADES AT U B i fter over 20 years as Dean of UB's School of Dental Medicine, Will­ iam Feagans, D.D.S., Ph.D., has overseen the education of count­ less doctors of dental surgery, and left a brick and mortar legacy that will live on as countless more reap its benefits as they learn the profession of dentistry. That legacy — in the form of the dental school's state-of-the-art Squire Hall facility — is one of the many rea­ sons UB's school was cited assixth in the nation in a 1992 U.S. News and World Report, "America's Best Graduate Schools," another Feagans accomplish­ ment, as is his bolstering of the school's research and graduate education pro­ grams. And, perhaps ironically, if Feagans had listened to his parents advice not to William Feagans, D.D.S. go into teachingwhen he graduated from dental school in 1954, probably none of it would have happened. "1 practiced in Kansas City after get­ ting my dental degree, but I wanted to get more into education," Feagans says. A graduate of the University of Mis­ souri at Kansas City, Feagans taught at the Medical College of Virginia in Rich­ mond from 1960 to 1966 after getting his Ph.D. in anatomy. In 1970, Feagans came to UB from Tufts University to become the dean of the School of Dental Medicine, a posi­ tion he held until he retired last year. "I took over forJim English, who was working on changing the course of den­ tal education. He worked on combining the clinical program with research," Feagans says. "My mission was to con­ tinue the thrust he began," he says, adding, "especially try­ Feagans' career at UB was not without controversy. The move to Squire Hall— then Norton Union — the planning for which began in the late 1970s, caused "a big uproar because the students were going to be left without a union," he says. "No effort was made for an alterna­ tive space for the students." Despite the controversy, the dental school was nev­ ertheless moved into Norton Hall — now known as Squire Hall — in 1986, leaving the students without a union from 1982 when the move began until 1984 when the Student Activities Cen­ ter opened on the North Campus. The $30 million Squire Hall renova­ tion project included the addition of state-of-the-art clinics that feature indi­ vidual operatories, each with its own dental chair and fixed cabinetry, devel­ oped specifically for the school. Stu­ dents learn their profession in the same environment in which they will eventu­ ally practice. Squire Hall's support fa­ cilities include laboratories, X-ray rooms with nearby processing facilities, a plas­ ter room, instrument and dispensing rooms and a demonstration room. ing to expand on the research mission." Feagans' efforts to­ ward this end were re­ warded in 1988 when the School of Dental Medicine received Feagans' tenure as dean of the School of Dental Medicine also realized inter­ national implications with the estab­ lishment of sister school relationships with dental schools in several countries, more funding that year from the National In­ stitute for Dental Re­ search than any other Taiwan. institution in the na­ tion. "It was a great credit to Jim English and to the faculty," he says modestly. "It gave the dental school national and international publicity." including Japan, Chile, Iraq, Israel, Mexico, Panama, Paraguay, Poland and Feagans' legacy will be carried on by LouisJ. Goldberg, D.D.S., Ph.D., former chair of the department of oral biology at the UCLA School of Dentistry, who took over as dean of the dental school when Feagans retired. Goldberg holds a dental degree from the New York University College of Dentistry and a Ph.D. in anatomy from the University of California. + — B Y C A R R I E A . L I B E R A N T E �MEDICAL T H E N A N D N 0 W SCHOOL Physicians - Heal Thyselves! OR, HOW TWO 1849 UB GRADS GOT EXPELLED FROM THE MEDICAL ASSOCIATION FOR CHARGING TOO LITTLE I t wasn't charging too much, but too little, that got two 1849 University of Buffalo graduates in trouble. John D. Hill, M.D., and Eldred P. Gray, M.D., were expelled from the county Medical Association for con­ "wrongfully and unlawfully" of partici­ pation in the association's counsels and actions, brought him "into disrepute" among his "professional brethren and others" and caused "great damage." The court issued an alternative writ tracting with the Erie County Board of Supervisors to render services for less than specified in the association's 1854 fee schedule. "Acceptance of any specific of­ fice for a different amount or for remuneration in any different way than by salary is clearly an infrac­ tion of both the letter and the spirit of the fee bill resolutions," the association declared. The member who does so, it added, "has forfeited his claim as a mem­ ber of this association." Hill, who had been the top man in his class at UB, ignored the $600 salary prescribed by the Medical Association for a physi­ cian serving the county's almshouse. Gray agreed to "visit the jail and perform medical ser­ vices" for $1 per visit — the aver­ age fee for a private patient — rather than the association's prescribed $150 salary. Injanuary, 1855, the association voted to expel Hill, and in June, 1856, Gray. Both physicians vehemently pro­ tested their expulsion and continued to attend association meetings, but as "by­ standers," were not allowed to express opinions or vote. II, M.D of mandamus: "either reinstate him or show why you cannot or will not," it told the Medical Association. The association's answer, when it came, was laughable. Hill should never have been expelled because he was never truly a member, the association said, contending that when Hill applied for membership in 1849, he had not yet deposited a copy of his diploma with the county clerk, and thus was not.legally authorized to prac­ tice medicine. And only those autho­ rized to practice medicine could be Finally, both physicians — first Hill and then Gray — appealed to the State Supreme Court to be reinstated. Hill said his expulsion deprived him © B u f f a l o P h y s i c i a n w members of the Medical Association. Furthermore, he had not garnered the required two-thirds vote of the members present when his membership was con­ sidered — although he was, at the time, "admitted" — and he had neglected to sign the bylaws and pay the treasurer $1 for a certificate of membership. The Supreme Court didn't buy the argument and ordered Hill reinstated. When Gray was brought up on charges, he argued that he was not actu­ ally accepting less than the required salary from the county by charging $1 per jail visit since his fees would amount to more than the association's prescribed $150 yearly salary. In fact, Gray's fees totaled $178. The association was, at first, big-hearted. It offered to let him retain his membership if he "im­ mediately retires from the posi­ tion which he holds in violation of the rules of the association." He refused, arguing that for the association "to prescribe the rate of compensation I may receive for services rendered is an illegal re­ striction of my individual rights as a member. Fixing salaries for our public institutions" is a mat­ ter "over which they have no ju­ risdiction whatever, such duty being confided to other powers." He had, he said, "obligated myself to the Board of Supervisors for a faithful rendi­ tion of my services for the term of one year and I am unwilling to dishonor my contract or to give up an office which amply compensates me for myservices." The association voted to expel him. He was reinstated in 1858 by order of the State Supreme Court to his "stand­ ing and position" in the association. And 30 years later, in 1888, Hill was elected president of the association! + — B Y i n M I t L e D R r E D S 1 A 9 N E 9 S 4 �T H E N N 0 MEDICAL W S C H O O L Adopted by the Buffalo Medical Association To Regulate the Medical and Surgical charges of its Members. Adopted November 15th, and ordered to go into effect January 1, 1854. Medical visit within the present City limits $1.00 A single medical visit within the same limits, made to transient persons B Introducing a catheter or bougie, first time (in addition to visit) 2.00 Introducing a catheter or bougie, subsequent times (in addition to visit) 2.00 1.00 Detention after the first hour, except in cases of obstetrics — for each hour during the day or night 1.00 Night visit, between 10 P. M. and sunrise 5.00 Remaining at the house, by previous arrangement, during the night, except in cases of obstetrics 5.00 - 10.00 Rising at night and prescribing 1.00 First consultation visit, medical or surgical 5.00 Each subsequent consultation visit 2.00 Advice and prescription in ordinary cases at office 50 Investigating and prescribing by letter or orally 1.00 - 10.00 Ordinary obstetrical attendance, including abortions and premature labors 10.00 - 20.00 For detention beyondsix hours in obstetrical cases there may be charged for each hour additional 1.00 Instrumental delivery and turning 25.00 - 50.00 All visitsmade subsequent to the accouchement, the same as for regular medical visits, viz 1.00 Venesection in addition to visit 1.00 Cupping 2.00 Introducing seton or issue, or applying moxa 2.00 Prescribing for gonorrhoea 10.00 - 25.00 Prescribing for primary syphilis 10.00 - 25.00 Prescribing for secondary or tertiary, not less than for primary, and additional charge optional. In venereal case the fees, or the security therefor, always to be required in advance. Trephining 25.00 - 50.00 Operation for cataract 25.00 - 50.00 Operation for fistula lacrymalis 10.00 - 25.00 Extraction of nasal polypus 10.00 - 25.00 Excision of a tonsil or uvula 5.00 - 10.00 Tracheotomy 25.00 - 50.00 Reducing hernia by taxis 5.00 Application of truss to hernia 5.00 Operation for strangulated hernia 50.00 - 100.00 Operation for fistula or fissura in ano 25.00 - 50.00 Operation for haemorrhoids 25.00 - 50.00 Tapping for hydrocele 5.00 Operation for radical cure of hydrocele 10.00 - 25.00 Paracentesis abdominis (first time) 10.00 - 25.00 Paracentesis abdominis (subsequent times) 5.00 - 10.00 Removal of calculus from bladder by an operation .... 100.00 - 200.00 Removal of uterine tumors or polypi 25.00 - 100.00 Operation for phymosis or paraphyosi 10.00 Amputation at hip joint 100.00 - 200.00 Amputation at shoulder joint 50.00 - 100.00 Amputation at thigh through its shaft 50.00 - 100.00 Amputation at fingers and toes 5.00 - 20.00 Amputation at extremities at other points 25.00 - 50.00 Amputation at breast 50.00 - 100.00 Extirpation of testis 25.00 - 50.00 Extirpation of tumors 5.00 - 10.00 Reducing dislocation of hip joint 20.00 - 50.00 Reducing dislocation of shoulder joint 10.00 - 25.00 Reducing dislocation of other joints 5.00 - 10.00 Post mortem examination before a Coroner 10.00 Post mortem examination made by request of the family . 5.00 - 10.00 An opinion involving a case of law 10.00 Life insurance certificate for the company 2.00 Life insurance certificate, for your own patient 1.00 u f f a l o P h y s i c i For all other medical or surgical services not mentioned in this bill, the charge shall be in the same ratio, the ratio being determined by the relative responsibility of the services and the time occupied. Visits beyond the present City limit are to be charged as City visits, with the addition of 1.00 per mile, for the first five miles. All fractions of a mile shall be charged as a full mile. Visits made to several patients in the same neighborhood, shall be deemed regular visits to each individual, and shall be charged as such. Incidental visits, as when a physician passing a house in the country is called in, are to be charged as in the City, one dollar: but should it be necessary to continue attendance, each succeeding visit shall be charged with mileage. It shall be considered dishonorable for any member of this Association to attend families or individuals by the year; or to take any other bargain or arrangement, the tendency of which will be to avoid the full purport and effect of the foregoing list of charges. All bills shall be considered due when services are rendered, and bills are to be presented, at least once a year, and settlement requested. It is particularly recommended to each member of the Association that all his unsettled bills be presented at the close of each year. Uniformity in this respect is considered of great importance to the interest of the profesIt shall be considered proper to make liberal deductions to all persons in moderate circumstances, excepting in cases of venereal disease. a n w i n t e r 19 9 4© �ALUMNI Working around the health care system IN THE MIDST OF THE NATIONAL REFORM MOVEMENT, DEBORAH RICHTER '86, PUSHES FOR CHANGE f system (similar to the Canadian system) and President Clinton's proposed plan is the elimination of insurance compa­ nies, which Richter says would save an estimated $20 billion a year in industry profits and overhead in addition to re­ ducing its considerable bureaucracy. "I feel like there's a bureaucrat sitting between me and my patients," she says. The system she advocates would also preserve fee-for-service. There is noth­ ing in Clinton's plan for this, Richter says. "We treat health care as a commod­ ity. I don't think people should profit from keeping people healthy," she says. "Let people profit from selling things like cars." Health care, she says, "should be a human right, like police and fire protec­ tion. You wouldn't ask someone to pay hen Deborah Richter, M.D., got out of medical school, she wanted to help the poor. But the system got in her way. "I had to treat people differ­ ently based on their insurance," says Richter, a 1986 graduate of the School of Medicine and Biomedical Sci­ ences. "I had to treat the insurance rather than the patient. I have a problem with insurance companies telling me how to treat my patients," she says. Richter explained that she has had patients "beg" her not to be sent to an emergency room because emergency room care is not covered under their insurance plan. "I'm not sure I can continue to prac­ tice medicine in this system." she says. So she has looked for a way to practice medicine without feeling trapped be­ tween treating patients and pacifying insurance companies. At Buffalo's county-run Geneva B. Scruggs Community Health Center, where the poor are her patients, Richter has struck a balance. She joined the staff there after com­ pleting a residency in family medicine at the University of Rochester's Highland Hospital. A staunch advocate of health care reform, Richter is local chapter presi­ dent of Physicians for a National Health Program, an organization she's been involved with since 1991. She believes the single payer system, under which a centralized payer would pay hospitals, HMOs and private practice physicians, would be best for the country. The main difference between this B u f f a l o for police protection, would you?" As a long-time advocate for a na­ tional health plan, she is very disap­ pointed in Clinton's proposal. "It will ruin health care." "I can't disagree with the ideology. The benefit package would be good if he could deliver it," she says. "But man­ aged care, I don't agree with." Richter argues managed care won't contain costs, and although Clinton's plan would eliminate all the small insur­ ance companies, it would "leave all of the large ones owning health care lock, stock and barrel." " [Under Clinton's plan] the large in­ surance companies will buy up the HMOs and own the doctors and the decisions," she says. "Treating people is not that simple." Richter believes one of the problems with the way medicine is practiced today is that everyone is interested in his or her bottom line. "We don't want to put the bottom line on hospitals. They shouldn't have to worry that if they take a patient who's on Medicaid, they won't make any money," she says. Deborah Richter, M.D., and a very satisfied patient. P h y s i c i a n W i n t e r 1 9 9 4 �Richter says that what she considers routine care is often perceived as unnec­ essary treatment by the insurance com­ panies — counseling, for example — which "renders the patient harmless," insurance jargon that in essence means neither the patient nor the insurance company is responsible for paying the bill. "Clinton's plan will encourage this," she added. In addition to Richter's opposition to insurance companies, she also is wary of Clinton's plan because she questions how it will be paid for. "We spend about $90 billion a year on unnecessary paperwork," she says. "With that money, you could reinvest it into the system." Richter says that paying for health care doesn't have to be as complex as the government makes it out to be. She is especially concerned about the poor and elderly because they "don't do well in HMOs," noting that this group makes up 10 percent of the population but uses 72 percent of the health care resources. Richter feels that one of the most important parts of her job as a physician is what she calls "mass education." Be­ sides educating her patients and the public about the single payer system, she likes to educate her patients on a one-to-one basis about health care. "I had a 16-year-old mom who brought her baby in every time he got the sniffles," she says. "So, I gave her a chart stating exactly when I should see the baby. Then she only brought the baby in when he needed it." Richter notes that women now make up about 50 percent of the graduating classes at UB's medical school. "I believe that women will change medicine," she says. "People want their mommies when they're sick." + Speaking of health care reform — First Lady Hillary Rodham Clinton, visiting Niagara Falls on November 5, talks about the president's health care reform plan with medical school dean John Naughton, M.D., right. Naughton greets Rep. John J. LaFalce, D-North Tonawanda, as Mark Celmer, president and CEO of DeGraff Memorial Hospital, looks on. Help us find your classmates! The Medical Alumni Association isseeking the whereabouts of the following missing alumni. If you can help us, please contact the Medical Alumni Office at (716) 829-2778. CLASS OF 1944 Angel M. Ayala William Burgoyne CLASS OF 1954 Leonard Constantine CLASS OF 1959 Ronald K. Hoyt Eugene D. Means Frederick Wurapa CLASS OF 1969 William Cunningham Peter D. Sirof CLASS OF 1974 Ann C. Ganczewski CLASS OF 1964 George R. Cohen Jan M. Gorzny Gugu R. Nxumalo Keith F. Russell CLASS OF 1979 Marion Alice Barnhart Mary Louise Fedash Theodore R. Hall Carol H. Hinds Avril Sampson David M. Simpson CLASS OF 1984 Maurice Wolin CLASS OF 1989 Young Bum Huh Louise LoBalsamo John P. Osborn Yasmin Panahy Joseph P. Spychalski 1993 Distinguished Medical Alumnus — William F. Balistreri, M.D. '70, (center) receives the specially designed crystal buffalo award from John Naughton, M.D., (left) vice president for clinical affairs and dean of the medical school, and Robert Reisman, M.D., '56, president of the Medical Alumni Association. �ALUMNI Spring Clinical Day and Reunion Mend set for April 29 - 30 M ark your calendars and be sure to set aside the time to attend the 57th Annual Spring Clinical Day and Reunion Week­ end at the Buffalo Marriott. Cocktail re­ ceptions for all reunion classes will be held on Friday, April 29, 1994, with Spring Clinical Day on Saturday, April 30. This year's Stockton Kimball Lecturer will be Jerome Kassirer, M.D., '57, editor of The New England Journal of Medicine and 1991 Distin­ guished Medical Alumnus. + CLASS OF 1959 CLASS OF 1964 CLASS OF 1984 "Looking forward to see­ "Step across the enchanted "Ten years have passed, we have a lot to catch up on. ing all of you again at our portal 35th Class reunion." Reunion's Magic Kingdom! Free up your schedules now JOSEPH F. MONTE, M.D.. Enter joyously and cel­ to return to Buffalo and see ebrate our old friends." CHAIRPERSON of our 30th conviviality! Welcome home!" NORA E. MEANEY-ELMAN. MARVIN Z. KURLAN. M.D., M.D., CHAIRPERSON CHAIRPERSON CLASS OF 1944 "Hope to see all that are able at the 50th." JAMES R. SULLIVAN. M.D., CHAIRPERSON CLASS OF 1969 CLASS OF 1989 CLASS OF 1974 "It's hard to imagine that "Twenty years have gone five years have passed. We by fast. Let's get together lookforward to seeingyou. us for Spring and renew old friendships." Please join JAMES A. SMITH, M.D., Clinical Day and the re­ CHAIRPERSON union parties." LEE R. GUTERMAN, M.D., CHAIRPERSON "Twenty-fiveyears. It's the right time to return for a "For the Class of '54, ev­ great weekend." ery reunion is special. HANLEY M. HORWITZ, Come celebrate our 40th!" M.D., CO-CHAIRPERSON NICHOLAS C. CAROSELLA, "Don't miss our 25th. We M.D. CO-CHAIRPERSON CLASS OF 1949 need you to make it a suc­ "Looking forward to see­ "Come join your class­ cess." ing your attractive and in­ mates for a weekend of GERALD • . STINZIANO, telligent faces again. Please nostalgia at our 45th re­ CLASS OF 1979 M.D., CO-CHAIRPERSON "Come back to our 15th come!" union." CARMELO S . ARMENIA, M.D., CHAIRPERSON EDWARD A. RAYHILL, Reunion, reminisceand see M.D., CO-CHAIRPERSON how we, the school and Buffalo have changed." PETER E. SHIELDS. M.D, CHAIRPERSON © B u f f a l o P h y s i c i a n W i n t e r 1 9 9 4 �A L U M N I 1993 reunion classes donate $101,050 to medical school I ast year's reunion classes donated over $100,000 to the medical school. Following is a listing of participat­ ing classmembers and class totals. Dr. Raphael S. Good Dr. Myron Gordon Dr. Harold L. Graff Dr. Robert J. Hall Dr. Vernon C. Lubs Dr. Daniel G. Miller Dr. Raymond E. Moffitt Dr. Kenneth R. Niswander Dr. Norman L Paul Dr. Richard C. Proplesch Dr. James G. Robilotto Class of 1953 — Dr. Max M. Bermann Dr. James R. Blake Dr. Anothony M. Foti Dr. Paul A. Lessler Dr. Donald A. Levine Dr. Don L. Maunz Dr. Robert M. Post Dr. Eugene M. Sullivan, Jr. Dr. John M. Wadsworth Dr. Sander H. Fogel Dr. Ronald F. Garvey Dr. Thomas G. Geoghegan Dr. Jack Gold Dr. John W. Handel Dr. Curtis C. Johnson Dr. Milford C. Maloney Dr. Richard J. Nagel March — Total: $6,000 Dr. Jacob B. Shammash Dr. Alfred S. Evans Dr. Arthur M. Goldstein Dr. David S. Berger Dr. Donald L. Ehrenreich Dr. Molly Seidenberg Dr. Eugene M. Farber Dr. Thomas J. Dwyer Dr. Joseph C. Tutton Class Total: $13,550 Dr. John M. Donohue Dr. Patricia J. Flanagan Total: $4,650 Dr. Stanley L. Cohen Dr. Donald O. Rachow Dr. Robert J. Collins Dr. Kevin S. Ferentz Dr. Charles S. Tirone Dr. James M. Orr Dr. Richard J. Buckley Dr. Jack R. Cavalcant Dr. Yung C. Chan Total: $9,100 Class of 1943 — Dr. Kenneth W. Bone Dr. James S. Williams Class of 1963 — Dr. Howard C. Smith Dr. Raymond M. Smith, Jr. Dr. Harold Smulyan Dr. John N. Strachan Dr. Michael A. Sullivan Dr. John D. Voltmann Dr. Charles J. McAllister Dr. Neal T. Smith Dr. Robert J. Smolinski, Dr. John C. Bivona,Jr. Dr. Arthur W. Mruczek, Sr. Dr. Anthony J. Bonner, Jr. Dr. William E. Clack Dr. Vincent G. Natali Dr. Adolph Soto, Jr. Dr. Patrick L. O'Connor Dr. Robert S. Stall Dr. Geoffrey E. Clark Dr. Robert L. Penn Dr. Mark A. Venditti Dr. Marc N. Coel Dr. Daniel A. Pietro, Jr. Dr. Renata Wajsman Dr. Gary H. Cramer Dr. Andre Raszynski Dr. Stuart Y. Wernikoff Dr. Geraldine F. De Paula Dr. Jacob D. Rozbruch Dr. Kenneth S. Zimmerman Dr. Barry Sanders Dr. Gregory' Zuccaro, Jr. Dr. George L. Druger Dr. Stephen A. Edelstein Dr. Michael A. Sansone Dr. Frank G. Emerling Dr. Ronald J. Friedman Dr. Arthur C. Sgalia, Jr. Dr. Robert M. Simon Dr. Bruce H. Gesson Dr. Gary J. Wilcox Dr. Theodore Hopens Dr. Lynda M. Young Dr. Kenneth L. Jewel Dr. Lawrence Zemel Dr. Andrew Cappuccino Dr. Helen M. Cappuccino Class of 1978 — Dr. Sandra L. Everett Dr. Ronald E. Batt Dr. David Kramer Dr. Winslow P. Stratemeyer Dr. David A. Berkson Dr. Harold L. Kulman Dr. James W. Taft Dr. Melvin M. Brothman Dr. Francis J. LaLuna December — Total: $7,550 Dr. Gary N. Cohen Dr. Sanford E. Leff Dr. Bernice S. Comfort Dr. Kenneth W. Matasar Dr. Carl A. Contino Dr. Robert A. Milch Dr. Thomas G. Cummiskey Dr. Roger B. Perry Dr. William F. Deverell Dr. Howard W. Raymond Dr. Robert C. Dickson Dr. Robert D. Rodner Dr. Frederick W. Dischinger Dr. Robert T. Rosen Dr. Benson L. Eisenberg Dr. Elias S. Rosenblatt Dr. Domonic F. Falsetti Dr. George P. Saba, II Dr. John W. Float Dr. Barbara B. Sayres Dr. Eugene A. Friedberg Dr. Lawrence J. Schwartz Dr. Michael T. Genco Dr. John E. Shields, Jr. Dr. William L. Glazier Dr. Timothy S. Sievenpiper Dr. Gerard T. Guerinot Dr. Leo A. Kane Dr. Sara R. Sirkin Dr. Lesbia F. Smith Dr. Marie Leyden Kunz Dr. Stuart C. Spigel Dr. Jacques M. Lipson Dr. Richard H. Stamile Dr. Michael A. Mazza Dr. Bruce C. Stoesser Dr. Robert J. Perez Total: $3,885 Dr. Lucien A. Potenza Dr. Richard A. Rahner Dr. William H. Bloom Dr. Richard R. Romanowski Dr. David P. Buchanan Dr. Walter H. Rothman Dr. Glenn B. Doan Dr. Morton Spivack Dr. Thomas J. Enright Dr. Daniel J. Fahey Dr. Alfred M. Stein Dr. Richard D. Wasson Dr. William F. Gallivan,Jr. Dr. Reinhardt W. Wende Dr. Morris Unher Dr. Paul J. Wolfgruber Class of 1948 — Dr. Claudia Fosketl '85 Dr. Lawrence J. Dobmeier Dr. Ralph E. Smith, Jr. Dr. Robert W. Moyce Dr. Gwen L. Nichols Dr. Charles R. Niles Dr. Daniel J. McMahon Dr. Julian R. Karelitz Dr. John C. Ninfo Dr. Sharon Kuritzky Dr. Albert W. Biglan Dr. Roger M. Baretz Dr. Amos J. Minkel, Jr. Dr. Francis C. Mezzadri Dr. Paul Kuritzky Dr. Lawrence D. Baker Dr. Nathan P. Segel Dr. Anthony J. Marano Dr. William J. Mayer Dr. John T. Klimas Dr. Allen D. Rosen Dr. Gary D. Karch Dr. C. Philip Lape Dr. Younghee Limb Dr. Robert Huddle, Jr. Dr. Mark Schwager Dr. John V. Armenia Dr. Richard J. Jones Dr. Fredric M. Hirsh Dr. Mary Jane Massie Dr. Walter R. Petersen Dr. E. George Heus Dr. Mary M. Lee Dr. Joel M. Andres Dr. Brian S. Joseph Dr. Richard F. Kaine Dr. John P. Guinther Dr. Stephen L. Kinsman Dr. Marc E. Heller Dr. Cynthia A. Pristach Dr. Elroy E. Anderson Dr. Edward B. Crohn Dr. Maxine D. Hayes Dr. Thomas A. Lombardo, Jr. Total: $17,350 Dr. B. Joseph Galdys Dr. William F. Hanavan Dr. Richard D. Jackson Dr. Ralph R. Hallac Total: $16.625 Dr. Ruth F. Krauss Dr. Ronald E. Martin Dr. Paul A. Cline Dr. Jonathan A. Graff Dr. Vincent J. Fuselli Dr. Robert E. Noble Dr. Marvin Wadler Dr. Louis F. Ciola Dr. Robert G. Fugitt Dr. Dana P. Launer Class of 1958 — Dr. Peter A. Casagrande Dr. Denise M. Goodman Dr. Robert S. LaMantia Dr. Joseph V. Hammel Dr. Ivan L. Bunnell Dr. Catherine A. Goodfellow Dr. Lee A. Evslin Class of 1968 — Dr. Richard S. Fletcher Dr. Ralph T. Behling Dr. Demetrius Ellis Dr. Arnold W. Scherz Total: $4,675 Class of 1988 — Total: $1,680 Dr. Stephen F. Achilles Dr. John J. Barbaccia Dr. Charles Everett Dr. James E. Hohensee Dr. Thomas R. Achtyl Dr. Gerald P. Igoe Dr. Stewart R. Altmayer Dr. Kevin W. Kopera Dr. Louise T. Barbieri Dr. William R. Kuehnling Dr. Michael H. Blume Dr. Nancy J. Lisch Dr. Daniel P. Cannucciari Dr. Pierre T. Martin Dr. Richard R. Curran Dr. Robert F. Mennella Dr. Kathleen A. O'Leary Dr. Stuart L. Dorfman Dr. Richard S. Elman Dr. Karen S. Reed Dr. Fred H. Geisler Dr. Robert F. Reed Dr. Kenneth L. Glick Dr. Nicole L. Sasson Dr. Stephen E. Killian Dr. Robert A. Sicoli Dr. Mark J. Kramer Dr. Wayne R. Waz Dr. Roberta Meltzer Dr. Janet M. Williams Dr. Paul Miles-Matthias Dr. Charles W. Morgan Editor's Note: While every effort Dr. Matthew J. O'Brien, Jr. is made to verify the accuracy of Dr. Lois A. Polatnick this listing, omissions or Dr. Robert P. Pszonak misprints may occur. This report Dr. Joel J. Reich lists all donors who have made Dr. Paul A. Rutecki Dr. Steven M. Seidman gifts as of November 4, 1993. If Dr. Richard J. Sternberg comments or concerns, please Dr. Jeffery S. Stoff Class of 1983 — call Michael E. Benzin, Acting Dr. Robert E. White Total: $7,860 Class of 1973 — Total: $21,675 Dr. Bruce M. Abramowitz Dr. William J. Ackerman Dr. William S. Bikoff Dr. Frederick R. Buchwald Dr. Peter J. Accetta you have any questions, Director of Annual Giving, at (716) 645-3312. Thank you. Dr. Deidre Bastible Dr. Melinda S. Cameron Dr. Susan E. Champion Dr. Michael J. Chaskes Dr. Victor Chehebar Dr. John A. Feldenzer © �A S p o o n f u l o f H u m o r © S t u S i l v e r s t e i n , M . D As the World Turns BIG CHANGES I N FOREIGN AFFAIRS AND DOMESTIC HEALTH CARE ARE ONLY T H E BEGINNING ment eliminate paperwork? They in­ vented it — in 1852. This is like putting Ted Danson in charge of the NAACP. I graduated from residency last year and got my first taste of managed care. I still don't know what it is. I thought PPOs caused mycoplasma pneumonia. Well, there I am billing for my ser­ vices and the hospital HMO says, "Sorry, we can't pay you." "Why not?" "Because you haven't paid us your fee." If I'm not mistaken, this used to be called protection money and it was col­ lected by the Mob. I guess HMO stands for Higher Mafia Organization. They might as well have some guy sitting outside the OR with a cash register! "HEY MAC! Before you scrub, that'll be 10 bucks. Let's see some ID." We are already seeing an onslaught of news coverage on the health profes­ sion. In order to facilitate proper cover­ age, we offer this abridged glossary of non-clinical terms used in medical con­ text that cannot be found in any stan­ dard medical dictionary or spell checker. Last fall, we witnessed the successful completion of the Biosphere project, where groups of individuals were locked inside a building for two years, having to deal with each other and eat what­ ever food was available without any assistance from the outside world. This used to be called Residency. At this point I understand they're actually board eligible in pediatrics and psy­ chiatry. Of course the biggest news was the signing of the Middle East peace ac­ cords. Lots of dignitaries were in atten­ dance, including ex-presidents and vice presidents. In a case of mistaken iden­ tity, Dan Quayle asked Yasser Arafat what it was like to play drums with the Beatles on the Ed Sullivan Show. Our sources tell us that Yitzhak Rabin agreed to shake hands as long as there was no hugging and kissing. The Israeli prime minister looked a bit stiff and uncomfortable — he made A1 Gore look like a speed-addicted aerobics instructor. Now that he has the foreign situa­ tion under control (with the exception of NAFTA, Somalia, Haiti, Bosnia and the Toronto Blue Jays winning two World Series in a row), the president has finally turned his attention to health care reform. As you know, the biggest problem facing doctors today is there just isn't enough paperwork out there. Bill Clinton says that under his plan pa­ perwork is going to be totally elimi­ nated. Since when does the U.S. govern­ © B u f f a l o Allied Health Professional — A person who works in a health field that is allied with the practice of medicine, i.e., the First Lady. Attending Physician — A physician on the medical staff who is legally responsible for the care given to a patient. He is the physician frantically looking for a stetho­ scope to borrow from the medical stu­ dents. Capitation — Formerly called castra­ tion. Cherry Picking—Accepting only healthy people for insurance coverage, i.e., pro­ viding hurricane insurance for the midwest and tornado insurance for resi­ dents of Hawaii. Clinical Autonomy — The ability of physi­ cians to make medical judgments based on their training, experience and spe­ cialty, without outside interference, practiced during the Paleozoic Era, now extinct. Discounted Rate — A payment arrange­ ment in which providers agree to accept reimbursement that is based on a per­ centage lower than their usual billed rate. (See Wal-Med.) Medical Students — Students who spend time in a hospital learning clinical medi­ cine. They can be identified by their white coats, the 59 pounds of medical equipment they carry and as the ones frantically volunteering their stethoscopes to the attending physi- Stu Silverstein, M.D., president of Stondup Medicine Seminars of Son Francisco, California, lectures notionwide on humor in medicine. P h y s i c i a n W i n t e r 1 9 9 4 �GRADUATE EDUCATION The Emergency Medicine Residency program will be Buffalo General Hospital. D Emergency Medicine residency program wins ACGME approval B's Emergency Medicine Residency program has won provisional ac­ creditation status from the Accredi­ tation Council on Graduate Medi­ cal Education. The program, which consists of three years of training beginning at the PGY-1 level, officially begins in July of 1994 with its full complement of 10 residents. Residents will be based at The Buffalo General Hospital and will rotate through Erie County Medical Center, The Children's Hospital of Buffalo and Millard Fillmore Hospitals. George Braen, M.D., pro­ fessor and chairman of emer­ gency medicine, will direct the program. Clinical trainingwill con­ sist of rotations in medicine, based af The trauma and burns, surgical intensive care, anaesthesiology, pediatric emergency care, orthopaedics, coronary care, plas­ tic and hand, as well as rotations in emergency health services systems and administrations. "We're in the process of recruiting residents for next year," said Dan Dike, M.D., assistant to the chair, noting that the existing undergraduate program rotations have "attracted some very good people who are interested in staying in Buffalo. "Buffalo General Hospital is building a new emergency department and of­ fices for the overall residency program and ECMC is building a new emergency department," Dike said. "And Millard is reconstructing its suburban emergency department, which is where the resi­ dents will be rotating." + Hand fellow joins staff of Our Lady of Lourdes Medical Center I cottF. Garberman,M.D.,whocom| pleted a fellowship in UB's depart­ ment of orthopaedic surgery, divi­ sion of upper extremity and microsurgical reconstruction, has recently joined the medical staff at Our Lady of Lourdes Medical Center, in Camden, Newjersey. Garberman earned his medical degree from Hahnemann University in mm \ Philadelphia and W / finished a residency in general surgery at Abington Memorial Hospital in Abington, Pennsylvania. + BUFFALO COLUMBUS HOSPITAL and the UNIVERSITY AT BUFFALO PARTNERS in PROGRESS At Buffalo Columbus Hospital, we're incorporating our family of community health centers into the U.B. healthcare family to provide a new level of excellence. By combining the resources of the University at Buffalo School of Medicine and Biomedical Sciences with an 85-year tradition of caring, Buffalo Columbus Hospital is taking a visionary approach to the challenges of health care in the '90s. G OLUMBUS BUFFALO COLUMBUS HOSPITAL 300 Niagara Street Buffalo, New York 14201 (716) 845-8300 For more information, call: 1-800-77-CARE-4 B u f f a l o P h y s i c i a n W i n t e r 1 9 9 A © �CLASSNOTES T H O M A S P . H A M I L T O N II ' 5 7 , June 1993. Dr. Marks is the Theology at Virginia Union Uni­ R A L P H T . B E H L I N G ' 4 3 , of writes, "I retired from the U.S. Deputy Director for Public versity in September 1987. This San Mateo, California writes, Army May 9,1993. Most recent Health Practice at the Center for fall he completed requirements "I'm taking our five children and positions were chief, preventive Chronic Disease Prevention and for a master's degree in divinity. their 'mates' on a Caribbean medicine division, Army Medi­ Health Promotion, Centers for cruise in September to celebrate cal Department Center and Disease Control and Prevention M A R K S . G L A S S M A N ' 7 8 , has School (chair and full profes­ in Atlanta, Georgia. He is the been named director of pediat­ sor) and Deputy Commander, son of Dr. and Mrs. Eugene M. rics at New Rochelle Hospital Marks '46. Medical Center. Dr. Glassman LINDA SHRIRO SCHENCK ing inpatient pediatric capabili­ medal is awarded for signifi­ ' 7 7 , has been appointed to the ties, developing a practice in cant contributions to the Admissions Committee of the pediatric gastroenterology and University of Minnesota Medi­ serving as a liaison between New cal School and to the Governor's Rochelle Hospital Medical Cen­ our 50th Anniversary." H E R B E R T E . J O Y C E ' 4 5 . re­ Director of Medical Education ceived the Max Cheplove medal and Commander, Brooke Army on October 23, 1993. The progress of Family Medicine. Dr. Joyce is the 25th recipient of the medal. Medical Center." 1 9 6 0 s MORTON E. WEICHSEL, JR. '62, was appointed chief of pro­ fessional services, Los Angeles EUGENE J. MORHOUS '45, informs us that his wife of 48 years died in May of acute lym­ phocytic leukemia. Dr. Morhous resides at 57 Sherwood Drive, White Sulphur Springs, West Virginia 24986. 1 will be responsible for enhanc­ 9 County, California Children's Services and also professor of pediatrics and neurology at UCLA School of Medicine. 0 lege. He is board certified in both husband, Carlos Schenck '76, is pediatrics and pediatric gastro­ still with the Minnesota Regional enterology and also holds a Sleep Disorders Center at master's degree in human nutri­ tion from the Institute of Hu­ R A L P H D ' A M O R E ' 6 5 , is di­ ter. They have three children, man Nutrition at Columbia Uni­ rector of emergency services at Carly, Nicholas and Teddy. versity College of Physicians and R O B E R T A . M I L C H ' 6 8 , medi­ sis from the Southern California '53. received Brown University's cal director of Hospice Buffalo, Psychoanalytic Institute in June Senior Teaching Citation has been appointed clinical as­ 1993. Dr. Seitelman teaches at Award at the 1993 Commence­ sistant professor of family medi­ the institute and has a private ment. His daughter Paula re­ cine at the University at Buffalo practice in psychiatry in Seal ceived her MA from Columbia School of Medicine and Biomedi­ Beach, California. His son Rob, School of Journalism in 1993. cal Sciences. Dr. Milch will be age 14, attends the Orange teaching palliative care to family County High School of the Arts; medicine residents and devel­ his wife,Judy, is a business writer erside, California, was installed oping a curriculum to include a and has her own business. as president of the Riverside rotation at Hospice Buffalo. Dr. County Medical Association. Milch also serves on the Ethics Dr. Kanel is an associate clini­ Committee of the Erie County cal professor of orthopaedic Medical Society. sity. J A M E S S . M A R K S ' 7 3 , was nounces that he is retiring from practice in January 1994. He is currently an AMA delegate. © e u f f a i Journal of Gastroenterology and the Journal of Allergy and Asthma for Pediatricians. Dr. Glassman and his family live in Connecticut. 1 9 8 0 s P A T R I C I A F L A N A G A N ' 8 3 , as­ sistant professor of pediatrics at Brown University School of Medicine, has been named the first Fleet Scholar for Social Pe­ C O V I A L . S T A N L E Y ' 7 8 , was surgery at Loma Linda Univer­ J O H N S . P A R K E R ' 5 7 . an­ torial boards of the American received a Ph.D. in psychoanaly­ HERBERT P. CONSTANTINE H A R R I S H . K A N E L ' 5 7 , ofRiv- Surgeons. He serves on the edi­ JEFFREY K. SEITELMAN '77, Rouge, Baton Rouge, Louisiana. s ter and New York Medical Col­ cally Engineered Organisms. Her Hennepin County Medical Cen­ the Medical Center of Baton 5 Advisory Committee on Geneti­ installed as the pastor of Mount diatrics at Brown University. The Rona Baptist Church in New­ award is for a three-year period. port News, Virginia, in June The scholarship was established 1993. After closing his private to support young, promisingaca­ practice in obstetrics/gynecology demic faculty whose research in 1987, he moved to Richmond, will address topics of concern awarded the Public Health where he worked at the Virginia for the well-being of children Service's highest award, the Dis­ Department of Health. He began according to changing needs tinguished Service Medal, in taking courses at the School of over time. Dr. Flanagan's area of o P h y s i c i a n W i n t e r 1 9 9 A �CLASSNOTES research interest is in the evalu­ D E B O R A H W H I T E ' 8 7 , and her ation of neurodevelopmental husband Chris White (M.S. '84), outcome of infants born to ado­ announce the birth of a daugh­ lescent mothers. She is a pedia­ ter in January 1993. She joins a trician on staff at both Rhode brother, age 4. Dr. White is in Island Hospital and Women and practice in internal medicine in Infants Hospital. Dr. Flanagan's Medina, New York. background encompassesa wide S U S A N L . B E H E N ' 8 8 , com­ range of social issues surround­ ing adolescent pregnancy. She is pleted a residency in general currently a member of the Rhode surgery at the Johns Hopkins Island Attorney General's Task Hospital and accepted a fellow­ Force on Sexual and Violent ship at the University of Texas at Physical Abuse of Children. Houston. H E R B E R T N E W T O N ' 8 4 , and VERONIQUE JAMES '88, his wife Cheryl, proudly an­ works in the pediatric clinic of nounce the birth of their first Bridgeport Hospital, and Richard child, Alexander James ("AJ") Ho (MSTP '92) is a second-year Newton, 8 lbs. 11 3/4 oz., born medicine resident at Yale. They August 24, 1993. announce the birth of Kathryn JOHN V. Veronique James '88 BOSSO '85, was Nicole on August 7, 1993. Forster '85 is area service chief J E N N I F E R L . C A D I Z ' 8 7 , is G I N A B . D I N U N Z I O ' 8 9 , joined named chief of the division of of pediatrics for the N orthern Vir­ currently a staff oncologist at Wil­ allergy at Nyack Hospital, Nyack, ginia area of Kaiser Permanente. liam Beaumont Army Medical the faculty at the Medical College New York and elected a fellow of He is in private practice in oph­ Center. of Virginia as an assistant profes­ the American College of Allergy thalmology and is chief of the and Immunology. He and his uveitis service at Georgetown wife, Janet, are expecting their University. "We have two won­ second child in October. derful children: Christopher, 2, sor of obstetrical anesthesia. She B L A K E K E R R ' 8 7 , writes, "I and her husband, Monte Cox, work as a general practitioner in announce thebirth of their daugh­ Eastern LongIsland, andjust pub­ ter, Heather Cox, injanuary 1993. lished Sky Burial, Moble Press, and Sara, 3 months." about traveling to Everest in 1987 R O G E R A . D A L E Y ' 8 5 , is an ANTHONY L. CAPOCOLLI '89. assistant professor and head of NICHOLAS D'AVANZO '86. and becoming swept up in Ti­ writes, "Now a neurosurgery resi­ the hand and upper extremity writes, "I am practicingin a four- betan National Demonstrations." dent at SUNY Downstate Medical section in the department of man group of pediatricians in orthopaedic surgery at the Medi­ North Carolina. We just had our cal College of Wisconsin. second child, Stephen Nicholas, Center. Married "Cristy" from LIJ. MARY MCDONELL Baby a-comin' in 9/93." (O'BRIEN) '87, is in private prac­ tice in Niagara Falls. She is chief June 1, 1993, 10 lbs. 5 1/2 oz." clinical instructor in pediatrics A N D R E W F R I E D M A N ' 8 5 , is now on staff at the University of JO for the family practice residency ANDREW P. GIACOBBE '86. Nebraska, Omaha, as a plastic, writes, "I completed my plastic program as well as assistant chief hand and microvascular sur­ surgery residency in June and 1 of pediatrics at Niagara Falls geon. He and his wife, Susan, am now in private practice. My Memorial Medical Center. She have two children,Jacob, 4, and wife, Laura, my daughter has two children: Seamus, 2, and William, 2. Cristina, and I are living in Buf­ Rhiannon, 4 months. Since the falo." birth of her second child she has D A V I D F O R S T E R ' 8 5 , informs 1 9 9 0 R O N A L D A . A L B E R I C O ' 9 0 , is a member of the executive com­ mittee of the resident's sections of the New York State Radio­ logic Society. He has two chil­ dren: Karissa, 10 months, and Zach, 2 1/2. given up a pediatric clinic. us that his wife Carol (Hammer) B u f f a l o P h y s i c i a n W i n t e s r 1 9 9 4 �GAIL BURSTEIN '90, writes, training program at San Bernar­ "My husband, Peter Bloom '90, dino County Hospital and was and I are working in a rural its first chairman. hospital in South Africa for nine ,, ,, , , ,, ... months this year. 1 shall run the / CURZON CADY FERRIS '46 pediatric ward and Peter plans died July 27, 1993 in Abilene, We are pleased to inform you of your eligibility to purchase microcomputer and informa­ tion technology products at special educational prices at UBMicro, the University at Buffalo's non-profit com­ puter resale program. Consulting and pricing information is available weekdays 9:30am to 5pm, Wednesdays and Thurs­ days to 7pm, or by calling 645-3554. Holiday Specials Texas. Before his retirement to work on an N1H grant to study from the US Air Force in 1970 African iron overload." he commanded the 819th Medi­ JOHN G. GELINAS, JR. '91, cal Group and Dyess USAF Hos­ $1,313 writes, "I presented a paper pital. Following his retirement, called 'Neuroleptic Malignant he was in private practice in Syndrome and Polymyositis' at Abilene as a general surgeon. In the 1993 Annual Convention of 1975 he was appointed Director Features include 8MB RAM, 160MB Hard Disk, 68040 Processor, 25 MHz, mouse, & Campus Software Set. (Monitor and keyboard purchased separately.) the American Psychiatric Asso­ of Public Health for the Abilene- ciation in San Francisco. 1 mar­ Taylor County Health Depart­ Macintosh Quadra 610 8/230 Macintosh Quadra 610 8/230 (w/ CD/ROM) ried Carole H. Buddenhagen on ment. He retired from the November 30,1991, and we have Hendrick Medical Center staff a son, Andrew John Thomas in 1988. Macintosh Quadra 610 8/160 SPENCER O. RAAB '54, died of hematology-oncology at East an internship in general surgery Carolina University School of at Union Memorial Hospital in Medicine and a member of the Baltimore and is beginning or­ Board of Directors of the Ameri­ thopaedic surgery at George can Cancer Society. He started Washington University. He in­ outreach clinics in eastern North forms us that Marie Christine Carolina. Durnan '92 and Michael Longo $1,799 Insight 486DX33 4/340 Features include a 14" color monitor, a 32 bit Local Bus 1MB Graphics Acc. SVGA card, 33MHz, 4MB RAM, 340MB hard drive with cache, 3.5" and 5.25" floppy drives, 2 serial, 1 parallel, and 1 game ports, mouse and keyboard, DOS and Windows. Insight 486DX/66 Desktop EO JOSEPH HEAPHY '56, '92 are engaged to be married. DCIL Features include 33 MHz, 4 MB RAM, 1MB video RAM, 170MB hard drive, Ultrascan 14" color monitor, 3.5" or 5.25" floppy drive, a performance keyboard, mouse, DOS 6.0 & Windows 3.1. June 22, 1993. Dr. Raab was chief JAMES D. KUHN '92. finished $1,648 $1,959 $1,979 Dell 486 Optiplex "L" 4/170 Gelinas, born December 8, 1992. We live in West Hartford, CT." - $2,049 died June 4, 1993 at his residence in Raleigh, North Carolina after a O B I T U A R I E S long illness. Dr. Heaphy was a EILEEN L. EDELBERG '44. monary diseases, particularly oc­ of the pancreas. She had been an cupational respiratory diseases. associate physician (Emeritus) at He testified about these mala­ Smith College in Northampton, dies before many regulatory Massachusetts. ROBERT W. MOYCE '44, died in Stinson Beach, California, af­ efforts were instrumental in ob­ ter a long battle with cancer. He taining federal and state legisla­ was the founding president of tion regarding worker compen­ the San Bernardino, Riverside sation County, OB-GYN Society. Dr. byssinosis and related diseases. u $125 $95 Microsoft Excel for Windows Microsoft Excel for Macintosh $139 $139 and safeguards Call 645-3554 for pricing on other products. Open Weekdays 9:30 am - 5pm / Wed & Thurs until 7pm f f a C R O UB for A non-profit University program for students.; facuity & staff Th© Commons • North Campus • (716) 645-3554 • Fax: 645-3884 Moyce established the residency B WordPerfect 6.0 for Windows WordPerfect 6.0 for DOS agencies, including several Con­ gressional subcommittees. His ^ $129 $99 nationally known expert on pul­ died on April 19, 1993, of cancer f Microsoft Word for Windows Microsoft Word for Macintosh l o P h y s i c i a n W i n t e r 1 9 9 4 ��BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET UNIVERS, , i C1/ UOPMENT BUFFALO NEW YORK 14214 9 U A N - 3 AM IQ: t O Non-Profit Org. U.S. Postage PAID Buffalo, NY Permit No. 311 ADDRESS CORRECTION REQUESTED 148 FRANCES WILSON CENTER FOR TOMORROW U8 FOUNDATION CAMPUS MAIL The only liability coverage with this seal of approval Medical Liability Mutual Insurance Company (MLMIC) is the only professional liability insurer approved by the Medical Society of the State of New York. Since its founding in 1975, the physicianowned and managed company has success­ fully defended more physicians than all other available insurers combined. Additionally, MLMIC has the largest and most experienced professional liabil­ ity claims department in the country, the largest risk management department of any New York State professional liability insurer, and the state's only true peer review of claims experience. Call 1-800-ASK-MLMIC (metro) or 1-800-356-4056 (upstate) for more infor­ mation and an application. MLM|C Medical Liability 3 Mutual Insurance Company Our defense never rests, 2 Park Ave., New York, NY 10016 250 Harrison St., Syracuse, NY 13202 90 Merrick Ave., East Meadow, NY 11554 © 1993 Medical Liability Mutual Insurance Company Partners' Press. Inc. 14 Abgott Printing, Inc. � 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Journals and magazines 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, Winter 1994 Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Buffalo physician and biomedical scientist Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--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 1994-Winter Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. 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Changes in version imply substantive changes in content rather than differences in format. v28n01 Extent The size or duration of the resource. 36 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. Copyright 1994 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/9740c2b55fe915c22eaca63e78c4be41.pdf 1bc2271b1718c6558c519f2e291cea35 PDF Text Text SCHOOL OF MEDICINE STATE UNIVERSITY OF NEW YORK AT BUFFALO SUMMER 1972 : the Buffalo Physician AU^ajtowM - UM<*yiew C o M W t H s * u r ¥ VOLUME 6, NUMBER 2 �Medical Alumni Officers Dr. John J. O'Brien is the new president of the Medical Alumni Association. The 1941 Medical School graduate is a clinical assistant professor of medicine at the University and on the staff of the Buffalo General and South Buffalo Mercy Hospitals. He has been on the faculty since 1951. He did his undergraduate work at Canisius College, his internship at the United States Naval Hospital, Philadelphia; and his residency at the Vet­ eran's Administration Hospitals in Buffalo and Batavia. He was in military service from 194147. Dr. O'Brien is a past presi­ dent of the Annual Participat­ ing Fund for Medical Educa­ tion; and the Western New York Society of Internal Medi­ cine; and a Fellow of the Amer­ ican College of Physicians. He is also active in several other professional organizations.• A 1946 Medical School grad­ uate is the new vice president. He is Dr. Lawrence H. Golden, who has been on the faculty since 1951. He is a clinical as­ sociate professor of medicine. Dr. Golden is chief of cardiol­ ogy, attending physician, and chairman of the department of medicine a t t h e Millard Fill­ more Hospital. He is also at­ t e n d i n g p h y s i c i a n a t t h e E. J . Meyer Memorial Hospital. He did his undergraduate work at UB, his internship at the Jersey City Medical Center, and his residency at Millard Fillmore Hospital. He was a Cardiovascular Teaching Fellow at the University (1950-54) and had a Fellowship in Cardiology at Tulane University (1956-58). From 1954-56 he was a Captain in the United States Air Force (medical corps). Dr. Golden is a Fellow in the American College of Physicians, American College of Chest Phy­ sicians, and American College of Cardiology. He is also a Diplomate, American Board of Internal Medicine.D A 1954 Medical School grad­ uate is the new treasurer. He i s D r . P a u l L. W e i n m a n n , w h o is director of the department of dermatology at St. Joseph's In­ ter-community Hospital. Dr. Weinmann was gradu­ ated from Bennett High School, Buffalo, in 1947. He did his undergraduate work at the Uni­ versity of Michigan, returning to Buffalo in the fall of 1950 to enter Medical School. He in­ terned at the Buffalo General Hospital in 1955, and took his dermatology residency at the University of Chicago. He re­ turned to Buffalo in 1958. Dr. and Mrs. Weinmann and their two children live at 199 Ruskin Road, Eggertsville.Q �Summer 1972 Volume 6, Number 2 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD Editor ROBERT S. McGRANAHAN Managing Editor MARION MARIONOWSKY Photography HUGO H. UNGER EDWARD NOWAK Medical Illustrator MELFORD J. DIEDRICK Graphic Artists RICHARD MACAKANJA DONALD E. WATKINS Secretary FLORENCE MEYER CONSULTANTS President, Medical Alumni Association New Officers (inside front cover) 2 More Money 3 Trauma Study Center 7 4,200 Applications/Dr. Markello 8 Medical Genetics 11 AMA/Dr. Leslie 12 New Book 13 Dr. H. C. Clarke 14 Health Therapy 17 Dr. Armenia/Medical Education 18 Summer Fellowship 19 Dr. Schenk 20 Computerization 21 Capitation Grant 22 Health Insurance DR. JOHN J. O'BRIEN 23 Abused Children President, Alumni Participating Fund for 24 Harrington Lecture Medical Education DR. MARVIN BLOOM 27 Rural Externship 28 Community Health Center DR. CLYDE L. RANDALL 30 Health Reservoir Vice President, University Foundation Vice President, Faculty of Health Sciences 31 Practicing Attorney JOHN C. CARTER 32 Health Education Center Director of Public Information 33 X-rays/Sponsored Research 34 Today's Students 36 Sperm, Egg JAMES DeSANTIS Director of Medical Alumni Affairs DAVID K. MICHAEL 37 Intensive Care THEODORE V. PALERMO 38 Respiratory Unit Vice President for University Relations 39 $5,000 Gift 40 Medical Artist 42 Mental Health Center 44 The Classes 46 People Director of University Publications DR. A. WESTLEY ROWLAND the Buffalo Physician 47 In Memoriam 48 Dr. Paine Dies The cover design by Richard Macakanja focuses upon some of the services of the new Allentown-Lakeview Community Health Center (pages 28-29). THE BUFFALO PHYSICIAN, Summer Spring, Summer, Fall, Winter — by York at Buffalo, 3435 Main Street, paid at Buffalo, New York. Please by The Buffalo Physician. 1972 — Volume 6, Number 2, published quarterly the School of Medicine, State University of New Buffalo, New York 14214. Second class postage notify us of change of address. Copyright 1972 �Chancellor Pledges Medical School Money Chancellor Ernest L. Boyer pledged more money for SUNY's Medical Centers in spite of the state's present financial difficulties. "We are educating 1,800 physicians, more than any other university in the world, and we have 22,000 in our special admissions programs." Dr. Boyer predicted that the State University would survive the current state fiscal crisis and emerge from the current decade with untold strength. He also called the 1970's "a period of pri­ orities and consolidation" for the University system after the "tre­ mendous growth" and "terrible anxieties" in the 1960's. "Our problem is a serious economic one that has touched every organization and family. The simple fact is one of a lessening income for public institutions, coupled with rising costs in operation and maintenance. We are faced with $20-30 million in additional commitments for next year and our income is about at zero. Our only option was to update the preannounced tuition schedule — an unfortunate but unavoidable decision." The combined increase of $200 in the cost of tuition and room and board will help bridge the financial gap. Dr. Boyer said he could not support "full cost tuition nor free tuition." He said he advocated "some sharing of total educational costs at the upper level years for those with the ability to pay. But I can't in good faith, argue for free tuition at this time. I can't support a runaway tuition scale either." The Chancellor pointed out that the additional funds from the tuition hike would provide for — an increase in next year's freshman class by an additional 1000 students; better library services; needed funds for disadvantaged and lower-middle income students; sum­ mer sessions continuing at the same level; and more money for the medical centers. Dr. Boyer proposed four major areas of concern for this decade and said the University must: (1) "Rethink the direction of our growth in terms of the dollar. We must think of the dollar in terms of human priorities rather than building contracts. (2) We must re-examine existing academic programs on the campus. In some cases it seems we have more professors in certain graduate courses than we have students. (3) We must provide more flexible patterns of study within the University. (4) We must reaffirm the University as a monument of hope in future generations and in the dignity of the human individual; and we must reaffirm it in loud, clear, and unequivocable terms."• 2 THE BUFFALO PHYSICIAN �A. T r a u m a S t u d y Center, specifically designed by the department o f s u r g e r y a t t h e E. ). M e y e r M e m o r i a l H o s p i t a l , is m a k i n g a n i m p a c t on the high cost of accident injuries and death in this country. Now in its third year of National Institutes of Health support — $210,000 this year — it is o n e of only ten such nationally funded sites for the study of trauma in man. Its approach to investigations into the sequence of vital body organs (lungs, kidney, heart) that fail following a severe injury or wound to the body is a multidisciplinary o n e — surgery, medicine, biophysics, biochemistry. Its knowledge, gained from long-term animal studies, is n o w being applied to man. The team, under principal investigator Dr. Worthington G. Schenk, Jr. (chairman of surgery) and project director, Dr. John R. Dr. Border Border (professor of surgery) includes surgeons Murray Andersen, Gerard P. Burns, Erich Moritz and Tan Ho (he is now in service), biophysicists Robert A. Spangler and Darold C. Wobschall, bio­ chemist Rapier H. McMenamy a n d internists Joel J. Schnure a n d Maximillian E. S t a c h u r a . "Recognizing the patient with severe injuries — the hidden as well as obvious ones — as quickly as possible is our major goal," pointed out Dr. Border. "For, when the patient is diagnosed a t a very early stage, therapy is not much of a problem. Thus, the seriously injured — most often from auto accidents — can be prevented from progressing into the irreversible organ failures which lead to death. "What we are trying to do," the Harvard medical graduate who has also completed biophysics and biochemistry research fellowships said, "is to build a base of knowledge on the mech­ anisms of organ failures and their interrelations. This is only possible through the study of trauma in man." The patients — for its clinical studies which are underway in a room adjoining the hospital's intensive care unit — are selected be­ cause of their high probability of death. Said Dr. Border, "we now insist on a screening program for every patient found in a severe accident. For we want to learn about every injury as soon as possible." He cautioned that what is not easily recognized in the critically i l l i s p u l m o n a r y f a i l u r e , a n a l m o s t i r r e v e r s i b l e p r o b l e m if n o t t r e a t e d promptly. "All patients who have been in a severe accident," he warns, "whether or not they have apparent severe injuries, must be suspected of having cardiac and pulmonary injuries which are checked for automatically with electrocardiograms and arterial blood gases." As a result he pointed to the large number of patients with this problem who have been detected early and therefore easily treated. What has made a tremendous difference to the patient suffer­ ing from trauma, he continued, is pulmonary therapy. "We do everything possible to keep the lungs filled with air. The key to patient survival is to see that the lungs d o not collapse. For, after several hours they cannot be reinflated, the heart is damaged d u e to a severe lack of oxygen in the blood, and the patient dies." But there SUMMER, 1972 are also electrocardiograms, liver function and 3 The Trauma Study Center �pancreatic tests as well as X-rays of the chest and abdomen for the trauma patient. As a result of what now has become "standard procedure" in the Trauma Study Center, none of the more than 30 patients selected for its studies over the past two years has died other than from irreversible brain damage. Said Dr. Border, there are only a few critically ill patients with trauma who reach the hospital that are not initially resuscitated. Death generally occurs after several days or weeks of resuscitative efforts and complications. He cautioned that the problem with trauma is that it is "everybody's business and therefore nobody's business. It is something that everyone treats but in which no one takes a specific interest." A teaching and training program, to be initiated over the sum­ mer by the Trauma Study Center, may change all of this. It hopes to produce two types of specialists to manage trauma. "The special­ ly-trained orthopedist will know how to recognize hidden injuries and resuscitate patients with trauma," Dr. Border said. "And the traumatologist — we need only a small number of this specialist — will be able to manage almost any problem associated with multiple trauma but who will, more importantly, be able to simultaneously manage the several organ failures which also occur simultaneously." The lack of a safe way to monitor changes in cardiac and pulmonary function in critically ill patients (there is risk attached to catheter placement in veins and arteries) precipitated develop­ ment of a noninvasive monitoring technique. Cardiothoracic impedance plethysmography (where electrodes are placed around neck and chest) now scan a large number of in­ jured who may have developed life-threatening cardiopulmonary complications. "When several math problems connected with this technique are resolved," Dr. Border said, "and with the assistance At trauma conference Dr. Border (right) reviews some X-rays of postoperative fracture with Dr. John Rubinstein (left) head resident and attending Dr. Richard Williams (center). �Checking the data led by cardiothoracic im­ pedance plethysmography on a patient in the trauma study unit are Pascquale Bochiechio, trauma technician, jacquie Miller, trauma nurse technician, and Dr. Border. of a small computer, we will be able to read out on a screen at the patient's bedside how much blood the heart is pumping, how strong it is, how much air is moved in and out of the lungs, and how the patient is functioning in terms of pulmonary edema. And it will involve minimal discomfort and risk to the patient." Experiments on simulating steering wheel injury in the dog have produced massive multifocal atelectasis, a condition not rec­ ognizable on a conventional chest X-ray. And there are no apparent external characteristics of trauma that will point to it. Over several days severe pulmonary failure following trauma developed in the dog. If treated early, Dr. Border explained, it is easily reversible. Studies on man with severe trauma also suggest that many may have multifocal atelectasis. "But if you wait for the obvious clinical symptoms; it is too late," he said. In another study, fat emboli that may occur with trauma, the team discovered a new treatment therapy — a serotonin antagonist. By studying the protein catabolic state in a dog severely infected, it was found that if sufficiently infected there occurred a considerable decrease in the dog's tissue carnotine levels, so important in metab­ olism of fat. Therefore, the inability of the body to burn fat at the same rate may be one reason for its increased rate of destruction of protein. Future research efforts will focus on controlling this protein catabolic state. While it is now possible to support cardiopulmonary/renal function in the severely injured man, the protein catabolic state still presents major problems. Sufficient nutrition SUMMER, 1972 5 Because ol the expertise ol the trauma study center, one of its "real triumphs" is about ready lor discharge This patient almost died. �Dr. Border reviews pre and postop- gations into fat emboli, erative X-rays on leg fracture. may be given in the hope of overwhelming the catabolic state by intravenous hyperalimentation. However, said Dr. Border, "if we could convert the protein catabolic state of trauma to a starvation state (a different magnitude of response) we will be farther ahead." There is also a joint surgical/medical study on management of the stress ulcer that sometimes causes the critically ill patient with trauma to bleed to death. For, if all other problems are under control, that patient may still die from this one. Temporary pyloric occlusion, it was found, by reducing the reflux of intestinal con­ tents reduces occurrence of ulceration and diminishes changes in the gastric mucosa. But the team is also interested in the head trauma patient who may develop post-traumatic pulmonary insufficiency. "That is also something that we are not clinically recognizing," cautioned Dr. Border. "When there is pulmonary insufficiency with arterial hypoxia, we are causing more serious subsequent brain damage. There is also underway an epidemiological study to determine the amount of drug and alcohol present in the blood stream of each entering hospital patient through a blood sample. But Dr. Border is also interested in introducing to Buffalo a system of in­ ternal fixation of a fracture. Developed by the Swiss, the surgical system avoids the use of casts and provides early use of the injured extremity. Over the years the Trauma Study Center has investigated organ and function to better understand major organ and metabolic failure and its interrelations, to change failures and basically prevent them as soon as possible, to diagnose at the earliest possible time, and to vigorously treat the trauma patient. Now being developed is a Trauma Care Center, to be located in the new Meyer Hospital. Here, techniques developed in the research unit for resuscitation and care of the patient will be com­ bined with detailed clinical studies on patient care. And of course teaching will continue to remain an important facet of the trauma program. Dr. Border, who wants to teach it better than anyone else, is now organizing a really unique teaching and training program. But what the efforts of the trauma investigators really means to the critically ill trauma patient is a minimizing of his organ failures which lead to death.• THE BUFFALO PHYSICIAN �T here are 4,200 applicants for the 135 places in the Medical School's first year class this fall. This is 2,400 more than a year ago, according to Dr. John Robinson, assistant dean for admissions. This is a national trend. There are 34,000 applicants for 13,000 openings in 108 medical schools. Dr. Robinson, w h o is also an associate professor of psychiatry, pointed out that the Downstate and Brook­ lyn Medical Schools have more than 5,000 applications each, Syra­ cuse University has 4,500 applications and the University of Roch­ ester has 3,200. "Some of the increase is because the Medical School has joined a central clearing house that processes applications and then sends them to as many medical schools as the applicant wishes," Dr. Robinson said. "Another noticeable trend is the number of ap­ plicants with advanced degrees and doctorates." The admissions dean noted that New York State furnishes more medical school applicants than any other state in the nation, but the rate of acceptances for state students is about "40 per cent or less whereas students from some other states have a 60 per cent chance." The Medical School does not have "cut-off points" for college grade averages or aptitude tests, but does insist applicants be "wellqualified." Dr. Robinson estimates that 75 per cent of the minority students w i l l g a i n a d m i s s i o n t o M e d i c a l S c h o o l s . U B m a y n o t b e a b l e t o fill the openings it has committed toward minorities because private medical schools have more money available for scholarship aid.D Dr. Ross Markello is the new chairman of the department of anesthesiology at the School of Medicine. He has been acting chairman since December 1, 1969. Dr. Markello received his M.D. degree 1957. He also did his undergraduate work Medical School faculty on July 1, 1961 as anesthesiology. He was named professor October 1, 1971. from the University in at UB. He joined the a clinical assistant in of anesthesiology on In 1957-58 Dr. Markello interned at the Millard Fillmore Hos­ pital, Buffalo. He was an assistant resident in anesthesiology at the E. J. M e y e r M e m o r i a l H o s p i t a l , B u f f a l o f r o m 1 9 5 8 - 1 9 6 0 . H e w a s named chief resident in anesthesiology the following year. Dr. Markello has co-authored several scientific papers for pro­ fessional journals. He has served both as chairman and member of several university and hospital committees. His research includes — studies on various effects of hyper­ ventilation during anesthesia, including cerebral blood flow and cardiac output; studies on effects of anesthesia on ventilation-perfusion distribution in the lung; and effect of cardiopulmonary bypass on cerebral blood flow. Dr. Markello is a Diplomate of the National Board of Medical Examiners, a n d the American Board of Anesthesiology. He is also active in several other professional organizations.• SUMMER, 1972 7 y 200 FifSt Yeflf ' A DDllCatioiTS Anesthesiology Chairman Dr. Markello �Medical Genetics For CARRIERS of hereditary anemias—there are millions through­ out the world—a handful of clinical researchers operating out of the medical genetics unit at the Buffalo General Hospital offer some hope. For in severe cases of these birth defects, the toll in human suffering, medical need, and economic burden can only be limited at this time through early detection and counseling. The unit was started nine years ago, back in 1963, by Dr. Robin Bannerman, a Scotsman who arrived in Buffalo via Johns Hopkins (a Fellow in medical genetics), Washington University at St. Fouis (a Fellow in hematology) and England (he graduated in medicine from Oxford in 1952 and held staff appointments at Fondon's St. Thomas Hospital and Oxford's Radcliffe Infirmary). Dr. Bannerman continues studies on determining how much iron is in the new born mouse. He was joined a year later by Dr. Martha Kreimer-Birnbaum, a young Argentine biochemist (PhD, National U. of Buenos Aires 1963). Both had studied under famed Moises Grinstein — Dr. Bannerman on heme synthesis in thalassemia while she gained an excellent knowledge of lead poisoning and porphyrin methodology. Rotating through the unit have been several Fellows who are now teaching or in practice. One, Dr. John Edwards, a Fiverpool Uni­ versity graduate (1959), remained to add his experience on hema­ tologic and protein investigations to unit studies. "We have always emphasized a team concept," explained Dr. Bannerman as he pointed to clinical and research responsibilities of the medical geneticists that legitimately cut across many fields. Unique approaches to genetic disorders are a result of team experi­ ence gained from both clinical and research responsibilities that have led to many significant discoveries in Buffalo. In one way or another every team member is contributing to a major study in disorders of the red cell. In the search for experi­ mental animal models for severe human forms of anemia, they have turned to hereditary anemias in mice, a good model for understanding human problems. Said Dr. Bannerman, "each mouse anemia studied tells us about another genetic step and thus be­ comes an excellent analytical tool for its investigation." On his return to Buffalo in 1963 he brought back a breeding stock of mice carrying the unique "sla" or sex-linked anemia mutant. The under­ lying mechanism in this disorder has since been fully worked out, leading to new knowledge of iron metabolism. The XYY syndrome, first identified in Buffalo by Avery Sandberg and co-workers in 1961, was further studied by the medical genetics unit and medical student Richard Berkson. They discovered new 8 THE BUFFALO PHYSICIAN �cases, investigated their background and behavior. In addition to "increased height" in males studied, those who displayed antisocial behavior all came from broken or unsatisfactory homes. Because of good patient rapport established by the research team, the chromo­ some study will continue. Psychological and hormonal correlations are being made on a group of six patients in collaboration with researchers at Children's Hospital. A rare genetic disease, camptobrachydactyly, was identified by Dr. Edwards, and the dominant trait of hand and foot deformity was traced by him and former medical student Robert Gale in several generations. A third genetic disease, X-linked spondyloepiphyseal dysplasiatarda, was first described in Buffalo by Dr. Wilmot Jacobsen in 1939. It has been restudied in depth by Drs. Bannerman, James Mohn and Gillian Ingall. In this disorder, short stature is inherited as an X-linked recessive trait. Bony changes lead to secondary osteo­ arthritis, troublesome when one reaches the forties and disabling by the sixties. A report in 1966 by Dr. Kreimer-Birnbaum and other members of the unit identified an unusual brown pigment excreted in the urine of patients with severe thalassemia. This work provides a significant clue to understanding the mechanisms of blood destruc­ tion in this and other related diseases. A better understanding of the pathophysiology of thalassemia for better therapeutic control of the patient is what the team is after. "Our work on dipyrroles," Dr. Bannerman said, "should clarify one important aspect of metabolism in thalassemias." In cooperation with the U. S. Navy's Chelsea Laboratory in Boston, it was found that in the "disappearing blood syndrome" in severely injured men, despite blood transfusions there was no in­ crease in hemoglobin concentration or usual evidence of hemolysis, perhaps pointing to an unusual pathway of blood destruction in­ volving dipyrroles. Laboratory-proven techniques for measuring globin chain labeling ratios in vitro are critical tools that have been used in the unit laboratory to rule out diagnosis of possible thalassemia in otherwise complicated cases of this known or suspected disease. Continuing, Dr. Bannerman referred to a search for applica­ tions of available techniques to learn more about heme synthesis and metabolism in the fetus as part of a broader program in the study of fetal development initiated by Dr. R. G. Davidson at the Children's Hospital. For there is little known about the beginnings of the essential process of hemoprotein biosynthesis that must be present in all animals from the very earliest stage of development. While on a W.H.O.-supported sabbatical, last year, Dr. Bannerman spent 1 0 weeks visiting laboratories and hospitals in Europe, centers of study for thalassemia and related problems. Several publications have resulted. One is a 90-page chapter in Hema­ tologic Reviews on recent advances in thalassemia research and treatment. He also returned with a collection of pigment samples from around the world that have been partially processed there. They SUMMER, 1972 9 Dr. Edwards and laboratory technician lames Hoke place mouse in whole body scintillation counter. �will be further studied in Buffalo. While millions in Italy and Greece are afflicted with thalassemia there remain many Americans of Italian and Greek ancestry with the same problem. Work on urinary dipyrroles continues as do collaborative efforts initiated there, in this country, and in Canada. Initial unit interest in blood studies evolved naturally enough into studies of specific populations only to return full circle back to studies on world populations. To fill out the blood group map of the world, during a teaching visit to Paraguay in 1967 Dr. Bannerman collaborated in studies on the Chulupi Indians. Never before studied, they inhabit a remote northern corner of that country. Dr. Bannerman receives samples ol Ireeze-dried pigment samples from Italy. Nearer home, studies among Seneca Indians have been a major interest of the unit over the years. Blood groups were studied by Dr. James Mohn and former Fellow Thomas Doeblin. In a survey headed by Dr. Doeblin to learn more about diabetes in this group, it was found that every third Seneca adult exhibited this disease chemically. The number however dropped to every sixth clinically but still indicated almost ten times the prevalence in the white population. At weekly clinics supported by the Erie County Health Department, Mrs. Kathleen Evans of London's Medical Research Council Clinical Genetics Unit, and Gillian Ingall, have followed families in which both parents are diabetics. But it is not only medical data but the customs and mores of world populations that make Dr. Bannerman's investigations so interesting. For instance, intermarriage in Western New York has resulted in the rarity of severe forms of thalassemia. Italians no longer tend to marry only Italians, or, more simply, carriers are less likely to marry other carriers. Patricia Rusnak (left) and Dr. KreimerBirnbaum prepare porphyrins from blood extracts. Clinical responsibilities? Not only are there weekly genetic clinics at both Meyer and Buffalo General Hospitals (coordinated by Gillian Ingall with 1000 pedigree files that contain detailed informa­ tion about families and have been collected since 1964 under her administrative responsibility) but consultation and counseling serv­ ices at the Meyer, VA, and Gowanda State Hospitals. The cyto­ genetics laboratory at Buffalo General, run by Michelle Marinello, and the clinics are closely affiliated with Albany's Birth Defects Institute. Teaching? It is another important facet of the medical genetics unit program. Both Drs. Bannerman and Edwards teach genetics and hematology courses to sophomores as well as internal medicine on the wards to house staff and students. There is also collabora­ tive teaching in a graduate nursing course by Gillian Ingall and in a general biochemistry course by Dr. Kreimer-Birnbaum. What could the assurance of more funds mean to the unit? The spinoff of new genetic disease identification for one. Although the unit maintains a pedigree register for recording hereditary diseases, lack of time and support hinder investigation of a majority of new cases and new genetic diseases. "With more continuity of support for clinical associates and secretarial help, we could do a great deal more toward advancing longer-term studies in clinical genetics," Dr. Bannerman said.D 10 THE BUFFALO PHYSICIAN �Mrs. Herbert J. UI rich is the author of a 77-page history of the Woman's Auxiliary to the AMA. Her husband, a Buffalo physician, is a 1930 Medical School graduate and a clinical associate in med­ icine on the faculty. The book, which details the first 50 years of the auxiliary, is titled "The Right Side of the Caduceus." The auxiliary was founded in 1922. The Auxiliary has assisted the AMA in programs dedicated to the advancement of medicine and public health. It has raised up to $550,000 annually to educate more physicians, and up to $624,000 for recruitment, scholarships and loans for young people in the allied health professions. It has also collected medical equipment, text­ books, drugs and supplies for needy nations. Mrs. Ulrich has been active in county, state and national affairs of the auxiliary. She is a past president of both the county and state auxiliaries and past editor of their publications. Nationally she is past vice president of the eastern region. Currently she is chairman of the public health and education and the drug abuse committees of the Erie County Auxiliary; chairman of revisions and resolutions of the State Auxiliary; and chairman of the 50th anniversary history committee of the National Auxiliary.• AMA History Radiology Chairman Dr. Eugene V. Leslie has been named chairman of the department of radiology at the School of Medicine. Dr. Leslie is Buffalo born and educated, and has been on the Medical School faculty since 1958. He received his B.A. degree in 1949 from the University and his M.D. degree in 1951. On January 1, 1972 Dr. Leslie was promoted to clinical professor of radiology. The radiologist did his internship and residency at the E. J. Meyer Memorial Hospital, Buffalo, from 1951 to 1956. During 1956-57 he had a special traineeship in neuroradiology (N.I.H.) at the National Hospital for Nervous Diseases, Queen Square, London, England. In 1957 Dr. Leslie joined the E. J. Meyer Hospital as a neuro­ radiologist. In 1961 he was named associate director of the de­ partment of radiology, and acting director July 1, 1971. He is also director of the residency training program at the hospital, and has been president of the Medical-Dental staff. Since 1962 he has been chairman of the Radioisotope Committee at the hospital. Dr. Leslie has presented 23 professional papers at National and International meetings in the United States and Europe. In addition he has co-authored 22 additional scientific papers that have ap­ peared in professional journals. Dr. Leslie is a Diplomate of the American Board of Radiology. He has been active in several professional organizations at the local, state, national and international levels. He also participates in civic affairs.• SUMMER, 1972 11 Dr. Leslie �Psychiatry Professors Write Book I i What was the impetus for a new book in which two University psychiatrists collaborated and that its publisher, the American Psychiatric Association, found "most timely and stimulating?" Ur­ gency, says the authors, Drs. S. Mouchly Small (professor and chair­ man of psychiatry), Peter F. Regan (professor of psychiatry), and Flugh T. Carmichael (American Psychiatric Association's director of continuing education) about the poor state of continuing medical education. In their monograph, Prospects and Proposals: Lifetime Learning for Psychiatrists, they discuss appropriate strategies on which to build a program of continuing education over a lifetime as well as pinpoint resistances to learning that must be overcome. How to establish such a program? Through a national strategy, respond the authors, that will not only feature continuing educa­ tion programs and thereby insure an ongoing high degree of pro­ fessional competence but will also improve knowledge and clinical skill. i Recommended? In lieu of the current 12 years of formal educa­ tion following high school, eight or nine years. Thus, the saving in time to a practicing physician should be utilized by periodic three to six-month periods of continuing educational experience during his practicing years. Integration, they point out, is needed between the two educa­ tional formats — the formal, with its too rigid, uniform and not always clinical relevant lockstep method that does not motivate a student to seek techniques for a lifetime of leaning; and continu­ ing education. There are two kinds of knowledge, orientations and skills that are taught. One, a "permanent core" includes such things as ge­ netic/development concept of personality structure and function, and practicing skills as interviewing and how to perform a proper examination. But equally important essentials that differ in dur­ ability and permanence make up the "time-bound core." Among these are roles of social institutions and professionals, status of knowledge in such fields as psychopharmacology, neurochemistry and related areas. Both cores are taught in the formal educational format while "time-bound elements" are properly emphasized in continuing education. Formal education, the authors caution, needs to scrutin­ ize and revise its "time-bound elements" regularly while con­ tinuing education should provide practicing physicians with a planned sequence of education in time-bound elements on a regular basis. These, the authors point out, can be planned simultaneously by one overall educational group, thus saving in time, effort, and money. What a medical school should not be, they caution, is a finish­ ing school where the student thinks he is completely "taught." Rather, it must be a preparatory school where habit patterns of study are included for a lifetime of learning. As part of a nationally organized continuing education pro­ gram for psychiatrists, the APA fosters a periodic self-assessment experience. Through this, a specialist may learn his areas of strengths and weaknesses. A bibliograph, with specific page referDr. Small 12 THE BUFFALO PHYSICIAN �Dr. Regan ences that is furnished in lieu of answers to questions, assists in this "self-assessment" educative process. As a result, many physi­ cians have updated their own libraries, and have read and studied more. Perhaps, h o p e the authors, it will also lead t o greater partici­ pation in continuing education courses and experiences. In the initial APA effort, psychiatrists utilizing the self assess­ ment test were able to pinpoint major areas within the specialty such as clinical knowledge, basic science information, administra­ tive-social, and patient-management problems and determine their relative competence in each. Psychiatry, point out the authors, is showing the way in tack­ ling problems of resistance — whether it b e institutional, human or social — in this country to large-scale continuing medical educa­ tion programs. Priorities, they urge, must be realigned in our in­ stitutions to meet individualized needs of practitioners as well as periodic assessment of patient care. Educational programs must be geared to the types of problems that one is faced with in the prac­ tice of medicine, with individual flexibility in curriculum and meth­ odology to reflect individual needs as well as patterns of learning. The very structure of psychiatry, they point out, together with its built-in curiosity, makes it the ideal field in which to establish a model to serve other specialties of medicine and to act as a catalyst in the development of a national program. Their final plea? IT IS TIME T O TAKE THESE IDEAS OFF THE DRAWING BOARD AND PUT THEM INTO ACTION. NOWO Dr. Clarke Devises New Instruments D r . H . C o u r t e n a y C l a r k e , a r e s i d e n t p h y s i c i a n a t t h e E. J. M e y e r Memorial Hospital, has devised and used instruments that enable him to perform minor gynecological procedures through two tiny "punch holes" in the lower abdomen of patients. Dr. Clarke de­ scribed his instruments and their potential in Buffalo and before the American Fertility Society in New York City in February. The surgeon first inserts a laparoscope — through which he can view the internal organs — into the umbilicus or navel. Then, with a view of the area where he wishes to work, he can insert the instruments — a ligator, or cutting instrument; a needle; or a tissue forceps — through the punch holes as necessary. The punch holes are about half the diameter of a lead pencil. Dr. Clarke has done approximately 20 such procedures. Patients can go home within 24 h o u r s a s c o m p a r e d w i t h s i x d a y s if t h e a b d o m e n i s o p e n e d s u r g i ­ cally. Dr. Clarke is enrolled in the Medical School's residency pro­ g r a m .• SUMMER, 1972 13 �Health Care Therapy IT IS GENERALLY AGREED that America's health care system is sick. Various observers, even though they agree that illness is present, stress different symptoms, arrive at different diagnoses, and recom­ mend different therapies. These are the matters that I should like to discuss: the symptoms, diagnoses, and treatment of the ailment. Symptoms: The first symptom that I speak of it is familiar to all: the fact that national health expenditures are high and are increasing in a most rapid fashion. In fiscal 1960, total health expenditures in the United States were $26 billion. In fiscal 1970 expenditures had risen to $67 billion, from $145 per person in 1960 to $324 per person in 1970. Some of this increase is accounted for by popula­ tion growth, some by increases in utilization, but a substantial portion is attributable to the rapid inflation in medical care costs. Inflation, of course, has been present in virtually all sectors of our economy. Yet, it is clear that the medical care sector has been among the hardest hit. In addition to the concern about the past, we are aware that expenditures are likely to continue to increase. The Office of Research and Statistics of the Social Security Administration projects that in 1980 health expenditures will total between $156 billion (8 percent of our gross national product) and $189 billion (9.8 percent of our gross national product). We must recognize, however, that there is no inexorable law of nature that says that the assumptions upon which these projections are based cannot be altered. The high level of expenditures, in part, supports an inefficient industry and one whose services are maldistributed. These symptoms can be treated. Treatment will alter the projections. There is another symptom of sickness in the health care sector that asks: what are we getting for these expenditures? The National Center for Health Statistics tells us that children ages 5 to 14 in families with income under $3,000 averaged only 1.5 physician visits per person per year, while the same age group in families with incomes over $10,000 averaged 3.5, or more than twice as many visits. Only 8 percent of the physician visits made by whites took place in the hospital clinic or emergency room but this was true of 26 percent of the visits by nonwhites. If medical care is a right —and I believe it is —there are many in our population (rural Americans, inner-city dwellers, persons who are medically indigent) who find that they cannot exercise this right. Excerpts from The Fenton Lecture State University of New York at Buffalo delivered by Professor Rashi Fein Harvard Center for Community Health and Medical Care Boston, Massachusetts October 1971 The third symptom is related to inefficiency: there are a large number of individuals using hospital services who do not need to be there, there is an oversupply of physicians in certain specialties, our insurance system provides benefits for procedures taking place in a hospital instead of a physician's office, large numbers of physicians spend major proportions of their time doing things which do not require their skill. There is much additional evidence of waste, waste that leads to higher costs and maldistribution. 14 THE BUFFALO PHYSICIAN �Diagnosis: In my view, the various symptoms — rising costs, inequitable sharing, lack of access, and inefficiency — are interrelated. They are part of the same disease, and relate to a basic problem. That problem is that, in spite of the fact that many of us agree that medical care is a right, that medical care should be treated as a public good, that it should be taken outside of the normal market, we have failed to take the necessary actions. We continue to behave as if medical care were like television sets to be rationed to those who can afford them and as if the availability of and accessibility to medical services should depend on normal economic forces. The medical market place has characteristics quite unlike those of other markets: consumer knowledge is less, risks are greater, competition is less, the price elasticity of demand is low, there are few substitutes, licensing restrictions play their role, supply response is sluggish, and so forth. Furthermore, all of this is overlaid with the mystique of the physician and with government dollars which affect the industry even if there be those who feel that they are simply sprinkled around in some neutral fashion. The root problem relates to the fact that medical care operates in a different market, that it should be viewed from a different perspective and as a public good, and that in spite of this we behave as if there is little public responsibility. Our failure to recognize that we are dealing with a $70 billion industry that affects all Americans and that the therapy involves more than small actions is disappointing. Therapy: I assume we would all agree that we should avoid using more potent therapy than is required, but we also dare not prescribe treatment which is less powerful than is necessary. There are those who argue that we have taken the necessary action and all we need is a little time for the therapy to take effect. They argue that the problems in the health sector can be attacked through existing federal-funding mechanisms. I believe, however, that they fail to take into account that fact that part of our difficulty is related to the problem of leverage and to the fragmentation in and multiplicity of payment mechanism. To those who advocate use of the existing federal-funding mechanisms I would point out that only 23 percent of total personal health care expenditures of fiscal 1970 were federal dollars and, of these, only $2.7 billion went for professional services, accounting for about 15 percent of total expenditures for such services. Thus, 85 percent of the leverage lies elsewhere —in the private sector. Nor, it seems to me, are the small and modest approaches to the problem of maldistribution sufficient unto the problem. In the President's budget for fiscal 1972, partnership for health centers, maternal and child health centers, and O.E.O. centers will be serv­ ing only 2 million people. This is insufficent to treat the problem. The difficulty with piecemeal legislation and piecemeal change is not that it may not represent some improvement. It may. Never­ theless, less than a comprehensive approach is not likely to alter the health care delivery system, will not remove inequities, will not contain costs. SUMMER, 1972 15 A summary and pictures of the 35th annual Spring Clinical Days will appear in the next issue of the Buffalo Physician.• �The Medical Alumni Association and the School of Medicine will co-host a reception during the AMA meeting in San Francisco Monday, \une 79, 7972. Mr. David K. Michael, director of medical alumni affairs, will announce the time and place at a later date.D What therapy do I believe is required? What would I recom­ mend so that the projections for 1980 do not become a reality? There is, in my view, an alternative to piecemeal action, a way to assume public responsibility, a way to finance care equitably, and to provide stimulus for organizational and system change. This alternative lies in national health insurance. Only if the financing patterns are linked to the delivery system can we address the various symptoms that affect the medical care system. Let me focus on a few basic considerations that are involved in a national health insurance program. One consideration is that national health insurance must be structured in a manner that would be responsible, that would exercise restraints on rising ex­ penditures, that would stimulate changes in the organization of the delivery system, and that would develop mechanisms to stimulate efficiency. In health, as in other fields, it is necessary to decide how much to spend and to learn to live within that total budget. The payment mechanism must permit diversity even while striv­ ing for efficiency. This, it seems to me, requires that the dollars — budgeted, not open-ended dollars —flow from Washington to re­ gional levels and from the regional levels to various communities, permitting each community to develop that combination of mech­ anisms that seem to be appropriate to its situation. A second consideration involves universality in coverage and equity both in health expenditures and in collection of tax revenues. National health insurance should collect revenues on the basis of ability to pay and should finance as much of the health expenditures as possible — also in order to achieve equity. What is required is that the total costs of health care be distributed in relation to in­ come. This means that the coverage must be comprehensive even as it is universal. We have developed a variety of mechanisms that are designed to change consumer behavior, but this has failed to recognize the critical role of the physician. We must develop incentives that help the physician reach responsible decisions and that remove economic incentives for him to hospitalize the patient. This is a very different issue than making it expensive for the consumer to purchase hospital care. Equity in financing, provision of incentives, development of new organizations, changing the structure of the delivery system: these are among the criteria that can be used to assess suggested solutions to the health crisis. I would urge that each of you develop your own more specific criteria and examine the proposals to see how they measure up. We will be told that a national health in­ surance program is too expensive. The question is: who shall bear the cost and what would the program do to future costs. A national health insurance program that is comprehensive in scope and universal in coverage and addresses the delivery system does not represent new dollars but a transfer of dollars. It does not increase the percent of our gross national product going for health services but is a substitution of public dollars for private dollars. To provide the therapy that is required for the problem will necessitate educating many people. It will require a willingness 16 THE BUFFALO PHYSICIAN �to recognize that the problems will not solve themselves and will not be solved by the disparate actions of motivated they may be. individuals, however Individuals, as individuals, cannot solve a national problem. Structured as t h e medical marketplace is, they cannot deliver that which we have come to believe all Americans should have: the right to good quality medical care — delivered in an efficent way — without regard to income. The education that I refer to has begun. W e can all hope that the debates proceed in a thoughtful fashion. We can also hope that the day is not far off when the medical care system in the United States will be healthy and will be doing the job for all of us that we would like to see done.Q Ophthalmology Acting Head Dr. John V. Armenia is the new acting head of the division of ophthalmology. The 1958 Medical School graduate is a clinical professor of surgery (ophthalmology). He is Buffalo born and educated. Dr. Armenia interned at Sisters of Charity and Emergency Hospitals. H e c o m p l e t e d his residency a t t h e E. J. M e y e r M e m o r i a l Hospital in 1962. He has been on the faculty of the School of Medicine since 1965, and on the Meyer Hospital staff since 1963. Dr. Armenia has certifications and fellowships in the American Board of Ophthalmology, American Academy of Ophthalmology and Otolaryngology, Society of Eye Surgeons, and American Col­ lege of Surgeons. He has consulting appointments at St. Mary's Hospital, Lewiston, and Batavia School of the Blind. He is active in several regional and national professional organizations.D Dr. Armenia Continuing Medical Education Seven continuing education courses will be offered by the Medical School during May, June and August. All are open to practicing physicians and medical students. May 4, 5—Surgical Aspects of Gastroenterology, Parkway Inn, Ni­ agara Falls, N. Y. May 17—Pediatric Cardiology, Children's Hospital. M a y 1 9 — C o m m u n i t y Psychiatry in t h e G e n e r a l H o s p i t a l , E. J. M e y e r Memorial Hospital. June 5-9—Refresher Seminar in Pediatrics, Hotel Lenox. June 12-15—Immunology International Convocation, Statler Hilton Hotel, J u n e 2 8 , 29— I m m u n o d e r m a t o l o g y , E. J. M e y e r M e m o r i a l H o s p i t a l . August 14-18—School Health (site to be announced).• SUMMER, 1972 17 �Measuring Intrapulmonary Shunts T he SUMMER FELLOWSHIP request submitted by junior medical student, John P. Visco, to measure intrapulmonary shunts was so outstanding that it earned a $1,000 stipend. It was preceded by five years of research investigations under Dr. Francis J. Klocke (professor of medicine and assistant professor of physiology) where he was helped to approach basic research problems experimentally and his desire to pursue a career in cardiology was strengthened. To measure intrapulmonary shunts, a hydrogen detector device, developed in Dr. Klocke's research laboratories, was used. The indicator selected was hydrogen gas. For, not only does its low solubility in plasma permit elimination by the lungs after just one circuit but, as it is biologically inert, there is no involvement in metabolism and it is therefore not lost in transit. But it also has the essential characteristic of adsorption into a platinum surface, oxidizing and giving off electrons to generate a current. Thus, it permits its quantification in solution with a platinum detector. The simultaneous use of indocyanine green bolus injection permits the measurement of shunted blood rather than a purely qualitative determination. i lohn Visco prepares the apparatus for in vivo use. John's summer assignment was a refinement of earlier work to design and develop an external cuvette system that would house a platinum sensor through which blood is withdrawn by using a pump. Thus, rather than the conventional insertion of a platinum tipped catheter intravascularly which requires some minor surgery as well as fluoroscopy only arterial puncture is necessary to determine cardiac output and intrapulmonary shunt at bedside. Said John, who is also a dental school graduate (SUNYAB 1970), "our initial cuvette design was a cylindrical lucite chamber where a platinum rod centered in a stream of blood flow. However, by injecting boluses of hydrogenated saline, the resulting curves re­ vealed some distortion, a "hangup" of hydrogen in the washout phase. Therefore, it was felt there must be a geometric problem in the design. Through modification, dead space was eliminated. And suffi­ cient turbulence minimized any surface/boundary phenomenon. Following many tests, it was found that optimum conditions for making hydrogen measurements fell in the range of a polarographic "plateau," where any current produced by change in po­ tential on the platinum tip is relatively insignificant. Therefore, any current produced, it was felt, must be due to hydrogen concentration around surface of platinum detector. And by changing hydrogen concentration of resistance characteristics of measuring circuit, the size and relative position of the "plateau"' could be altered. 18 THE BUFFALO PHYSICIAN �Results, in their experimental model, matched their predic­ tions. And shunts in animals representing from 5 to 25 percent of cardiac output have been successfully measured. What is now hoped is utilization of this device in patient studies with measure­ ments of alveolar-arterial oxygen gradients during 100 percent oxygen breathing. Also, simultaneous measurement of arterial nitro­ gen pressure will differentiate true intrapulmonary shunts from ventilation-perfusion imbalances. Summed up John, "these studies should provide a distinction between intrapulmonary arterial-venous shunts and alveolar with low ventilation-perfusion ratios that was not previously possible. Our proposed approach is ideal for identifying and measuring small as well as large intrapulmonary shunts. And observations made at the bedside require only a few minutes thereby making this apt for pre- and post-therapeutic interventions."• John Visco and Dr. Francis J. Klocke are doing some in vitro testing of the system. New Surgery Chairman Dr. Worthington G. Schenk, Jr. is the new chairman of the depart­ ment of surgery at the School of Medicine. Dr. Schenk joined the Medical School faculty May 11, 1954 as an instructor in surgery. He has been a professor of surgery since July 1, 1966, and acting chairman of the department of surgery since July 1, 1969. Dr. Schenk received his M.D. degree from the Harvard Medical School in 1945; his B.A. from Williams College in 1942. He was a surgical intern at Massachusetts General Hospital, 1945-46 and served in the United States Navy from 1946 to 1948. He came to the E. J. Meyer Memorial Hospital, Buffalo, in 1948 as a surgical resident. He was appointed associate attending surgeon in 1959; attending surgeon in 1960; and director of surgery in 1966. The surgeon has authored 85 scientific papers for professional journals. He is a Fellow in the American College of Surgeons and a Diplomate, American Board of Surgery. In 1966 he held office in two national societies — secretary, Society of Clinical Surgery; and treasurer, Society for Vascular Surgery. Dr. Schenk has served on several University committees, been active in civic affairs, and local, state and regional professional organizations. Dr. Schenk is listed in American Men of Medicine, 1961; Who's Who in Science, 1969; Who's Who in the East, 1970; and Who's Who (national volume), 1971.• SUMMER, 1972 19 Dr. Schenk �Computerized Medical Records Within the next two years a computerized medical records system may be in use according to Dr. Elemer R. Gabrieli, director of the Clinical Information Center at the E. J. Meyer Memorial Hospital. Dr. Gabrieli, who is also a clinical assistant professor of pathology, believes this new system will begin in Buffalo and spread across the country. Meyer Hospital has been a local and national pioneer in the development of computerized medical records. Dr. Cabrieli has been involved in research on computer medicine for the last seven years and is one of the nation's top experts in this field. He has been chosen to represent the United States at an international conference on computerized records in Sydney, Australia in May. He is also a national board member of the Society for Computer Medicine. "Computerization of medical records will force physicians to produce good records which can be used to help deliver better health care, to control costs and provide valuable statistics. Com­ puterized medical records will be most helpful in providing a comparison of treatment offered by various physicians because today no one really knows how complicated diseases are treated by different physicians," Dr. Gabrieli said. "Without a national medical records system doctors work as individuals and communication is poor and records are fragmented. A patient is a very poor carrier of information and serious con­ sequences can result if a doctor is unaware of the patient's history. "One of the most difficult hurdles in the development of a computerized record system is the necessity for the creation of a universal language of all medical terms," Dr. Gabrieli said. He is currently involved in a national project to develop a standard lan­ guage and expects to have this project completed by the end of the year. Dr. Cabrieli Dr. Leonard Katz, assistant professor of medicine, has been working with Dr. Gabrieli to develop a chart which will include all necessary information about a patient with the minimal number of words. "Medicine is very suspicious about any more forms because 30 per cent of the average doctor's overhead goes toward paper­ work. We have to convince the medical profession that a com­ puterized system will result in less paperwork at less cost and with better results." All of the Buffalo physicians involved in the project believe that medical data systems must be developed and run by inde­ pendent advisory boards without federal support. "We feel that the system must pay for itself. As soon as there is government money there is a tendency for the government to want to control the sys­ tem," Dr. Gabrieli said. The clinical professor believes that everyone's privacy can best be protected through careful supervision of records and a policy of a patient's ownership of the records. "There will be a new profession — the computer supervisor — who will decide who can use the records and for what purpose. The patient, however, will have the final decision." 20 THE BUFFALO PHYSICIAN �With a computer system we would have a day-to-day monitor­ ing of the health care system in this country which would prove extremely valuable in both the prevention of disease and cost conr trol, he said. "The computer system is a vital necessity. The al­ ternative will be that the country will rapidly go into bankruptcy because of the increasing medical and welfare costs. We must have a computerized medical records system before we can adopt any form of national health insurance. The AMA agrees that unless we have an automated system that will tell us exactly how much we are spending for each service we cannot have any program of cost con­ trol," Dr. Cabrieli said. The computer expert anticipates that both state and federal governments will set up data centers and make use of data from regional centers. The data supplied to government centers would be without names except in cases where local advisory boards determine that it is in the national interest for certain information to be released.• The Medical School will probably receive about $1.39 million through the Comprehensive Health Manpower Training Act of 1971. President Nixon signed this bill and the Nurse Training Act of 1971 into Law November 18. The two health bills are designed to en­ courage and help finance the training of more doctors, dentists, nurses and other professionals. If t h e p r o g r a m s a r e f u l l y f u n d e d , s c h o o l s o f m e d i c i n e , o s t e o ­ pathy and dentistry will be allowed per capita grants of $2,500 a year for the first three years of a student's training and $4,000 in the fourth year for graduating students. There will be an in­ centive of $6,000 additional per student in the third year for schools who allow students to graduate in three years instead of four. To be eligible for the grants, the medical schools must pledge to increase their enrollments. The UB Medical School plans to enroll 135 students in the first year class in September. This is 15 more than were enrolled in the 1971 freshman class. D r . M e r l i n K. D u v a l J r . , t h e a s s i s t a n t s e c r e t a r y o f H e a l t h , E d u c a ­ tion and Welfare for Health and Scientific Affairs said the program should spur an additional enrollment of 1,200 students in medical schools in 1972 and "wipe out" a shortage of physicians that otherwise might reach 50,000 by 1980. The objectives are to in­ crease the number of practicing physicians to about 436,000 by 1978 and the number of nurses to roughly 1,100,000 by 1980. There are now about 332,000 physicians in active practice and about 700,000 nurses. The manpower bill also offers incentives to medical schools to train more doctors w h o will go into family practice. It offers inducements to attract students from minority and disadvantaged groups and to provide more health professionals who will practice in places where manpower shortages are acute. That means pri­ marily the urban slums and sparsely populated rural areas.• SUMMER, 1972 21 Capitation Grant �National Health Insurance Senator Jacob K. Javits called the establishment of a national health care insurance plan among the country's greatest reforms of the century. "We will have a national health care system within the next three years," he said. The New York Republican was the last speaker on the annual James Fenton Lecture Series on "Comprehen­ sive Health Care" at the University. Javits, ranking Republican member of the Senate Labor and Public Welfare Committee, is author of the National Health Insurance and Health Services Im­ provement Act of 1971. "For decades, this country has lagged behind Russia and other European countries in closing the disparity in the type of health care available to the rich and the poor. The poor suffer three times as much heart disease, seven times as many eye defects and five times as much mental retardation. These are dreadful things,'" the Senator said. Javits called "a depressing fact" the increasing number of Americans for whom "the cost of decent medical care has become prohibitive." He pegged that number at "about 15 per cent" of Americans and said health care cost is "one of the large factors" on the escalating cost of living. America is short 50,000-150,000 doctors and five per cent of the counties in America don't have a doctor. In one New York county, the Senator related, the only physician within a reasonable area was drafted, leaving the people without a doctor for a 50-mile radius. In other areas, people face health problems which are just as serious. The Senator told of children in New York City who have become mentally retarded because of lead poisoning and of a retired man in Queens who ran out of the funds necessary for kidney dialysis. He is facing death. "All of these crises exist even though America spends seven per cent of its Gross National Product on Health Care. Our objective for the seventies must be to overcome the health crisis which threatens to deny adequate care to millions of Americans; and no economic reason should prevent our providing every man, woman, and child in the United States with accessible, quality, and comprehensive health care. We cannot shrink from the magnitude of the effort required to improve improper and inadequate allocations of health resources, as evidenced by marked shortages and maldistribution of health manpower and by obsolete and outmoded health facilities. This situation has seriously impaired America's ability to deliver basic health protection for all Americans who need it." To solve the problems, five health care bills have been intro­ duced in the Congress. The Javits bill would use the present Medi­ care and Medicaid package as an "absolute minimum base criterion of health care." The package's combination of hospitalization cover­ age and supplementary physician benefits would be extended to the population at large. All existing institutions in both the public and private sectors would be used to provide this coverage. These institutions would be under strict supervision and would have to meet exacting standards, but if the hospital performed more effec­ tively or efficiently than the standard, it would be given a bonus. Funding for the system would come from a tax shared by both employer and employee, similar to the current Social Security tax. 22 THE BUFFALO PHYSICIAN �If a c o m p a n y h a s i t s o w n p l a n t h a t m e e t s o r e x c e e d s t h e F e d e r a l standard, however it would be excluded from the national program, the Senator explained. In addition to the system of health care, Javits' bill also sets up an extensive system of HMO's across the country that would supply dental care and "at least" one physical a year to those cov­ ered. Emphasis would be on "diagnostic care." Other parts of the bill would establish a drug co-payment plan under which people would pay only $1 per perscription for long term medication, and provide additional money for training health care personnel. Setting up the Javits system would take "at least three to five years." "Whatever the final form of national health insurance the public must realize it can only be implemented as the personnel are trained and the facilities built to provide the vastly increased services," Javits concluded.• A clinical associate in pediatrics hopes to establish a national net­ work to protect children who have been abused. Dr. Theodore I. Putnam also wants to provide counseling for the parents at the 50 children's hospitals throughout the nation. He hopes to initiate this nationwide program at Children's Hospital in Buffalo and have it connected with other hospitals, through a federal center. Dr. Putnam said, "there is n o consistent medical followup after a child has been placed in his home or a foster home. One of the best ways to prevent abuse would be to require regular routine physical exams of the child every month for two or three years. The physician would be able to see that the child is thriving and well, that he doesn't have scars or fractures. It would give social workers a chance to have continuity with the family." In 1968 Dr. Putnam joined Children's Hospital as a resident. He became interested in child abuse when he read a three-year study made by the Children's Aid & Society for Prevention of Cruelty to Children. He has proposed the creation of a hospital-based unit with a part-time physician director, three full-time social workers and three full-time public health nurses. The other specialists on hospital staffs including psychologist and psychiatrists would be a v a i l a b l e if n e e d e d . D r . P u t n a m i s w i l l i n g t o b e t h e p a r t - t i m e physician to be sure the program is started properly. Dr. Putnam's studies and examinations have convinced him that families that abuse children do so repeatedly. "The abused girls and boys that I saw included children who had been scalded, starved, kicked in the stomach. Most frequent were bruises and cuts, but there were some broken bones. The 11 cases of severe malnutrition were so bad that the pictures were things you might have seen out of Biafra." Foster parents as well as parents have been at times known to abuse children, the pediatrician said. "If parents who felt they wanted to batter their kids could call up and get some help with their feelings, it would be just tremendous. The persons who batter the child need help. This is not a punitive p r o g r a m . " • SUMMER, 1972 23 PfOtCCt AbllScd Children �Dr. Schoenfeld visits with students — Michael Koren (left) and Martin Kilgore (far right). Dr. Schoenfeld chats with medical students — Sus Robert Penn and Donald Greene. The University radio station, WBFO, interviews Dr. Schoenfeld. 1 i The Harrington Lecture 24 THE BUFFALO PHYSICIAN �an Henke, traveling secretary; Virginia Sybert, Dr. Thomas C. Cummiskey, assistant dean, Mrs. Carole Levine, wife of a medical stu­ dent, Dr. Schoenfeld at the coffee hour. SEX, DRUGS, TREASON. All three were explored in depth by Dr. Eugene Schoenfeld — physician, syndicated medical columnist and author of two books, "Dear Doctor HIPpocrates—Advice Your Family Doctor Never Cave you" and the soon to be published "Drugs, Sex, and Treason"—at this year's annual Etarrington Lecture, sponsored by medical students and created through the will of the late Dr. Deville W. Harrington, professor of genital and urinary diseases at the School of Medicine. "The biggest failure," pointed out Dr. Schoenfeld - he re­ ceived his medical degree from the University of Miami in 1961, a Master's in Public Health from Yale in 1964 following several years of extensive research into hallucinogenic drugs at the Albert Schweitzer Hospital in Africa, and a stint at Berkeley's Student Health Clinic — "is not teaching about the normal functions of the human body. This lack of emphasis on preventive medicine, on human physiology, should be basic to any education. For we could eliminate about 60 percent of visits to doctors that are due to functional reasons — headaches, etc. "If people knew more about their bodies," the young physician reemphasized, "fewer would be harming themselves through the use of drugs." There is no completely harmless drug, he cautioned, and he cited aspirin that kills more children than any other kind. While LSD has more adverse reactions than marihuana — it gets into the unconscious - he believes that mature people should be able to make their own decisions about using drugs, etc. "The more freedom a person has, the better off he is and he shouldn't have to go to jail for using drugs." But he cautioned that enlighten­ ment is not to be found in the pill. "It is in our minds." SUMMER, 1972 25 �Sarah Lain, second year medical student, gets a satis­ factory answer during the informal coffee hour. About sex? Even in the most enlightened families, it is still difficult to talk about. "More and more," the volunteer one after­ noon a week at a student treatment clinic in California who reads and writes the remainder of the time said, "society must depend on the schools for sex education." The new frontier of medicine? It will be nutrition for "we are still in the dark ages concerning it." He pointed to the cultures of the world where people survive on many diets. Treason? He referred to the mockery of the free enterprise system and the sacred confidentiality between patient and healer. He pointed to the American Medical Association "wanted notice" placed in its weekly newspaper and two specialty journals, one in dermatology, to help capture a young (chronic severe acne) woman indicted for conspiracy to transport illegal explosives across state lines. And to the "deep sense of revulsion" in the ITT case where a woman's alleged medical history was used in an attempt to ex­ plain an incident causing great embarrassment to the administration in power. Not only did he cite ITT, where antitrust laws, designed to pre­ vent diminution of competition, had failed, but the government guaranteed funds to Lockheed Corporation, a giant corporation. In his afternoon talk to medical students, he pointed to the mistake of specializing too early. "Interests may change," he said. Dr. Schoenfeld's did. He started with an interest in psychiatry and while he still is involved in mental processes he hopes that what he is now doing, health education, is of more importance. "By taking a period of time off from medical school and following your own interests, you sacrifice nothing. And you gain a great deal." Dr. Schoenfeld's travels to Europe and Africa were subsidized by short stints of employment at various medical establishments. But he pointed to a quarter of his medical class who never com­ pleted their education. They were driven by an irrational and un­ justified fear, of pressure imposed by peers and faculty. In his standing room only public lecture he reviewed many of the questions and answers on sex, drugs, nutrition, and now en­ vironment that first appeared in the underground Berkeley Barb, a student newspaper and is now a syndicated column. Why write when you are a physician? "I like both," he replied. "And there is a need for this type of information."• 26 THE BUFFALO PHYSICIAN �Rural Externship Program For the second consecutive year 50 health sciences students will participate this summer in a rural health care "externship" program. Last summer 22 students representing the Schools of Dentistry, Health Related Professions, Medicine, Nursing and Pharmacy were placed with preceptors in 11 Western New York rural communities for nine weeks. Mr. Carl Anderson is the project coordinator. The program is funded by the Lakes Area Regional Medical Program and by local contributions from hospitals, physicians, and counties throughout the region. "The 1972 program will again be a cooperative service and educational program between rural health care practitioners and health science students in the delivery of health care. The students will spend the summer living and working in the communities where they are assigned," Mr. Anderson said. All participating students will receive a $100 per week stipend. The students are assigned to a preceptor — either a physician, nurse, dentist, pharmacist, or allied health professional — in the rural area who will be responsible for the general professional supervision of the student. The students will keep a diary of their experiences and will develop a profile of health care in their respective com­ munities based on their interactions with patients, local health professionals and other externs. Arrangements have been made in these 8 Western New York health facilities for the program. Several more facilities will be added. Jamestown, N. Y—W.C.A. Hospital — Gregory Thorsell, M.D.; Eleanor Edman, R.N.; George Lawn, D.M.; Bert Klein, D.Pod. Warsaw, N. Y. — Wyoming County Hospital—James MacCallum, M.D. (M'37); Fred Heller, L.P.T. Warsaw, N. Y. — Wyoming County Public Health Department — Patricia Stopen, R.N. Portville, N. Y. — Duncan C. Woermer, M.D. Olean, N. Y. -Olean Medical Group—Arthur L. Beck, M.D. (M'57). Newfane, N.Y. - Newfane Intercommunity Hospital—Lee Vermeulin (Pharmacy). Dunkirk, N. Y. — Brooks Memorial Hospital — William Kunz, M.D. (M'53); Wes Sly, L.P.T.; Ray Hunt (Pharmacy). Salamanca, N. Y. — Salamanca District Hospital — Ruth Knoblock, M.D.; David Widger, M.D.Q SUMMER, 1972 27 �Two technicians trom the Erie County Health Department (Rath Building), Ted Franciszkiewicz and Bernice Walker, take a chest X-ray. Community Health Center T he DREAM of providing better health care in the Buffalo inner city is becoming a reality for at least five medical students, a dental student, and a dental hygienist. They are all actively involved in the new Allentown-Lakeview Community Health Center at 273 Mary­ land Street. The Center opened at this location February 1, 1972, after nine months at the Shaw Memorial African Methodist Epis­ copal Zion Church, 453 Porter Avenue. A fourth-year medical student, Steve Levine, is the man behind the project. He is ably assisted by Alan Calhoun, first-year student, and three second-year students, Diane Matuszak, Susan Hammond, and Carmen Ramos. Miss Sharon Gardner, a dental hygienist, and Daniel Martinez, a fourth-year dental student, are involved in the preventive dentistry program at the Center. The Center has a dental chair, a light and other equipment. Dr. Daniel C. Dudley, a practic­ ing dentist, supervises the program. All of the students average one night a week on the project, plus a few odd daytime hours. Two interested visitors. "Our primary thrust is preventive medicine," Steve said. Miss Matuszak and three other female medical students are having week­ ly classes (8 to 11 p.m.) at the Health Center for women (under 40) in the area. They discuss a wide range of topics from first aid and hygiene to prenatal care, infant mortality, family planning, TB, and VD, drugs and alcoholism. Mr. Calhoun is developing a special program in nutrition for area residents. Other students are urged to develop other programs that will improve the health of citizens. Steve was among the 12 medical students who had the idea in 1969 to establish a community health center in this area. They were assisted by two faculty members — Drs. Christopher D'Amanda, clinical professor of medicine, and John R. F. Ingall, assistant pro­ fessor of surgery and director of the Lakes Area Regional Medical Program, Inc. 28 THE BUFFALO PHYSICIAN �DRIVER J RIOCK LEAD | CUI0AT0RE Steve is the first to admit that they have had a lot of help from several agencies and many individuals who have volunteered their services. "The Erie County Department of Health and the American Red Cross and three physicians — Drs. Errol Daniels, an optometrist; E. Peter Isacson, associate professor of social and preventive med­ icine; and Robert Wallace, clinical instructor of social and preven­ tive medicine — all have been most helpful," Steve said. The services that are offered are: —transportation of patients to clinics, hospitals, doctors' or dentists' offices; —educational classes on health topics; —medical programs in eye screening and immunization to prevent disease; —referral—getting patients in contact with hospitals, agencies and health professionals; —interpreters—who will go with patients to various agencies and act as translators (many patients are Spanish speaking). The overall objective is to improve the quality of health care in the Allentown-Lakeview community with a meaningful input by the community in decision making and provision of services. A 25member committee — residents of the area, that includes a diverse population of blacks, Spanish speaking Puerto Ricans, Indians, Italian-Americans (old and young) — have been active in the plan­ ning and development of the Center. Most of the operating budget — $28,000 for the current year — is from the American Freedom from Hunger March. Over the last two years the Center has received $1,500 from the medical student activity budget and another $1,500 from SAMA, the national or­ ganization of medical students. The rent for the quarters is $80 per month. There are four paid staff aides — Ira Stohl, project coordinator, and his assistants, Paul Martinez, Gladys Marrero, and Ann Beutner. Two of the aides are bilingual. The transportation program — taking people from their homes to the doctor, dentist or welfare office — is one of the most used services. The station wagon purchased for this service is on the go 12 to 15 hours daily. Many volunteers in the community also pro­ vide rides. "Our long range goals will cost more money. We want to enlarge our staff to include physicians and other health professionals so we can have a more comprehensive health program. We hope to be able to do more things right here at the Center — such as first aid, examinations, and therapy. We want to provide personal human continuing medical care for the people of the area," Steve said. "We want this community project to be flexible enough to allow for a variety of forms in the delivery of health services. We want the cooperation of hospitals, private practitioners, and other health professionals so that we can improve the delivery of health care in this area." Steve hopes to have a volunteer Medical Advisory Board avail­ able for advice and counsel on the Center's health education and disease prevention programs within a few weeks.D SUMMER, 1972 29 Miss Gladys Marrero, community aide, checks the appointment schedule with Mrs. Carole Levine, wife of Steve. The project co-ordinator, Ira Stohl, chats with a friend. �Health Resources Reservoir THE H O S P I T A L i s a n d w i l l c o n t i n u e t o b e t h e m a j o r r e s e r v o i r o f a community's health resources, according to a prominent phy­ sician-educator. Dr. Edmund D. Pellegrino, vice president for health sciences and director of the health sciences center at the State Uni­ versity at Stony Brook, pointed out that hospitals will have to make community and preventive medicine part of their spectrum of de­ partmental services. "They must add personnel and facilities suit­ a b l e f o r p u b l i c e d u c a t i o n i n h e a l t h . If i t e x p a n d s i t s f u n c t i o n s t o become a community health center, the hospital can be the most effective integrating force in the health of most communities." Dr. Pellegrino defined three elements in health maintenance: (1) The containment and amelioration of established chronic dis­ eases; (2) The detection of unsuspected disease by screening methods; (3) Forestalling t h e development of n e w diseases — that is primary prevention through immunization, environmental con­ trol and modification of personal behavior. "Non-physicians of several types are ideally suited to provide the various services that constitute health maintenance. It has al­ ready been demonstrated that non-physicians can handle most of the personal and technical aspects of screening and detection. Ap­ plication of health maintenance on a national basis is probably most dependent upon the rapid training of non-physician personnel — some in existing professions, others anew. "A national health maintenance program should include vary­ ing emphasis on disease containment, detection, and primary pre­ vention. The first essential of organization is the location of re­ sponsibility and authority for health maintenance in some agency or body, private or public. The major deterrent to effective change in the health care system today is the failure to assign this re­ sponsibility and authority. I personally favor the creation of local health authorities, organized as quasi-public utilities composed of consumers and producers and constituting the policy-making authority for all health matters in the region. Policy-making would be distinct from the managerial level and the professional-tech­ nical experts. Integration of all three levels is essential in arriving at policy decisions and implementing them," Dr. Pellegrino said. "The task of educating personnel for the major roles in health maintenance will fall to the schools of allied health in collaboration with medical schools. Medical schools will have the responsibility of devising health maintenance services as models in which to educate those physicians with a particular interest in this specialty as supervisors, as applied epidemiologists, as evaluators and de­ visors of the new modalities of maintenance. These models should also be the training ground of non-physicians in health maintenance. This is a summary of Dr. Edmund D. Pellegrino's address "Health Maintenance: An Idea in Search of an Organization" that was de­ livered October 20. The School of Health Related Professions cosponsored his appearance with the annual James Fenton Distinguished Lecture Series for 1971. "I favor a program of health maintenance directed to certain clear and accessible goals that will become the lever for making our health care system more responsive to the other major unmet needs of our people — primary, preventive and emergency medical care." Dr. Pellegrino suggested two approaches to effect the character of the total care system and to advance the cause of preventive health care. 30 THE BUFFALO PHYSICIAN �— Provide incentives for establishment of centers for health maintenance integrated with the present system of crisis medicine. Such centers should be located in communities and neighborhoods and linked to hospitals. — At these centers, the major emphasis in health maintenance would be on those preventive and maintenance measures known to be effective. "The key feature is to establish a complementary segment of the health care system that provides the public with a readily acces­ sible means for health maintenance, as well as crisis medicine. Another way we can weave health maintenance into the fabric of the health care system is t o redirect large scale programs like medi­ care, medicaid and veterans' care in this direction. Funds for these or similar programs could be contingent on the provision of mainte­ nance services by the agency or facility receiving such funds. Physicians and institutions could satisfy the requirement by provid­ i n g s u c h s e r v i c e s t h e m s e l v e s , if e q u i p p e d t o d o s o , o r b y e s t a b l i s h ­ ing linkages with systematized health maintenance services in their communities. This is another way to tie maintenance and curative Dr. Pellegrino medicine together and establish some semblance of a continuum of health services." In conclusion Dr. Pellegrino pointed out that w e are poised for a national effort to establish Health Maintenance Organizations, with large expenditures and much human effort in the offing. "It w o u l d b e s a l u b r i o u s if f o r o n c e w e c o u l d c l e a r l y d e f i n e o u r g o a l s before setting out in pursuit of another salvation theme in health which will lead only part way or even be self-defeating."• A third year medical student is a practicing attorney evenings and weekends. He is Jon Rubach, who has a degree from the Notre Dame University Law School. While at Notre Dame Jon did personal injury work for an attorney in South Bend. "I had to read so many medical books that it all caught on. After taking the bar examina­ tions in July of 1969, I started medical school the following Sep­ tember (with the consent of my wife)." Jon admits that law school helped prepare me for medical school. "I already knew how to study and study hard, in an or­ ganized way. Medical school is a lot harder. It also has something that law school doesn't — and this is first-hand experience. The fact that I'm actually working in a hospital (Buffalo General) is worth everything to my medical studies. In law you don't get that practical application, n o t till you've g o t that Doctor of Jurisprudence Degree and you are out in the field ready to use it." Currently Jon is an attorney for the law firm of Moot, Sprague, March, Landy & Fernbach. Jon works full time for the law firm dur­ ing the summer. The rest of his activities revolve around his wife, Peggy, and their 20-month-old daughter, Kristin. " S o m e d a y I'll h a v e t o d e c i d e b e t w e e n law a n d medicine. But today I just can't tell. All my lawyer friends say, 'pick medicine.' All my doctor friends say, 'be a lawyer.' It's easy for them, though, the grass is always greener."n SUMMER, 1972 31 Practicing Attorney �Health Education Center The School of Medicine along with the four other University health sciences schools — Dentistry, Health Related Professions, Nursing, and Pharmacy — are participating in the development of the Lake Area Education Center (LAHEC) at the Veterans Adminis­ tration Hospital in Erie, Pennsylvania. The purpose of the Center is t o provide basic and continuing education for medical and allied health personnel and to provide better health services to the surrounding communities in north­ western Pennsylvania, southwestern New York and northeastern O h i o . Mr. Michael C. J. Carey, executive director of t h e Center, said, "this tri-state health care watershed has an estimated popula­ tion of 500,000." The Center a t Erie is o n e of eight sponsored by the Veterans Administration in Washington and the first to be funded for a oneyear planning stage. The Carnegie Commission has suggested the development of 126 new area health education centers. The Re­ gional Medical Program of Western New York provides the liaison between the university level health sciences and the Lake Erie Health Education Center. The Center will evaluate health care delivery systems in the area and survey health care manpower and its utilization. LAHEC will also collaborate with Erie County's several colleges and secondary school systems to coordinate current training programs for health care professionals and develop new programs. " T h e emphasis is upon developing a health care delivery system that is more effective, efficient, economical, accessible and acceptable to all levels of society. W e will cooperate with all area hospitals and all other health care facilities and clinics, and any health related community agencies to make LAHEC a viable, prag­ matic reality," Mr. Carey said. The development of this and other area health education centers may be a significant factor in overcoming some of the un­ even distribution of physicians in relation to population clustering. It has been found that more than half of those doctors in resi­ dency training tend to remain and practice in the locale where they received that training. The Lake Area Center will hopefully at­ tract practicing physicians to the area, who will find an atmosphere conducive to continuing competence and progressive medical practice. LAHEC will also provide a broad based and community level clinical experience for students in nursing, dentistry, and allied health care professions. "We are strategically located some 100 miles from three citiesBuffalo, Cleveland, Pittsburgh — that have medical schools. LAHEC can be affiliated with all three. Special arrangements will be made for residents to rotate from these teaching centers to obtain ex­ perience in community medicine alongside that of the highly specialized cases available in university communities," Mr. Carey concluded.• 32 THE BUFFALO PHYSICIAN �A man who has frequent diagnostic X-rays may be increasing his chances of getting one of two common types of leukemia, accordi n g t o D r . S a x o n L. G r a h a m , c l i n i c a l p r o f e s s o r o f m e d i c a l s o c i o l o g y in t h e department of social and preventive medicine. The study is based on 1,414 adult leukemia cases and 1,370 adult "controls" in Upstate New York, Minneapolis and Baltimore. The study shows that a man who has had 11 or more X-rays to any part of his body has a 60 per cent greater chance of getting chronic myelocytic leukemia than a man who has had none. The risk is nearly tripled for men who have had 41 or more films. The risk noted in the study group was greatest when the X-rays were taken of the trunk of the body. Here the man who had had 11 or more films had double the chance of getting leukemia and the one who had 41 had seven times the chance. The relationship be­ tween irradiation and the acute form of myelocytic leukemia is just as striking, according to Dr. Graham. The study revealed no significant association between irradiation and leukemia in women, only in men. Dr. Graham emphasized that the study does not prove that ir­ radiation is the only, or even the major cause of leukemia. "Only a small proportion of the irradiated population develops leukemia, and irradiation accounts for only a small proportion of leukemia cases. Only approximately 8.8 per cent of the chronic myelocytic leukemia in men in our study may be due to exposure to 11 or more X-ray films. Therefore factors other than irradiation definitely play a part in the cause of the disease. These may include viruses, heredity, sex or susceptibility factors."D $17 Million in Sponsored Research University expenditures on sponsored research and training amounted to $17,202,022 during fiscal 1970-71, an increase of 6.5 per cent over 1969-70. The Faculty of Health Sciences accounted for 65.5 per cent or $10.7 million of the total. Dr. Saxon Graham, clinical professor of medical sociology in the department of social and preventive medicine, received the largest grant, $1,510,855 for three years in support of an Afghanistan Population Study. The sec­ ond largest, $300,000, was continued support for the Laboratory for Environmental Physiology. The Regional Medical Program, di­ r e c t e d b y D r . J o h n R . F. I n g a l l , c o n t i n u e d t o b e t h e l a r g e s t s i n g l e program supported by an outside agency, expending $1.3 million in Federal funds last year.n SUMMER, 1972 33 DiaPtlOrftC & X-rays �Today's Medical Students Change is the name of the game. Even among medical students at the University. The current crop of medical students have more social consciousness. They are changing just like society — more social justice, equality — especially in the delivery of health care. Medical students are concerned about the health care crisis in this country. They are looking to themselves for the solution, not neces­ sarily the government. Steve Levine, a fourth year medical student, pointed out that many people don't have a doctor. "They go to the emergency room of hospitals for care that the emergency rooms are not equipped for. What these people are seeking is a patient clinic. If community-run neighborhood clinics can fulfill a person's need for preventive medicine, and can run spot screening programs and provide emergency service, then a load will be taken off existing, overloaded medical services." Steve plans to practice medicine as an internist in indigent communities. He will work from a neighbor­ hood center with a hospital base where cases would be referred. Currently he is working at the Allentown-Lakeview Community Center, a store-front facility, at 273 Maryland Avenue. This studentinitiated center is now involved in special health programs under the auspices of the American Freedom from Hunger Foundation. It stresses preventive education and spot screening. Another similar health center in Buffalo has been set up by the Student Black Health Association at the Student University Urban Center at 220 Delaware Avenue. Kenneth Gayles, a third year med­ ical student, has been working at the center where screening and referral programs are being conducted, with complete physical examinations and laboratory tests. The Center operates on weekends and is financed through donation only. Some Buffalo physicians are working with some 20 black students who are contributing their time to the center. "One of the things in the black community has been the lack of preventive medicine. The only time they go to a doctor is when something acute happens. Visits for a routine check­ up are not a reality for them," Gayles said. Steve Levine Kenneth Gayles For Miss Louise Stomierowski, a second-year medical student, her dedication to service takes another direction. She wants to practice family medicine in a small town or rural area. "There is such a shortage of doctors in the rural areas," she said. Another second year medical student, Miss Elaine Wilt, plans to take up family practice or pediatrics in a rural area. She feels that high school guidance counselors are not aware enough of the pos­ sibilities for women in medicine. "They don't encourage girls in that direction. When a girl is interested in the health field she is likely to be steered toward nursing or some other allied health pro­ fession." Girls in medical school thoroughly revolutionize the tradi­ tional idea of the family doctor —who is supposed to be about 55 years old, with overshoes and spectacles. "It's a cultural-pat­ terned thing. In Russia, 75 per cent of all doctors are women, with an average salary of $200 per month." 34 THE BUFFALO PHYSICIAN �Todd Wallens Thomas Varecka Elaine Wilt The problem of keeping up with medical advances will be solved by attending periodic workshops and continuing education programs. " O n e of the solutions to that is group practice," said Thomas Varecka, a second-year student. "Every man realizes he can't do everything. We'll try to solve problems together." Through specialization, too, a doctor can keep up with at least one area of medicine. The several medical students agreed that financing a medical education is no problem. "There is money available." From Mr. Gayles' point of view, the problems of attending medical school for a poor black student is less financial than psychological. "If you are a black student and you don't see blacks in medical school, you figure you won't be there either." Kenneth has always wanted to be a doctor. "I said it to an MD and h e helped m e . " A fourth-year student, Todd Wallens, said "we should not close our eyes to the good things going on today." Tom Dwyer, another third year student, says that many con­ cepts advanced are extreme — just short of revolutionary. "These changes have been initiated by dissatisfied people." Tom will con­ centrate on 'primary health care' after graduation. The medical students are serious about seeking workable solu­ tions to alleviate the health care crisis. One of these is shorter train­ ing periods for "medical specialists." Many medical schools are training physicians' assistants. Both the physician and the general public must realize that the physician is n o t the only o n e w h o can give medical care. The medical students agreed that they weren't interested in earning $75,000 or more a year. They just want enough money to live comfortably and educate their children. Today's medical student has come out of hibernation. He is participating in health care and talking about current issues. He is asking questions that a student did not dare to ask a few years ago. But the real test will come after he graduates.• SUMMER, 1972 35 Tom Dwyer Louise Stomierowski �Spernij Egg Handbook It started as an independent project in Medical School and grew until Bruce and Wayne Middendorf found themselves authors of a 30-page booklet on birth control. The fruit of their labors "A Sperm and Egg Handbook" is a down-to-earth pamphlet covering the ground from conception to abortion to venereal disease. Written in a very readable manner, the text spells out everything and, when­ ever possible, uses humor to get the point across. The authors, twin brothers who are both second year medical students, became interested in population control during their un­ dergraduate days. When they started medical school a year ago last fall, Wayne and Bruce decided to write a birth control pamphlet to help educate other medical students. Their professors liked it and they had the material reviewed by local gynecologists. After their OK, the 23-year-old twins took it to Jean Hutchinson at Planned Parenthood. She thought it was pretty good but needed "something to liven it up." This is where Bruce took over. By then it was April, 1971. Wayne was getting married and leaving for the midwest, so Bruce worked on it solo all summer. After eight drafts, the booklet finally came out in August, 1971. The pair is satisfied with the result. "We made it to the point as much as possible," Bruce explains, "and laid everything out on the line." He defends the corny humor — "it makes it easier for people to read." And his work at Meyer Memorial Hospital in counseling unwed mothers convinced him of the necessity of de­ fining every term. At "The Meyer," he worked with 11, 12, and 13year-old unwed mothers who didn't know why they were pregnant. "They didn't know that intercourse caused babies; they just thought it sort of grew inside them," he remembers. As a result, words such as sexual intercourse, conception and contraception are completely explained. In another effort to make everything easily understood, the Middendorfs organized subjects so they are complete on one page or at the most on a two-page spread. As a result, venereal disease is explained on two facing pages, while there's one page on "Getting It Straight about Myths." Tables, lists and illustrations are also included. A seven-item list of signs of pregnancy is divided into possible and probable signs and a full explanation of pregnancy tests follows. Melford Diedrick, director of medical illustrations for the Medical School, did eight drawings showing not only the male and female reproductive systems but also the sites of placement for various methods of birth control. He also designed the cover which depicts a sperm fertilizing an egg. Wayne Middendorf The explanation of birth control methods is divided into sec­ tions headed effective, fairly good, less effective and not recom­ mended. The authors go through 11 different categories of methods, fully explaining and listing the advantages, disadvantages and effec­ tiveness of each. Following this is a table listing the cost of each method. Another chart goes over the average clinical failure rate — a measure of the effectiveness of the method when it is used under average conditions by average people. 36 THE BUFFALO PHYSICIAN �Throughout the book, the theme of partners sharing the re­ s p o n s i b i l i t y i s s t r e s s e d . It d o e s n ' t m a t t e r w h o t a k e s t h e p r e c a u t i o n s , the book contends, just as long as someone does. As the authors point out, "taking a chance 'just this once' may be once too often." The brothers feel strongly that it is "ignorance that causes unwanted pregnancies and spreads venereal disease." In order t o get the booklet printed and make it widely avail­ able, the brothers worked through the Community Action Corps (CAC). CAC is now distributing free copies at Norton Union. Copies will also be distributed at the Birth Control Clinic in Michael Hall. The handbook has been well received in the community and by Planned Parenthood centers across the country. Dr. Jack Lippes, developer of the Lippes Loop (one of the first lUD's available), says it is " o n e of the best college books on the subject." Other area gynecologists are also backing it. So far, 6,000 copies have been distributed and another 5,000 were just printed. Bruce intends to keep working o n the pamphlet, up-dating it when necessary. He viewed the project as part of both his medical training and the responsibility doctors have. Both of the Middendorfs firmly believe that "healthy understanding of human sexuality goes hand in hand with a healthy mind and body . . . and that sexual responsibility entails a full knowledge of your human sexuality."n Intensive, Emergency Care Program Two Buffalo physicians and a nurse have developed an intensive emergency care program with emphasis on heart resuscitation skills. Mrs. Betty Lawson, assistant professor of nursing, and director of the coronary care unit of the Lakes Area Regional Medical Program, Inc., Dr. David Dean, assistant professor of medicine and Dr. Louis Young have worked o u t a "first aid plus" course with Mr. Robert B. Howard, Buffalo Commissioner of Fire. Rescue Squad 9, which serves the downtown Buffalo area, was the first group to be trained. The 30 men in Squad 9 attended three weeks of eight hour classes and are now certified to use defibril­ lators. "The men were eager and quick to pick up the complicated information needed to pass the course," Mrs. Lawson said. "There isn't one of these men I wouldn't let take care of me. I have con­ fidence in their abilities." The training program is only a beginning. Eight squads remain to be trained and it is hoped that after seeing Squad 9 in action improvements in the training program can be made.D SUMMER, 1972 37 �Respiratory Intensive Care Unit The Millard Fillmore Hospital opened a new Respiratory Intensive Care Unit in March. Dr. John W. Vance, clinical associate professor of medicine at the Medical School, is the director of the new unit. It was funded by a $197,000 grant from the Lakes Area Regional Medical Program (formerly RMP of Western New York). "It will be as completely equipped a unit as we can devise," Dr. Vance said. The unit includes an isolation room for one patient and a complete air conditioning system. "Filtered air is of crucial im­ portance to these patients. The unit will be the center for team care by the nursing staff, the attending and house staff, respiratory therapists and pulmonary therapists." Dr. Vance will have three consultants on rotating call duty, Drs. Frederick R. Beerel, associate director of t h e Chronic Respira­ t o r y D i s e a s e P r o g r a m ; J o s e p h E. F r a c a s s o , c l i n i c a l a s s i s t a n t , a n d H . Paul Longstreth, attending physician. They are all members of the Medical. School faculty.Q 38 THE BUFFALO PHYSICIAN �A research project at the University that promises help to arm paral­ ysis cases received financial aid recently. Gifts totalling $5,000 were given by the Buffalo Community Relations Committee of the Ford Motor Company ($3,000), the Thomas J. Connors Foundation ($1,500) and Servotronics, Inc. ($500). The announcement of the grants was made by Mr. J. Sam Miller and Dr. William P. Walsh, $5,000 Gift For Arm Paralysis directors of the Rehabilitation Medicine Engineering Laboratory at the University. These funds will be used for further research studies using the "Buffalo Arm," a power brace for use in paralysis cases. "We have shown that arm paralysis following stroke may be reduced by therapy sessions in this brace," Mr. Miller said. Within four weeks of daily exercise in the devise, much of the normal arm motions had returned in two stroke patients. Dr. Walsh cautioned that this is still a research project, but indications are that this may be a real break-through in stroke rehabilitation. The Rehabilitation Medicine Engineering Laboratory was started in 1970. It is in the School of Medicine at the University and is clinically affiliated w i t h t h e E. J. M e y e r M e m o r i a l H o s p i t a l . • Dr. William P. Walsh demonstrates the "Buffalo Arm" brace for Mr. I. Sam Miller and Mr. James F. Terry, chairman, Buffalo Community Relations Committee, Ford Motor Company. Mr. Terry presented a $5,000 check to Dr. Walsh and Mr. Miller. I �Medical Artist Thi• vascular pedicle is divided the ureter is mobilized well up the renal simts cmeerv inp as m et the pelvic Hare as possible ) A laminedo over the ord I is placed thru. f) THYLtSt WP'M rescteeteJ • ureter $nu(l>l ST' m- tumid tor the tUfiv « mjdr ^'^ertebrol Mu md " ' Paravertebral muscle hi Hunt dissection Mr. Diedrick V �A unique combination of artistic talent and medical knowledge best describes Melford D. Diedrick. The medical illustrator has been on the faculty since 1947. He is a talented, successful artist, who has considerable knowledge of biology, anatomy, histology and many other things. His three staff members — photographer, graphic artist, secretary — are also very knowledgeable. "I' v e l e a r n e d m y p r o f e s s i o n t h e h a r d w a y — t h r o u g h c l i n i c a l observation, study and research. The first step is acquiring informa­ tion — usually verbal communication with the physician-author. 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 pro­ cedure. 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 tech­ nique 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 two little. Drawings can eliminate the non-essential details a n d focus m o r e dramatically o n t h e 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." Mr. Diedrick was a student (1932-34) of the late Max Broedel, who taught the world's first formal class of medical illustrators at Johns Hopkins Medical School. Mr. Diedrick then returned to his native Buffalo to become its first medical illustrator in 1935. He worked with faculty and other physicians at the Buffalo General Hospital, and at the same time was assistant curator of the Medical School's pathology museum, before joining the faculty. The medical illustrator is proud of his many achievements — especially the principal illustrator of three widely used specialty books — "Atlas of Operative Teaching Anus Rectum and Colon" b y Drs. H a r r y E. B a c o n a n d S t u a r t T. Ross in 1 9 5 4 ; " A n Atlas o f Surgical Exposures of the Extremities" by Drs. Banks and Laufman in 1953; and "An Atlas of Neurosurgical Techniques" by Dr. James Poppen in 1960. "Today there are so many demands on my time that it would be impossible for me to spend several months on illustrations for one book," Diedrick said. His thousands of illustrations over the last 37 years have been a potent teaching tool for students, professors and physicians.• SUMMER, 1972 41 �Community Mental Health Center If a l l g o e s w e l l f i n a n c i a l l y t h e B u f f a l o G e n e r a l H o s p i t a l C o m m u n i t y Mental Health Center may open sometime in 1973. That is the goal of Dr. Stanley R. Platman, executive director. He hopes his $ 2 , 6 0 3 , 6 4 9 f e d e r a l s t a f f i n g g r a n t a p p l i c a t i o n w i l l b e a p p r o v e d . If Washington approves it, the federal government will be under­ writing the 1973 salaries for 256 of the center's personnel whose work brings them in direct contact with patients. Then, for seven years, there will be additional funds for staff salaries, but in de­ creasing amounts. After that, suDport of the center will be up to the state and county. Under Dr. Platman's direction the new center will reach out into the community it serves — a large section of the east side, parts of Cheektowaga and Amherst, and all of Clarence and Newstead. It will establish three neighborhood counseling services with bases in buildings at Jefferson and Best, Genesee and Bailey, and in Akron. They will be staffed from 8 a.m. to 12 midnight seven days a week. The Center itself will be open around the clock, and its emergency facilities will be available during the hours the neigh­ borhood counseling services are closed—from midnight until 8 a.m. 42 THE BUFFALO PHYSICIAN �Three-fourths of the persons staffing the neighborhood coun­ seling services and the center will be paraprofessionals — men and women from the areas served who have an education below the level of a master's degree. All will have six months of on-the-job orientation in working with persons with mental and emotional problems. The Center will establish a "career ladder," so that the paraprofessional who does a good job can progress to more and more responsibility and higher salary brackets. "Paraprofessional workers, who know the people of their areas and the problems that confront them are more helpful in solving those problems, many times, than trained professional psychiatrists, psychologists, social workers and psychiatric nurses," Dr. Platman said. Approximately one-third of the cost of building the $4.8 million Center came from the federal government. The Center at 80 Goodrich Street consists of two buildings. One will house three in-patient units of 20 beds each, one of which will be used as an alcohol and drug detoxification unit. Emergency facilities, educa­ tional and play areas for children also will be located in this build­ ing. The second building houses an auditorium, a gymnasium, a shop, activity suites, out-patient facilities, and offices. It is these facilities that Dr. Platman hopes will be used by other community agencies as well as patients of the Center.D Multi-purpose auditorium. �The T^e ^lasses °'t,1e i930's Dr. Thomas S. Bumbalo, M'31, has been Classes e'ectec' to a one-year term as vice president of the Medical Society of the State of New York. He is a clinical professor of pediatrics at the Medical School and is associate medical direc­ tor at the E. J. Meyer Memorial Hospital. Dr. Bumbalo is a past president of the Erie County Medical Society. He will be a delegate from the state society to the AMA along with Dr. Walter Scott Walls, M'31.D Dr. Frank J. Gazzo, M'35, is a clinical as­ sociate in gynecology-obstetrics at the Medical School. Recently he was featured in The Cour­ ier Express (Buffalo) as a young man, who worked his way through college delivering newspapers. Dr. Gazzo has been practicing medicine for nine years. He and his wife and four children live at 11 Hancock Terrace.D can Academy of Orthopedic Surgeons, Diplomate of the American Board of Orthopedic Surgeons, and Fellow of the American College of Surgeons. Dr. Willner lives at 40 Union Avenue, Irvington, New Jersey.• The Classes of the 1940's Dr. Anthony S. Merlino, M'47, is the new chief of medicine at the Buffalo Columbus Hospital. He is a specialist in internal medicine and a clinical assistant professor of medicine at the Medical School. He is also on the staffs of Buffalo General and Sisters Hospitals.• Dr. Josephine A. W. Richardson, M'48, is associate director of the Rehabilitation Center, Louisville, Kentucky. She is an Adjunct As­ sistant Professor of Medicine at the University of Louisville School of Medicine. Among her professional membership affiliations are Amer­ ican Academy of Physical Medicine and Re­ habilitation; American Academy for Cerebral Palsy; American Academy of Family Physicians; American Medical Women's Association; American Association of Academic Physiatrists; and the Pan-Am Medical Association. Dr. Richardson lives at 501 Quail's Run, Louis­ ville.• The Classes of the 1950's Dr. Peter S. Battaglia, M'55, is the new presi­ dent of the Niagara Falls Area Chamber of Commerce. He is a clinical instructor in med­ icine at the Medical School. Dr. Willner Dr. Philip Willner, M'35, has been elected Chief of Staff of the United Hospitals Ortho­ pedic Center, Hospital for Crippled Children and Adults. He most recently held the post of Director of Orthopedic Surgery and Director of Medical Education. The new chief of staff is attending orthopedic surgeon at St. Barnabas Medical Center, associate clinical professor of New Jersey College of Medicine and Dentistry, consulting orthopedic surgeon of West Hudson Hospital and Memorial General Hospital, and adjunct orthopedic attending at Newark Beth Israel Hospital. He is a member of the Ameri­ 44 Dr. Philip Brunell, M'59, associate professor of pediatrics at New York University Medical Center, is on sabbatical for a year at the Clin­ ical Research Centre in London, England. His home address is 81 Carolina Drive, New York City.D The Classes of the 1960's Dr. Rae R. Jacobs, M'62, assistant professor of surgery, University of Kansas Medical Center (effective 7/1/72) has been awarded the North American Traveling Fellowship by the Ameri­ can and Canadian Orthopedic Association, April-May, 1972. Dr. Jacobs presented a paper on "Pressure-Flow Catheter" for cardiac work and vascular resistance studies to the annual meeting at Association for Advance of Medical Instrumentation, Las Vegas, in April.• THE BUFFALO PHYSICIAN �D r . A l a n L. P o h l , M ' 6 2 , is a r e s i d e n t in p l a s t i c and reconstructive surgery at the University of Texas Medical Branch in Galveston. He com­ Dr. David Fugazzotto, M'67, will finish his pediatric residency in August and enter private practice with a group in Birmingham, Alabama. pleted his surgical residency in 1968 at Tufts He is now affiliated with University of Mis­ University New England Medical Center, Bos­ ton, and was a U. S. Naval Surgeon at U. S. souri School of Medicine at Children's Mercy Hospital, Kansas City, Missouri. Send con­ Naval Hospitals in Key West, Florida; Yoko- gratulations to 7233 Belinder (Kansas City) on suka, Japan; and 3rd Medical Battalion Viet the birth of daughter, Dana Helene, in De­ cember, 1971.• Nam (Chief of Surgery) until 1970. His present research (in press) is "Effect of Primary Pharyn­ geal Flaps on Speech and Facial Development Dr. John W. Cibbs, Jr., M'67, is an anesthetist in Cleft Palate Children." Dr. Pohl lives at 314 Mackeral Avenue, Galveston.• in Santa Barbara, California. He lives at 255-B Elise P l a c e . • Dr. Frank Ehrlich, M'63, is a teaching fellow Dr. John C. Bivona, Jr., M'68, is at the United States Army Hospital, West Point Military in pediatric surgery (University of Pittsburgh) and chief resident surgical service at Pittsburgh Children's Hospital. In July he will return to full time active duty in the U. S. Navy as the first trained pediatric surgeon utilized as such. Academy (New York), after a two-year general surgery residency at Center.D Kings County Hospital Dr. Bruce N. Bogard, M'68, is a clinical in­ This will be the first pediatric surgical service structor of headed by a trained specialist in the U. S. Mil­ Medical School. He was chief resident (1971- itary. Dr. Ehrlich completed his general surgery 72) at Long Island Jewish Medical Center, New residency in 1970 at Boston Naval Hospital.• pediatrics at SUNY's Downstate Hyde Park, New York and in 1971 received the AMA Physician Recognition Award. Dr. Bo­ structor (psychiatry) at the University of Miami gard writes that he and Mrs. Bogard have a two-year old son and expect another child in School of Medicine. He lives at 2441 NE 200 July, and live at 163-02 Booth Memorial Ave­ Street, North Miami Beach, Florida.• nue, Fresh Meadows.n Dr. Harvey Liebeskind, M'63, is a clinical in­ Dr. Paul Sussman, M'64, is a clinical instruc­ Dr. Brian S. Joseph, M'68, is directing a drug rehabilitation and education center in Viet­ tor in medicine (rheumatology) at UCFA. He is nam. The program is a three-week affair that a Diplomate in Internal Medicine and lives at 15600 Woodfield Place, Sherman Oaks, Cali­ games, and classes and therapy sessions. Dr. f o r n i a .• Joseph admits that there is n o real good way of treating heroin addicts. "We must do every­ Dr. Vincent P. Frantz, M'64, completed his residency involves some isolation and involvement with in General and Vascular Surgery u n d e r D r . M i c h a e l E. D e b a k e y in J u n e , 1 9 7 1 . He entered private practice in Houston at a large suburban medical complex, where he is also director of emergency room services. He is also a teaching affiliate a t Baylor College of Medicine affiliated hospitals. His home address is 13734 Camara Lane, Houston, Texas.• thing we can to warn soldiers before they get hooked."• The Classes of the 1970's Dr. Neil W. Garroway, M'70, is a resident in medicine at Barnes Hospital, St. Louis, Missouri. He lives at 4355 Maryland Avenue #118, St. Louis.Q Dr. Jeffrey Rothman, M'70, is currently a Dr. J. Richard Gunderman, M'65, is a n as­ resident in medicine at the Hospital of the University of Pennsylvania, Philadelphia. He sistant professor of pediatrics and neurology and Mrs. Rothman are pleased to announce at Indiana University School of Medicine. His h o m e address is 7356 Bentley Drive, Indian­ a p o l i s .• SUMMER, 1972 the birth of Joshua Daniel, on September 10, 1971. The Rothmans live at 312 East Baltimore Avenue, Clifton Heights.• 45 �Dr. John H. Talbott has joined the University of Miami Medical School faculty as a clinical professor of medicine. From 1946-59 he was professor of medicine at UB and chief of medicine at the Buffalo General Hospital. He is editor-emeritus of the Journal of the Ameri­ can Medical Association.• Three alumni have been elected to the board of directors of the New York State Society of Surgeons Incorporated. They are Drs. Louis C. Cloutier, M'54, Alfred F. Luhr Jr., M'43, and Everett W. Woodworth, M'27, Dr. Irving Cram­ er of Utica is the new president succeeding Dr. Paul M. Walczak, M'46-O Two alumni have been granted membership in the American College of Physicians. They are Drs. Anthony C. Borgese, M'64 of Niagara Falls, and Alf M. Tannenberg, M'59, of Buffalo. Dr. Tannenberg is a clinical assistant professor of medicine at the Medical School.• Dr. Denton A. Cooley (left), surgeon-in-chief of the Texas Heart Center in Houston, receives the Roswell Park Memorial Medal from Dr. Florian M. Zaepfel (right), president of the Buffalo Surgical Society. Dr. W. C. Schenk )r. (center) is past president of the society and professor and chairman of the department of surgery at the Medical School.fZl Buffalo Evening News photo One of the nation's oldest awards in med­ icine, the Gold Headed Cane, went to Dr. Sid­ ney Farber, a Harvard pathologist, for his work in the treatment of leukemia and other forms of cancer in children. The award, presented in Cincinnati by the American Association of Pathologists and Bacteriologists, is a reproduc­ tion of a cane used from 1689 to 1825 by physicians to the British royal family. Dr. Farber's best-known achievement was the dis­ covery, in 1947, of two drugs that bring tem­ porary remission of acute leukemia in children. Dr. Farber did his undergraduate work at UB.D Parents can reduce allergies in some chil­ dren and help prevent their development in others, even without medical help, according to a newly published book by Dr. Doris J. Rapp, clinical associate in pediatrics at the Medical School. She is on the staff of Chil­ dren's Hospital where she took her internship and residency. In her book, "Allergies and Your Child," published by Holt, Rinehart and Winston, Dr. Rapp suggests that parents who have a history of allergies can prevent or delay the development of symptoms in their chil­ dren. They can decrease dust in bedrooms and stop smoking. They can keep houses free of pets and wool carpeting and make sure that furniture, pillows, and mattresses are not stuffed with kapok, cotton, feathers or horse hair. "It required a detectivelike imagination to deduce the causes of allergies."• A Children's Hospital research team, who are also Medical School faculty members, have fertilized mice eggs in the laboratory, grown them to the blastocyst stage, implanted them in substitute mothers and produced normal male and female mice. The Buffalo team of Dr. Anil B. Mukherjee, resident assistant professor of pediatrics, and Dr. Maimon M. Cohen, as­ sociate professor of genetics in the department of pediatrics, is the first to show that the egg cell of an animal can be fertilized in the labor­ atory, grown in a chemical culture, trans­ planted into a female animal, and carried to full-term to produce a normal offspring. Similar studies have been done elsewhere, on both rabbits and mice.D THE BUFFALO PHYSICIAN �pA*- In Nlemonam Dr. Stuart Vaughan, M'24, died April 3 after a \ short illness. The 71-year-old physician headed the Buffalo General Hospital Division of Clini­ cal Pathology from 1938 to 1966. Dr. Duncan Whitehead, who was a clinical associate professor of psychiatry for 17 years, died February 3 in Tucson, Arizona. He was 66 years old. He was also director of Buffalo State Hospital (1952-62) and co-ordinator of gradu­ ate education in the psychiatry department of the Medical School. Dr. Whitehead was a Diplomate of the American Board of Psychiatry and Neurology and a Fellow of the American Psychiatric Association and the American Col­ lege of Physicians. He was also a past president of the Buffalo Neuropsychiatric Society, chair­ man of the subcommitttee on mental health of the Erie County Medical Society, and a mem­ ber of the Mental Hygiene Subcommittee of the State Medical Society. In 1965 the Mental Health Association gave him its first Dr. Hyman L. Levin A w a r d in r e c o g n i t i o n o f h i s c o n t r i b u ­ tions to the association.• He was a member of the Medical School faculty for 43 years. He retired in 1970 as clinical professor of medicine and head of the Division of Clini­ cal Pathology. Dr. Vaughan was a specialist in internal medicine and hematology and presi­ dent of the UB General Alumni Board in 1962 and 1966. He also was a member of UB Foundation Board of Trustees. the In 1971 the UB Alumni Association presented Dr. Vaughan with a Distinguished Alumni Award "for notable and meritorious contribu­ tions to the university." He was a past presi­ dent of the Buffalo Academy of Medicine, the Medical Historical Society of Western New York, the Buffalo General Hospital's Medical Board, Medical Union of Buffalo and Nu Sigma Nu Fraternity. Dr. Vaughan was a Fellow in the American College of Physicians and a Diplomate of the American Board of International Medicine and Pathology was active in the (Hematology). He New York State Medical Society, the AMA and the Erie County Medical Society. He was a charter member of the Inter­ national Society of Hematology. T"/' Dr. Samuel Bleichfeld, M'28, died February 1 8 in Millard Fillmore Hospital. He was 68 years old and had been a general practitioner 44 years. He had been on the staff of Veterans After graduating from the School of Med­ icine Dr. Vaughan interned in clinical pathol­ ogy at the Buffalo General. In 1928 he was ap­ pointed pathologist of Wesley Memorial Hos­ Administration, and Millard Fillmore Hospitals. pital, Chicago. He was a past president of the medical staff 1931 he received his doctor of philosophy de­ of Rosa Copeland Jewish Home and Infirmary gree from Northwestern University. His hobbies and a past member of its board of directors. were athletics, travel and the Buffalo Audubon For several years he was medical examiner for Society.D Before returning to Buffalo in the Buffalo Jewish Boy Scout Council Camp. Dr. Bleichfeld did post graduate work in Dr. Vincent M. Recktenwalt, M'48, died Vienna in radiology and internal medicine. He March 22 at his home. was a distinguished Army Medical Corps of­ and had practiced for 15 years in Buffalo until ficer d u r i n g W o r l d W a r II, serving in t h e North his retirement in 1970. African campaign, the European Theater and internal medicine. He was 45 years old, He was a specialist in Dr. Recktenwalt served his was a veteran of the Battle of the Bulge. He internship and was awarded the Legion of Merit, Bronze Star Hospital and was a member of the courtesy with cluster, Silver Star, and the Purple Heart staff. He was also an associate member of the for the invasions of North Africa, Sicily and Normandy. Dr. Bleichfeld was one of the first attending medical staff at Kenmore Mercy Hos­ medical officers ashore in Normandy on D- residency at Millard Fillmore pital. From 1952 to 1955 he served in the Army Medical Corps in Salzburg, Austria. Dr. Reck­ Day June 1944. Although wounded, he directed tenwalt, a the establishment of a beach-head hospital. School faculty, was a Fellow of the American He was a Colonel when discharged from the College of Physicians and a member of several other professional organizations.• Army in 1 9 4 5 . • SUMMER, 1972 former 47 member of the Medical Dr. Vaughan �/ Dr. Paine Dies The man who was chairman (or co-chairman) of the department of surgery at the Medical School for 20 years is dead. Dr. John R. Paine died in his sleep at his home in Jekyll Island, Georgia February 29. He was 65 years old. From 1949 to 1966, Dr. Paine was co-chairman of the surgical department with Dr. John Stewart, who headed the E. J. Meyer Memorial Hospital's surgical department. When Dr. Stewart retired in 1966, Dr. Paine was named chairman. Dr. Paine was the first surgeon to perform heart surgery in Buffalo. That was August 1947, two months after he came to Buffalo from the University of Minnesota. His patient was a 24year-old bellboy at the Statler Hilton, who had been a "blue baby' as a result of an inborn heart defect. Dr. Paine joined the faculty as professor of surgery July 1, 1947, and headed the depart­ ment of surgery at the Buffalo General Hospital since that date. He retired November 18, 1971, but had been on leave since January 1, 1970. In 1967 Dr. Paine was awarded the fifth Stockton Kimball Award of the Medical School for teaching, service and research. In February 1970 he received the Roswell Park Medal of the Buffalo Surgical Society for "his eminent service to his profession and humanity." He received his bachelor's and medical degrees from Harvard in 1927 and 1931. In 1936 he re- Dr. Paine ceived his master's from the University of Min­ nesota and his Ph.D. in 1938. During World War II he served for three and one-half years with the 25th General Hospital in Europe, re­ tiring as a Lieutenant Colonel. Dr. Paine was the author or co-author of more than 30 scientific papers. He was a Diplomate of the American Board of Surgery and the Board of Thoracic Surgery and a Fellow of the American College of Surgeons. He was also an active member of several state and na­ tional professional associations. His son, Dr. Jonathan Paine, is a 1969 Medical School grad­ uate. He is a resident in orthopedic surgery at the University of Utah, Salt Lake City.D The General Alumni Board Executive Committee — DR. EDMOND J. GICEWICZ, M'56, President; MORLEY C. TOWNSEND, '45, President-elect; JOHN G. ROMBOUGH, '41, Vice-President lor Activities; FRANK NOTARO, '57, VicePresident lor Administration; MRS. CONSTANCE MARX GICEWICZ, Vice-President lor Alumnae; JAMES J. O'BRIEN, '55, Vice-President lor Athletics; DR. FRANK GRAZIANO, D.D.S., '65, Vice-President lor Constituent Alumni Croups; JEROME A. CONNOLLY, '63, Vice-President lor Development and Membership; G. HENRY OWEN, '59, Vice-President lor Public Relations; DR. HAROLD J. LEVY, M'46, Treasurer; Past Presidents: ROBERT E. LIPP, '51; M. ROBERT KOREN, '44; WELLS E. KNIBLOE, '47; DR. STUART L. VAUGHAN, M'24; RICHARD C. SHEPARD, '48; HOWARD H. KOHLER, '22; DR. JAMES J. AILINGER, '25. Medical Alumni Association Officers: DRS. JOHN J. O'BRIEN, M'41, President; LAWRENCE H. GOLDEN, M'46, Vice President; PAUL L. WEINMANN, M'54, Treasurer; LOUIS C. CLOUTIER, M'54, Immediate Past-President; MR. DAVID K. MICHAEL, M.A. '68, Secretary. Annual Participating Fund for Medical Education Executive Board for 1971-72 — DRS. MARVIN L. BLOOM, M'43, President; HARRY G. LaFORGE, M'34, First Vice-President; KENNETH H. ECKHERT, SR., M'35, Second Vice-President; KEVIN M. O'GORMAN, M'43, Treasurer; DONALD HALL, M'41, Secretary; MAX CHEPLOVE, M'26, Immediate PastPresident. 48 THE BUFFALO PHYSICIAN �A MESSAGE FROM JOHN J. O'BRIEN, M'41 PRESIDENT MEDICAL ALUMNI ASSOCIATION The University of Buffalo Medical Alumni Association needs your dues contribution more than ever before. It helps provide much needed School of Medicine-community interplay, such as: 1. 2. 3. 4. 5. 6. 7. SCHOLARSHIPS for medical students. CONTINUING EDUCATION. The Spring Clinical Days. REUNIONS of your graduating class. RECEPTIONS at selected medical conventions. CLUBS on a national basis. TOURS. Vacations highlighted by scientific sessions. MISCELLANEOUS. Office Expenses and other services focused at making ours a complete alumni program. We invite you to join the physicians who gave last year. Please use the envelope below and make your check payable to the "Medical Alumni Association." Your gift will add new meaning and flexibility to our program. First Class Permit No. 5670 Buffalo, N. Y. BUSINESS REPLY NO POSTAGE STAMP NECESSARY IF MAILED IN THE MAIL UNITED STATES POSTAGE WILL BE PAID BY — Medical Alumni Association 2211 Main Street Buffalo, New York 14214 Att.: David K. Michael �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 Office Address Home Address If not UB, MD received from In Private Practice: Yes • No • In Academic Medicine: Yes • Specialty, 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Journals and magazines 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 1972 Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--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 1972-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_v06n02-1972-Summer Table Of Contents A list of subunits of the resource. New Offices More Money Trauma Study Center 4,200 Applications/Dr. Markello Medical Genetics AMA/Dr. Leslie New Book Dr. H. C. Clarke Health Therapy Dr. Armenia/Medical Education Summer Fellowship Dr. Schenk Computerization Capitation Grant Health Insurance Abused Children Harrington Lecture Rural Externship Community Health Center Today's Students Sperm, Egg Intensive Care Respiratory Unit $5000 Gift Medical Artist Mental Health Center The Classes People In Memoriam Dr. Paine Dies Date Created Date of creation of the resource. 2022-09-15 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. v06n02 Extent The size or duration of the resource. 52 p. Spatial Coverage Spatial characteristics of the resource. New York (State)--Buffalo Rights Holder A person or organization owning or managing rights over the resource. Copyright 1972 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/8b028761600abf97ed9259b96a21aea2.pdf f3539170bce0f861a1391503dcab00a1 PDF Text Text the buffalo physician SCHOOL OF MEDICINE 1 VOL. 6, NO. 3, FALL 1972 ^STATE UNIVERSITY OF NEW YORK AT BUFFALO �25 Seniors Honored Twenty-five senior medical students shared 17 awards at the annual Class Day Exercises of the Medical School May 11 at Kleinhans Music Hall. Four earned two apiece. They are Stephen J. Levine, Stephen I. Pelton, James A. Singer, and George C. Newman, Jr. The awards were presented by Dr. Clyde L. Randall, acting dean and vice president for the Faculty of Health Sciences. Alpha Omega Alpha (National Honorary Society) — Richard DiBianco, Michael Gordon, Frederick S. Hust, Thomas J. Lawley, Stephen J. Levine, Marc J. Leitner, William T. Murray, George C. Newman, Jr., Stephen N. Newman, Stephen I. Pelton, Richard A. Savage, Paul A. Seligman, Craig R. Smith. Thesis Honors — Areta O. Kowal Upjohn Award (advancement in medical studies) — Patricia K. Duffner Buffalo Surgical Society Prize in Surgery for junior, senior years) — John W. Kraus (academic excellence Dr. Heinrich Leonhardt Prize in Surgery (academic excellence) — Joseph E. Tripi David K. Miller Prize in Medicine (demonstration of Dr. Miller's approach to caring for the sick — competence, humility, humanity) — Robert DiBianco Gilbert M. Beck Memorial Prize in Psychiatry lence) — Karen A. Price (academic excel­ Philip P. Sang Memorial Award (efficiency in practice of medi­ cine, dedication to human values) — George C. Newman, Jr. Morris Stein Neural Anatomy Award (excellence in neural anat­ omy) — Thomas J. Lawley Maimonides Medical Society Award (application of basic science principles to practice of medicine) — Stephen J. Levine Hans J. Lowenstein Award in Obstetrics (academic excellence) — James A. Singer Bernhardt and Sophie B. Gottlieb Award (combination of learn­ ing, living, and service) — Gary H. Lyman Lange Award (excellence in work) — Lynda A. Kam, James A. Singer Mark A. Petrino Award (sincere interest, best characteristics for general practice of medicine) — Andrew J. Kane Lieberman Award (interest, aptitude in study of anesthesiology) Virginia F. Hawley — Emilie Davis Rodenberg Memorial Fund (academic excellence in study of diabetes, its complications) — Stephen I. Pelton Baccelli Award (continued excellence in research) — Ira L. MintzerD �Fall 1972 Volume 6, Number 3 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD Editor ROBERT S. McGRANAHAN 2 Managing Editor MARION MARIONOWSKY Photography HUGO H. UNGER EDWARD NOWAK Medical Illustrator MELFORD J. DIEDRICK Graphic Artists RICHARD MACAKANJA DONALD E. WATKINS Secretary FLORENCE MEYER CONSULTANTS President, Medical Alumni Association DR. JOHN J. O'BRIEN President, Alumni Participating Fund for Medical Education DR. MARVIN BLOOM Vice President, Faculty of Flealth Sciences DR. CLYDE L. RANDALL Vice President, University Foundation JOHN C. CARTER Director of Public Information JAMES DeSANTIS Director of Medical Alumni Affairs DAVID K. MICHAEL Director of University Publications 3 4 5 7 8 9 10 11 12 13 15 16 19 21 23 24 26 27 28 32 36 40 41 42 THEODORE V. PALERMO Vice President for University Relations DR. A. WESTLEY ROWLAND the b^^physjaan.. 53 54 59 62 63 67 69 Seniors Honored (inside front cover) SPRING CLINICAL DAYS Drug Addiction Professional Corporation Canadian Abortion Legal Abortion Local Abortions/Skin Cancer Drug Ramifications Health Crisis Personal Touch Health Politics Admissions, Budget Health Care Flight Surgeon/Dr. Ranney CLASS DAY EXERCISES Class President Speaks Medentian Response Dr. Randall's Congratulations Dr. Sullivan Retiring Faculty Residents, Interns Dr. Eckhert Intern Matching Dr. Sanes University Health Service Medentian Honors Professors Eden Physician/Medical Education Working with Others for Optimum Care of Patients by Ruth T. McGrorey, Ed.D. Dean, School of Nursing RMP Grant/Seniors Honor Faculty Immunology Convocation Summer Fellowships VP Search Committee The Classes People In Memoriam The cover design by Richard Macakanja focuses upon our national election. Among the many campaign issues is the delivery of health care. THE BUFFALO PHYSICIAN, Fall 1972 — Volume 6, 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 1972 by The Buffalo Physician. �The Stockton Kimball luncheon. Drug Addiction T H E PANEL on Modern Approach to Drug Addiction reviewed a 20-minute New York State Health Department film on emergency treatment of drug users. The film was taken over a nine-month period at the Mt. Sinai Hospital (New York City) emergency room. It showed patients coming off LSD trips and others with overdoses of heroin and barbiturates. It was a moving, emotional film that "told it like it is." It also showed follow-up person to person talks between the patients and physicians, nurses and social workers. In the discussion that followed Dr. Gary W. Healey, staff psy­ chologist at the Masten Park Community Rehabilitation Center said, "drug abuse is a complex, multifaceted problem. W e know very little about the different types of addicts. We don't know whether they have been taking drugs for two months or 20 years. These facts are all very important to the diagnosis and treatment of the patient. "We must avoid relying on single uniform diagnosis and singu­ lar treatment approaches. There are four distinct classes of drug users — the experimenters, the recreational or social users, the involved abusers (housewife on diet pills), and the dysfunctional abusers which include the narcotics addict and non-opiate abuser such as the methamphetamine abuser." Dr. Healey suggests the multimodality treatment approach be­ cause of the many differences that exist among drug abusers. This approach seeks to determine what characteristics of a drug de­ pendent person can be matched with a particular treatment ap­ proach. This approach may also be used for non-narcotic abusers. "There is n o universal addict o r drug abuser, but rather a variety of drug dependent people who will respond only to a variety of treatment approaches. That is why no single treatment approach will work. It is a long-term process that may range from detoxi­ fication to day centers." 2 THE BUFFALO PHYSICIAN �Dr. Oscar S. Lopez said we must change our concept from punishment to treatment of the drug abuser. The Masten Park staff psychiatrist stressed three facets — the chemical property of drugs, personality of the patient, and the culture of the people. "Nation­ ally there must be a change in the physician's prescribing of drugs. The treatment of the drug abuser necessitates limiting drug en­ forcement. There must also be changes in media concept and in the medical school curriculum so graduates will know more about the problem and how to cope with it." The panel concluded the discussion by saying that there are some centers available to send patients for treatment, but not enough in Buffalo or any other community.D Spring Clinical Days Two attorneys and a dentist who are tax specialists, reviewed the historical background of the "professional corporation" and its benefits. They agreed that the tax shelter for earnings is the pri­ mary purpose in forming such a corporation. "It also provides an easier way for estate planning, limits personal liability and is not as cumbersome as a partnership," attorney Raymond Roll, Jr. said. He went on to say that a professional corporation is a legal entity, must be operated like a corporation and that its principals must be members of the same profession. Attorney Jack Geller said, "we are not here to sell you anything or badger you. Every individual has a different set of cir­ cumstances. Do what is right for you. Not every physician needs a professional corporation. We urge you to get advice from your attorney and tax consultant. Make an individual analysis of your Professional Corporation own situation. "The employment contract is the key document of the profes­ s i o n a l c o r p o r a t i o n . T h i s i s v e r y e s s e n t i a l if m o r e t h a n o n e p h y s i c i a n is practicing. This document gives the corporation substance." Mr. Geller went on to say that in the corporate plan you can name your own officers, make your own investments as long as they are prudent, name yourself as chief administrator and be an individual trustee. The panel listed other advantages of the professional corpora­ tion such as health benefits, accumulative pension and profit shar­ ing, life insurance, flexibility, the right to declare dividends and the option to purchase a building. The panel also pointed out that the professional corporation will not affect daily operations. But during the first year of operation they emphasized the physician must maintain close counsel with his tax consultant and attorney.• Good food, fellowship �CORPORATE VS. UNINCORPORATED PRACTICE A Comparative Analysis of Economic Benefits and Tax Results Gross Income of Professional(s) Less general overhead and office staff cost ($20,000 general; $10,000 salaries - est.) Corporation Unincorporated $93,000.00 $93,000.00 30,000.00 30,000.00 $63,000.00 Corporate Salary . . Personal Tax Exemptions and Deductions Taxable Income Federal Income Tax $63,000.00 Practice 50,000.00 Income 63,000.00 10,000.00 10,000.00 $40,000.00 $53,000.00 12,140.00 18,590.00 $37,860.00 $44,410.00 Corporate "Fringe" Benefits Profit Sharing Plan $7,500.00 Life Insurance 500.00 Disability Insurance 2,000.00 Hospital Insurance 250.00 Total Corporate "Fringe" Benefits 10,250.00 "AFTER TAX DOLLARS" $48,110.00 Economic Benefit from corporate practice over unincorporated: Canadian Abortion Two panel members (abortion) Drs. Fortier, Lippes, watch a demonstration. $44,410.00 $3,700.00 "Health is the key to the Canadian abortion law that was modified in 1967. It allows abortion when performed in a hospital after approval of the hospital committee," according to Dr. Lise Fortier, a gynecologist at the University of Montreal School of Medicine. "The law as formulated can be interpreted any way one wishes to, and hospitals are not forced to have committees. This makes for a different kind of medicine depending on whether the patient lives in a large city or village, whether she is French or English, whether she attends a non-confessional or a Catholic Hospital. We are still 25 years behind the United States in abortion, but we are making progress. Twelve years ago we couldn't mention sterili­ zation, abortion or contraception without a reprehend from the medical society. Today we can automatically abort teenagers, all mentally deficient women and those with physical problems." Dr. Fortier believes the reluctance to abortion is more male inspired than religiously inspired. "Medicine has been a man's world, and only recently have women been accepted in medical schools and graduated with M.D. degrees. The Canadian abortion committees have been all male. Only recently have they included one or two women on the committee. Our family planning clinics have been all male. But we are making some progress in getting women into these clinics." 4 THE BUFFALO PHYSICIAN �The gynecologist went on to say that for years physicians have convinced women that pregnancy is normal, desirable and socially accepted. "They have told women that not to have children is bad. Pregnancy may not be a disease but often there are dreadful complications, much uncomfortableness, and a higher mortality rate after the 10th birth. Statistics show that the 10th pregnancy is five times more hazardous than the first. "Speaking as a gynecologist we must be sure that every woman who ventures into pregnancy does so of her own free will with knowledge of the dangers. Then every birth will be a happy and desired event," Dr. Fortier concluded.• Spring Clinical Days Sarah Lewit, an associate of Dr. Christopher Tietze, director, bio-medical division, The Population Council in New York City, spoke about the early medical complications of legal abortion. She reviewed the highlights of the Joint Program for the Study of Abortion (JPSA) which received data on 73,000 abortions performed in 60 hospitals and six clinics (not located in hospitals) in 12 states and the District of Columbia between July 1, 1970 and June 30, 1971. The major findings and conclusions of JPSA are: —While the type of patient most frequently seen in JPSA institutions was a young, single, white woman pregnant for the first time and aborted as a private patient, the proportions of married, black, parous, and non-private patients increased signifi­ cantly in the course of one year, with little change in the age distribution of the women. —About three out of four abortions were performed in the first trimester of pregnancy, and the remaining one-fourth, at 13 weeks or later; the proportion of early abortions increased substantially over the year. —Late abortions were most frequent among women under 18 years of age, nonprivate patients, black women, and mothers of six or more children. —Most abortions in the first trimester were done by suction and most abortions at 17 weeks or later, by saline. Classical D & C accounted for 4.5 percent of all abortions and hysterotomy and hysterectomy together, for 2.4 percent. Over the year, the share of the last three procedures was almost halved. Legal Abortion The 1927 class reunion dinner. FALL, 1972 5 �:~C J&'$J§yS Dr. Tarik Elibol's exhibit "Fiberoptic Gastrointestinal Endoscopy" won third place. He is a clinical instructor in medicine at the University and on the staff of Kenmore Mercy Hospital. At the Stockton-Kimball luncheon the Anthone twins, Drs. Roland and Sidney, were presented with special awards of appreciation by the Medical Alumni Association. The citation: "For his outstanding leadership and years of dedicated service to the School of Medicine and the Medical Community —The incidence of early medical complications, including minor complaints, during the first trimester of pregnancy was on the order of one in 20 abortions; the risk of major complications, as defined in this report was one in 200 abortions. —The risk to health associated with abortions was about three times as high in the second trimester of pregnancy as in the first trimester. —Complication rates were higher for abortions performed at 6 weeks' gestation or less than at 7-10 weeks' gestation, especially for major complications. However, the risk to health was far smaller for the earliest abortions than for abortions in the second trimester. —As might be expected, the risk of postabortal complications, and particularly major complications, was higher for women with known pre-existing complications than for apparently healthy women. —Nonprivate patients had significantly higher complication rates than private patients, especially for abortions in the second tri­ mester. —Complication rates were lowest for abortions by suction, followed in ascending order by classical D & C, saline, hyster­ otomy, and hysterectomy. —Complication rates in the second trimester increased marked­ ly with age of woman and parity; for the first trimester, there was no association with parity and a slight downward trend with age of woman. —The incidence of complications increased markedly when abortion by suction or D & C was combined with tubal sterilization, except for sterilization by laparoscopy. —Complication rates for abortions by suction were lowest at 7-8 weeks' gestation, from which point they increased steadily to 15 weeks or more; this trend was repeated with minor irregularities for specific types of complications. —Complication rates for abortions by suction, excluding women with pre-existing complications and/or sterilizing opera­ tions, were lower for clinics than for hospitals and lower for hos­ pital outpatients than for hospital inpatients; these differentials were due in part to variations in periods of gestation and in type of service (private vs. nonprivate). Other factors which probably contributed to the differentials were: (a) more rigorous selection of patients, (b) greater experience of physicians, and (c) less complete recording of complications. —Local anesthesia was associated with a higher incidence of complications than general anesthesia at each period of gestation among patients aborted by suction, and with a notably higher rate of repeat curettage. —Complication rates for abortions by suction declined approxi­ mately fifty per cent from the third quarter of 1970 to the second quarter of 1971.• 6 THE BUFFALO PHYSICIAN �t The 1962 class reunion dinner. In 1971 there were 9,462 abortions performed in Erie County (55 per cent in hospitals), according to Dr. Emma Harrod, Deputy Commissioner of Health in Erie County. "Women can have an abortion performed in Erie County safely and quickly. The cost ($250 to $700) is often a big hurdle for the poor women who are not covered.by medicaid or insurance. There has been an over­ whelming demand for this service, not only in Erie County, but nationwide." Local Abortions Dr. Harrod went on to point out that in spite of more younger childbearing age women in the last 20 years, there has been a decline in the birth rate and fertility rate by 33 per cent. "The rapidly declining birth and fertility rate began long before abortion services were available. The abortion law has facilitated this decline by providing another method of fertility control. However, the chang­ ing attitude toward family size and the availability of family plan­ ning resources have contributed to this decline." In closing Dr. Harrod compared the Erie County birth rate of 1 5 per 1,000 with the death rate of 7.5 per 1,000. " W e still have some way to go before things are stabilized," she said.D Cancer of the face or carcinoma of the skin, the most frequent form of cancer, was reviewed by four physicians. There are over 100,000 new cases a year but there is now a 95 per cent cure rate, according to Doctors John Quinlivan, Gorden H. Burgess, Joseph R. Connelly and John T. Phelan. They agreed that the successful treatment of skin cancer depends on a team effort. "Get all the professional heads together — dermatologist, pathologist, radiolo­ gist, plastic surgeon, and chemo-surgeon — and plan the treatment." As slides of the skin cancer patients were shown, the four experts discussed the various types and suggested treatment. Most of the time they agreed on the treatment, but occasionally there were differences. Basal and squamous cell epithelioma are the two most com­ m o n f o r m s o f s k i n c a n c e r . Early- d i a g n o s i s i s i m p o r t a n t . W h i l e basal cell exhibits slow growth it can be destructive as it invades vital areas. However, it never metastasizes as does the squamous FALL, 1972 Skin Cancer �The cancer of the face panel (sitting) Drs. Corden H. Burgess, Joseph R. Connelly, John T. Phelan, and John Quinlivan (standing). Drug Ramifications cell type that has a five to ten per cent rate and is therefore the most dangerous. It invades underneath the skin, can ulcerate, and be covered with a crust. Carcinoma of the skin, it was explained, is usually caused by solar changes, to areas of the body exposed to sun. Protection by a beach umbrella will not afford sufficient coverage, for the body still receives a high amount of radiation. Most susceptible to this form of cancer are the Kelts (the Scots and Irish) who exhibit a high incidence of skin cancer. Many of these people immigrated to the United States, New Zealand and Australia. How does sun damage lead to skin cancer? It is the effect of ultra violet light that forms a bridge to the DNA molecule which is then incapable of forming a reasonable message. The outcome — the forming of clones of cancer cells. Says Dr. Connelly, "the large recurrent local tumor cells have the identical invasive features of basal cell carcinomas." Dr. Phelan agreed with him in that the whole area of a tumor field must be excised following a program of chemotherapy which in itself requires certain skills. But the panel emphasized that it was no longer necessary to estimate the range of the tumor field involved in carcinoma of the skin. With microscopic control now a reality by the pathologist, there is a good cancer procedure available. Also discussed were lesions on the nose, eyelid, lip and cheek in which all agreed that when there are deepseated tumors, one must forget the cosmetic appearance of the patient and go for the "wide excision." Another pointed to the necessity of checking for lesions to other organ systems as well as the obvious one. For out of 50 cases there were three in which lesions were found in other areas as well. In the Buffalo area the basal cell lesion is the more prevalent. A warning to use a SUN SCREEN for those with light colored hair and eyes, who freckle easily, and are in jeopardy from heavy solar radiation was also given. Sailors, farmers, sun bathers and construction workers are most prone to skin cancer. The top of the ears and head, the tip of the nose and chin are the areas most exposed to the sun. The lips, cheeks, eyelids, and neck are other areas of concern.• Three attorneys and two physicians discussed the Medical and Legal Ramifications of treating patients with new and experimental drugs. Attorney Daniel T. Roach said "the Doctrine of Informed Consent means that you as a physician advise your patient on the consequences of a drug or surgery. A patient is entitled to know this. In some cases you may want some formal written statement from your patient. With new and experimental drugs no one knows all the side effects, but you must tell your patient all that you know about the drug at the time he takes it." Dr. John Webster said that very often "informed consent" is impossible. "I believe that every physician must assess each patient and then decide how much information the patient needs. The 8 THE BUFFALO PHYSICIAN �physician must decide whether the information will do the patient any good. If you aren't sure of the consequences of a new drug, tell your patient. At Roswell Park we do get the consent from patients before treatment and experimentation." Attorney Roach said, "We need better ground rules and stand­ ards for malpractice suits. We must get away from a lay jury second guessing physicians two or three years after something happens. However, you can't have a set of rules that covers every case. There must be better ways to resolve these cases in the next few years." Dr. Jack Zusman said, "there are not adequate medical stand­ ards and ethics. Even those outlined by the AMA are inadequate and it is often left to the attorneys to decide and interpret. We definitely need more guidelines on advice and consent." He went on to say that experimentation must be carried on by all M.D.'s — not only in a hospital or institution. "We need guidelines and pro­ tection of the M.D. for research. The key question is the welfare of the individual vs. the welfare of society. The patient doesn't want to be experimented with only as a last resort. Society on the other hand wants experimentation to continue as long as it isn't on him. The physician is caught in the middle of this conflict and held legally responsible." Attorney William A. Carnahan said "the medical profession has not set its own standards to guide its destiny. I believe the courts would buy your own ground rules if you are honest and reasonable in the treatment of your patients. Until the medical profession takes an interest and decides on how to police itself, the courts will do it in a way that is not satisfactory to the physicians. Of course there is never a problem in experimental drugs if the treat­ ment is successful. "You are not judged by the realities of everyday practice, but rather what the law considers the realities should be — and this is the nub of the problem," Mr. Carnahan concluded.• The panel on new developments in the delivery of health care agreed that American medicine is faced with one of its greatest challenges. "The crisis is of such magnitude and importance that we cannot be allowed the luxury of opinion. What is needed is plan­ ning and evaluation. Plans must be evaluated as to completeness, comprehensiveness, quality, cost and efficiency," Dr. Timothy F. Harrington, chief resident, Family Practice Center, Deaconess Hos­ pital said. Today's physician is often called on to do counseling. "Let the physician who wants to counsel do so. But also let the physician who does not choose to counsel still provide for his patient's needs. Make the latter aware of the need and let him refer such problems to a competent party. We must decide what the physi­ cian can do well and let him do it. But let's not forget the total welfare of the patient." Dr. Harrington suggested the team approach to medical care. "It is time that we decided that physicians cannot be all things to all people, but they can be the entry point for providing FALL, 1972 9 Spring Clinical Days Drs. Ernest Haynes (sitting) and Hi­ ram B. Curry discussed "New Devel­ opments in Health Care Delivery." Health Crisis �Dr. lames C. Dunn, exhibits chairman, congratulates Paul H. Wierzbieniec (class of 1974) for runnerup in the exhibits. The "Chronic Pulmonary Diseases" exhibit was prepared with the help of Dr. Mario Montes, a clini­ cal associate professor of pathology at the University. He is on the Buffalo General Hospital staff. Personal Touch services outside their sphere of interest or competence. We must stop pretending that we like to listen to social problems, if in fact, we do not, and say to the patient "I cannot help you with this, but Ms. X can and I will arrange for her to see you." This is pro­ fessional honesty and is not passing the buck, it is seeing that the patient receives needed care. "To use this approach requires extraordinary people. People who know their limitations and are able to work together. It is not always easy to relinquish a "part" of a patient, but sometimes it must be done if total care is to be achieved. Many physicians in practice do this easily and refer patients to pastors, counselors and other experts as a matter of routine. What is needed now is an extension of this practice to physicians who have not yet done so, without making the physician feel he has failed."• Dr. Hiram B. Curry said the public has lost confidence in our pro­ fession because physicians have not responded to problems that lead patients to better health. Dr. Curry is professor and chairman of family practice, Medical College of South Carolina. "Family practice as a specialty offers the best vehicle for change, the best opportunity to resolve the current imbalance in medical care, and to meet the needs of families and individuals. Today there are 101 family practice programs and 665 family practice residents in the United States," he said. "The public wants comprehensive care with continuity and concern. There must be a personal touch and communication between the sick and the physician. An affluent society is not an easy one to satisfy. The more it has, the more it wants. People want what they want when they want it. We must meet this chal­ lenge. "The imbalance in the ratio of primary to secondary and tertiary physicians is the greatest impediment to providing excellent health care and a leading cause of inefficiency. Society is challeng­ ing the medical profession to organize its services so as to render comprehensive care to persons, to coordinate generalist and spe­ cialist and to efficiently utilize bed and ambulatory, acute and 10 THE BUFFALO PHYSICIAN �Spring Clinical Days The 1922 class reunion dinner. chronic, diagnostic, curative, preventive and rehabilitative facili­ t i e s . If t h e h e a l t h c a r e s y s t e m is t o w o r k e f f i c i e n t l y t h e r e m u s t b e a workable balance between the problem and the solution. The complexity of the problem must be matched with the training of the medical personnel attending the patient. To have a highly e d u c a t e d a n d skillful p h y s i c i a n e v a l u a t e a p a t i e n t w i t h a s o r e t h r o a t is w a s t e f u l . It is l i k e h a v i n g a P h . D . m e c h a n i c a l e n g i n e e r change the tires on your car. No society can wisely afford such a health care system," the South Carolinian said. In c o n c l u s i o n D r . C u r r y s a i d w e m u s t p e r s u a d e m e d i c a l s t u ­ d e n t s t h a t t h e " g o o d l i f e " is t h a t o f t h e f a m i l y p h y s i c i a n . T h e n o u r graduates will flock to this type of program and this will eliminate many of the complaints of the public.D " T h e d a y o f s t a t u s q u o i n h e a l t h c a r e is o v e r . C h a n g e is t h e key word and medicine must assume a more responsible leadership role in working more closely with the other health professions in the implementation of new programs and systems of health care delivery. We talk a lot about the health team concept, but the team is n e v e r t a u g h t . W e a r e d o i n g v e r y l i t t l e o n t e a c h i n g h e a l t h p r o ­ f e s s i o n a l s t o w o r k t o g e t h e r . " T h a t is w h a t D r . J. W a r r e n P e r r y , d e a n of the School of Health Related Professions at the University told the 100 physicians attending the Saturday morning session. He w e n t o n t o s a y t h a t if h e a l t h c a r e c e n t e r s d o n ' t c h a n g e , t h e f e d e r a l and state governments, augmented by consumer support, will force c h a n g e s in t h e h e a l t h c a r e s y s t e m . "Federal programs are being designed to respond to some of these needs and manpower resources are being identified for the strengthening and development of the educational and clinical programs for the allied health professions." D e a n P e r r y p o i n t e d o u t t h a t h e a l t h is a p o l i t i c a l i s s u e t o d a y . He listed several other significant changes on the national scene: —Regional Medical Programs are no longer oriented only to medical research programs of heart disease, cancer and stroke. T o d a y t h e m a j o r e m p h a s i s is t o w a r d s y s t e m s o f h e a l t h c a r e d e l i v e r y and the coordinated approach to these along with availability of care and emergency of care; FALL, 1972 11 nnj T) 1 ' -L fOo ± Ol/TTZLS r j 1 OT j j 1J.6CllT10 �Spring Clinical Days —the VA hospitals are changing to a health care center with out-reach programs and out-patient services to veterans and their families; the 155 VA hospital centers represent the largest health care delivery service in the nation; —100 Health Maintenance Organizations (HMO's) projects have been funded and are operating although no legislation has been approved; —114 new career programs — physicians assistants, specialty programs — have been funded by the federal government, but none in this area; —the federal government is moving into new systems of health care — HSO's, HCC's, AHEX — and one or more of these may be the new design of the future for health professionals' new careers and specialty programs; —the Bureau of Health Manpower is one of the largest sections of the federal government. There are five manpower divisions in this bureau physicians, dental, nursing, allied health and interdisci­ plinary relationships among all fields; —there are 72 colleges and universities in USA with divisions, schools or departments of allied health. There were only 15 five years ago. "The National Academy of Science has just establishd its Insti­ tute of Medicine. Its first task will be to look at interprofessional relationship of health professionals. They will coordinate this proj­ ect with AMA, AAMC and others. In the planning stage is the first national and international conference on health professional inter­ disciplinary education." On the state level Dean Perry said there are 40 community colleges in the state system that have divisions of allied health. He went on to say that New York State has the largest educational commitment to allied health training in the world. In conclusion Dean Perry said "the hub of the health delivery system of the future must continue to be the hospital even though there is a shift in emphasis from acute and intensive care to compre­ hensive care involving satellite clinics. We must also utilize all the health manpower available to do a better job."D AdmissionSj Facultyj Budget Drs. Bart A. Nigro, M'20, Herbert f. Wells, M'15, Walter C. Haywood, M'15, and Thurber E. LeWin, M'21. Admissions, budget, faculty recruitment, and emphasis upon health care delivery (as opposed to research) are major concerns of the Medical School, according to Dr. Clyde Randall, acting dean. He is also vice president of the Faculty of Health Sciences. "We are sorry that your son or daughter can't get into your school, but they are all candidates for the following year (1973). We had 4,200 applications for 135 places, and 600 have already been interviewed. There is emphasis on recruiting capable minority students and those who are economically deprived. We have six equally capable candidates for every one of the 135 places in the first year class. �Mrs. Stockton Kimball at the annual luncheon. "We are tooling up for the team concept of health care, which you know is a national trend. The recruitment of qualified faculty, a new Medical School dean and a new vice president for Health Sciences, is also high on our list of priorities." Dr. Randall pointed out the difficulties in competing with other departments of the University for money, when so many people think the Medical School already gets too much of the university dollar. He pointed out that it costs twice as much to train a physi­ cian as a Ph.D. He also cited the acute space problem which won't improve until more space is available on the main street campus. This will come about only when other schools and departments move to the Amherst campus. Medical School classes have in­ creased from 100 in 1952 to 135 in 1973, but we have had no additional space.Q In his Stockton Kimball lecture, entitled "Health Care and Edu­ cation," Dr. Robert J. Glaser, Vice President of The Common­ wealth Fund, addressed himself to the general problem of health care delivery. He enumerated some of the factors which have contributed to the current health care crisis, including the lack of adequate planning on the part of government, medical educators and physicians in general. "Despite the accumulation of data after World War II that called attention to the impending physician shortage, relatively little was done about expanding medical school enrollments, and decreasing the period of training. We paid little attention to health care delivery or to the ambulatory patient," Dr. Glaser said. The enormous growth in support for research, and the result­ ing expansion in the body of knowledge brought new opportuni­ ties in medicine and helped focus the public's attention on the whole subject of medical care. "Yet until very recently, the voice of the consumer has not been heard, and relatively little attention has been paid in most medical circles to health care delivery — especially ambulatory care. One notable exception has been the Kaiser-Permanente Medical Care organization," the former Stanford University Medical School Dean said. "In the university medical centers particularly, emphasis has been placed on the care of patients suffering from acute, episodic FALL, 1972 13 Health Care, Education Visiting between sessions. �disease. This is obviously an extremely important area, and one which deserves continuing attention. Yet at the same time, health maintenance merits far more attention than it has received in the past. The care of the whole family must be made more attractive to medical school graduates. Dr. Cloutier congratulates Dr. Claser on his excellent address. Dr. joseph C. Lee, professor of anat­ omy, receives his plaque from Dr. Dunn for his winning exhibit "Frac­ tionation and Transplantation of Ex­ perimental Intracranial Tumors." "In our educational programs, we must begin to take into account factors that will impinge on health care delivery. A major consideration in this respect is the application of technology. For example, the computer has been introduced into medicine in a significant way. It is incumbent on us to determine how the ap­ plications of technology can enhance medical care. At the same time, we must not lose sight of the economic factors — we must avoid unnecessary duplication and the application of high cost technology which cannot be justified in terms of the benefits pro­ vided. For example, every hospital should not do open heart surgery. It is too costly and an unnecessary duplication of service and personnel. In New York City, 17 hospitals perform open heart surgery, and three hospitals do 85 percent of the surgery. "We must continue to concern ourselves with the expansion of the health manpower pool. Not only do we need more physi­ cians and paramedical personnel, but we must learn how to deploy them efficiently and how to organize health care teams. Although the physician will play a key role, we must mobilize talent of many others (law, political science, bio-medical scientist, engineer, economist, system analysis, and other health professionals). The university is the ideal focal point for this mobilization. "We must recognize that new knowledge will continue to accrue; as we learn more about cause and treatment of certain diseases, the health care system will be affected. For example, the advent of a successful means of preventing poliomyelitis has erased dramatically the need for acute care facilities during polio epi­ demics as well as the need for long term rehabilitation facilities. "It seems certain that some form of national health insurance will be enacted in the relatively near future. Attention should be paid to the impact of such a program on the demand for health care and on the mechanisms by which that demand can be met. "Finally we must pay more attention to public education. In many instances the public understands very poorly what medical care has to offer and what it does not have to offer; particularly the public lacks understanding about the ways in which the indi­ vidual himself can improve or protect his health status. For example, the deleterious effects of smoking on the incidence of heart disease and lung cancer are well documented. Yet the populace continues to use tobacco in increasing amounts. This reflects a failure in our educational effort. Similarly, sensible diets, adequate exercise and other relatively simple measures, if applied widely, could do much to decrease the morbidity and mortality of certain forms of heart disease. F)ere again, we have been inadequate and ineffective in getting the measure across to the public. "We can do a lot for ourselves and the public can do a lot for itself in preventive medicine, and this is very important to a better health care system," Dr. Glaser concluded.• 14 THE BUFFALO PHYSICIAN �Dr. Sarah Nunneley will soon be measuring the effects of gravity and exercise on man's heart and respiratory systems in the new Laboratory for Environmental Physiology. The assistant professor of physiology is a pilot and former flight surgeon at NASA's Flight Research Center in the Mojave Desert near Los Angeles. Her work as a flight surgeon was part of a three-year program at Ohio State University where she received a master's degree in preventive medicine. She has her medical degree from the University of Minnesota. As an undergraduate at Mount Holyoke College she was fascinated with space ships. Her parents and professors thought she must be crazy to consider a career in areospace medicine. Since joining the Medical School faculty in September of 1971 Dr. Nunneley has lectured students on the effects of gravity, ac­ celeration, and the impact of jet fatigue or crossing a number of time zones in a short period of time. She is also part of a research team studying the effects of gravity on both animal and human subjects. This will be d o n e in the new lab when the centrifuge is completed. It is the only o n e of its kind specifically designed to measure the physiological effects of increased gravity on man. "From this research we hope to learn more about what constitutes physical fitness, what exercise improves health and how much exercise should be done by heart patients and others with similar ailments. After studying the effect of increased gravity on healthy people we hope to be able to apply our knowledge to people who faint," Dr. Nunneley said. Dr. Nunneley is not particularly excited by flying, although she is a licensed pilot. "I consider it just like driving a car but I am fascinated by all types of airplanes and space ships."• Dr. Nunneley Flight Surgeon Studies (gravity Dr. Ranney Honored Dr. Helen M. Ranney, professor of Medicine at the University, was among 36 recipients of the first Reverend Dr. Martin Luther King, Jr. Medical Achievement Awards in Philadelphia April 11. The awards banquet is sponsored by the Philadelphia Chapter of the Southern Christian Leadership Conference. Dr. Ranney received the award for her research in sickle cell anemia. She joined the Buffalo Medical School faculty in 1970. She is a 1941 cum laude graduate of Barnard College and received her M.D. from the College of Physicians and Surgeons, Columbia University in 1947. Before com­ ing to Buffalo Dr. Ranney had been on the faculties of three medical schools — Albert Einstein, Columbia and Yeshiva. She has also served in several hospitals in the New York metropolitan area. Dr. Ranney has authored or co-authored 50 papers and articles o n h e m o g l o b i n . S h e i s b a s e d a t t h e E. J. M e y e r M e m o r i a l H o s p i t a l , but also has teaching assignments at the Buffalo General and Veter­ ans Administration Hospitals. Co-chairmen of the awards banquet were Governor Milton J. Shapp and Muhammad Ali; honorary chair­ m e n w e r e M a y o r F r a n k L. R i z z o a n d t h e R e v e r e n d D r . R a l p h D a v i d Abernathy.Q FALL, 1972 15 Dr. Ranney �Final instructions. The Marshals, charged with the conduct of the class day exercises at the Medical School, led the 126th class to be granted the degree, Doctor of Medicine, to their seats. The families of the 120 graduates — parents, wives, and infants — were waiting in Kleinhans Music Hall to share the traditional but awesome proceedings with them. Challenges to Faculty., Graduates by GARY H. LYMAN President, 1972 Class I appreciate this opportunity to convey some observations on our medical education and to express both gratitude and a challenge to each of those involved in this process. As a class we have ex­ perienced much over the duration of the past four years . . . most of it good, some of it less so. We have seen a vitalization of the medical curriculum, an increased enrollment of minorities in con­ trast to the pallor evident in our present graduating class, and we have witnessed an increased awareness of major health issues among younger health professionals. Yet, unfortunately, many of these positive changes have been offset by the narrowing of per­ spective at the University level through the appointment of a provincial president and subsequently the departure of the dean and assistant dean most instrumental in implementing these changes. Only with time will we know if this trend will extend into the selection of the new dean. But this is not the time or place for us to debate the correct­ ness or incorrectness of these decisions made over the past few years but rather a time to reflect on our educational experience in the hope of some insight into those factors by which we have benefited and into others that should be changed. So I will briefly direct my comments — both of thanks as well as challenge to the three principles involved in our education — the administration, the faculty, and, we, the graduating class. To the administration and others involved in the coordination of our education I would like to extend our sincere gratitude. We readily realize that most of what you do for us goes unnoticed 16 THE BUFFALO PHYSICIAN �until something goes awry. But we truly appreciate your help in assisting us in the scheduling of course work and in guiding and promoting our search of internship appointments. I'm sure that the full significance of your endeavors will not be realized until we ourselves assume similar administrative positions. To the administration I offer two challenges. First, I would like to see you play a more direct role in the medical education process. By this I mean that first of all you should involve the students more directly in your affairs including that of decision making. You must not be afraid to allow the students to play signi­ ficant and decisive roles in the formation of school policy, ad­ missions criteria, and curriculum reform. What the student lacks in experience he may make up for in his direct contact with other students and in his direct involvement in the educational process. He probably knows better than anyone else how good a course is, what new courses he needs to complement his education, and which should be altered. I would also ask the administration to have more faith in the ability of the students to make thoughtful and informed decisions of a policy nature. This, I think, should all be considered as an important phase of our education. As I said, many from this class will sooner or later hold positions of respon­ sibility as administrators. It appears that the physician is being forced more and more into such positions of responsible decision beyond that of patient care. So I believe that the time to start train­ ing for this responsibility is during medical school and not later when he won't have the trained supervision to guide his decisions. The second challenge I offer the administration is not to wait until there is overt hostility before taking action. You must be open to change and willing to consider student proposals before open confrontation is necessary. The hooding of class president Gary Lyman by Drs. Philip Wels and Donald Rennie. To the faculty I would like to extend the class' thanks and appreciation for days and weeks spent, often with little compen­ sation, in instructing us and guiding our interests. Certainly this education is only possible because of your efforts. We only hope that we can in turn pass on some of this knowledge to others with the dedication you have shown. To the faculty, I also offer two challenges. First, I would challenge you to be open to changing medical perspectives and to recognize that we need to train not only competent scientists but sensitive physicians with a broader concept of social respon­ sibility that extends beyond that of simple physical disorders. Most of us will be involved in the continuing care of people helping them to solve problems of a diverse nature. We must all come to realize that the problem of good health care is not merely that of a localized disease. But it is the poverty that prevents proper clothing and nutri­ tion; to the inadequate education that delays the seeking of proper medical care; it is the social injustice that allows improper housing with lead paint on the walls and rats in the basement; it is the commercial pollution that poisons our lungs and our food; and it is the immorality of a war that maims and murders in the name of peace and justice. FALL, 1972 17 . �The Lakes Area Regional Medical Program's Telephone Lecture Network worked overtime during the lune floods. The TLN was the only means of communications for the hospitals at Wellsville, Hornell and Bath. It was also used by the VA Hospital in Bath to communicate with Washington, D. C. officials.• It is the system that assumes that the physician's primary duty is not that of keeping you well but getting you well when you are obviously ill; in which the physician is asked to rely for his livelihood on those that not only come to him sick but must pay to get well; and in which the most successful physician is he who sees the most patients, charges the highest fees, and keeps his pa­ tients sick the longest. Secondly, I would ask the faculty not to squelch but instead to direct and sustain student idealism. This idealism needs support and guidance, not sarcasm. From the first year we have periodically encountered the attitude that idealism is a dirty word. However, directed and informed idealism is the quality that generates needed change in institutions that have become static and ineffective. Many of you share our idealism, but also many of you have gone through the same dampening process as we have. We've been told to face reality and to protect ourselves in the competitive outside world. But I have come to believe more and more that man's great­ est potential and perhaps a physician's greatest responsibility is to actively create the world in which he lives and not simply be a passive interactor with fate. To my fellow graduates, I want to extend thanks for four years of friendship and increased awareness. I have been impressed not only with your ability to learn quality medicine but more, I think, with the wide range of interests held beyond the confines of the hospital. You have made me realize more than ever that a good physician is not one who simply memorizes many medical facts but who blends his knowledge with an awareness of the value of life in the broadest sense. To you I offer the challenge of radicalism. Flere I don't neces­ sarily mean protest marches and draft board raids, although I certainly wouldn't rule them out. What I mean is that none of us, as we go into whatever area or situation to use what we've learned, should accept the health care and social situation as it exists. Radicalism is the fervent discontent with the way things have been that goes beyond simple talk to action directed at changing the situation. Whether you end up in a plush suburban practice or in a free clinic in the inner city, medical care in this country must be improved and more evenly distributed, social situations must be altered, and lethal governmental policies must be elimin­ ated. No matter how good a particular situation may appear, we must remain sensitive to areas of possible improvement, especially in the quality and distribution of health care to everyone. I guess my biggest fear is that we might fall into the trap of complacency. The complacency of: "Well, it isn't that bad," or "Well, what can I do, I'm only one person?" "It might not be per­ fect, but it's better than elsewhere." How can we ever become com­ placent when in the wealthiest country in the history of the world, we are currently 13th in maternity death rates, 18th in male life expectancy, 11th in female life expectancy, and our infants die at twice the rate of the Scandinavian countries. How can we ever become complacent when the giant $12 billion dollar private health insurance industry pays only 1/3 of the total cost of private health 18 THE BUFFALO PHYSICIAN �care leaving 2/3 to be paid out of the pocket of the patient at the time of his illness and in the words of Senator Kennedy; "minor epi­ sodes of illness become heavy financial burdens and serious illness is transformed into enormous debts and even bankruptcy. Those who can pay for care find themselves priced out of the market and for millions of Americans in rural areas or inner cities, care is just not available at any price." The minute we stop searching and challenging for new and better alternatives; that moment we begin to grow old and decay. And, although awareness of t h e situation is t h e first step, w e must not stop there but we must prosecute with all our effort the changes that are necessary. The sedate acceptance that seems to pervade any long established institution certainly has not evaded the medical profession and the American Medical Association has long served as an outstanding example. So, in conclusion, my challenge is not o n e of mere question­ ing and sensitivity to the health care problems around us, but one of action; an actual direct encounter with the issues and problems involved. Don't be ready to accept the status quo and fall back into a state of self-complacency, but actively seek change in a direc­ tion of improved and equality health care in the widest sense, realizing that until all people are free of hunger, poverty, oppres­ sion, and war will we be able to say that we are satisfied.• "Dr. Randall, Fellow Members of the Faculty, Graduates, Parents and Friends . . . I must begin by thanking the students for this honor. I know of nothing that could possibly give me more pleasure or have more meaning to me than this dedication, even though I don't deserve it . . . no one person does. I believe this gesture reflects your ap­ preciation and perhaps a little affection for the Staff of the De­ partment of Pediatrics, our House Staff and Children's Hospital. I almost feel like I'm graduating again myself. My wife and children are here and so are my own parents along with yours and I'm just as nervous now as I was then . . . or perhaps even more so. I wondered then, as you are wondering now, what would become of me as a physician. How would I react with my first patient when there wouldn't be anyone around to countersign those orders? What would I do after my internship? I have a very close friend with whom I grew up. We went through high school together and then entered the same University, he in business a d m i n i s t r a t i o n a n d I, i n p r e m e d . A f t e r g r a d u a t i o n , h e w e n t o n to graduate work in accountancy and finally into his father's busi­ ness, a fairly large steel pipe industry which he soon found himself running, due to the untimely death of his father. Meanwhile, after my internship, I trained in pediatrics, then a fellowship in genetics, the last year of which was spent in London, England. Naturally, I had not yet earned a farthing of income. That year, my friend came to England on a business trip and arrived in the laboratory to visit me. After the usual tour of the department, a department FALL, 1972 19 Response to JS/ledentian Dedication by RONALD G. DAVIDSON,M.D. Professor of Pediatrics �of biochemistry by the way, he asked me to tell him what I was actually doing. So I went to the blackboard and told him all about genes, and chromosomes, and funny looking enzyme bands on starch gels, and after I finished my dissertation, he looked at me for a few seconds and said "Ronnie, what are you going to be when you grow up?" Well, in many ways I hope I never grow up, and I tell you this little story to emphasize the vast number of opportunities available to you as physicians. As each year of your training begins, regardless of what you do, you will be faced with the major decision, what next? You will worry and sweat, weigh the pros and cons, develop your post prandial and prechordial pains, but try to remember, almost all your decisions lie among a large group of good choices — there are hardly any bad ones, so do your thinking and relax. Those kinds of decisions are indeed important, but whatever you choose you will be right, and you can proceed with gusto and no real need to grow up, if growing up means that you cease to feel excited by whatever you do and that you cease enjoying your work. Dr. Davidson i If "not-growing-up" is to be my theme, let me illustrate that notion again, this time by telling you about a study comparing pedi­ atric interviewing skills of freshman and senior medical students, carried out at the University of Colorado Medical Center in Denver. They used video-taped interviews with programmed mothers — by that I mean, young women who were given a set of information about a supposed child with serious organic disease and related psychosocial problems. The aim of the study was to test the hy­ pothesis that freshmen would obtain more interpersonal and less factual information from mothers of sick children than would seniors, who would have "grown-up" in the system. The results clearly indicated that, indeed, freshmen obtained significantly more interpersonal information — like the effect of the illness on the child and the family, and they asked fewer leading questions. Seniors obtained more facts. Now that is not very startling. But let me give you an anecdote from the study. One programmed mother was supposed to have a three year old retarded child with meningomye­ locele and hydrocephalus, severe defects of the central nervous system. She was also supposed to be both three months pregnant and most concerned about the outcome of the pregnancy. Not one senior discovered those latter facts, the pregnancy and the worry, in his interview. The first freshman asked, "Are you going to have any more children?" After learning of her pregnancy, he replied, "you must be worried that you will have another baby with the same problem." Clearly the freshman knew little of organic disease and had to talk about something, but the study suggests a very worrisome possibility, that as medical students move through their training, a certain degree of their innate ability to communicate with mothers of sick children, and, of course, with patients in general, is programmed out of them by the desire to obtain factual information. So don't "grow up," if it means to lose your com­ passion for the family in your haste to solve the most immediate, the most apparent, medical problem. 20 THE BUFFALO PHYSICIAN �Finally, a subject that must surely be covered in every talk to every graduating class: how little you know today, how much more there is for you to learn, how important it is for you to con­ tinue your medical education. The problem is how. I certainly don't know the answer to that one and I am sure you will find ways to d o this. I mention the problem, although it is almost cliche, perhaps to justify some of the gadgetry; the TV, com­ puters, sound/slide lectures and so on, that you have used in p e d i a t r i c s a n d i n o t h e r d e p a r t m e n t s . D o n ' t s t o p u s i n g t h e m . If you are practicing near a center where these teaching aids are available, keep at them. While you are waiting for that baby to appear at three o'clock in the morning, run through a tape on "what's new with resuscitation of the newborn," or whatever else you feel you need to review at that moment. I don't mean to imply that programmed learning is the answer to continuing med­ ical education, but it certainly can be helpful, especially with the developing techniques for immediate self-evaluation and identifica­ tion of various areas of weakness. Don't "grow up" to be so sophisticated that only a week of high-powered lectures at Harvard, or Hopkins or Buffalo is your only form of graduate education. Lest you think that all my thoughts are with the graduates today, let me add a final word of advice to the rest of the assemblage: as we proudly watch these young and eager physicians take up their internship posts and await that first patient of their very own, I suggest to you, parents and friends, here and across the country, t h a t if a t a l l p o s s i b l e , if t h e r e ' s a n y t h i n g y o u c a n d o t o a v o i d i t , don't get sick in July!"• "Today it is my privilege to express to each of you the congratu­ l a t i o n s a n d t h e b e s t w i s h e s e a c h o f t h e F a c u l t y w o u l d e x p r e s s if there was opportunity now for each of us to shake the hand of each of you. As unreasonable and as questionable as you may have con­ sidered us to be at times, from here on the road widens rapidly, and the freedom of choice is yours. While w e of the faculty will, for the most part, return to virtual repetition of the course again next year, your horizons now appear as electives, virtually un­ limited. We realize that to date, your road has been long and not easy, but we can assure you that the life of the profession provides opportunity for many satisfactions, satisfactions that will always be yours to appreciate and even more often, will be satisfactions you can bring to others. Today, perhaps more than before, all of us recognize the generation gap. Today, however, I will wager most of you see t h a t g a p i n t h e y e a r s a h e a d , b u t I'll w a g e r a l s o , t h a t b y t o m o r r o w you will become conscious of the gap that is widening behind you. Very soon yours will be the dual task of not only continuing to learn, yours will also be the responsibility of attracting, by your interest and example, ever younger generations to the studies, the practices and the arts we call medicine. FALL, 1972 21 More Responsible Health Care by CLYDE L. RANDALL, M.D. Acting Dean, School of Medicine Professor of Gynecology-Obstetrics �Interesting and satisfying as we believe our profession to be, today we shall recognize but not belabor, the deflated prestige we carry into today's political and social arena. Today even the medical establishment recognizes that for too long American medicine has considered that the health needs o f o u r p e o p l e w o u l d b e p r o v i d e d f o r , if t h e d o c t o r w a s f r e e to develop his own knowledge and skills, was free to make his abilities available to those who would seek his services, and, the c i t i z e n , p a t i e n t - c o n s u m e r , if y o u w i l l — w a s f r e e t o c o n s u l t a n d be cared for by the physician of his or her choice. In a day when virtually all physicians might have been considered about equally competent to recognize the cause of virtually any disease or disability the patient might evidence, such a one-to-one system would in all probability have been considered satisfactory by most of the people who were in need of health care. Today, however, we are facing stark realities and the deficien­ cies of what our critics like to refer to as our non-system of health care. We can resort to oversimplification and admit that our pres­ ent critical shortages of health manpower are largely the result of the fact that our health professionals, physicians, dentists, nurses — all of us, have been pretty free to obtain the amount and type of special training we have wanted, in order to be able to practice where we want to, and how we want to, with relatively little consideration being given to where those services are in short supply and most needed. Today one frequently hears current conviction that the public w o u l d b e p r o v i d e d w i t h i m p r o v e d h e a l t h c a r e if w e g r e a t l y d e c r e a s e the number of specialists and greatly increase the number of socalled primary family physicians, but this change alone would not be likely to solve large parts of the problem we all share. The well intended physician who develops a possessive interest in the care of individual patients can all too easily convince both himself and his patient that he is quite capable of handling the problem. Robert Folman, Stanton Schiller, Stuart Rubin �.. This degree of interest and willingness on the part of the physician can result in the failure of a patient to benefit from the best treat­ ment for his or her disease that is readily available in the com­ munity. I do not personally believe our patients or our profession would be well served by the often called for "complete overhaul" of our present system of health care, nor do I believe every physician should go into a prepaid group practice or a health maintenance organization. On the other hand, neither do I be­ lieve the physician who is satisfied with his income from an es­ tablished practice should remain unmoved and uninvolved in the profession's efforts to provide more care for many more patients than most of us have individually felt responsible for in the past. F a r b e t t e r f o r b o t h c o n s u m e r a n d p r o v i d e r if w e a c c e p t r e s p o n ­ sibility for the work that assisting personnel can d o in health teams. No improvement in the situation is likely so long as the physician insists (1) that h e cannot relegate his responsibilities t o a system and (2) that h e is caring for as many patients as h e can personally b e r e s p o n s i b l e f o r . If m a n y o f u s t a k e t h a t a t t i t u d e , c u r r e n t d e m a n d s for more health care particularly in thinly populated rural areas and in the overly populated areas of the inner city, seem certain to result in legislation that will establish several degrees or types of assisting health personnel as licensed, independent practitioners said to be capable of providing for a portion of the health needs of our population. To protect all of us from the ambition and even the good intentions of independently practicing but only partially educated allied health professionals, the medical, dental and nursing pro­ fessions must insist upon standards established as a result of gener­ ations of experience in the responsibilities for health care. This job is a big o n e and as w e assure you of our congratulations and best wishes, we can also assure you that your interest and your efforts will be appreciated."• Dr. Michael Sullivan Honored A slide presentation of works of art in medicine was the highlight of Dr. John Talbott's talk before the Buffalo Academy of Medicine. The dinner honored out-going president Dr. Michael A. Sullivan, M'53. In the audience of 100 were many former students of Dr. Talbott. He was co-chairman of the department of medicine at the Medical School and head of the same department at the Buffalo General Hospital from 1946-59. Reproductions of many of the art works shown in the slides appeared on covers of the Journal of the American Medical Associa­ tion which Dr. Talbott edited when he left Buffalo. He is now edi­ tor emeritus of the journal and a clinical professor of medicine at the University of Miami, Florida. He also edits his own journal, Seminars in Arthritis and Rheumatism.• FALL, 1972 23 Robert DiBianco, Dr. Cummiskey �7 Faculty Members Serve 243 Years OEVEN RETIRING medical faculty members from the University — six volunteer part-time and one full-time - with a combined total university service of over 243 years — were honored at the Annual Medical School Faculty meeting, May 19 in the Faculty Club. The retirees, who officially will be ending their university careers on August 31, are Dr. Max Cheplove (clinical associate professor of family practice in the department of social and preventive medicine and clinical associate in medicine); Dr. Francis J. Gustina (clinical associate professor of pediatrics); Dr. Milton Kahn (clinical assistant professor of gynecology-obstetrics); Dr. Niels C. Klendshoj (clinical professor of toxicology in the department of legal medicine); Dr. Harry G. LaForge (clinical professor of gynecology-obstetrics); Dr. Werner J. Rose (clinical assistant professor of medicine); and Dr. Mitchell I. Rubin (professor and former chairman of pediatrics). Dr. Cheplove, educated in Buffalo (BS 1922, MD 1926 UB), began in 1954 as an assistant in medicine. The 70-year old family practitioner has served and held offices in many county, state, and national medical organizations. He has been president of the Erie County Medical Society, the county and state chapters of the As­ sociation of American General Practitioners, and the Association of Participating Fund for Medical Education. A pediatrician, Dr. Francis J. Gustina, following his graduation from UB medical school in 1925 and graduate training at the Buffalo City Hospital and St. Fouis Children's Hospital, in 1928 joined the university staff as a resident hospital instructor in pediatrics. A year earlier he started to instruct in the nurse training school at Buffalo City Hospital. Among his memberships are many city, state, and county medical associations. The 71-year old physician was the first resident in pediatrics at the E. J. Meyer Memorial Hospital, then headed the department he literally created, and later became chief consulting pediatrician. Dr. Milton Kahn, gynecologist, obstetrician, is Buffalo-born and educated. He received his medical degree in 1925 from UB, completed an internship and residency at the Buffalo General Hos­ pital from 1925-27 and continued postgraduate studies in Europe. He joined the faculty in 1929 as an assistant in gynecology and was also an assistant to the late Dr. James E. King. The 70-year old alumnus is a Diplomate of the American Board of Obstetrics and Gynecology and was the first clinician at the Planned Parent­ hood Center in 1933. He has published in his field and has served as president of the Buffalo Ob/Gyn Society (1959) and holds memberships in other city, state, and national medical associations. He holds staff positions in Ob/Gyn at the Buffalo General, Chil­ dren's, Deaconess, and Millard Fillmore Hospitals. Dr. Niels C. Klendshoj, a Danish-born scientist, entered medi­ cine by accident. While the chemical engineering graduate from the University of Copenhagen (1926) visited friends in Buffalo, he took a temporary job with a small pharmaceutical concern, the Arner 24 THE BUFFALO PHYSICIAN �Company. He ended up in its research department and attended medical school conjointly, graduating from UB in 1937. There was much collaborative effort with Dr. Ernest Witebsky, the late dis­ tinguished professor of bacteriology and immunology and many publications resulted. In 1941 he was honored as coisolator of the B-blood complex, considered a major step in making modern blood transfusions safe and practicable. In 1941 he became assistant in medicine at the University. Gynecologist and obstetrician, Dr. Harry G. LaForge, in 1937 became assistant in pharmacology. Also Buffalo-born and educated (PhG 1923, MD 1934 UB, and residency at Buffalo General and E. J. Meyer Memorial Hospitals), he served as president of the soph­ omore, junior and senior years at Medical School. A Diplomate of the National Board of Medical Examiners, Founding Fellow of the American College of Surgeons and of the executive committee, As­ sociation of Participating Fund for Medical Education, he also holds memberships in many city, county, state, and national organiza­ tions. He has served as president of the Buffalo Chapter of the American College of Surgeons, the Buffalo Ob/Gyn Society and the UB Alumni Association. In 1961 he received the Samuel Paul Capen Alumni Award. In 1944 he established student loan fund for medical/pharmacy students. Four years later he established a research fund at the Buffalo General Hospital where he has been past president of its medical board. The 70-year old physician served as a member of the UB Council for 12 years prior to its merger with the State University in 1962. Cardiologist Werner J. Rose was born in Hamburg and edu­ cated in Buffalo. Following two years of premedical education at Canisius College where he won the Pasteur gold medal for highest honors, he completed his medical education at UB (MD 1926 and residency at the Buffalo General and Meyer Hospitals). In 1927 he was appointed an assistant in medicine at the University. The 70year old vice president for medical affairs at International Life Insurance Company feels that he had opportunities that are not available today. He served as a student assistant to physiologist Frank Hartman who performed the first experiments leading to the discovery of cortisone and with pathologist Anton Ghon, discover­ er of the Ghon Tubercle Lesion. With clinical training in cardiology and a fellowship in pathology, he continued postgraduate training with Dr. Samuel Levin at Army Base Hospital (23rd) during World War II. Dr. Rose saw service in Africa, Italy, and France and out of 32,000 patients treated at the 23rd Army General Hospital there were only two deaths from TB meningitis, three from infectious hepatitis, one from meningitis septisemia, and one from Hodgkin's Disease. Penicillin had just been introduced. He was also the last Fellow to study under pathologist Benjamin Roman. To earn his keep he performed postmortems at Buffalo General, Children's, Marine, State and Emergency Hospitals plus clinical pathology duties. Private physician to John J. Albright he lived for a time in the Albright Mansion in Buffalo and while he took care of Ansley Wilcox recalls that he slept in the Theodore Roosevelt Room at the Wilcox Mansion> FALL, 1972 25 The Telephone Lecture Network begins its third year Tuesday, Sept. 72 with a special program for physicians. It will be beamed into 40 hospitals in Western New York and Pennsylvania at 11:30 a.m. On the third Tuesday of ev­ ery month (11:30-12:30) Dr. Harry Alvis, clinical associate professor of social and preventive medicine, will moderate a series of physician programs direct from Millard Fill­ more Hospital. There will also be a special "breakfast hour" pro­ gram beginning October 5 and continuing on the first Thursday of every month. These programs are sponsored by the Lakes Area Regional Medical Program.D �Dr. Mitchell I. Rubin, pediatrician, joined the University staff in 1945 as professor and head of the department of pediatrics and as pediatrician-in-chief of the Buffalo Children's Hospital. For the past five years, following his resignation of the above positions in 1967, he has continued as professor of pediatrics. A prolific author and productive researcher in pediatrics, Dr. Rubin has dedi­ cated more than 45 years of his life to teaching and to patient care. He has also served as an advisor to the National Kidney Foundation and the Children's Bureau of the Department of Health, Education and Welfare among other health organizations. This semester, Dr. Rubin has been on sabbatical in England.• 79 Residents, 49 Interns Receive Diplomas Diplomas were granted to 79 residents and 49 interns who have completed their specialty training at University affiliated hospitals — Buffalo General, Children's, E. J. Meyer Memorial, and Veterans. Chairing the University Residency Program Committee is Dr. Wil­ liam J. Staubitz, professor of surgery/urology. GYN ECOLOGY/OBSTETRICS Residents — Drs. Marcos B. Gallego, Myrna T. Solis Gallego, Mi Yong Kim, Jongsook Park GYN ECOLOGY/OBSTETRICS and MEDICINE Internship - Drs. John M. Antkowiak, William P. Dillon MEDICINE Residents - Drs. Richard D. Antal, Donald P. Copley, Dennis P. DuBois, Stephen A. Katz, Anthony Kulczycki, John Q. A. Mattern, Jeffrey L. Miller, John R. Molinaro, Thomas A. O'Connor, Carl A. Perlino, Douglas L. Roberts, Joseph J. Ryan, Peter R. Stahl, Ronald W. Zmyslinski Cardiology — Drs. John L. Carrigan, Joseph W. Cervi Gastroenterology — Dr. George E. Davis Medical Otolaryngology — Dr. Stephen X. Giunta Renology — Dr. Hossein L. Keyvan Internship/Residency - Dr. Edward H. Wagner Internships _ Drs. Micha Abeles, Michael A. Arcuri, James A. Brennan, Gabriel E. Chouchani, Kenneth J. Clark, Philip Compeau, John C. Daimler, Lawrence J. DeAngelis, David E. Hoffman, Mona S. H. Kaddis, Harry Kolodner, Stanley B. Lewin, Richard A. Manch, Martin N. Mango, Howard R. Marcus, Thomas K. Mayeda, Michael F. Miniter, Paul M. Ness, Kenneth M. Piazza, Jack A. Resnick, Warren M. Ross, Paul Schaefer, Bruce R. Sckolnick, James A. Scovil, Charles A. Stuart, Daniel R. Synkowski, Morris Tobin, James Trief, llja J. Weinrieb, Howard E. Weinstein, Robert C. Weiss, Daniel H. Yellon, Bennett G. Zier PATHOLOGY Residents — Drs. Farbood Farhi, Shaukat Nayat, M. L. Janardhana, Shamin G. Khan, Sang-Tsun Kuo, Ralph Landsberg, Anne Saldanha, Alina Wiecha 26 THE BUFFALO PHYSICIAN �PEDIATRICS Residents — Drs. Sogba K. Bosu, Ronald T. Bruni, James L. Cavalieri, Alice S. Chen, Maria Colombi, James A. Dunlop, Frank G. Emerling, Roy M. Fazendeiro, Albert B. Finch, Warren L. Gilman, Steven V. Grabiec, Sherwood B. Lee, Paul L. McCarthy, Ellen C. Moore, Cheryl C. Rosenblatt, Uma Viswanathan Internships — Drs. Thomas G. Barton, Sogba K. Bosu, James L. Cavalieri, James A. Dunlop, Frank G. Emerling, Roy M. Fazendeiro, Albert B. Finch, Warren L. Gilman, Steven V. Grabiec, Sherwood B. Lee, Paul L. McCarthy, Ellen C. Moore, Cheryl C. Rosenblatt PSYCHIATRY Residents — Drs. Martin L. Gerstenzang, Annik Mawas, Chuitataya Panpreecha, Joong Oh Rhee SURGERY Residents — Drs. Refugio Andaya, Sirous Arya, Byunghak Jin, Abdul Khan, Elias Kokkinopoulos, Pang Lay Kooi, Surendra Kumar, John LaDuca, Hyuk Lee, Shai-Yuan Liu, Leo Michalek, Martin J. Murphy, H. John Rubenstein Neurosurgery — Dr. Walter Grand Orthopaedics — Drs. Charoen Chotigavanichaya, Paul R. Danahy, Anthony L. LoGalbo, Vergilio C. Victoriano Otolaryngology — Drs. Robert J. Brown, Federico G. Doldan Thoracic/Cardiovascular — Drs. Emil A. Anaya, Gizaw Tsehai Urology — Drs. Mohammed E. Darwish, A. Reed Hoffmaster, Richard J. Saab Internship/Residency — Drs. Barry P. Berlin, James Hassett Internship — Dr. Nohra ChaoukeyCH Dr. Kenneth H. Eckhert talked about the "turmoil in our health care delivery systems and future trends" at the 5th annual awards Z7 Z, / + JLJV. LhCK,K)6YT night of the School of Health Related Professions at the University. p About 150 graduates, their families and faculty attended the con- jpeaks to tiealth vocation. "Despite the criticisms, we have the finest, most effective health care system the world has ever known. But because it grew in response to population demand it is basically a 'non-system' with problems of cost and health care distribution with obvious gaps in service that must be closed," Dr. Eckhert said. "You as members of the allied health professions, have an in­ creasing role to play in these better coordinated services." He stressed the need for hospitals in a locality such as Western New York to work as a unit and said the university will play a great part in coordinating medical knowledge, but warned against the creation of a "health czar" who would over-centralize health services. The 1935 Medical School graduate is a clinical instructor in legal, social and preventive medicine at the University. He is also a surgeon at Deaconess Hospital and chairman of the Western New York Comprehensive Health Planning Council.• FALL, 1972 27 1 jj Ti £ • J ± TOJCSStOfldlS 1 j �The count down Kenneth Lindyberg Intern Matching The Sanford Karshes "There is reason to be proud of the results of this year's National Intern and Residency Matching Program," assistant Medical School dean Thomas Cummiskey informed the obviously nervous 120 members of the graduating class (all of whom had been matched), and their families — wives and offspring. "Many of you will be working in some of the most prestigious hospitals in this country," he pointed out to the seniors who will be distributed among 23 states. The largest number (27) will enter straight medicine, followed by 16 in rotating, 15 in straight surgery, 11 in straight pediatrics. While ten will enter directly into residency programs, seven have selected family practice programs (four at Deaconess Hospital). Entering University affiliated hospitals will be 84 of the 1972 graduating class while four will intern at unaffiliated hospitals and the remaining 24 at limited ones. Three university programs filled. They are straight pediatrics at Children's Hospital (12), straight medicine (16), and rotating medicine (12) at the Buffalo General and E. J. Meyer Memorial Hos­ pitals. The straight surgery program at the Meyer received 2 of 6 requested, while 1 of 5 at the Buffalo General was filled. Thirty-nine will remain in Buffalo to complete their internship training, while more than half will remain in New York State (19 in New York City and 3 in other parts of the state). The second largest contingent of seniors will intern in Massachusetts (9) while California and Maryland will each receive 7. Two will enter Public Health Service in Boston, and one will join the Army Medical Services. Hard work on the part of the seniors, faculty effort, and out­ standing performance by previous graduating classes, Dr. Cummis­ key feels, have been the key to acceptance into the training pro­ grams regarded as real "plums." Two seniors will intern in straight medicine at Johns Hopkins, three will train at the University of Virginia (two in straight medicine and one in rotating pediatrics), and one will enter the straight pediatrics program at Los Angeles Harbor General Hospital. The national matching program attempts to match the student preference with those of hospitals throughout the nation. 28 THE BUFFALO PHYSICIAN �% V i ANDREW ABRAMS, University of Florida, Gainesville, straight surgery ALAN AST, University of Miami Affiliated Hospitals, Florida, anesthesiology RICHARD A. BERKSON, Buffalo General/Meyer Hospitals, medicine RICHARD F. BLANCHARD, Baltimore City Hospitals, Maryland, medicine HAROLD B. BOB, Wilmington Medical Center, Delaware, surgery WILLIAM J. BOMMER, Buffalo General/Meyer Hospitals, medicine BRUCE T. BOWLING, Charles S. Wilson Memorial Hospital, Johnson City, N. Y., family practice MARTIN BRECHER, Children's Hospital, Buffalo, pediatrics DAVID S. BUSCHER, Santa Barbara Cottage Hospital, California, rotating general NEIL D. CARR, University of Maryland Affiliated Hospitals, psychiatry GERALD A. CONIGLIO, 5t. loseph's Hospital, Denver, Colorado, surgery ROBERT A. COOPER, University of Maryland, Baltimore, surgery )OHN J. D'ALESSANDRO, Nassau County Medical Center/Meadowbrook, Fast Meadow, N. Y., surgery ROBERT DIBIANCO, Buffalo General/Meyer Hospitals, straight medicine RICHARD O. DOLINAR, Buffalo General/Meyer Hospitals, rotating medicine PATRICIA K. DUFFNER, Children's Hospital, Buffalo, straight pediatrics LARRY ECKSTEIN, Public Health Service, Boston, Massachusetts, rotating general ROBERT EINHORN, N. Y. Medical College - Metropolitan Hospital, New York City, radiology residency RUSSELL ELWELL, Deaconess Hospital, Buffalo, rotating general T h e Gary Lyman family ARNOLD S. FABRICANT, Maricopa County General, Phoenix, Arizona, straight surgery DAVID FASCITELLI, Mount Auburn Hospital, Cambridge, Massachusetts, rotating general ROBERT FIALKOW, Talmadge Memorial Hospital, Augusta, Georgia, straight medicine ROBERT FOLMAN, Buffalo General/Meyer Hospitals, rotating medicine IAN M. FRANKFORT, Deaconess Hospital, Buffalo, family practice ALAN G. GASNER, Buffalo General/ Meyer Hospitals, rotating medicine RICHARD S. GOLDMAN, Buffalo General/ Meyer Hospitals, straight medicine MICHAEL GORDON, Washington Hospital Center, Washington, D. C., rotating general STUART GREENE, Washington Hospital Center, Washington, D. C., rotating general DENNIS R. GROSS, University of Miami Affiliated Hospitals, Florida, straight pediatrics JERRY HAMM, Medical College of Virginia, Richmond, rotating surgery VIRGINIA F. HAWLEY, Good Samaritan Hospital, Portland, Oregon, rotating general MARTIN T. HOFFMAN, Children's Hospital, Buffalo, straight pediatrics SANFORD J. HOLLAND, The Brookdale Hospital Center, Brooklyn, New York, rotating anesthesiology FREDERICK S. HUST, University of Virginia, Charlottesville, straight medicine ISMIL ISMAEL, Buffalo General/Meyer Hospitals, rotating medicine DAVID L. JOHNSON, Deaconess Hospital, Buffalo, family practice LINDA A. KAM, University Hospitals, Columbus, Ohio, straight pediatrics ANDREW J. KANE, Deaconess Hospital, Buffalo, family practice SANFORD KARSH, Long Island Jewish Medical Center, New Hyde Park, New York, straight medicine ROSS S. KENDALL, St. Christopher's Hospital for Children, Philadelphia, straight pediatrics MARK KISHEL, Boston City Hospital, Massachusetts, straight pediatrics ROBERT KLAW, Metropolitan Hospital Center, New York City, straight medicine STANLEY KLUGHAUPT, Beth Israel Hospital, New York City, internal medicine residency JOHN E. KNIPP, Hahnemann Hospital, Philadelphia, straight medicine GEORGE KOTLEWSKI, E. J. Meyer Hospital, Buffalo, rotating medicine KONRAD P. KOTRADY, University of Utah Affiliated Hospitals, Salt Lake City, family practice ARETA O. KOWAL, University of Iowa Hospital, straight pediatrics JOHN W. KRAUS, Johns Hopkins Hospital, Baltimore, straight medicine ROBERT KROOPNICK, Sinai Hospital, Baltimore, straight medicine PAUL S. KRUGER, Children's Hospital, Buffalo, ob/gyn rotating ROBERT A. KUWIK, Mount Auburn, Cambridge, Massachusetts, rotating medicine FALL, 1972 29 Paul V i l a r d i �I THOMAS J. LAWLEY, Buffalo General/Meyer Hospitals, rotating general MARC J. LEITNER, L.A. County-Harbor General, California, straight pediatrics WILLIAM D. LEVIN, Medical Center of Vermont, Burlington, straight surgery STEPHEN J. LEVINE, Buffalo General/Meyer Hospitals, rotating medicine JOANNE E. LEVITAN, Indiana University Medical Center, Indianapolis, straight surgery ROBERT H. LEVITT, Washington Hospital Center, Washington, D. C., general rotating LESTER J. LIFTON, Buffalo General/Meyer Hospitals, straight medicine KENNETH R. LINDYBERG, Letterman General Hospital, San Francisco, rotating surgery GEORGE LOHMANN, JR., Chicago Wesley Memorial Hospital, Illinois, straight surgery GEORGE LUNDGREN, Buffalo General/Meyer Hospitals, general rotating GARY H. LYMAN, North Carolina Memorial Hospital, Chapel Hill, straight medicine The lohn Krauses ALAN MANDELBERG, Buffalo General/Meyer Hospitals, rotating medicine JOSEPH A. MANNO III, St. Vincent's Hospital, New York City, ophthalmology residency IRA L. MINTZER, Boston City Hospital, Massachusetts, medicine MURRAY A. MORPHY, E. J. Meyer Memorial Hospital, Buffalo, psychiatry residency CHARLES A. MOSS, Maricopa County General Hospital, Phoenix, Arizona, rotating general PHILIP C. MOUDY, Buffalo General/Meyer Hospitals, rotating general WILLIAM T. MURRAY, Buffalo General/Meyer Hospitals, straight medicine DENNIS NATALE, Montefiore Hospital and Medical Center, New York City, straight surgery GEORGE C. NEWMAN, JR., University of Virginia Hospitals, Charlottesville, straight medicine STEPHEN M. NEWMAN, Meadowbrook Hospital, East Meadow, New York, rotating medicine CHRISTOPHER N. NOELL, University of Virginia Hospitals, Charlottesville, rotating pediatrics JOSEPH J. OLIVER, Millard Fillmore Hospital, Buffalo, straight surgery Dr. Cummiskey STEPHEN I. PELTON, Boston City Hospital, Massachusetts, straight pediatrics JEFFREY S. PERCHICK, Montefiore Hospital, Pittsburgh, straight medicine LAWRENCE S. POHL, Washington Hospital Medical Center, Washington, D. C., rotating general RICHARD W. POHL, Nassau County Medical C.enter-Meadowbrook, East Meadow, New York, straight pediatrics JEROME C. PORRETTA, Rochester General Hospital, New York, straight medicine GLENN L. POST, Cedars Sinai Medical Center, Los Angeles, rotating medicine KAREN A. PRICE, Grady Memorial Hospital, Atlanta, rotating anesthesiology KENNETH C. RICKLER, Veteran's Administration Hospital, Los Angeles, straight medicine RICHARD J. RIVERS, Buffalo General/Meyer Hospitals, straight medicine STEVEN J. ROSANSKY, Maimonides Hospital, Brooklyn, New York, rotating medicine GEORGE M. ROSENFELD, St. Joseph's Hospital-Upstate Medical Center, Syracuse, New York, family practice JAMES ROSOKOFF, St. Francis Hospital, Hartford, Connecticut, rotating general STUART RUBIN, Deaconess Hospital, Buffalo, family practice NOEL SALEM, Public Health Hospital, Boston, Massachusetts, rotating general EDWIN A. SALSITZ, Beth Israel Hospital, New York City, ob/gyn residency RICHARD A. SAVAGE, Cleveland Clinic, Ohio, pathology STANTON R. SCHILLER, St. Louis University Hospitals, Missouri, straight surgery LAWRENCE H. SCHREIBER, University of New Mexico Affiliated Hospitals, Albuquerque, rotating pediatrics PAUL A. SELIGMAN, Buffalo General/Meyer Memorial Hospitals, rotating medicine MICHAEL J. SHREEFTER, Berkshire Medical Center, Vermont, rotating general ARTHUR L. SIEGEL, Long Island Jewish Medical Center, New Hyde Park, New York, rotating general ANDREW SILVERMAN, University of Michigan Affiliated Hospitals, Ann Arbor, straight ob/gyn ANITA SILVERMAN, Millard Fillmore Hospital, Buffalo, general rotating DAVID SILVERSTEIN, Buffalo General/Meyer Hospitals, rotating medicine JAMES A. SINGER, Buffalo General/Meyer Hospitals, straight medicine CRAIG R. SMITH, Johns Hopkins Hospital, Baltimore, Maryland, straight medicine PAUL J. STECKMEYER, 30 THE BUFFALO PHYSICIAN �Stephen Pelton, Mr. & Mrs. Martin Hoffman The Frederick Hust family LEWIS STERN, Medical College of Virginia, Richmond, rotating medicine )ACK J. STERNBERG, Mt. Sinai Hospital, Cleveland, Ohio, straight medicine LEONARD STRICHMAN, Bronx Municipal Hospital Center, New York, straight surgery RICHARD L. SYLVAN, Baltimore City Hospitals, Maryland, straight medicine STUART R. TOLEDANO, Montefiore Hospital and Medical Center, Bronx, New York, straight pediatrics EUGENE R. TONER, Millard Fillmore Hospital, Buffalo, straight surgery JOSEPH E. TRIPI, Presbyterian Hospital, New York City, straight surgery STEVEN B. TUCKER, Buffalo General/Meyer Hospitals, straight medicine PAUL J. VILARDI, Mercy Hospital Medical Center, San Diego, California, rotating general WILLIAM T. WALLENS, Buffalo General/Meyer Hospitals, straight medicine RICHARD N. WARNOCK, Millard Fillmore Hospital, Buffalo, straight surgery JAMES T. WEBBER, University of Miami Affiliated Hospitals, Miami, Florida, rotating pediatrics HAROLD J. WEINSTEIN, Cincinnati General Hospital, Ohio, rotating general STEPHEN W. WELK, Buffalo General/Meyer Hospitals, rotating general KENNETH R. WILKES, Nassau County Medical Center-Meadowbrook Hospital, East Meadow, New York, psychiatry residency BYRON J. WITTLIN, Los Angeles County-USC Medical Center, California, psychiatry rotating JOHN W. ZAMARRA, Buffalo General/Meyer Hospitals, straight medicine LAWRENCE ZEROLNICK, Long Island jewish Medical Center, New Hyde Park, New York, rotating general MARK J. ZLOTLOW, Springfield Hospital, Massachusetts, straight pediatricsO FALL, 1972 31 �Back Row: John V. Walsh, William F. White, John Ambrusko, Rose M. Lenahan, George F. Koepf, Charles F. Banas, Soil Good­ man, Francis E Ehret, Niels Klendshoj. Front Row: Samuel A. Dispenza, Joseph M. Mele, Samuel Sanes, Augustus J. Tranella, David H. Weintraub, Charles R. Borzilleri, Jr., William L. Ball. Dr. Sanes Compares the 1937, 1972 Classes Dr. David Weintraub, clinical profes­ sor of pediatrics, arranged the alum­ ni reunion dinner program. Dr. Charles Borzilleri, jr., chaired the din­ ner. In the Class of 1933, 48 out of 60 are still living; 27 practice in West­ ern New York. Eighteen are general practitioners. Seven out of 120 in the Class of 1972 will intern in family practice. This is a summary of Dr. Samuel Sanes' address. "Incredible" must have been the response of physician alumni to Dr. Samuel Sanes' statistics on the graduating class of 1937 and that of its 35-year successor (1972). When the former professor of pathology, who retired last summer following 40 years of teach­ ing, pointed to an attrition rate of about 38 percent in the 1937 graduating class to that of a zero comparison in this year's class, their expression must have turned to one of disbelief. But these are the facts painstakingly researched by Dr. Sanes. In 1937, 47 graduated out of a 77-freshman class compared to 120 in 1972. Over three quarters of the entering class in 1933 came from the eight-county region of Western New York as com­ pared to only 49 out of 120 graduating in 1972. The graduating class in 1937 included advanced standing students as well as repeats — a total of 60. But in the senior class of 1972 there were no dropouts or repeats following admission. All 104 seniors who were originally admitted as freshmen, plus transfer students with advanced standing, graduated. Changes in admissions procedures in Buffalo during the early forties, pointed out Dr. Sanes who graduated from the Medical School cum laude in 1930, were triggered by AMA (committee on medical education) recommendations for establishment of an ad­ missions committee in Buffalo to work as an autonomous unit outside of the dean's office. Dr. Oliver P. Jones was its first chair­ man. 32 THE BUFFALO PHYSICIAN �Of the 73 men and four women admitted in 1933, few were married. These few were "older" returnees to school who had worked for a few years; one had become a mother. There were no additional marriages during the next four years. In 1968 the ratio of nine married out of a class of 104 freshmen skyrocketed by the senior year to more than half the class (64). While Capen Hall construction in 1953 permitted accommo­ dation for 100 freshmen, budgetary restrictions limited class size to 80. But in 1962 UB, a private university, merged with the State University system. Albany called for a minimum freshman medical class of 100. In 1968 the 104 admittees — 96 men and 8 women — who graduated this year filled the request. However in 1971, 120 students were admitted (35 were women, blacks and third world). This fall (1972) the number of freshmen will increase by 15, to 135 places to be filled from about 4,300 applications. This is 2,500 more than a year ago. And nationally there are 34,000 applicants for 13,000 openings in 108 medical schools. Some of this increase is due to participation by med­ ical schools in a central clearing house that processes applica­ tions and sends them to as many schools as an applicant wishes. This national picture reveals that three-quarters of the minority applicants (women, blacks, third world) were accepted as compared to only 40 percent of all those applying to medical schools. Few in 1933 applied for financial assistance to defray the $500 annual tuition for medical students. However, a good many medical freshmen in 1971 — New York State residents — who paid $1,200 for tuition, received financial aid of some sort. For students from families earning less than $20,000 taxable income, there is a tuition decrease through a scholar incentive program. Regents scholarships also provide from $350 to $1,000 a year for up to four years of study based on income. Regents scholarship awards based on competitive exams range from $1000 to $4000 and depend on need. They may be held for up to four years. Winners commit themselves to serve nine months as physicians in a designated medical shortage area for each year's scholarship. Certain New York State counties finance medical educa­ tion without exams on commitment of subsidized students to serve in the county. Annual tuition however for this year's entering class will rise to $1,500 for N. Y. S. residents. Back in the thirties there were practically no hospital or medi­ cally connected opportunities for the medical student through financially assisted summer fellowships, etc. Spare time meant hunting for a job, from selling to construction, to earn sufficent money to help pay for medical education. One look at today's bulletin boards reveals a large choice of financial opportunities for the medical student especially over the summer where fellowships offer anywhere from $500 to $1,000 for an eight to ten week research or clinical experience in whatever area interests the student to $750 for ten weeks at an urban teach­ ing hospital for Fellows who will work from 8 to 5 with minimal night work plus room and board for singles. One freshman worked as an orderly in a hospital for $115 a week. FALL, 1972 33 �There are also public health opportunities vying with $85 a week for a ten-to-12 week period plus a reasonable charge for room and board. "Myasthenia gravis" offers $900, and the Ameri­ can College of Radiology $800 to first and second years students for an eight-week stint. Internships? In 1937 it was up to the senior to arrange one. Most internship experiences were of a rotating type. Today the student receives advice and counsel from the assistant dean for student affairs. And the National Intern Matching Program (in which the Medical School participates) attempts to match student interest with those of hospitals. Increasing numbers of straight internships have been offered and accepted. Also internships today are not required for certain specialties such as pathology. And a motion to abolish the internship period altogether will be voted upon at the Fall AAMC meeting. In 1937 at the Medical School's teaching hospitals there was no salary for an intern at the Buffalo General Hospital. However the "Learning" servant did receive room and board plus uniforms but little in the way of organized teaching. Residents at the Chil­ dren's Hospital earned from $300 to $900 a year plus room and board. And at the E. J. Meyer Memorial Hospital interns were paid $750 with no room and board. They were on call every other night and had to buy their own uniforms. Today, through the University Internship Program in Buffalo, Meyer (as well as other teaching hospitals) interns receive $9,500. Fringe benefits cover full Blue Cross/Blue Shield coverage for in­ tern and family, malpractice liability insurance, free uniforms and laundry service for same, on call every third night (hot meal served), and two weeks paid vacation. For residents there is $10,000 plus $500 for each additional year, and all of the above fringe benefits. Dr. L. Maxwell Lockie, M'29, clinical professor of medicine, was among five to receive Distinguished Alumni Awards in May. Dr. Lockie has been on the Medical School faculty since 7 932.• In 1933 a medical student went to school "to learn all the facts of medicine." There was no questioning the authority of the dean or the faculty for little or no satisfaction could be gained from these strict disciplinarians. There was no time or interest for "social" awareness. Today this contrasts with a student voice in policy, management and disciplinary actions at the University as well as student input into search committees for a new medical school dean and vice president for health sciences. The curriculum, back in 1933, was a prescribed, rigidly struc­ tured all-inclusive one that demanded a minimum 80 percent class attendance. Exams were either essay, oral or practical and students received either letter or numerical grades. But over the last few years the curriculum features a core and track curriculum with elective courses. Clinical instruction starts in the freshman year. It is flexible with an all-elective senior year. Students take courses in other schools both in the U. S. and abroad. Vacations can be arranged at the convenience of the student. One can take anywhere from three and a half years to more than four to complete medical school. Exams are chiefly multiple choice or objective types. Grades are no longer numerical or letter'type but range from satisfactory/ unsatisfactory to pass/fail. 34 THE BUFFALO PHYSICIAN �Class of 1922 at Spring Clinical Days Franklin T. Clark; Lynn Rumbold; Carl S. Benson; Irwin M. Walker The student attitude in 1933 of "fear" due to faculty and peer review has now changed to one of confidence that once you are accepted graduation is almost assured. Back in 1937 tuition accounted for over 103 percent of the Medical School's operating budget of $165,137.90. This sum equaled the dean's office budget for 1970-71. In 1971 tuition was only six percent of the total operating budget allocated by the State to the Medical School, $5,930,000. Sponsored research however was set at an equal sum, while in 1933-37 it was minimal. Annual salaries then ranged from $4,941 for a senior professor and depart­ ment head to $1,750 for a fulltime instructor. However their off­ spring were entitled to free tuition at the University as well as part payment at certain other schools. Today a fulltime instructor receives a minimum of $12,000 while a department head gets a minimum of $28,000 with fringe benefits such as pension, medical and hospital benefits. In the thirties all research was in the basic sciences; most supported from the medical school's own budget. There were only 18 full-time teachers in the basic sciences located at the School, as well as 200 outside part-time paid and volunteer teachers. There was no clinical full-time faculty except for a professor of military sciences and tactics detailed by the Surgeon General of the U. S. Army. This contrasts to 280 full-time basic sciences and clinical faculty and 1,232 volunteers in 1972. In the early thirties, when a student took pharmacology, there were no sulfa drugs or antibiotics to learn about for ordinary in­ fections, no drug/chemical/hormonal prescriptions for tuberculosis and cancer including leukemia. In Public Health there were no vaccinations for polio, measles, mumps or rubella. In Internal Medicine there were no functional tests such as PBI, radioactive (Cont'd on page 38) FALL, 1972 35 �University Health Service Maureen O'l and Allie Frej Dr. Hoffman counsels a student. The University Health Service offers a wide range of free medical services. Dr. Paul F. Hoffman, medical director since 1962, points with pride to the more than 40,000 visits by the University family — students, faculty, staff annually. "We have 70 full and part time professionals, some of whom are on call 24 hours a day. These include physicians, dentists, nurses, psychiatrists and clerical per­ Dr. John Benny, staff a student. physician, examines Dr. Marie Kunz, an allergist, discusses problem with a student. a sonnel. "On a very busy day we may have upwards of 250 people visit the Health Service. Only one out of every 10 are referred to local physicians and hospitals for further treatment. Most students seek treatment for common diseases such as respiratory infections, mononucleosis, gastro-intestinal disorders, and strains or sprains," Dr. Hoffman said. The Health Service maintains both inpatient (28 beds) and out­ patient departments and five special clinics — allergy, dental, immunization, ob/gyn, and psychiatric. Other services include lab­ oratory tests, first aid, preventive medicine, consultant-referral, personal health evaluation, treatment and diagnostic procedures, en­ vironmental health and safety, and health education. Dr. Hoffman and Dr. M. Luther Musselman, assistant director, both clinical associate professors of medicine in Student Health, head a staff of five full time and eleven part time physicians. "We are interested in maintaining a state of optimum health (physical and emotional) in the University family and at the same time instilling proper attitudes and habits of personal and commun­ ity health. Another main objective is to promote environmental conditions conducive to health, safety and learning, through the THE BUFFALO PHYSICIAN i �Irien, student social worker, Dr. Lloyd Clarke, chief of psychiatry, kman, director of social workers, have an informal conference. Dr. George Coldfarb, director of the student health dental clinic, explains the X-rays to his patient and a dental student. Environmental health and safety are the responsibilities of Mr. Robert E. Hunt. He is reviewing plans for play­ ground and equipment for Day Care Center submitted by students of the School of Architectural and Environ­ mental Design. Mr. Hunt is a clinical assistant professor of social and pre­ ventive medicine. Dr. Musselman talks to a student-patient. department of Environmental Health and Safety (administratively a part of Operations and Systems). The Center, located in the basement and first two floors of Michael Hall, is open to all students. There is no compulsory health fee and no health service charges for services or medication. There may be charges for services or supplies provided by off-campus facilities. "Trying to provide excellent medical care with a limited budget and rigid operational procedures is our biggest frustration. We need more money not only for staff but for equipment and facili­ ties. At this time there is no guarantee that we will have new facilities on the Amherst campus, Dr. Hoffman said.D FALL, 1972 37 �DR. SANES (Cont'd from page 35) isotopes, and enzyme determinations. There were no antithyroid and hypertensive drugs. Nor was there cardiac surgery, monitoring, recovery room, intensive care unit, blood bank, etc. And there were no prepaid medical plans for patients such as Blue Cross/Blue Shield, Medicare or Medicaid. In 1937 the Medical School was part of a private university and, except for ties to the Dental School (it shared the same dean, Dr. Edward Koch, who also headed pharmacology and therapeutics) it was relatively independent. Its first assistant dean, Dr. Elmer Heath, was appointed two years earlier. Today, aside from a vice president of health sciences who at present is also acting dean of the School of Medicine, there is an associate dean, an assistant dean, as well as a part-time assistant dean for admissions. In addi­ tion to that in medicine, teaching is done on the graduate level and in health sciences programs such as dentistry, nursing, and health related professions. As part of the State University system, the Medical School is now subject to decisions handed down by Albany, its governor, the legislature, Board of Regents, as well as public pressure. It is one of five units (dentistry, pharmacy, nursing, health related pro­ fessions, medicine) in the Health Sciences complex. Social habits have also changed. From the occasional drink, usually a beer in 1937, a recent Medical School (Buffalo included) survey revealed that 44 percent of the students responding smoke marijuana. Nine out of ten "drink" regularly. Changes in sex education are just as startling. From one moral­ istic lecture on sex given by the professor of dermatology and syphilology, there is now an elective course on human sexuality that is well attended. Today there are courses offered on health prob­ lems in the inner city and in one of the University's experimental colleges, College A, plans are underway for courses in change of the health care delivery system, new roles in health services and personnel, etc. Students are welcome to serve on a committee for delivery Dr. A. H. Aaron, M'12, (right) received the 22nd Samuel P. Capen award for "contributing and influencing the growth and improvement of the Univer­ sity." He is a Buffalo physician and emeritus professor of medi­ cine, known for his work in gastroenterology. Pictured with Dr. Aaron is Mr. Whitworth Ferguson, Sr., (left) president of the Ferguson Electric Construc­ tion Company, winner of the UB Chancellor's medal and Mr. Wells Knibloe (center), chair­ man of the awards committee of the General Alumni Associa­ tion.• �of health care to the Attica Correctional Facility. In recent years such speakers as Dr. William H. Masters of the Masters and Johnson team, and Dr. Eugene Schoenfeld who runs a syndicated column titled Dear Dr. HIPpocrates with emphasis on problems of the youth subculture have been featured on the student-organized Harrington Lectureship that before 1966 was arranged through the dean's office with speakers and subjects of its selection. Some factors inside the Medical School and Medicine leading to the disparities between 1937 and 1972, Dr. Sanes believes, are the AMA inspection of the Medical School about 1940 and its subse­ quent recommendations, full-time clinical teachers, World War II, the postwar years with its national emphasis on research, the Edu­ cationist movement in the fifties led by Drs. George E. Miller and Edward M. Bridge in Buffalo, the strengthening of the basic sciences departments through Capen and Sherman Hall additions, the growth of knowledge, going STATE in 1961-62 with its large doses of financial assistance, trend toward specialization, the Health Sciences concept in 1967 as well as student "social consciousness" and awareness and its subsequent activism that included demon­ strations, protests and emphasis on health care to all as a human right. Concluded Dr. Sanes, "some of us may be astonished by the changes in medical education at our Medical School during the past 35-40 years. Others may be perturbed by specific ones. Still others may find certain changes commendable and necessary. It is reasonable that changes should occur in medical education as time passes. Medicine is not taught in a vacuum for it is influenced by social, economic, political, ethical, scientific, technological, and medical factors in American society and in the world. Medical education should however retain the decision as to changes in its structure and function. "In regard to certain changes, medical education can be faulted for not having recognized their need soon enough. The question, in making changes, is how to distinguish the newest enthusiasms and latest fads, regardless of outside pressures, from the substantive and permanent. Simplistic, impulsive answers," he continued, "to adapt medical education to problems in medicine and society may not turn out to be effective, long term solutions. "Medical education must remain flexible and open to changes. But we must be careful that forms, methods, and gimmicks do not divert medical education from its primary goal and values — to train scientific and humanistic physicians who eventually will prevent disease and care for the sick within adequate standards under any system of health care delivery. "A medical faculty member ought not to look upon his posi­ tion merely as a means of personal interest and satisfaction. His first responsibility is to maintain and further medicine in terms of a healing profession with the development of qualified practicing physicians who will help human beings live as long as possible, physically as comfortable as possible, mentally as alert as possible, emotionally as happy as possible, and socially, economically as pro­ ductive as possible."D FALL, 1972 39 �ftAedentian Honors Two Professors I Dr. Jung Dr. Davidson Two professors have been cited for their teaching skills and interest in students in the Medentian, student yearbook for the Schools of Dentistry and Medicine. The dental students honored Dr. Evelyn L. Jung, and the medical students honored Dr. Ronald C. Davidson. Dr. Jung is professor of oral diagnosis, clinical pathology and radiology, and has been on the dental faculty since 1931. She is a 1930 graduate of the Dental School. She teaches radiology to first and third year students. She also teaches seminars for seniors. Dr. Jung has written several articles on her research specialty, "Demineralization and Embedment of Bone Specimens." She is a past president of the Academy of Radiology and has been active in the 8th district dental society. Dr. Davidson is professor of pediatrics and associate chairman. He has been on the faculty since 1964. He received his M.D. degree from the University of Western Ontario Faculty of Medicine, Lon­ don, Ontario in 1957. At Children's Hospital Dr. Davidson is also di­ rector of the Birth Defects Center, the division of human genetics and the division of instructional communications. From 1957 to 1959 the Canadian-born physician interned and took his residency in pediatrics at Vancouver General Hospital, Vancouver, B. C. He was also an assistant resident in pediatric pathology, Children's Hospital Medical Center, Boston in 1959-60, and the following year at Boston City Hospital. He was a Fellow in pediatrics at The Johns Hopkins Hospital, Baltimore in 1961-63. The following year he was a Fellow in Biochemical Genetics, University of London King's College, London, England. He has written 20 articles, 16 abstracts and contributed two chapters for books. In the dedication to Dr. Jung the dental students said "her primary interest is in the student. She has a one-to-one teaching style that never fails to drive the point home. Her seminars and weekly quizzes have given her students a real working knowledge of radiology techniques and diagnosis. She is known by dental educators around the world, but remains a very unassuming indi­ vidual and always has time for her students. Friendly, patient, knowledgeable, and always ready to illustrate her conversation with anecdotes, she has made everyone's life a little better for having known her. We, the class of 1972, thank you, Dr. Evelyn Jung." In the dedication to Dr. Davidson, the medical students said, "in the third year teaching program in pediatrics he has brought to that program some exciting new approaches to clinical teaching, including the use of computer assisted education, television, sound/ slide productions and films."• 40 THE BUFFALO PHYSICIAN �A 1943 Medical School graduate was recently named "Man of the Year," in Eden, N. Y. where h e has been practicing for 25 years. Dr. Ronald Martin was honored in April for giving remarkable med­ ical service along with community service. Dr. Martin came to Eden in 1946 to practice with his Uncle. After a second stint in the Army he returned in 1953, and opened his own office in 1956. Ete was a school physician at Eden Central School for 12 years and gave up his only "day off" each week to serve at the Indian Reservation Clinic at Cattaraugus. Dr. Martin was in the Battle of the Bulge in Europe during W o r l d W a r II. H e w a s c a p t u r e d b y t h e G e r m a n s a n d f o r c e d a s a PW to treat wounded Germans as well as captured GIs. He bailed out two weeks later during a counter attack. As a battalion surgeon with the beleagured 10th Armored Division, he received the Silver Star, Bronze Star and a cluster for the Bronze Star and a great assortment of citations and battle ribbons. Dr. Martin interned at St. Margaret Memorial Hospital, Pitts­ burgh for nine months before entering the Army January 1, 1944. He finished his internship in the Army and Navy Hospital, Hot Springs, Arkansas. It was here that h e " m a d e o r missed" medical history. He worked with Dr. Philip Hench and helped him in the research that led to the discovery of ACTH and then Cortisone. This led to the Nobel Prize for Dr. Hench in the field of physiology in medicine in 1950. Dr. Martin said that the great breakthrough was the result of a question asked in a seminar conducted by Dr. Elench. The answer bugged him — and Hench — and the solution was one of the great achievements in medicine. Dr. Martin is a Diplomate of the National Board of Medical Examiners. He is active in local and state professional organiza­ t i o n s .• Eden Physician Honored Ten medical continuing education courses will be offered by the Medical School during September, October, November and De­ Continuing Medical Education cember. September 20-22—"Trends in Internal Medicine" Buffalo General Hospital October 3-4 — "Obstetrics for the Family Physician" Deaconess Hospital October 20-22 —"Allergy" (In cooperation with Midwest Allergy Forum) Statler Hilton November 9 — "Community Medicine" Statler Hilton November 10 —"Workshop in Respiratory Management" Statler Hilton Five additional programs have been selected but the dates have not been established. They are: "Surgical Aspects of GynecologyObstetrics," "Exercise Testing and Training for Coronary Heart Disease," "Advances in the Care of the Injured Patient," "Psychi­ atry for Psychiatrists," "Use of Blood" (In Cooperation with Amer­ ican Red Cross).• FALL, 1972 41 �Working with Others for Optimum Care of Patients by RUTH T. McGROREY, Ed.D. Dean, School of Nursing "New times demand new measures and new men; The world advances, and in time outgrows The laws that in our father's day were best." (Source unknown) The search for a common conceptual framework for what we have long called the health team has been a painful growing process for all of the health professions. In nursing the parallel development of the nursing team with all of its ramifications introduced a variety of communication barriers. The creation of new workers in the midst of unprecedented medical, social and organizational change brought about a definition and redefinition of the functional activ­ ities of health workers that confused roles, opened up legal ques­ tions of practice, and to a large extent closed off the informal inter-change between professional groups that insured mutual planning and evaluation of patient care. For almost a hundred years from Kaiserwerth to World War II, the art of nursing was definable, circumscribed and clearly func­ tional in the context of clearly prescribed medical care. In the past quarter century the growing sophistication of health care and the proliferation of highly specialized health disciplines have increased the complexity of therapy and its delivery to the patient in ways which challenge our imagination to develop new and more effective ways of working together to insure the best possible care for our patients, not only to get them well, but to keep them well and to help them achieve the highest potential of wellness that is possible for each of them as individuals in our society. Nursing, as one of the components of the health team has sug­ gested a variety of ways to approach new ways of working together. They involve not only a reconsideration of the ways in which people work together as individuals and as professionals, but a reconsidera­ tion and analysis of the total community and institutional environ­ ment in which care takes place. Most of these concepts are not new, they have been tried, accepted and/or abandoned and, in many instances, studied without implementation. The successes, I am sure, have been achieved because of mutual concern, faith, and continuing mutual effort. The failures may (or may not) reflect the opposite philosophy. In any event, both success and failure in learning and achieving the art of working together must be sup­ ported by environmental goals and climate that support this kind of relationship. Dr. McCrorey has been Dean of the School of Nursing at the Uni­ versity since 7966. She received her master's and doctorate degrees from Teacher's College, Colum­ bia University.O These are some of the approaches which I believe would be helpful in fostering the health team concept in our own planning. They are also basic approaches which I believe to be generally applicable to working together in achieving mutual goals for health care in any situation. Understanding the Sociological Framework of Patient Care The health team begins with the professionalization and sociali­ zation of those students whose professional practice will be focused upon the solution of these problems of care which serve the goal of health maintenance in our society. High level wellness, living up to one's fullest health potential and other synonyms arise from 42 THE BUFFALO PHYSICIAN �Class of 1927 at Spring Clinical Days Back Bow: Joseph F. Kij, Sr., Arthur G. Elsaesser, Norman J. Wolf, Meyer H. Riwchun, Herbert Berwald, Kenneth G. Jahraus, Richard L. Saunders, Arthur C. Hassenfratz, Raymond F. May, J. Theodore Valone, Frank M. Criden. Front Bow: John A. Leone, William S. Ruben, Milton A. Palmer, J. Frederick Painton, Lawrence L. Carlino, William S. MacComb, Arthur L. Funk. time to time. Basically, as a human right, health as an optimum goal is served by the collaboration of the health professions. As students, professionals should learn the social factors and processes that are relevant for patient care, particularly the inter­ acting parts of a dynamic social system. "The ways in which man thinks, believes, and acts depends largely on the culture and society in which he dwells. It is within these societal boundaries that his group life and sub­ sequent interpersonal relationships are structured. In these relationships man develops goals and aspirations that lead him to action. The more a health worker understands the development and consequences of these relationships, the better he will comprehend patient beliefs and behavior as well as his own." Trends and social movements in our culture create change in family structure, education, preceptions, values and the norms of life as well as the conceptions of health and illness which determine society's demands for health services. The professional needs to understand his own role as a person and as a professional and his need to move with the stream of life in order to understand it. The kind of professional being who emerges from the educational process determines to a large part his perception of his function. If members of the health team come to understand the cultural components of society, the factors of communication, socialization, social movements, professions and the family, patient perceptions, patient problems and potential solutions for those problems together, then the probable prediction for working together in practice is considerably enhanced. FALL, 1972 43 �Understanding the Delivery Patterns of Health Care A. The traditional system: Systems of care have been organized formally in large-scale in­ stitutions on bureaucratic or hierarchical lines. Such systems have tended to create and recreate communication problems antagonistic to achieving positive objectives of "team care" and individualization of patient care planning. Inherent in the traditional health care organizations are char­ acteristics of a value system long esteemed in our American cul­ ture. Responsibility, authority, command status, prestige, obedience and submission were and are the operational standards which conflict with the knowledge we now have about group dynamics and human relations. The conflict in a system of care which has not provided for social change, for facilitation of horizontal as well as vertical com­ munication, serves to disrupt the very services it seeks to provide. The splitting off of a variety of health workers whose philo­ sophical and personal values are different from their predecessors serves to fragment the communication of "caring" into isolated services on a functional basis. The hierarchical organization which admits patients and cares for them in a longitudinal structure of systems separated into disease entities and specialty units disregards the fact that patients come from a family and a community, go through a developmental proc­ ess of illness to wellness and return back to that family. He is sel­ dom seen in his totality as a person nor do the many people who provide services to him coordinate their care in terms of total patient "wellness" goals. Back Row: Marion J. Chimera, Joseph M. Smolev, Angelo F. Leone, Hugh J. McCee, Jr., Ernest C. Homokay, Arthur W. Strom, Marvin H. Milch. Front Row: William W. Pierce, Elmer Friedland, Myrtle W. Vincent, Benjamin E. Obletz, Bronislaus S. Olszewski, Carlton H. Goodman. Class of 1932 at Spring Clinical Days 44 THE BUFFALO PHYSICIAN �Class of 1962 at Spring Clinical Days Back Row: Joseph P. Armenia, Seth A. Resnicoff, Philip D. Morey, Robert C. Ney, Jack C. Fisher, John L. Kiley, Michael H Madden, Adolph J. Brink. Front Row: Morton P. Klein, David E. Carlson, George R. Tzetzo, Anthony J. Floccare, Owen G. Bossman, Gerald E. Patterson James T. Bumbalo, Richard C. Lisciandro. Until we move out of the traditional systems of care, the health team can function neither effectively nor dynamically in the direc­ tion of positive health. B. N e w s t r a t e g i e s o f p a t i e n t c a r e : Communication with coordination of and ease of movement for patients and personnel are components of any new strategy to improve health services to people. Communication is critical — coordination of patient care de­ pends on it. When no fewer than twenty to twenty five different occupational groups can be counted in a typical hospital unit, one begins to realize the enormity of the task. Studies have been made on why lateral communication is impeded on the inadequacy of written communication, on the nature of oral communication and the relation of these to meeting patient's needs. Attempts have been made to determine the effects of different work models on motivation and to group patients into different "need" settings for better utilization of staff. "Progressive patient care" has been tried in many ways and degrees of operation, and although the strategy has been known by different names, the grouping of patients to achieve certain care goals has greatly con­ tributed to improvements in recognizing the ways in which patients move through an illness experience. It is imperative to recognize the shift from earlier primary tasks of care and comfort, changes in disease patterns, transforma­ tion in the tasks performed in hospitals which result from greatly improved and complicated therapies, and a growing array of new specialized diagnostic and therapeutic techniques of a technical and professional nature which need to be performed for an in­ creasing preparation of patients. FALL, 1972 45 �I To cope with these changes we need new strategies in educa­ tional practice and in patient care and in the way^ealth profes­ sionals learn together in the clinical setting. Professional care in its supplementary and complementary relationships must identify the mutual contributions each profession can make to patient care goals. C. Patient and Community Participation — New Expectations for the Seventies The challenge of the seventies calls for an increased aware­ ness of the nature of patient care for the majority of patients who are rational, responsive and able to do things for themselves. An understanding of the nature of communication and its methodology, and a sensitivity to the need of increased nurse-patient communica­ tion are urgent concerns. The rapid change in the information sciences, the demand of the public for more information about their health services, and an increasing citizen awareness of health related problems call for expanding citizen involvement in planning for patient care. The goals of patient care services and the education of health workers are different and rightly so. The goal of a service is care of the patient and the goal of a school is the education of students. However, they are irrevocably linked in the development of a product sensitive to patients' needs, able to cope with them and to work with others to fulfill them. Understanding the Interrelationships of Health Personnel Whatever the future planning for clinical learning experiences for the five schools of the Health Sciences i.e. Medicine, Nursing, Dentistry, Health Related Professions and Pharmacy one challenge is clear. An opportunity must be provided for moving out of the traditional roles which have prevented professional nurses and Back Row: Ward A. Soanes, Edwin J. Lenahan, Jr., Murray N. Andersen, Daniel E. Curtin, Hans F. Kipping, John B. Sheffer, James F. Stagg, Raymond W. Blohm, Jr., David H. Nichols, Robert H. Wildhack. Middle Row: Arthur J. Schaefer, Richard J. Kenline, James F. Phillips, Anthony S. Merlino, Joseph C. Todoro, Robert J. Dean, William S. Edgecomb, William M. Bukowski, Peter J. Julian. Front Row: Jerome I. Tokars, Carl J. Nicosia, Frederick D. Whiting, Marvin G. Drellich, Robert J. Ehrenreich, Salvatore Aquilina, Thomas B. Clay, Jr., William C. Baker. Class of 1947 at Spring Clinical Days 46 THE BUFFALO PHYSICIAN �Class of 1952 at Spring Clinical Days Back Row: James F. Zeller, Alfred Lazarus, Donald F. Dohn, Colin C. MacLeod, Donald H". Sprecker, S. Jefferson Underwood, Stanley Pogul, Albert A. Gartner, Jr., Robert A. Baumler, Joseph E. Genewich, Neal W. Fuhr. Middle Row: Victor A. Panaro, John Y. Ranchoff, Robert M. Wilson, Phoebe E. Saturen, Oliver J. Steiner, Burton Stulberg, Kurt J. Wegner, Leonard I. Berman. Front Row: Melvin B. Dyster, Richard A. Bahn, Roy J. Thurn, John J. Banas, Bernie P. Davis, Francis A. Fote, Imre Szabo. their colleagues from maintaining and promoting expert clinical practice which is complementary to each other. Further, opportunity must be provided for students in these respective disciplines to ex­ plore their historical and educational foundations together and to continue these relationships in the care of patients. The principles of progressive patient care is to provide better treatment and care by organizing hospital services around the in­ dividual's nursing and medical needs rather than around the de­ partmental and clinical nature of his illness. At least six elements are incorporated in the progressive patient care concept: intensive care, self-care, long-term care, home care, and ambulatory care, usually provided on an out-patient basis. The full utilization of the concepts of progressive patient care help to integrate the flow of educational activities with clinical facilities. Supporting this principle, the following terms are defined: Intensive Care —For critically and seriously ill patients (includ­ ing surgical postoperative cases) who are unable to communicate their needs or who require extensive nursing care and observa­ tion. These patients are under close observation of nurses who have been selected because of their special skills, training, and experi­ ence. All necessary lifesaving emergency equipment, drugs, and supplies are immediately available. Intermediate Care — For patients requiring a moderate amount of nursing care. Some of these patients may be ambulatory for short periods of time. Emergency care and frequent observation are rarely needed. Included in this group are those patients who are beginning to participate in caring for themselves. In addition, the terminally ill may be cared for here. FALL, 1972 47 �I Self-Care — For ambulatory and physically self-sufficient pa­ tients requiring therapeutic or diagnostic services, or who may be convalescing. In this homelike atmosphere, provision is made for relaxation and recreation. Here the patient is instructed in selfcare within the limits of his illness. Long-term Care — For patients requiring skilled prolonged medical and nursing care. Rehabilitation, occupational therapy, and physical therapy services may be needed for these patients. In addition, emphasis is placed on instructing those patients who must learn to adjust to their illness and disability. Home Care — For patients who can be adequately cared for in the home through the extension of certain hospital services. A hospital-based home care program provides personnel and equip­ ment from the hospital or through community agencies, such as the local health department or the Visiting Nurse Association. The hospital, however, usually assumes responsibility for coordinating the services, whether they are furnished by the hospital or another agency. Extended Care — For patients who need medical and/or nurs­ ing supervision after discharge from the hospital to provide con­ tinuity for the therapeutic plan and to move toward fulfillment of the patient's health goals of high level wellness or optimum health potential. Regardless of future planning for clinical facilities these con­ cepts are part of system changes essential to improved patient care, improved educational programs, and improved health service de­ livery. Back Row: Sherman Woldman, Sarantos J. Yeostros, Richard F. Miller, Ross Markello, John S. Parker, James Boncaldo. Front Row: John K. Cusick, Sol Messinger, R. Ronald Toffolo, Jacqueline E. Ihrig, John J. Ihrig, Arthur L. Beck, Jr. Class of 1957 at Spring Clinical Days 48 THE BUFFALO PHYSICIAN �Class of 1942 at Spring Clinical Days Back Row: Howard N. Fredrickson, Frank M. Hall, Edward J. Zimm, Joseph E. Anderson, Vincent J. Parlante, Michael A. Jurca, William J. Staubitz, Leon Yochelson. Middle Row: Boris L. Marmolya, Robert Blum, Charles A. Bauda, Richard Ament, Richard Milazzo, Joseph A. Johengen, Horace L. Battaglia. Front Row: Kent L. Brown, O. P. Jones, Albert J. Addesa, Urban L. Throm II. With this distribution of health services, the quality of patient care is enhanced as a result of effective use of personnel, facilities, equipment, supplies and funds. Through the home care program an important link is formed with other health groups and community agencies, which may lead to greater cooperation by all concerned in providing health care. The Health Team representing the several disciplines mutually determine roles and functions for each phase of care. Each pro­ fession identifies and interprets his or her own capabilities and educational preparation. The patient's needs determine the con­ stellation formed by the health professions for each patient's needs, and a mutual determination is made through joint planning as to the identification of the coordinator's role. We have tended to make broad generalizations about who does what and have put into neat little boxes our predetermined functions whether they are appropriate to the situation or not. I believe that our collective future as mutually concerned pro­ fessions depends on our willingness to work together in ways that benefit the patient in reaching his goals for high level wellness and help him achieve his fullest potential. The following diagrams reflect one way in which organizational concepts of the health team and patient care might be viewed. (Appendices 1, 2 and 3) The dialogues are just beginning. We must both speak and listen as we have never spoken and listened before. FALL, 1972 49 �Appendix 7 I AN ORGANIZATIONAL CONCEPT FOR PATIENT CARE The Patient's Health Goals Appendix 7 Figure 1: The Patient's goals for high level wellness in keeping with the maximum health potential for each patient is the organizational base from which patient care plans, medi­ cal care plans and nursing care plans can grow. 50 THE BUFFALO PHYSICIAN �Appendix 2 PROGRESSION OF CARE Quality patient care is the goal of all members of the health professions. The indices represent facets of care as identified in physical, mental, etc. The factors are stated as questions to identify the qualitative aspects of patient care practices. Evaluation of the plan of care and its execution elicjt the why and the how. Figure 2: The major components of progression of care in the quest for quality. FALL, 1972 51 �Appendix 3 THE RELATIONSHIPS OF PATIENT CARE SERVICES IN THE MODERN HOSPITAL The excellence of patient care in the clinical setting will depend upon the strategic professional relationships which are built into new organization. Nursing in its present form does not, will not, cannot meet the extra-ordinary challenges of tomorrow . . . Only a radical shift of the nurse's professional practice from management of the situation to management of patient care in the nursing con­ text directly with patients will change the balance of priority from those things which are peripheral to those nursing practices which are essential for optimum quality of care. These shifts in practice relate definitively to colleague practice relationships established in the mutual planning of patient care. Figure 3: Care, Cure and Coordination . . . the functional base of good patient care.D 52 THE BUFFALO PHYSICIAN �A grant of $1,774,617 has been awarded to the Lakes Area Regional Medical Program, Inc. by the Department of Health, Education and Welfare. The Buffalo-based program, which encompasses seven Western New York counties — Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, and Wyoming — and Erie and McKean in Pennsylvania, serves over two million residents of the region. This program has received $6,092,307 from HEW since 1966. Dr. John R. F. Ingall, Executive Director of the Lakes Area Re­ gional Medical Program, Inc., said the award covers a 14-month period of operation ending April 30, 1973. Dr. Ingall indicated that the funds will be used to continue present health-related projects and initiate new ones. Regional Medical Programs are pri­ marily concerned with activities that increase the availability of quality health care and make the delivery of health care more efficient. Projects currently funded are: Telephone Lecture Network, a private telephone system linking 42 hospitals and other stations which provides continuing education programs for all health disci­ plines; Tumor Service Registry, a centralized computerized regis­ try designed to supply physicians with confidential cumulative data on cancer patients; Information Dissemination Service, which provides free library services to all health personnel in the region; Chronic Respiratory Disease Program, a many-faceted, comprehen­ sive project featuring screening and training of hospital personnel, a home care program, and an Associate Arts degree program in Inhalation Therapy; Model Program for Comprehensive Family Health, a family practice center in Buffalo, New York, to be used as a model to demonstrate the effectiveness of family physicians; Allegany County Mobile Health Vehicle; Comprehensive Continu­ ing Care for Chronic Illness, a project geared toward the inner city population; and Master Plan for Planning and Articulation of Allied Health Education, to identify manpower needs, training programs and develop a master plan for linking professional education pro­ grams based on need.Q Seniors Honor Faculty Fourteen medical faculty were "recognized for their teaching efforts" by the senior class at the Medical School. They are Dr. Richard H. Adler, professor of surgery; Dr. Henry E. Black, clinical instructor in medicine; Dr. Jules Constant, clinical associate profes­ sor of medicine; Dr. Mary O. Cruise, associate professor of pedi­ atrics; Dr. Charles M. Elwood, clinical associate professor of medi­ cine; Dr. Joseph C. Lee, professor of anatomy and research associate professor of surgery; Dr. Margaret H. MacGillivray, associate pro­ fessor of pediatrics; Dr. Joseph E. MacManus, clinical professor of surgery; Dr. James R. Markello, assistant professor of pediatrics; Dr. Mohamed Megahed, assistant professor of neurology; Dr. Thomas T. Provost, research assistant professor of medicine; Dr. Samuel Sanes, retired professor of pathology; Dr. Roy Seibel, clinical assist­ ant professor of radiology and Dr. James F. Upson, clinical assistant professor of surgery.^ FALL, 1972 53 774 617 ' ' RMP Grant �Dr. Carl E. Arbesman Listening to one of the scientific sessions are Professor Pierre Crabar, Institut Pasteur, Dr. Elvin A. Kabat, Columbia University and Dr. Noel R. Rose. Third Immunology Convocation It was a highly successful International Convo­ cation on Immunology. So agreed the over 450 scientists from across the nation, Canada, England, France, Sweden, Denmark, The Philip­ pines, Australia, Israel, and Argentina who at­ tended the third such biennial sponsored by The Center for Immunology. Over four days they exchanged data and explored areas for future progress on three related aspects of im­ 54 munology — how antibodies are made, how they react with antigen, and how this reaction produces clinical manifestations. Setting the stage was the Ernest Witebsky Memorial Lecturer, Columbia University's Dr. Elvin A. Kabat. hie described our current knowledge on the anatomy of antibody mole­ cules. By reviewing much of the chemical in­ formation reported in the scientific literature and with the aid of a computer, he was able to construct a model of the way in which amino acids combine to form a molecular guardian which can recognize and protect the body against foreign substances that invade it — germs, cancer cells or toxic substances from the environment. The first day's session expanded on these themes. Described were techniques such as x-ray crystallography and electron micro­ scopy by which immunoglobulin antibodies (IgG and IgM) can be actually visualized. One speaker, Dr. Thomas Tomasi (professor of medicine, SUNYAB), described special anti­ bodies (IgA) found in secretions in the gut and elsewhere which act as the body's first line of attack against environmental hazards. An­ other, Johns Hopkins' Dr. Kimishige Ishizaka THE BUFFALO PHYSICIAN �r e p o r t e d o n a n a n t i b o d y (IgE) h e d i s c o v e r e d and that plays a central role in human allergy. Opening the discussion on antigenic struc­ ture was Roswell Park Institute's Dr. David Pressman who explained how the chemical structure of antigens determine its reactions with these kinds of antibodies. He pointed to the precise requirements of molecular speci­ ficity in antigenic structure. Columbia Univer­ sity's Dr. Samuel Beiser then gave an excellent demonstration on the types of antibodies to nucleic acids that can be elicited by immuniz­ ing animals with nucleic acid bases conjugated to appropriate carrier molecules. He illustrated the potential usefulness of such antibodies in typing chromosomes — the prospects here are quite exciting for clinical applications. An impressive description by Wayne State University's Dr. Zouhair Atassi (formerly of SUNYAB's department of biochemistry) on how chemical modification of individual amino acid residues in myoglobin can lead to a comprehensive picture of antigenic structure in a globular protein was capped by Pittsburgh University Dr. Thomas Gill's authoritative re­ view on the ways in which synthetic polypep­ tides have advanced our understanding of the antigenic structure of proteins. Columbia University's Dr. Samuel Beiser and Dr. Giuseppe A. Andres. Co-chairing session on cellular sites of antigen recogni­ tion are Drs. Gustavo Cudkowicz and Pierluigi E. Bigazzi. Binding sites of antibodies were then dis­ cussed. Described were several approaches used to understand the small part of an imFALL, 1972 55 �I Dr. Stanley E. Cohen munoglobulin molecule that interacts with antigenic determinants. Identified was amino acid sequence, specific components, config­ uration of the molecule, and how they affect interaction with the antigen. While Roswell Park Institute's Dr. Allan L. Grossberg, in his approach, first protected the antigen combin­ ing site, identified it through this protection, then removed the protective group to see which part of the immunoglobulin molecule was involved. Dr. Oliver A. Roholt described isolation of peptides and amino acids that react with a particular antigen. A different part of the antibody molecule was reviewed by SUNYAB professor of pathol­ ogy Dr. Stanley Cohen. The part of the im­ munoglobulin involved in both protective and allergic reactions is distinct from the antigen combining site which the previous speakers have described. He showed how this region, the Fc piece, functions in complement fixation and allergic reactions. The studies made use of both chemically modified antibodies and Enjoying the coffee break are Dr. Felix Milgrom and graduate student Alan Gewirtz. 56 Pittsburgh's Dr. Thomas /. Gill makes his point. computer models based on the experimental results. Explained Center for Immunology di­ rector, Dr. Noel Rose, these fundamental kinds of studies help us to understand how antibod­ ies in some cases protect the individual against disease while at other times produce harmful effects such as allergies and the rejection of grafted organs. A major feature emerging from the Convo­ cation was a tool to explore the mechanisms of the immune system, man's defense against disease. It is the human cancer, multiple mye­ loma, that provides much information on anti­ body molecule and its function. The malignant cells in this disease are derived from a single abnormal ancester cell that sometimes produce a pure substance in large amounts that is very similar to the normal antibody. Explained Na­ tional Institutes of Health Dr. Michael Potter, the information gathered by this tool will be used not only to treat this kind of cancer but other cancers as well as many other kinds of disease. But there are also other types of antibodies, those of limited heterogeneity as well as pro­ teins of multiple myeloma with antibody ac­ tivity. Massachusetts General Hospital's Dr. Edgar Haber reviewed techniques that have led to production and characterization of hoTHE BUFFALO PHYSICIAN �mogeneous antibodies which resemble mye­ loma protein. By using bacterial vaccines as antigenic stimulants he was able to produce large amounts of homogeneous antibody in many of the rabbits studied, thereby creating a tool by which to understand better the rela­ tionship between this homogeneous antibody's molecular structure and its specific function. Although the impetus for production of such antibody still remains unclear, Dr. Haber be­ lieves that two important factors may be the characteristics of material injected and the genetic constitution of the animals involved. Recent work concerning the antigenic de­ terminants or "markers" on antibody mole­ cules that distinguish antibody of one spe­ cificity from that of another was discussed by Dr. Alfred Nisonoff from the University of Illinois. These individually specific markers appear to be related to or identical with the structure of the molecule which composes the antibody binding site. The markers, which are called idiotypic determinants, can be used to study the genetic control of antibody syn­ thesis. This has led to the concept that genes, which control the biosynthesis of the constant and variable portions of antibodies, are very closely linked. Summed up Dr. Nisonoff, anti­ bodies made against the idiotypic markers are proving to be powerful tools in leading to an understanding of the cellular basis of anti­ body synthesis. Drs. Erwin Neter and Caret I. van Oss. Dr. Allan L. Grossberg, Weizmann Institute of Science's Dr. David Givol, Professor Grabar, Dr. David Pressman. Reception and buffet dinner at Albright-Knox Art Gallery. �Johns Hopkins' University's Dr. Dr. Thomas B. Tomasi, Jr. Dr. Kimishi ge Ishizaka Dov Sulitzeanu. and Hebrew Program focus then shifted to "signals" which tell a cell in the body when to synthe­ size antibodies. Several speakers pointed to cells that have a trigger which resembles anti­ body and specifically recognizes antigen. When the antigen "pulls" this trigger the cell is switched on; it begins to multiply and produce antibody. This trigger was first visualized by Dr. Dov Sulitzeanu of Hadassah Medical School in Jerusalem who labelled the antigens which react to it. Much of this work was performed during his stay at Roswell Park Institute several years ago. A banquet honored Professor Pierre Grabar, Institut Pasteur, Paris, who has made many important contributions to the study of anti­ gens and antibodies, and has done much to stimulate the development of immunology as a discipline in France and throughout the world. The final session dealt with the means by which the body regulates the production of antibody. Roswell Park's Dr. Yasuo Yagi told of studies of antibody formation in cell cul­ tures while Dr. Matthew D. Scharff of Albert Einstein College of Medicine discussed spe­ cific steps (which he successfully duplicated in the laboratory) by which antibody mole­ cules are put together. New York University's Dr. Jonathan Uhr spoke of control mechan­ isms which regulate the production of anti­ bodies. 58 The entire proceedings will be published as the third in a series of international volumes sponsored by The Center for Immunology which was established at the University in 1967 to foster training and research-in immunology. Staffing The Center are faculty from the Uni­ versity and Roswell Park Institute, actively en­ gaged in work which covers all aspects of im­ munology. Its first director, Dr. Ernest Witebsky, Distinguished Professor of Bacteriology and Immunology, died unexpectedly on De­ cember 7, 1969. Its present director is Dr. Noel R. Rose, professor of microbiology, and its as­ sociate director is Dr. Stanley Cohen, profes­ sor of pathology. Program committee for this third International Convocation on Immunol­ ogy were Drs. David Pressman, Thomas B. Tomasi, Jr., Allan L. Grossberg, James F. Mohn, and Noel R. Rose.D Albert Einstein's Dr. Matthew D. Scharff and Dr. David Pressman. THE BUFFALO PHYSICIAN J �For 96 medical students classes were not over when the academic year ended in mid-May. Through the unique opportunity of summer fellowships, 40 freshmen, 53 sophomores, and three juniors will receive either a $500, $750 or $1000 stipend for an eight to ten week clinical or research experience. In reviewing applications received from medical students that outlined proposed research or clinical projects under specific preceptors, the six-member summer fellowship committee (3 faculty from basic sciences and an equal number of clinical representatives) under its chairman, Dr. Carl J. Bentzel, found six that were con­ tinuations of outstanding projects begun last year. In some cases these projects were as carefully planned and pursued as research programs by senior faculty. Freshman Leonard M. Klein and sopho­ mores Jon Rosenberg, Virginia Sybert, Craig A. Traugott, Robin L. Trumbull, and Robert M. Weiss were awarded $1000 stipends. Said Dr. Bentzel who is an assistant professor of medicine, "the emphasis on this year's applications appears to be in research." Over half (61) will be working on projects that encompass research in basic medical sciences, clinical research and research in health care delivery. The remaining 35 will seek to further their education by preceptorships in the clinical field. Of this figure, eight will work in rehabilitation medicine under Dr. John J. O'Connor at the E. J. Meyer Memorial Hospital, while 17 will work closely with family practitioners. More than three quarters of the group (88) will remain in Buf­ falo to work in University laboratories or at local hospitals. Five will work in European hospitals or laboratories, six at New York City medical institutions, two in California, and one each in Con­ necticut and Florida. Summer Fellowships CLINICAL Local Project Site, Faculty Introduction to care, management of handicapped child, rehabilitative aspects Tumor immunology; cell mediated cytotoxic assays in v i t r o Brown, Ian S. '74 Endocrinology Cohen, William F. '75 Dysnki, Sister Marguerite '75 Clinical preceptorship Goodman, Marianne '74 Pediatric Surgery Comparative Study of Organs controlling salt, water balance Hochberg, Lynn B. '75 in Lebistes, Fundulus Clinical Clerkship Mruczek, Arthur W. '73 Stomierowski, Louise M. '74 Obstetrics-Gynecology Clinical correlation of surgical pathology Szymula, Norbert J. '74 Gastric secretory response to insulin infusion, other drugs; Whelan, Kathleen M. '74 exp. visceral cryosurgery Block, Joel '75 REHABILITATION MEDICINE — E. ). Meyer Memorial Hospital Bauer, C. Donald '75 Colman, Marc '75 Franklin, Hal A. '75 Hanlon, Donna M. '75 Holifield, Edward W. '75 Neumann, Peter R. '75 Sadow, Stephen W. '75 Severin, Hayden '75 FALL, 1972 59 Children's Hospital—Dr. R. Warner Roswell Park—Dr. G. Moore Children's Hospital—Dr. T. Aceto St. Joseph's Hospital, Elmira—Dr. F. Brand Children's Hospital—Dr. T. Jewett Anatomy, SUNYAB—Dr. E. Hayes Arnold Gregory Memorial Hospital—Albion S. Buffalo Mercy Hospital—Dr. D. J. Nenno Sister's Hospital—Dr. P. Milley VA Hospital—Dr. A. Gage �Foreign Project Site, Faculty Alpert, Bernard S. '74 Pietraszek, James C. '74 Ramos, Carmen R. '74 IFMSA International Exchange Clinical Clerkship IFMSA International Exchange Clinical Clerkship Neuropathology, clinical neurology fellowship Medical Center, Lund, Sweden Medical Center, Lund, Sweden Maida Vale Hospital, London, England Studies on arrangement of nucleoproteins in sperm heads of various urodeles and humans Phenomenology of focal experimental epilepsy Preceptorship in intensive care and trauma study units Nurse training program in primary health care delivery Biology, Canisius—Dr. K. Barker RESEARCH Local Barker, Marilyn '75 Bartkowski, Henry M. '74 Boyd, Marvin T. '74 Brady, Brendan '75 Braico, John C. '74 Budny, James '74 Burdick, James P. '75 Culmer, Viola L. '74 Dahn, Michael S. '75 Ford, Leslie G. '74 Giaccio, Richard '75 Groskin, Stephen '75 Gustafson, Paul B. '74 Hart, Benjamin A. '74 Hedger, John '75 Hershcopf, Richard J. '74 Hrushesky, William '73 Kostrada, Nina C. '75 Layne, Gregory D. '75 Lee, Richard S. '74 Leffke, David '74 Licciardi, Ludwig '75 Lo, Hing-Har '74 Lovecchio, John '75 Manzella, John P. '74 Muido, Leo '74 Nakao, Michael '75 Nathanson, Jan T. '74 Piirmann, Margaret '75 Purgess, Jan R. '74 Rade, Michael P. '75 Rinow, Michael E. '75 Roehmholdt, Mary E. '75 Rosenthal, Thomas C. '75 Rowland, Michael C. '75 Sorge, Anthony C. '75 Sampson, Hugh A. Jr. '75 Sdao, Michael W. '74 Protection of animals from pulmonary oxygen toxicity by steroids Neutrophil physiology in infectious states and in diseases characterized by defective neutrophil function Kidney perfusion and preservation Early stimulation of high risk infants Common properties of osmotically induced, solute coupled transepithelial water flow Research, clinical applications of human genetics Determination of inulin space in isolated muscles Specimen preparation for gross anatomy Introduction to care, management of handicapped child stressing rehab, aspects Improved method forT-4 assays by competitive proteinbinding analysis using anion-exchange resin and radiothyroxine Investigate stimulation sequence facilitating digitalis induced arrhythmias in animal, man Computer simulation of blood coagulation dynamics Evaluate experimental chemotherapeutic drugs in new solid tumor model of renal carcinoma Nonhistone chromosomal proteins; effect on genetic expression of normal, neoplastic tissue Development of bioassay of androgen action on bone maturation using Pertechnetate-99 Comparison of myocardial function determined by angiocardiography vs. systolic time intervals Success of bronchial, pleural biopsies in making specific diagnoses Objective study, evaluation of drug rehabilitation centers in Erie County Immunology Anatomical techniques Calculation of pulmonary artery pressure from P2-V peak interval Family constellation under stress of terminally-ill patient Perception of stimuli alternating between receptive surfaces in audition, somesthesis Study of fatal methadone overdose in Erie County Effect of intrauterine malnutrition on hepatic drug metabolism Cancer immunology Adjustment of blood volume, intrarenal perfusion at birth Attitudes, outlook of terminally-ill child Transepithelial conductance in response to alternating currents Planning of demonstration health care delivery model Lymphatic involvement in arteriosclerosis In Vitro study of oxyhemoglobin dissociation curve of human blood under hypothermic conditions at pH for that temperature Immunochemical detection of human species specific esterase in interspecies hybrid cells Evaluate, analyze, utilize mental health facilities at Lackawanna Community Health Center 60 Physiology, SUNYAB—Dr. W. Noell Meyer Hospital—Dr. J. Border Social, Preventive Medicine, SUNYAB— Dr. H. Sultz Meyer Hospital—Dr. R. Markello Children's Hospital—Dr. M. MacGillivray Roswell Park—Dr. G. Murphy Psychiatry, SUNYAB—Dr. N. Solkoff Veteran's Hospital—Dr. D. Hare Children's Hospital—Dr. R. Davidson Physiology, SUNYAB—Dr. E. Ohr Anatomy, SUNYAB—Dr. J. Lee Children's Hospital—Dr. R. Warner Children's Hospital—Dr. W. R. Slaunwhite, Jr. Meyer Hospital—Dr. S. Wittenberg Biochemistry, SUNYAB—Dr. D. Surgenor Roswell Park—Dr. G. Murphy Biology, SUNYAB—Dr. T. Wang Children's Hospital—Dr. W. R. Slaunwhite, Jr. Children's Hospital—Dr. E. Lambert Millard Fillmore Hospital—Dr. S. Messinger Erie County—Dr. L. Nemeth Microbiology—Dr. N. Rose Anatomy, SUNYAB—Dr. J. Lee Buffalo General Hospital—Dr. J. Constant Psychiatry, SUNYAB—Dr. M. Plumb Psychiatry, SUNYAB—Dr. S. Axelrod Meyer Hospital—Dr. J. Lehotay Children's Hospital—Dr. C. Catz Roswell Park—Dr. Minowada Children's Hospital—Dr. W. Rahill Psychiatry, Meyer Hospital—Dr. M. Plumb Veteran's Hospital—Dr. C. Bentzel Social, Preventive Medicine, SUNYAB— Dr. H. Sultz Meyer Hospital—Dr. G. Reading Children's Hospital—Dr. W. J. Rahill Center for Immunology—Dr. N. Rose Lackawanna Clinic—Dr. R. Wolin THE BUFFALO PHYSICIAN �Local Project Site, Faculty Stratford, William '75 Stubenbord, John C. '75 Cardiovascular changes in swimming Physiologic significance of extra oxygen deficit incurred in man during bromide Effect of 6-aminoicotinamide on developing nervous system of rat Bone pathology Clinical Genetics: Study of Linkage in two or more families Physiology, SUNYAB—Dr. D. Rennie Pharmacology, SUNYAB—Dr. J. Winter Uhl, Natalie J. '75 Varecka, Thomas F. '74 Wolman, Stuart A. '74 Pharmacology, SUNYAB—Dr. F. Kauft'man Meyer Hospital—Dr. E. Mindell Buffalo General—Dr. R. Bannerman National Cukierman, Jack '74 Campanella, Vincent '74 DiSanto, Joseph '75 Gershbein, Bart '74 Goldstein, Howard R. '74 Greene, Donald R. '74 Hirsch, Eugene H. '75 Kleinman, George M. '74 Morris, Steven J. '73 Schiff, Jill B. '75 Removal of metabolites from peritoneal cavity with new device Pulmonary changes secondary to bodily injury in man Study of growth, development of newborn with hyper­ bilirubinemia treated with phototherapy Pilot study of occupation and prostatic cancer Anatomic pathology (microscopic and gross) Pilot study of occupational and prostatic cancer Investigate chemical maturation of mouse brain tissue invitro and insitu Anatomical pathology, emphasis on neoplasms of nervous system Measure cardiac output, stroke volumes, myocardial con­ tractility, other parameters of cardiac function by thoracic impedance cardiography Research, group therapy in children, adolescents with chemical Diabetes Mellitus Brooklyn Jewish Hospital, N. Y. Albert Einstein College of Medicine Elmhurst General Hospital, Queens University of California at Berkeley Albert Einstein College of Medicine University of California at Berkeley Mt. Sinai School of Medicine, N. Y. C. Bridgeport Hospital, Connecticut St. Barnabas Hospital, Bronx Mt. Sinai Hospital, Miami Foreign Truax, Bradley T. '74 Walsh, Thomas L. '74 Neuropathology Clerkship in radiotherapy Maida Vale Hospital, London, England St. Bartolomew's Medical College, London, England Studies in detection of anti-platelet antibodies Bromide intoxication: text of Stein's theory of schizophrenia Effects of cytochalasin-B in human lympocytes Electrophoretic analysis of creatine phosphokinase isozymes in human skeletal and cardiac muscle, pathologic sera Characterize resistance factor product mediating tetracycline resistance in E. Coli. Determine cytotoxicity of antisera prepared by immunization with neuraminidase treated 6C3H-ED lymphoma Children's Hospital—Dr. L. MacDougal Pharmacology, SUNYAB—Dr. J. Winter Children's Hospital—Dr. R. G. Davidson Biochemistry, SUNYAB—Dr. E. Massaro $1,000 Category Klein, Leonard M. '75 Rosenberg, Jon '74 Sybert, Virginia '74 Traugott, Craig A. '74 Trumbull, Robin L. '74 Weiss, Robert M. '74 Pharmacology, SUNYAB—Dr. A. Reynard Roswell Park—Dr. J. Bekesi Family Practice (arrangements by Dr. James Nunn) Brown, Albert '74 Chmielewski, Thomas '74 Cintron, William C. '74 Jimenez, Ruffino '74 Langford, Edward '74 Lasser, Daniel '74 Meggett, Isaiah '74 Portale, Anthony '74 Purgess, Jan R. '74 Rivera-Arguinzoni, Ramon '74 Simon, Joel A. '74 Welch, Peter C. '74 Wetter, James M. '74 Whelan, Kathleen '74 Xistris, Evangelos '74 Yang, Linda L-C. '74 Younkin, Donald P. '74 FALL, 1972 350 Alberta Drive, Amherst 826 East Delavan Avenue, Buffalo 1282 Stony Point Road, Grand Island 350 Alberta Drive, Amherst 3435 Bailey Avenue, Buffalo 3435 Bailey Avenue, Buffalo 1453 Jefferson Avenue, Buffalo 2567 Sheridan Drive, Tonawanda 41 Crowley Avenue, Buffalo Dr. Ray G. Schiferle Dr. John Gabbey Drs. Robert H. Miller and Edward A. Rayhil Dr. James R. Nunn Dr. Herbert E. Joyce Dr. Robert W. Haines Dr. Frank G. Evans Dr. Eugene C. Hyzy Dr. Fred Shalwitz 142 Bidwell Avenue, Buffalo 1275 Delaware Avenue, Buffalo 350 Alberta Drive, Amherst 350 Alberta Drive, Amherst 509 Cleveland Drive, Buffalo 531 Center Road, West Seneca 3435 Bailey Avenue, Buffalo 33 Center Street, East Aurora Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. 61 Max Cheplove Philip Goldstein Thomas W. Bradley Robert Corretore Charles A. Massaro Frederick C. Nuessle Harry L. Metcalf Elbert Hubbard, III �Vice President Search Committee Named President Robert L. Ketter has charged the recently named 14member Search Committee for Vice President for Health Sciences to recommend candidates who are "visionary, who will look to the future, who can cope with and force rapid change, who are not tied to what each of us know as the traditional methods of education, and who can lead Buffalo to pre-eminence as a center for the development of new and effective health care systems." The current vice president for the Faculty of Health Sciences, Dr. Clyde L. Randall, will retire soon. The Vice President for Health Sciences, Ketter told the Com­ mittee, "is charged with the development, coordination and ad­ ministration of the Schools, centers, institutes and programs located within the Health Sciences Center and, at the same time, is respon­ sible for the formal and informal relationships between this Uni­ versity and the hospitals, clinics and other patient care facilities with which we maintain cooperative relationships." He "must also maintain a close working relationship within this University community and play a key role in undergraduate and graduate program development," Ketter said. Also, "The Vice President for Health Sciences is our chief spokesman and representative in matters of health to SUNY and to the many public and private agencies with which we deal." Ketter pinpointed the primary responsibilities of the Health Sciences as "teaching and research," but, he said, "we cannot ig­ nore the crying needs of society for better access to total health care, which includes prevention of disease as well as treatment of it. It would seem most logical to assume that the university centers of our country are best equipped to mount the multidisciplinary, interdisciplinary attack which can meet those needs." Members of the Search Committee are: Mrs. John (Mildred) Campbell, community representative; Dr. Lawrence Cappiello, as­ sistant to the executive vice president, secretary; Miss Sara Cicarelli, Medical Technology; John Coulter, assistant to the dean, Pharmacy; Dr. James Dunn, Anatomy; Dr. Daniel Fahey, member, U/B Council; Dr. Andrew Gage, Veterans Hospital; Dr. Milo Gibaldi, Pharmaceutics; Dr. L. Saxon Graham, Sociology; Dr. George Greene, Oral Pathology; Dr. Donald Rennie, Physiology; Dr. Jeanette Spero, Nursing; and Dr. William Staubitz, Surgery, Meyer Memorial Hospital, chairman. Health science students elected Miss Dorothy Ackerman, a fourth-year student in nursing and Mr. Daniel Botsford a secondyear student in medicine to the committee.D 62 THE BUFFALO PHYSICIAN �The 1915 Class Dr. W. Gifford Hayward, M"15, is retired and living in Cocoa Beach, Florida (131 Sunny Lane). The urologist practiced for many years in Jamestown, N.Y. Fie was a past president of the W.C.A. and Jamestown General Hospital staffs. Dr. Hayward was also a past president of the Jamestown and Chautauqua County Medical Societies and the Northeast Section of A.U.A. and past chairman of the Section on Urology, New York State Medical Society. Dr. Hayward wrote extensively for the Journal of Urology, the Urologic and Cutaneous Review, from 1938 to 1953. The Classes of the 1920's Dr. Bart A. Nigro, M'20, who is semi-retired, is on the Honorary Staff at Buffalo Columbus Hospital. The former diagnostician of Buffalo and Erie County Health Departments, is a member of county, state and national medical societies. He lives at 229 Irving Terrace in Kenmore.D Dr. Irwin M. Walker, M'20, was honored in May by the Niagara County Medical Society for his 50 years of medical practice in the area. He received a certificate from the State Medical Society.D Dr. Joseph V. Farugia, M'21, was honored in May for his 50 years of medical practice in Niagara Falls. Dr. Boris Golden, M'40, was guest speaker and Dr. Peter lannuzzi was master of ceremonies. Dr. Farugia was de­ scribed as "a unique man because he practices good medicine and is interested in many other things as well."D Dr. Franklin T. Clark, M'22, was honored in May by the Niagara County Medical Society for his 50 years of medical practice in the area. He received a certificate from the State Med­ ical Society.D Dr. Caryl Koch, M'23, retired from general practice in 1966 to assume duties as full time medical director of the Orchard Park Central School System. He is a member of local, state and national medical societies and on the FALL, 1972 Board of Directors of the New York State School Physicians Association.• Dr. W. Yerby Jones, M'24, the only black physician to head a department in both the E. J. Meyer Memorial Hospital and the Medical School, was honored at a testimonial dinner May 3. He retired from the faculty last year after 25 years of service. The ophthalmologist will continue his private practice.• The Classes of the 1930's Dr. Thomas S. Bumbalo, M'31, was elected to serve a one year term as Vice President, Medical Society, State of New York at the organization's annual convention. He is a clinical professor of pediatrics at the Medical School. Currently serving as Assistant Medical Di­ rector at E. J. Meyer Memorial Hospital, Dr. Bumbalo is a Past-president of the Medical Society, County of Erie and Immediate pastpresident of the Eighth District Branch Medical Society, State of New York. He has acted as Medical Society representative, and Specialty (Pediatrics) representative to the State society for a number of years. In this capacity he has also acted as caucus chairman at the MSSNY annual convention. Most recently he has served as State Society delegate to the American Medical Association. Dr. Bumbalo will occupy a seat on the Council of the State Society by virtue of his new office.D Dr. and Mrs. Joseph D. Godfrey were hon­ ored for contributions to Canisius High School at the annual June Commencement. Dr. God­ frey is a 1931 Medical School Graduate and a clinical professor of surgery (orthopedic) at the University and Buffalo Bills team physician. Both of the Godfrey's sons graduated from Canisius. They are the Reverend Joseph J. God­ frey, S.J., now in graduate study at the Uni­ versity of Toronto and William R. Godfrey, who graduated from Notre Dame University this spring.D Dr. Edison E. Pierce, M'33, was honored in April by the East Aurora Kiwanis Club. He received the club's distinguished service award for serving the community 37 years as a gen­ eral practitioner. Dr. Pierce is a member of the Buffalo General Hospital surgical staff.D Dr. Norbert G. Rausch, M'33, terminated his private practice of dermatology in October, 63 �1970. He is now V.D. consultant to the Erie County Health Department and attending der­ matologist at Veterans Hospital. He is also a clinical associate in medicine (dermatology) at the University.• After a lengthy U. S. Public Health Service career (1939-1972), Dr. Thomas C. McDonough, M'36, is now in limited private practice, specializing in insurance examinations. Dr. McDonough was in charge of the USPHS Out­ patient Clinic, Buffalo from 1968-1972. His address is 41 Berkley Place, Buffalo.• Dr. Robert B. Newell, M'36, a surgeon, has retired from private practice in Rock Island, III. to join North Carolina's High Point Memorial Hospital's Emergency Room staff. He lives at 213 North. Point Avenue, No. 217A, High Point.D Dr. Theodore T. Jacobs, M'38, has been elected president and chief executive officer of the Buffalo General Hospital. He has been on the hospital staff in various administrative positions since 1959. Dr. Jacobs is an assistant clinical professor of surgery at the School of Medicine.• Dr. Roy E. Seibel, M'39, has been named a Fellow of the American College of Radiology. He is a clinical assistant professor of radiology at the Medical School.• department of internal medicine at St. Fouis University School of Medicine and was recently appointed Governor of the American College of Physicians, Missouri. His term of office lasts until 1974. Dr. Frawley is a co-author with Dr. George W. Thorn, M'29, of a book entitled The Adrenal Cland.Ci Dr. William J. Rogers III, M'45, a surgeon who lives at 4080 Delaware in Tonawanda, New York, has been elected president of the newly-formed NYS Society of Orthopedic Surgeons.D Dr. Albert P. Sutton, M'48, a urologist who is an assistant clinical professor at the Albert Einstein College of Medicine, is president of the Brooklyn-Fong Island Urologic Society. He lives at 38 Hemlock Drive in Kings Point, Great Neck.D Dr. Irving R. Fang, M'49, has been named chief of obstetrics and gynecology at Clifton Springs Hospital and Clinic, New York. Dr. Lang did his residency in obstetrics and gyne­ cology at the E.J. Meyer Memorial Hospital and was an assistant clinical professor at the Med­ ical School before moving to Newark 10 years ago. He is currently president of the New York State Divisions of the American Cancer Society.D The Classes of the 1950's The Classes of the 1940's Dr. John Persse, M'42, was honored at a testimonial dinner April 27 for his 21 years of service as chief of surgery at Mercy Hospital (Buffalo). He is a Fellow of the American Col­ lege of Surgeons and a Diplomate of the American Board of Surgery. Dr. Persse served his internship at Mercy Hospital and his sur­ gical residency at Alexander Blain Hospital, Detroit.D Dr. Alexander Slepian, M'43, received the annual brotherhood Citation from the Cana­ dian Council of Christians and Jews in Niagara Falls in May.D Dr. Charles J. Tanner, M'43, is president of the South Buffalo Mercy Hospital Medical Staff (1972). He lives at 785 Orchard Park Road, West Seneca.• Dr. Thomas F. Frawley, M'44, whose speci­ alty is Internal Medicine (Endocrinology) is physician-in-chief, St. Fouis University Hos­ pitals. He is professor and chairman of the 64 Dr. Robert H. Burke, M'51, an obstetriciangynecologist, lives at 811 York Street, Oakland, California. He is a member of the American College Ob-Gyn and Surgeons (Board ObGyn).D Dr. Bernie P. Davis, M'52, an orthopedic surgeon who lives at 666 Colvin Avenue in Kenmore, is president of the Western New York Orthopedic Society and Phi Lambda Kappa, a medical aid society, as well as vice president of the medical staff at North Tonawanda's DeGraff Memorial Hospital. He is an instructor of orthopedic surgery at the Uni­ versity.• Dr. Frank S. Cascio, M'54, is an associate professor of medicine at the University of Ken­ tucky in Lexington. He is Director of the Health Service at the school. Dr. Cascio is a Diplo­ mate, American Board of Internal Medicine and a Fellow of the American College of Physicians and also the American College of Chest Physicians.• THE BUFFALO PHYSICIAN �Dr. Ernest H. Meese, M'54, a surgeon who is assistant clinical professor at the University of Cincinnati Medical Center, is a member of many national and state medical societies. He has been elected vice president of the Cin­ cinnati-Hamilton County unit of the American Cancer Society and to the American Heart As­ sociation of SW Ohio's board of trustees and executive board. Dr. Meese lives at 174 Pedretti Road in Cincinnati.• A 1955 Medical School graduate, Dr. Milton Alter, discussed "Clues to the Cause of Mul­ tiple Sclerosis" at the annual public education program sponsored by the Multiple Sclerosis Association of Western New York in May. Dr. Alter is professor of neurology at the University of Minnesota and director of the multiple sclerosis clinic. He is also chief of neurology at Minneapolis Veterans Hospital.• Dr. William J. Sullivan, M'55, a psychiatrist who is on the faculty of the University of South California's Psycho-Analytic Institute, is a Diplomate of the American Board of Psychi­ atry and Neurology. He lives at 2204 Westridge Road in Los Angeles.• Dr. Germante Boncaldo, M'57, has been elected a Fellow of the American College of Physicians. He is a clinical instructor in medi­ cine at the Medical School.• Dr. Hilliard Jason, M'58, is stepping down from his position as Professor and Director of the Office of Medical Education Research and Development, College of Human Medicine, Michigan State University, to return to more active teaching and research. Dr. Jason founded the department six years ago at this new medi­ cal school. For the coming year he will be on leave of absence serving as "Scholar in Resi­ dence" at Lister Hill Center for Biomedical Communications at the National Library of Medicine in Washington, D. C. His home ad­ dress is 947 Roxburgh Road, East Lansing.D Dr. Thomas Doeblin, M'59, has been elected a Fellow of the American College of Physi­ cians. He is a clinical assistant professor of medicine at the School of Medicine.• Dr. Seymour D. Crauer, M'59, a surgeon who is an instructor at New York University is also a member of a group-type (prepaid medical plan) practice in Hicksvilie. The Fellow of American College of Surgeons lives at 20 Deerpath Lane in Syosset.D FALL, 1972 The Classes of the 1960's Dr. Harris C. Faigel, M'60, whose'specialty is Adolescent Medicine, is a clinical instructor in pediatrics at Boston University. His home address is 123 Sewall Avenue, Brookline, Mas­ sachusetts.• Dr. Marshall E. Barshay, M'63, a nephrologist on the staff of Los Angeles' Wadsworth VA Hospital, is a member of the American Society of Clinical Hypnosis and an associate of Amer­ ican College of Physicians. Dr. Barshay lives at 3630 Sepulveda Blvd., Apt. 135, Los Angeles.Q Dr. Lee N. Baumel, M'63, a psychiatrist who lives at 9270 Warbler Way in Los Angeles, is president of AWN (All We Need), a national ellemosynary foundation for dialysis and trans­ plantation, and vice president of Probus Pro­ ductions (productions for TV). Among his other memberships are Cedars Sinai Medical Center, Southern California Psychiatric Society, APA, and he serves as psychiatric consultant to Kidney Dialysis and Transplantations Pro­ grams.• Dr. Robert S. Zeller, M'63, a pediatric neur­ ologist, has moved to 302 Gentilly Place, Houston, Texas (from Buffalo).• Dr. Robert W. Harding, M'64, an internist, lives at 310 Tanner Street, Rutherforten, North Carolina. He is a Diplomate, Board of Internal Medicine and a member of the American Col­ lege of Physicians. He is Chief of Staff at Rutherford County Hospital and County Dele­ gate to the North Carolina State Medical Society.D Dr. Ronald S. Mukamal, M'64, a general sur­ geon at the USAF Hospital, George AFB in Cal­ ifornia, has been honored by the Jewish Chap­ laincy in "grateful recognition of (his) loyalty and devotion to God and country as a surgeon in USAF Hospital, George AFB, California." He lives at 4 California Court in Victorville.D Dr. Bernard S. Potter, M'65, recently com­ pleted his dermatology residency at Temple University Health Sciences Center, The Skin and Cancer Hospital of Philadelphia (7-1-69 to 6-30-72). He has now entered private practice of dermatology at 410 Wolf Hill Road, Dix Hills, New York.D 65 �Dr. David L. Buchin, M'66, has completed military service in July at Denver's Fitzsimons General Hospital where he was a psychiatrist. He plans to move to Phoenix, Arizona for ad­ ditional residency training^ Dr. Ira Feldman, M'66, who was recently in the U. S. Army at Fort Jackson, Columbia, South Carolina, is now starting the 2nd year of a Cardiology Fellowship (July, 1972) at Har­ bor General Hospital in Los Angeles. His first year fellowship was the same institution from 1969-1970. In March, 1971, Dr. Feldman be­ came a Diplomate of Internal Medicine. He has co-authored articles appearing in THE AMERICAN JOURNAL OF MEDICINE, CIRCU­ LATION, and CHEST Magazine.D Dr. Marcella F. Fierro, M'66, is a resident in pathology at the Medical School of Virgin­ ia, Richmond. Her address is 2901 Wighton Drive, Richmond.• Dr. Robert M. Tabachnikoff, M'66, who has been chief resident in OB/Gyn at Hartford Hospital, (Connecticut), will open a private practice in his specialty in Sarasota, Florida in September.n Dr. Eugene B. Wolchok, M'66, is in his last year of residency in ophthalmology at Massa­ chusetts Eye and Ear Infirmary and is also a teaching fellow at Harvard Medical School. He lives at 59 Mosman Street, West Newton.• Dr. John R. Anderson, M'67, recently en­ tered full time Emergency Medicine practice (May, 1972) at the Community Hospital of Ro­ anoke Valley, Virginia, after serving in the U. S. Navy. Two case reports of Dr. Anderson were published in Aerospace Medicine of October and November, 1971. His new address is 3782 Tomley Drive, Roanoke.• Dr. Robert M. Benson, M'67, is now finishing up his pediatric assignment in the U. S. Army at Dewitt Army Hospital, Fort Belvoir, Virgin­ ia. In September, 1972 he will begin a fellow­ ship in pediatric endocrinology at Johns Hop­ kins Hospital. He took previous pediatric train­ ing at the UCLA Hospital and William Beau­ mont General Hospital.• Dr. Richard H. Daffner, M'67, is a resident in diagnostic radiology at Duke University Medical Center, Durham, North Carolina. He is contributing editor, radiology, THE NEW PHYSICIAN (SAMA).Q Dr. Douglas Roberts, M'67, is now a Cardi­ 66 ology Fellow at Strong Memorial Hospital, Rochester, New York. Until July, 1972 he was chief resident in medicine at Meyer Memorial Hospital.• Dr. Margaret A. White, M'67, (nee Brown) completed her residency in pathology in July and has been appointed to the Medical Col­ lege of Virginia as an instructor in pathology. Her new address (she was married in May) is 8830 M Three Chopt Road, Richmond, Vir­ ginia.• Dr. S. K. Bosu, M'69, is an assistant clinical instructor (pediatrics) at McGill University Med­ ical School, Montreal, Quebec, Canada. He is also doing a 1-2 year fellowship in neonatol­ ogy at the Montreal Children's Hospital.• Dr. Lang M. Dayton, M'69, is now serving a 2 year USPHS obligation and is also an In­ structor in Medicine at the University of West Virginia Medical Center. He was formerly a Fellow in Pulmonary Diseases at the University of Colorado Medical Center. His address is 916 Hawthorne Avenue, Morgantown, West Virginia.• Dr. John R. Fish, M'69, is a resident, ortho­ pedic surgery, at the University of Minnesota. His address is 3472 North Milton Street, St. Paul.D The Classes of the 1970's Drs. Charles and Ellen Fischbein, M'70, have both completed pediatric residencies at the University of Cincinnati. Charles (now at Har­ vard University) will do a fellowship in pedi­ atric cardiology at Boston Children's HospitalEllen (Boston University) will do a fellowship in pediatric radiology at Boston Children's and Boston City Hospitals. Their new address is 307 Windsor Drive North, Framingham, Massachusetts.• Dr. James K. Smolev, M'70, wife Linda, and daughter, Jennifer Deborah (born February 28, 1972) are now at Fort Defiance, Arizona, where he is on active duty, U. S. Public Health Serv­ ice at the Indian Hospital. He had previously completed his internship, department of sur­ gery, Johns Hopkins Hospital. After two years in P.H.S., Dr. Smolev expects to return to Hop­ kins for a residency in urology.D Since July 1 Drs. Donald Marcus and Allen Berliner, both M'71, are in the National Health Service Corps division of the U. S. Public Health Service, Mono County, California.• THE BUFFALO PHYSICIAN �People President Nixon named Dr. Gerald P. Mur­ phy, director of Roswell Park Memorial In­ stitute, among his 18 appointees to the new National Cancer Advisory Board. Dr. Murphy is a research assistant professor of surgery (urology) at the Medical School.• Dr. Eleanor A. Jacobs, clinical assistant pro­ fessor of psychology in the department of psy­ chiatry at the Medical School, was awarded a plaque and $1,000 for her research in learning and memory in aging at a symposium at Miami Beach in March. She is also on the staff of Veterans Administration Hospital. Dr. Jacobs was the first recipient of the award for "ex­ cellence in research." She is trying to ascertain if an increased oxygen delivery to the brain can alleviate some of the symptoms associated with senility.D Dr. Daphne J. Hare, assistant professor of medicine and biophysical sciences, has been appointed to the NIH Renal Disease and Urol­ ogy Training Grants Committee. She is on the staff of Veterans Administration Hospital.• Two members of the Department of Social and Preventive Medicine at the Medical School have accepted positions at the University of Iowa, Iowa City. Dr. Peter Isacson, associate professor and head of the Vaccine Evaluation Unit since 1966, will become professor and chairman of the Department of Preventive Medicine and Environmental Health at Iowa. Dr. Robert B. Wallace, clinical instructor and acting director of the preventable disease service in the Erie County Health Department, will become assistant professor in the same department. He has been on the Medical School faculty since 1971.• Three alumni have been elected officers in the Heart Association of Western New York. Dr. William J. Breen, M'55, is the new presi­ dent; Dr. Victor L. Pellicano, M'36, is the president-elect and Dr. Francis J. Klocke, M'60, is the first vice president. Dr. Anthony J. Federico, clinical assistant professor of surgery, is the new secretary. Dr. Joseph J. Zizzi, M'58, is the immediate past president.Q FALL, 1972 A pre-medical student, Martin Barron, (right) was one of three to win a Clifford C. Furnas $1,000 Scholar-AthleteGraduate Scholarship. He was an outstanding breastslroker on the swimming team. Pictured (left to right) are — Bruce Fraser, football linebacker; Gerry Philbin (class of 1964) New York Jets defensive end, who was master of ceremonies at the 63rd annual "Block B" ban­ quet; Dale Dolmage, hockey center; and Martin Barron.• A fourth year medical student, David H. Breen, is a regional trustee of the Student American Medical Association.• Dr. Emma Harrod, clinical assistant profes­ sor of pediatrics and research assistant in­ structor in medicine, is the new deputy com­ missioner of health in Erie County. For the last two years she has been director of ma­ ternal and child health services in the Erie County Health Department. Before joining the department in April of 1970 she was clin­ ical director of the Birth Defects Center at Chil­ dren's Hospital. Dr. Harrod is a Fellow of the American Academy of Pediatrics.• Dr. David C. Dean, assistant professor of medicine, is the new president of the Buffalo Academy of Medicine. He succeeds Dr. Michael A. Sullivan, M'53.D Dr. Theodore H. Noehren is shifting from the University of Utah Medical Center to the Holy Cross Hospital in Salt Lake City. He will continue as a full-time member in the depart­ ment of medicine (pulmonary division) of the University Medical Center. Dr. Noehren was a member of the UB Medical School faculty from 1952 to 1968. When he resigned he was an associate professor of medicine. He is a graduate of the University of Rochester Med­ ical School.• 67 �Dr. Palanker Four alumni are officers of the Buffalo Sur­ gical Society. Dr. Harold K. Palanker, M'40, is the new president. Dr. Andrew Gage, M'44, is the newly elected vice president, while Dr. Ralph E. Smith, M'43, is the new secretary, and Dr. Carroll J. Shaver, M'44, is the new treasurer. Drs. Floyd M. Zaepfel, M'41, Charles Wiles, M'45, and Worthington G. Schenk Jr., pro­ fessor and chairman of surgery, are society council members. The society consists of sur­ geons who are active in community health activities and interested in a progressive med­ ical school. Dr. Palanker is a clinical assistant professor of surgery at the Medical School. He is also chief of one of the three surgical divi­ sions of the Buffalo Children's Hospital, At­ tending on the surgical staff of St. Joseph In­ tercommunity Hospital, and on the active teaching service of the Buffalo General Hospi­ tal. Dr. Palanker is past president of the West­ ern New York Chapter of the American College of Surgeons. He served with the Harvard Med­ ical Unit overseas during World War II and later finished his training in surgery at the Buffalo General and Children's Hospitals under the late Dr. John R. Paine.D Dr. S. Mouchly Small has been named official consultant for the Jerusalem Mental Health Center-Ezrath Nashim. He presented several seminars in June on the treatment of the aged with hyperbaric oxygenation. Dr. Small is pro­ fessor and chairman of psychiatry.D A biochemistry professor, Dr. Willard B. Elliott, was honored in May for his scientific contribution in spectroscopy, clinical chemistry, education and concern for the community. He received the Distinguished Service Award of the Niagara Frontier Section of the Society for Applied Spectroscopy.D Dr. Felsen Dr. Irwin Felsen of Wellsville was re-elected president of the Lakes Area Regional Medical Program. He is a clinical instructor in family practice at the Medical School. Dr. Theodore T. Bronk, clinical associate professor of pathol­ ogy, was named secretary and Dr. John C. Patterson, clinical associate in gynecologyobstetrics, was elected treasurer.D 68 Dr. Edmund Klein has been successfully eradicating skin cancer with immunotherapy. The research professor of medicine (derma­ tology and syphilology) at Roswell Park Me­ morial Institute began his research in 1963 and is using his technique as a last-ditch effort to save patients with intractable internal can­ cers manifested in the skin. In May at a Na­ tional Cancer Institute conference in Gatlinburg, Tenn. the physician-researcher reported that of 32 such cases treated so far, 24 had achieved remissions ranging from six weeks to six years.• Dr. Margaret Acara, who received her Ph.D. in pharmacology in 1971 from the university has been awarded a "graduate women in science grant-in-aid" from Sigma Delta Epsilon, an organization of national women scien­ tists. Dr. Acara's $750 award was one of three. She is currently working in Dr. Barbara Rennick's (professor of pharmacology) laboratory as a Postdoctoral Fellow, supported by a fellowship from the United Health Founda­ tion.• Dr. William A. Isaacs, a hematologist from the University of Ibadan in Nigeria, spent the last three months in the Medical Genetics Unit, Buffalo General Hospital, on a research fellow­ ship to study sickle cell anemia. He worked with Dr. Robin M. Bannerman, professor of medicine at the Medical School. Dr. Isaacs pointed out that about 17 of every 1000 blacks in Nigeria has this disease, compared to three in every 1000 blacks in the United States. He saw sickle cell patients being treated at the hospital and did laboratory investigation of factors which precipitate sickle cell crises. Some of this lab work could not be done in Nigeria, he said.D Dr. John Edwards has been elected a Fellow of the American College of Physicians. He is a research assistant professor of medicine and a Buswell Fellow at the Medical School.• Dr. Robert M. Kohn, clinical associate pro­ fessor of medicine, is president-elect of the New York State Heart Assembly. He is also director of the Buffalo Cardiac Work Evaluation Unit.D THE BUFFALO PHYSICIAN �Dr. Kunwar P. Bhatnagar, who received his Ph.D. in Anatomy in 1972 at the university is now an assistant professor at the University of Louisville School of Medicine (Kentucky).• Dr. Donald P. Shedd, chief of Roswell Park's department of head and neck surgery, and associate research professor in surgery at the University, lectured to the Puerto Rico Chapter, American College of Surgeons last February on oral cancer.Q Several alumni and Medical School faculty members are serving as officers and committee chairmen with the Erie County Medical Society. Dr. Leonard Berman, M'52, clinical associate professor of surgery, is the new president. He succeeds Dr. Anthony P. Santomauro, M'56. Dr. James H. Cosgriff, assistant clinical pro­ fessor of surgery is the new president-elect, and Dr. Frank J. Bolgan, M'51 is the newly elected vice president. He is a clinical as­ sociate in surgery at the Medical School. The new secretary-treasurer is Dr. C. Henry Severson, M'40. Standing committee officers are: legislation — Dr. Carmelo S. Armenia, M'49; public health — Dr. Alfred R. Lenzner, clinical assistant professor of medicine; economics — Dr. James M. Cole, M'59; medical education — Dr. John J. O'Brien, M'41; ethics — Dr. John J. G i a r d i n o , M ' 5 8 ; p e e r r e v i e w — D r . B e r n a r d M. Reen, clinical instructor in medicine.D O n e alumnus, Dr. Daniel R. Tronalone, M'22, was among the seven physicians honored for 50 years of practice by the Erie County Medical Society. The others are — Drs. Max S. Aber, Paul Beck, Arthur N. Bodenbender, Archibald S. Dean, George G. Martin and Kurt Mathews.D Dr. Ralph Sibley, research assistant professor of pediatrics at the Medical School, is the new president of the Citizens Committee for Chil­ dren of Western New York Inc. A 1962 gradu­ ate, Dr. Oscar Oberkircher, is the new treasur­ e r , a n d D r . L i s e l o t t e K. F i s c h e r i s a s s i s t a n t t r e a s ­ urer. She is a clinical associate professor of psychology in the departments of psychiatry and pediatrics at the University. Mr. Steve Knezevich is the new vice president.D FALL, 1972 In Memoriam Dr. William H. Hall Jr., M'43, was killed in a one-car accident in Western New York June 10. The 53-year-old physician lived at Bemus Point and had a general practice in Jamestown. At one time he was chief of the medical staff of WCA Hospital, Jamestown. He did his residency in surgery and cancer at Memorial Center, New York City. For the last 10 years Dr. Hall served as medical coordinator for the Chautauqua County Fire Service. He served as chairman of the Public Education Committee of the American Cancer Society, New York State Division. Dr. Hall was also active in sev­ eral other professional organizations.Q Dr. Ethan Lee Welch, M'25, died March 16 in St. James Mercy Hospital, Hornell, N.Y. following a three-week illness. The 70-year-old physician-surgeon started his Hornell practice in 1926, after interning at Buffalo General Hos­ pital. He was chief of staff at St. James Mercy H o s p i t a l a n d d u r i n g W o r l d W a r II h e w a s medical officer in charge of the Navy unit at Alfred University. He was also on the staff of Bethesda Community Hospital in North Hor­ nell. Following his retirement in 1968 he and his wife traveled extensively in this country and the Orient. His medical memberships in­ cluded the AMA, medical societies of New York and Steuben County and the American Society of Abdominal Surgery.D 69 �"p1 In Memoriam V1 Dr. William Brady is dead at 91. He was a 1901 Medical School graduate. Dr. Brady, who reached out to millions through the nation's first syndicated health column — "Personal Health Service" — died of uremia February 25 at his home in Beverly Hills, California. His loyal followers will remember the doc­ tor for his no-nonsense health advice. He ad­ vocated "oxygen on the hoof, bowling on the green, and somersaults" — and he practiced what he preached until he snapped a verte­ bra while turning somersaults at 83. Generations of Americans grew up with Dr. Brady; among his most faithful readers of re­ cent years were the grandchildren and great­ grandchildren of his first readers. Born March 26, 1880, he practiced medicine in upstate New York for 15 years before finally giving up private practice to write full-time. Over-stating to make his point, Brady ex­ plained: "I couldn't make a living in private practice. First, I told patients the truth, and that drove 'em to other doctors. In my inno­ cence I thought patients would like that, but I realized too late that they didn't. Second, I had too many patients who believed a doctor earns his money easily and hence can wait until all other bills have been paid — which too often proves forever." Dr. Brady's column, which is syndicated by National Newspaper Syndicate, started in 1914. For 58 years he carried out a war against "nostrum manufacturers," "klinic racketeers," and "merchants of medicine." condition of modern Americans, the doctor urged his readers to ride less and walk more. He also favored belly breathing, better chewing of food, and conservation of the teeth. "Real or replacement, count each tooth as worth $10,000," he said. The doctor him­ self used a birch toothpick with soap-andwater mouthwash. He fought the over-emphasis on new-fangled instruments, medicines, and methods. Yet, despite his ceaseless wars on "klinic racke­ teers," Dr. Brady urged his readers to consult reliable doctors. "Few men valued more high­ ly the worth of good medicine and good den­ tistry," remembers Robert C. Dille, head of the National Newspaper Syndicate and a long­ time friend of Brady's. "Perhaps more than any other man, Dr. Brady took his readers out of the Dark Age of mystery and mysticism and led them to a proper respect for science and medicine." Pomp and ceremony held no appeal for Dr. Brady. His last request was that no funeral or memorial service be held for him. He willed his body to the medical school of the Univer­ sity of California. "I never fret about eternity," he once said. "I came to a very satisfactory conclusion about that years ago: Leave it to God." Dr. Brady's wife died in 1960. He is sur­ vived by two daughters, Mrs. Charles (Helen) Redford and Mrs. Willis (Elizabeth) Ader, two grandchildren, and five great-grandchildren.• \0 His salty style and wry humor delighted mil­ lions of avid followers. Another physician once suggested that Dr. Brady was wrong in attrib­ uting the death of a patient to calcium short­ age. "Autopsies reveal that adults don't have as much calcium as children," the other doc­ tor said. "And why do you think there was an autop­ sy?!" Brady retorted. Firmly believing that nutrition is the secret of good health, Dr. Brady strongly advocated the use of vitamins and minerals as a basic part of the everyday diet. Teetotaler Brady regarded alcohol as a nar­ cotic, and urged youngsters not to smoke until they were 21. Deploring the physical 70 jV-^ Dr. Paul A. Fernbach, M'39, died of self in­ flicted gun wounds June 16. The 56-year-old clinical assistant professor of surgery at the Medical School was an associate surgeon at both Buffalo General and Children's Hospitals. He served his internship and residency at the Buffalo General Hospital. Dr. Fernbach spe­ cialized in surgery of the peripheral blood vessels. He was a Diplomate of the American Board of Surgery and a Fellow of the American College of Surgeons. He was also a member of the American and International Colleges of Angiology and the Phlebology Association of America., During and after World War II he served as a Major in the Army Medical Corps in the Asiatic Pacific Theater from 1941 to May 1946.D THE BUFFALO PHYSICIAN �Dr. Warren C. Fargo, M'13, died December 23, 1971. He had practiced pediatrics in the greater Cleveland, Ohio area for 50 years. He was head of the pediatrics department of Saint Luke's Hospital from 1929 to 1939. Dr. Fargo was born on April 18, 1890 in Warsaw, New York. His ancestors came from St-Fargau in France in 1670. The Wells and Fargo families founded an express service, Wells-Fargo Company, which was rooted in Western New York State and became a roman­ tic part of the history of The United States. With this background, Dr. Fargo became a member of The National Society of The Sons of The American Revolution. He interned at the Buffalo General Hospital in 1913. His residency training in pediatrics included The New York Nursery and ChiIds' Hospital, Seaside Hospital of St. John's Guild and The Children's Medical Division of Belleview Hospital. He had fellowships in pediatrics at Washington University and The Finkelstein Clinic in Berlin, Germany. Warren Fargo served with distinction in the Army Medical Corps in Tries, Germany in W o r l d W a r I. I t w a s h e r e t h a t h e m e t h i s l o n g time friend, Dr. Willard C. Stoner, Sr., former Director of Medicine at Saint Luke's Hospital. It w a s D r . S t o n e r w h o p e r s u a d e d h i m t o c o m e to Cleveland to practice. He also served in W o r l d W a r II a s a C o l o n e l a n d w a s t h e C o m ­ manding Officer of the Brook General Hos­ pital at Fort Sam Houston in San Antonio, Texas. On February 25, 1946 he received the Legion of Merit for "Exceptionally meritorious conduct in the performance of outstanding services" while he was in charge of this facility. Dr. Fargo was Chief Medical Director of The Children's Fresh Air Camp and Hospital, now known as Health Hill, for forty-two years. He was honored in 1963 when a hospital unit was named for him. The doctor was a member of the Ohio State Medical Association, The American Medical Association, The American Academy of Pedi­ atrics and was certified by The American Board of Pediatrics. He was a member of the Cleveland Academy of Medicine and a former Editor of THE ACADEMY BULLETIN. He was also a member of Nu Sigma Nu Fraternity.D FALU 1972 D r . L. G o r d o n L a P o i n t e , M ' 3 7 , d i e d s u d d e n l y on January 10 of a coronary. He was living in South Pittsburg, Tennessee at the time of his death. Dr. LaPointe interned at Sisters of Charity Hospital and had seven months of surgical pathology at Buffalo General Hospital. He did his surgical residency at New York Post Gradu­ ate Hospital from 1939-41. He continued his work, serving as personal assistant to Dr. John J. M o o r h e a d u n t i l 1 9 4 7 . D r . L a P o i n t e s e r v e d in the United States Navy during World War II. All of Dr. LaPointe's active surgical career was in New York City until July 1969, at which time he resigned from his private practice and from his position as Vice President and Medi­ cal Director of the Manhattan Life Insurance Company, to become staff surgeon at the South Pittsburg Municipal Hospital, South Pittsburg, Tennessee. Dr. LaPointe was a member of various mediical and professional organizations including Diplomate of the American Board of Surgery, Fellow of the International College of Sur­ geons, Fellow of the New York Academy of Medicine, Member of the Chattanooga-Ham­ ilton County Medical Society, State of Tennes­ see Medical Society, Non Resident Member State of New York Medical Society, and AMA.D D r . D o r i t a A . N o r t o n ', r e s e a r c h a s s o c i a t e / professor of biophysical sciences, died May 21. The 41-year-old scientist was also executive director of the Medical Foundation of Buffalo. At one time she was an assistant to Dr. George E. M o o r e , f o r m e r d i r e c t o r o f R o s w e l l P a r k Memorial Institute.• ( ) ' D r . G e o r g e B. U b e l , M ' 1 5 , d i e d M a y 2 4 . T h e 79-year-old specialist in internal medicine had practiced for 57 years in Grand Island and Buffalo. He had gone into semi-retirement in 1970. He was on the Medical School faculty (1945-59) and on the staffs of Buffalo General, Kenmore Mercy and Millard Fillmore Hospitals. In 1969 Dr. Ubel was named "Senior Citizen of the Year" by the Grand Island Chamber of Commerce. He was active in several local and state professional organizations-^ 71 �/YVD In Memoriam Dr. Porter A. Steele, M'16, died June 4, after a one week illness. The 79-year-old Buffalo surgeon was a member of the Millard Fillmore Hospital staff for 45 years and its president from 1956 to 1958. He was attending surgeon from 1927 to 1959, then consulting surgeon before becoming emeritus surgeon in 1971. Dr. Steele's practice spanned a 56-year period. He was president of the Erie County Medical So­ ciety in 1946. He was a Fellow in the American College of Surgeons and studied at the Uni­ versity of Vienna and the University of Buda­ pest. He was an instructor in anatomy at the Medical School from 1936 to 1945. He in­ terned at the Buffalo General Hospital and completed his residency at the New York Post Graduate Hospital, New York City. A member of the Sports Car Club of Amer­ ica, Dr. Steele served on the medical team at the Grand Prix in Watkins Glen from 1956 to 1971. He was also an antique car buff. He served in the Army Medical Corps in France during World War I and was discharged a lieutenant. Dr. Steele was a founding member of the Science, Progress and Research Club of Buffalo, and a member of the AMA, American Society of Abdominal Surgeons, New York State Society of Surgeons and the Buffalo Academy of Medicine. He was also active in several other civic organizations.• " Dr. Howard Osgood, 82, one of Buffalo's early allergists died May 23 at the Presbyterian Home where he had lived for the past two years. He was an assistant professor of medi­ cine at the Medical School from 1921 to 1926. Dr. Osgood had been chief of the allergy clinic at the Buffalo General Hospital from 1929 to 1954 and was widely known for his research in allergy caused by caddis flies. He also did research in allergic chest conditions among grain handlers. He was a 1916 graduate of the Harvard Medical School. Dr. Osgood served overseas as a Captain in the Army Medical Corps in World War I. He moved to Buffalo in 1920. From 1924-30 he was on the staff of Buffalo City Hospital, later Meyer Memorial. During World War II he was an examiner in internal medicine at the Armed Forces Induction Center and from 1924-46 he was school physician at Nichols School. After his retirement he served as an attending physi­ cian for the Red Cross Blood Program. Dr. Osgood became a Diplomate of the American Board of Internal Medicine with cer­ tification in allergy in 1937. He was a former vice president of the American Academy of Allergy and represented the Academy at the first international congress of Allergy in Zurich, Switzerland in 1951. He was a founder of the International Association of Allergists. He was a member of the AMA, Erie County Medical Society, the New York Medical Society and a life Fellow of the American College of Physicians.n The General Alumni Board - MORLEY C. TOWNSEND, '45, President; DR. FRANK L. GRAZIANO, D.D.S., '65, President­ elect; GEORGE VOSKERCHIAN, Vice President for Activities; FRANK NOTARO, '57, Vice President for Administration; MRS. PHYLLIS MATHEIS KELLY, '42, Vice President for Alumnae; JAMES J. O'BRIEN, '55, Vice President for Athletics; ROBERT C. SCHAUS, '53, Vice President for Constituent Alumni Croups; DR. GIRARD A. GUGINO, D.D.S., '61, Wee President for Development and Membership; G. HENRY OWEN, '59, Vice President for Public Relations; ERNEST KIEFER, '55, Treasurer; CHARLES M. FOGEL, '38 and ESTHER K. EVERETT, '52, Members of the Executive Committee; Past Presidents: DR. EDMOND J. GICEWICZ, M'56; ROBERT E. LIPP, '51; M. ROBERT KOREN, '44; WELLS E. KNIBLOE, '47; RICHARD C. SHEPARD, '48. Medical Alumni Association Officers: DRS. JOHN J. O'BRIEN, M'41, President; LAWRENCE H. GOLDEN, M'46, Vice President; PAUL L. WEINMANN, M'54, Treasurer; LOUIS C. CLOUTIER, M'54, Immediate Past-President; MR. DAVID K. MICHAEL, M.A. '68, Secretary. Annual Participating Fund for Medical Education Executive Board for 1971-72 — DRS. MARVIN L. BLOOM, M'43, President; HARRY G. LaFORGE, M'34, First Vice-President; KENNETH H. ECKHERT, SR., M'35, Second Vice-President; KEVIN M. O'GORMAN, M'43, Treasurer; DONALD HALL, M'41, Secretary; MAX CHEPLOVE, M'26, Immediate PastPresident. 72 THE BUFFALO PHYSICIAN �ALUMNI TOUR ROMAN CARNIVAL Departing Oct. 6, 1972, Jet flight from Niagara 8 days and 7 nights — $429.00 complete per person double occupancy, plus 10% tax and services. • Rome — 5 days and nights • Romantic South — 3 days and 2 nights (Naples, Pompeii, Sorrento, Capri) • Deluxe Accommodations • Full American Breakfasts, Gourmet Dinners Nightly • Free sightseeing tour of Rome For details write or call: ALUMNI OFFICE, SUNYAB 123 Jewett Parkway Buffalo, N. Y. 14214 (716) 831-4121 First Class Permit No. 5670 Buffalo, N. Y. BUSINESS NO POSTAGE STAMP REPLY NECESSARY IF MAILED IN THE MAIL UNITED STATES POSTAGE WILL BE PAID BY — Medical Alumni Association 2211 Main Street Buffalo, New York 14214 Att.: David K. Michael �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 Office Address — Home Address — If not UB, MD received from In Private Practice: Yes • No • In Academic Medicine: Yes • Specialty. No • Part Time Q 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Journals and magazines 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 1972 Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--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 1972-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_v06n03-1972-Fall Table Of Contents A list of subunits of the resource. Seniors Honored Spring Clinical Days: Drug Addiction Professional Corporation Canadian Abortion Legal Abortion Local Abortions/Skin Cancer Drug Ramifications Health Crisis Personal Touch Health Politics Admissions, Budget Health Care Flight Surgeon/Dr. Ranney Class Day Exercises: Class President Speaks Medentian Response Dr. Randall's Congratulations Dr. Sullivan Retiring Faculty Residents Interns Dr. Eckhert Intern Matching Dr. Sanes University Health Service Medentian Honors Professors Eden Physician/Medical Education Working with Others for Optimum Care of Patients by Ruth T. McGrore, Ed.D. Dean School of Nursing RMP Grant/Seniors Honor Faculty Immunology Convocation Summer Fellowships VP Search Committee The Classes People In Memoriam Date Created Date of creation of the resource. 2022-09-15 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. v06n03 Extent The size or duration of the resource. 76 p. Spatial Coverage Spatial characteristics of the resource. New York (State)--Buffalo Rights Holder A person or organization owning or managing rights over the resource. Copyright 1972 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/6316cb8f0468e5738605025fc6e6415e.pdf aac4b651bc20d7d46a3dda0fd3386774 PDF Text Text �STAFF DIRECTOR OF PUBLICATIONS Nancy Tobin BUFFALO PHYSICIAN EDITOR Connie Oswald Stofko ART DIRECTOR Alan J. Kegler ASSISTANT ART DIRECTOR Scott Fricker ADVISORY BOARD Dr. John Naughton, Chairman Dr. Harold Brody Ms. Nancy Glieco Dr. James Kanski Dr. Joseph L. Kunz Dr. Charles Paganelli Mr. Paul D. Paterson Dr. Antoinette Peters Dr. Charles Pruet Dr. Luther Robinson Dr. Thomas Rosenthal Dr. Saleela Suresh Dr. Burton Singerman Dr. Stephen Spaulding Dr. Nelson Torre Mr. Edward Wenzke Dr. Jerome Yates Dear Alumni and Supporters of the UB medical school: M edical schools and the health care establishment must contribute ideas and programs to meet the needs of our rural citizens. This was the consensus of a recent confer­ ence of legislative leaders, faculty from New York State public and private medical schools, and national leaders held in Buffalo. Dr. Thomas Rosenthal of the Department of Family Medicine was in­ strumental in organizing the event. Clearly, departments of family medicine will play an impor­ tant role in directing training efforts to produce medical manpow­ er to populate these underserved areas, and in fostering innovative mechanisms that provide continuing education opportunities and professional linkages between a medical school and the rural phy­ sicians. With the leadership of our department and the strengthening of the conference participants' resolve, I am sure that this unmet need will be dealt with constructively in the years ahead. Sincerely, WRITERS Wendy Brown Milt Carlin David Himmelgrecn Collin McCulley David M. Snyderman John Naughton, M.D. Vice President for Clinical Affairs Dean, School of Medicine and Biomedical Sciences ILLUSTRATORS Alan E. Cober Dan Zakroczemski PHOTOGRAPHERS Antoinette Mucilli Simon Tong Robert Walion TEACHING HOSPITALS AND LIAISONS Batavia Veterans Administration Medical Center Buffalo General Hospital, Mike Shaw Buffalo Veterans Administration Medical Center, John Pulli Children's Hospital, Karen DryjaSwierski Erie County Medical Center, Marion Marionowsky Mercy Hospital, Chuck Telesco Millard Fillmore Hospital, Joseph R. Ciffa Roswell Park Memorial Institute, Judy Rice Sisters Hospital, Dennis McCarthy Produced by the Division of University Rela­ tions in association with the School of Medi­ cine and Biomedical Sciences, State University of New York at Buffalo. THE BUFFALO PHYSICIAN AND BIO­ MEDICAL SCIENTIST (USPS 551-860) Late Winter 1989-90, Volume 2.3, Number 5. Published five times annually: Spring, Summer, Autumn, Early Winter, and Late Winter — by the School of Medicine and Biomedical Sciences, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Third class bulk postage paid at Buffalo, New York. Send address changes to THE BUFFALO PHY­ SICIAN AND BIOMEDICAL SCIEN­ TIST, 146 C.F.S. Addition, 3435 Main Street, Buffalo, New York 14214. Dear Colleagues: S pring Clinical Day and Reunion Weekend will be held April 28. A series of outstanding speakers will address the theme "Changing Aspects of Medical Practice." The Stockton Kim­ ball Lecture will be given by Dr. Arnold Relman, editor-in-chiet of the New England Journal of Medicine. Please plan to attend. I'm sure you will be happy you did. Plans are firming up for the first annual UB Medical Alumni "West Coast Mini Spring Clinical Day" to be held in Long Beach, Calif, on May 12. A videotape of Dr. Relman's lecture, in addition to other discussions, will be presented. If you are able to attend, please contact Dr. Richard Berkson at 1868 Pacific Ave., Long Beach, Calif. 90806, or phone (213) 595-4718. Your association and the school are once again seeking nomi­ nations for the Distinguished Medical Alumnus/a Award. If you have a nominee, please submit his or her name on the card located in the front of the magazine. Looking forward to seeing you all at our alma mater on April 28. *v f ! / / / Joseph L. Kunz, M.D. ( • President, Medical Alumni Association �BUFFALO PHYSICIAN vol. 23, No. 5 JL and Biomedical Scientist Late winter 1989-90 Features Urban family medicine. Training physicians to bring "private practice" care to the poor in the inner city is the goal of a new UB program. The other enemy of World War I. Buffalo fared better than most cities during the influenza epidemic of 1918-19, thanks to the leadership of the UB medi­ cal school and its alumni. Volunteers in Third World, page 14- Volunteering in the Third World. Three physicians had three very different experiences, but all encourage their colleagues to share the adventure. Departments Q] Medical School News. Lila Amdurska Wallis, M.D., F.A.C.P., a crusader for women's rights, told a UB audience that it's time to make medicine a bi-gender profession—not only in body count, but in spirit. Serving the underserved, page 2. Research. UB's new Multidisciplinary Center on Ag­ ing focuses on the country's ever-growing popula­ tion of elderly. Alumni. Scholarships, generously provided by alum­ ni, help today's students achieve their dreams. QJ People. We could solve world problems if we used our money for medical research instead of wasting it on weapons, says Guiseppe A. Andres, M.D., as he reflects on social issues and his 20-year career at UB. V- - Cover: Battling an epidemic, page 8. Photo courtesy of the Buffalo and Erie County Historical Society. Classnotes. EQ Hospital News. -oJ Independence for the elderly, page 24. �Letters 2 High Altitude Paradise Editor: A note confirming that ex-Buffalonians do read the Buffalo Physician and Biomedical Scien­ tist, and comments on the article, "Mountain Medicine" (Autumn 1989). My wife and 1 live near Conifer, Colorado at 8,225 feet and spend considerable time climbing and hiking at higher altitudes. Snowmass is at 8,575, not 11,000 feet. Our highest town is Leadville, at 10,152 feet. One town, Silverton, at 8,316 feet has only 14 frostfree days. Dr. Robert Gerner, formerly at Roswell Park Memorial Institute, practices general surgery at Vail (8,150 feet). Personally, I have never heard of any na­ tive suggesting breathing in a paper bag for altitude sickness and I have no knowledge of anyone having severe altitude sickness at 8,000 feet, nor fatalities at 9,000 feet. Heavy smokers, whose adjusted "altitude" would be about 10,000 to 13,000 feet, might have trouble. Rapid, competitive climbing, especially by youngsters, commonly can promote the on­ set of cough, headache, giddiness, and nausea, but rarely serious "mountain sickness." In winter, the associated increase in energy ex­ penditure may lead to a dangerously impaired judgment. The only practical solution is to head downhill. We see other problems in flatlanders before they adjust to this high altitude paradise: • There is the teenager welded to his third can of pop who ascends rapidly on the ski lift and then jumps and soars over the moguls down the valley floor, only to roll in pain from pneumatosis intestinalis. • There is the young lady who misses a commercial flight and heads up over the mountain in an un-pressurized plane, only to learn that her gas-filled prostheses have placed her in double jeopardy. • Of course there was the huge Texan who died on the slopes and wouldn't fit in the lar­ gest available coffin. The local coroner insert­ ed an aspiration tube, and shipped him home in a shoe box. The advice to spend one day at Vail (8,150 feet) or at Aspen (7,980 feet) in mild activi­ ties before climbing a 14,000-foot peak (there are over 50 of them) is reasonable. Your re­ ward will be some of the most beautiful scenes in the world! Cheers, George E. Moore, M.D., Ph.D. LATE WINTER 1989-90 Professor of Surgery Chairman, Division of Surgical Oncology Department of Health and Hospitals City and County of Denver (Editor's Note: Dr. Moore was director of Roswell Park Memorial Institute from 1952 to 1967 ) John Krasney, Ph.D., whose work was described in the article, replies that neurologist Marcus Raichle and some mountaineers, not natives, ad­ vocate the paper bag treatment for acute moun­ tain sickness. Recent evidence indicates that both sides of the argument may be right, Krasney said. Breathing 3 percent carbon dioxide may alleviate symptoms of acute mountain sickness, while it is uniformly agreed that higher levels can exacerbate the con­ dition. He notes that heavy exertion during climbing by non-acclimatized and unfit individuals can indeed lead to serious problems. He agrees that it is rare for people to experience severe acute mountain sickness at 8,000 or 9,000 feet, but it has been documented in a Colorado skier and several climbers on Mt. Fuji. These individuals pmbably have only a minimal increase in venti­ lation drive, which allows them to get sick at modest altitudes. This Historian Never Sleeps Editor: I read.with,greatinterest David Snyderman's article "From Rags to Stitches" (Autumn 1989). Dr. Border is a treasure and without equal as an expert in his field. His knowledge of physiology and trauma is encyclopedic. However, I feel compelled to correct an in­ accuracy within the article. Quoting Border, Snyderman writes: "There was no real profes­ sional anesthesia until World War II. At that time, the armies trained and designated anesthetists." This is not true. The Mayo Clinic residen­ cy program in anesthesiology dates from the late 1920s, as does the program at the Univer­ sity of Wisconsin. The American Society of Anesthesiologists began to issue certificates which certified a physician as a specialist in 1936. The American Medical Association recognized anesthesiology as a medical specialty, on an equal footing with surgery, in 1940. The University at Buffalo can be proud of the role it played in the early organization of anesthesiology. The first academic appoint­ ment here predates the First World War and there was a residency training program in place in Buffalo in 1937. The Second World War accelerated the process of specialization, not only in anesthesiology, but in most fields of medicine. The recognition of anesthesia as a specialty in the '20s and '30s, along with the role played by the University of Buffalo, is a research in­ terest of mine. While these facts may be some­ what obscure, they are fairly well known, at least among anesthesiologists. I thank you for the opportunity to educate and erase a popular yet inaccurate view of my profession. Most sincerely, Douglas R. Bacon, M.D. Staff Anesthesiologist Roswell Park Cancer Institute Clinical Instructor in Anesthesiology Graduate Student, UB Department of History John R. Border, M.D., replies that anesthesia was first practiced as a specialty in the '30s by a few people, but did not become generally accepted or generally organized until after World W a r II. Letters The Buffalo Physician and Biomedical Scientist welcomes letters from its read­ ers. Address them to Buffalo Physician and Biomedical Scientist, 136 Crofts Hall, University at Buffalo, Buffalo N.Y. 14260. ;ALO PHYSICIAN AND BIOMEDICAL SCIENTIST �'Private Practice' for the Inner City' NEW UB PROGRAM BRINGS PERSONALIZED CARE TO THE URBAN POOR Understanding his patients is a goal of David Hoi den, M.D., left. B y D A V I D H I M M E L G R E E N mother brings her sick toddler to the hospital emer­ gency room. The wait is long and the child begins to cry. The mother is confused by the forms she has to fill out in order for her child to be seen by a doctor they've never met. The physician, overworked and tired, is brusque and appears to be unsympathetic. Mother returns home vowing never to return. But she will be back. BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST LATE WINTER 1989-90 �AT RIGHT, ADRIANA ALVAREZ, M.D., AND BELOW, DANIEL LASSER, M.D., TRY TO STOP THE "CONVEYOR BELT" APPROACH TO MEDICAL CARE IN THE INNER CITY. LATE WINTER 1989-90 "Where do the urban poor go for medical care? They are frequently driven, in an almost cattle-like mode, to the ERs of major inner-city hospitals and health clinics where they are shuttled from doctor to doctor," said David Holden, M.D., professor and chairman of UB's department of family medicine. "Patients are put through a system which is sometimes analogous to a conveyor belt," added Daniel Lasser, M.D., clinical director of the Family Medicine Department at the Erie County Medical Center. "There is little opportunity for in­ teraction between the doctor and patient. It's not a conducive situation for any of the parties." But Buffalo is in the forefront of a better ap­ proach. Lasser is the director of a new UB program called Urban Family Medicine. Its mission is to pro­ vide a more personalized kind of health care for the urban poor in Buffalo. "What we are trying to do is to introduce a pri­ vate doctor's office into the inner city," explained Peter Kowalski, M.D., clinical assistant professor in family medicine. "We try to ensure that each patient gets to see a specific doctor on a continuous basis," added Adriana Alvarez, M.D., clinical assistant professor in family medicine. "By doing this we build a bond of trust with our patients and the community." The street is dotted with stores that have closed down, marked by their white-washed windows. The weather-warped porch on one house sags in the mid­ dle. Several other houses could use a fresh coat of paint. Children play on sidewalks strewn with litter. The blight of the inner city intertwines with the problems of the Third World on the lower west side of Buffalo. The people are poor, primarily Hispan­ ic and African American. Recent emigres and ille­ gal aliens bring with them the diseases of their native countries. It is not uncommon to find mal­ nutrition, tuberculosis, and intestinal parasites. The people in that neighborhood are also vexed by the inner-city health problems commonly found throughout the U.S. Infant mortality is high. Al­ coholism, drug abuse, and hypertension tear at the heart of the community. And diabetes is another problem, particularly among the Hispanic popu­ lation. At 514 Niagara St. there is a ray of hope called the Niagara Family Health Center. A bright and cheery office with light colored walls and shiny linoleum floors, it's airy and warm, not cold and sanitized. The health center is a test site for the Ur­ ban Family Medicine Program, and the program hopes to open more like it. The staff is small, consisting of two nurses, a receptionist, a secretary, a medical student and in­ ternist who work part time, and a community volunteer who speaks Spanish and English. The only full-time physicians are UB's Alvarez, the center's director, and Peter Kowalski. A small staff helps to foster a private-practice mentality, David Holden believes. The Niagara Family Health Center is run by Millard Fillmore Hospital, which pays for the build­ ing and the salaries of the staff. Because it filed a certificate of need for the center, Millard Fillmore is reimbursed by Medicaid at a higher rate than usual. It's more cost effective for patients to visit the center than to visit an emergency room. Emergen­ cy rooms always cost more because they must pay for a doctor to be on call, noted Alvarez. Plus, the patient pays twice because another doctor must fol­ low up. BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST �he nice thing about the clinic is that it doesn't cost the patient a cent" said Reid Heffner, M.D. "We don't spend a lot of time worrying about how much money they make in order to determine their eligibility." At the center, the patient can see the doctor, get lab tests, be treated and schedule a follow-up appointment, she added. In the long run, costs will come down because this continuity of care at the center will decrease the number of people who visit the emergency room. Because physicians are reluctant to open a prac­ tice in areas that are economically depressed and have high crime rates, the Urban Family Medicine Program tries to provide incentives to attract phy­ sicians to the inner city. "We will offer physicians both faculty and research positions with the University," said Lasser. "Additionally, we can help them to change their Medicaid rate structure to increase their income by getting them affiliated with local hospitals. "These incentives make it worthwhile to open a practice in the inner city." "Being affiliated with Millard Fillmore Hospital, my reimbursements for working at the clinic are better than if I opened my own office," noted Al­ varez, who supplements her income through the University by teaching and doing research. Working in the inner city brings other rewards as well. "I like working with inner-city populations be­ cause the patient-doctor relationship is important and because the people are generally very grateful," noted Kowalski. "It's really nice to work with people who need BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST you," added Nancy Cotter, a fourth-year medical student at UB who is doing a rotation at the Niagara Street center. Most of the people seen during the day have Medicaid, while a few have other insurance. For those who fall through the cracks—patients who can't afford insurance but don't qualify for Medicaid—the center offers a free clinic each Wed­ nesday evening. The clinic is staffed by volunteers. Parishoners from St. Paul's Cathedral perform clerical tasks and make sure the office runs smoothly. A nurse and two medical students work with patients. While 13 physicians are signed up to take shifts at the clinic, more are always needed. Free lab work and securi­ ty personnel are provided by Millard Fillmore Hospital. "The nice thing about the clinic is that it doesn't cost the patient a cent," said Reid Heffner, M.D., who conceived the idea of opening the free clinic. "We don't spend a lot of time worrying about how much money they make in order to determine their eligibility." Heffner, who is professor of pathology and direc­ tor of laboratories at the Erie County Medical Center (ECMC), added that the paperwork isn't intimidating, so patients aren't afraid to come to the clinic. "The idea is to take away all of the red tape," he said. "Let somebody come into the office in much the same way a patient visits a doctor in Williamsville. This way of doing things creates a bond of trust and goodwill." Aside from the Hispanic and African Ameri­ can community, the free clinic serves the homeless, recently released prisoners, and transients who pass through Buffalo. "It is clear that most of the people that come to us don't have the means to pay for health care," Heffner stated. The old man waits at the bus stop as the snow be­ gins to swirl with increasing intensity. The wind cuts LATE WINTER 1989-90 �through his tattered coat and makes his bones ache. The bus, as usual, is late and the traffic speeds by, spitting up black slush that seeps through his old tennis shoes. He's apprehensive about his visit to the clinic and it doesn't take long for him to change his mind. He turns around and makes his way home. THE CENTER TRIES TO OPERATE LIKE A PRIVATE DOCTOR'S OFFICE IN THE INNER CITY, EXPLAINS PETER KOWALSKI, M.D., RIGHT. LATE WINTER 1989-90 The Niagara Street health center experiences a relatively high no-show rate by the patients, but this will come down as the patients become more comfortable with the system, Alvarez predicts. "It sounds pretty simple for a patient to make an appointment for things such as physicals or im­ munizations," Holden remarked. "But many of our patients are not yet accustomed to the process of preventive health care. They have not been edu­ cated to go to a physician that they know and feel comfortable with." "It takes a lot of effort to make sure that patients show up for appointments," Alvarez added. "We make special provisions such as calling them up the night before and getting them cabs to pick them up and take them home." Many people in this country have trouble get­ ting medical appointments at all. The number of people unable to get health care has gone up dra­ matically over the last decade, Lasser pointed out. In 1987, nearly 37 million Americans lacked health insurance. "Many of these people fall between the cracks," he said. "They don't qualify for Medicaid. And the jobs they work at don't provide health insurance or don't pay enough money for health care coverage." Although health care technology is at the cut­ ting edge in the U.S., it means nothing to people who can't get medical care. "The U.S. ranks high in infant mortality com­ pared with other developed countries," Lasser reported. "Yet we spend more per capita per baby than any other country in the world. There's some­ thing wrong with what we're doing. "We spend more money on beds for premature babies and not enough to prevent the premature births of infants. "Why is it that Buffalo has so many institutions dedicated to infant and child health, and yet the city has such a high infant mortality rate?" Adding additional hospital beds or sophisticated equipment to a ward will not solve the problem, he noted. We need better prenatal care. Lasser has a strong interest in primary health care for the urban poor. He came to UB this sum­ mer from Massachusetts, where he worked in med­ ically underserved communities. He holds a master's degree in Public Health from Harvard University and was an associate professor in the Department of Family and Community Medicine at the University of Massachusetts Medical School. In New York State, ensuring that urban resi­ dents get the health services they need is a major public health issue, noted John Naughton, dean of the medical school and vice president for clinical affairs at UB. Part of the problem of access to care has been that too many physicians were entering specialties and not enough chose primary care, he explained. The Graduate Medical-Dental Education Consor­ tium has set a goal of steering 50 percent of UB medical students into primary care by 1993. "We have to ensure the proper education and training of physicians as well as quality health care now" for two underserved groups: urban and rural residents, he noted. UB already has a successful rural health pro­ gram, which was started in 1985. Holden points to that as an example of what can be done when the University and community join forces. Urban Family Medicine may set up similar links. The community seems willing—George McCoy, chief executive officer of ECMC, came to the Department of Family Medicine with the idea of developing a stronger primary-care base within the city, Lasser explained. As a result, the hospital es­ tablished a new department of family medicine which operates a new family care center. "We need to develop a coalition that involves departments within the University, the county, lo­ cal hospitals such as Buffalo General and Millard Fillmore, and community health clinics like the Geneva B. Scruggs Health Care Center," Lasser add- BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST �ed. "A collaborative effort will enhance the access and quality of health care for the urban poor." One example is the longstanding collaboration between UB's Family Medicine Department and Buffalo General Hospital to operate the Family Prac­ tice and Immediate Treatment centers at the Dea­ coness Center. Another example is the Emerson K. Young Health Center, a small family practice office staffed by physicians from the Department of Family Medi­ cine and operated by Sheehan Memorial Hospital in the Perry Housing Project. Another goal of urban family medicine is to de­ velop a group of physicians who understand the language and culture of their patients. "We are actively trying to recruit minorities into family medicine," Holden said. "In fact, our program has the largest number of black and Hispanic resi­ dents of any residency associated with the con­ sortium." He did note however, that any resident interest­ ed and committed to working with inner-city popu­ lations would be encouraged to join the program. The Department of Family Medicine also offers a fellowship in urban family medicine for physicians who have just completed their family practice residency. The fellowship is designed to sharpen the skills of the physician, as well as encourage partici­ pation in teaching and research, Lasser pointed out. Special training is needed because physicians in urban family medicine must recognize problems that are magnified in the inner city, such as alco­ hol and drug abuse or issues of gay and lesbian BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST health, he said. "Family medicine takes a biopsychosocial ap­ proach to the problems of people," Holden noted. Students and residents are taught that their jobs aren't limited to the diagnoses of pathological med­ ical problems, explained Lasser. "Our job it to find out why they hurt," he added. Finding out what is wrong may take time and patience, said Holden. He pointed out that it may take three or four visits before a patient opens up and begins to tell the doctor what is really going on. "I had a black preacher come to me about his hypertension," Holden said. "He seemed withdrawn and unwilling to open up to me. After several visits, I could tell that he was beginning to trust me. So, he starts telling me about the problems his two sons are having with the police and how he was being accused of obstructing justice because he intervened one time when the police were dragging one of his sons off to the police station. "Here's a man who never had any trouble with the law in his whole life. I intervened with a social worker to clear the charges of obstruction. Subse­ quently, his blood pressure came down. I think these problems had a lot to do with his health, and his blood pressure probably wouldn't have dropped by just changing his medication. "By communicating with this man and finding out about his life, I was able to improve his health." Communication goes beyond understanding the complexities of high-technology medicine; keen observation skills and sensitivity to the vagaries of human behavior are required. Coupling these skills with continuity of care, the new Urban Family Medicine Program at UB aims to bring the best of personalized care to the urban poor. • URBAN FAMILY MEDICINE: SERVING THE UNDERSERVED • Goal: providing personalized medical care to the urban poor and training physicians to practice in underserved urban areas. • Program offers monetary and other incen­ tives for doctors to practice in inner city. • Test site called Niagara Family Medicine Center is located on Buffalo's lower west side, and the Emerson K. Young Health Center is located on the east side. • The centers are run by area hospitals and receive money through Medicaid reim­ bursement. • Weekly free clinic is staffed by volunteers. To volunteer, call Kim Griswald, R.N. at 887-8243. LATE WINTER 1989-90 �»»« ONLY THE BUBONIC PLAGUE OF 542 A.D AND THE BLACK DEATH OF THE 14TH CEN­ TURY KILLED MORE PEOPLE THAN THE IN­ FLUENZA EPIDEMIC OF 1918-19 �O T H E R E / v FLU UB marshalled its forces to fight the biggest killer of World War I n uring World War I, Buffalonians worried about their boys "Over There," fighting to keep the Kaiser in check. But in 1918, the City of Buffa­ lo was visited by a foe more powerful than the Kaiser: influenza. The Great Influenza Epidemic of 1918-19 was the second of three waves of the disease that caused millions of deaths as it swept across the globe. Flu was a big­ ger killer than the war. While the official U.S. death toll from the war was 116,516, more than 550,000 Americans died from the 1918-19 epidem­ ic and its complications. World-wide, the war killed 10 million people; twice as many died from influenza. D E B O R A H BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST i> <* *' B R U C H "I'm 96 years old, and I never went through a period where an epidemic scared people like it did then," said Lloyd Graham, the father of UB Professor Saxon Graham. "A lot of people died. And doctors didn't have anything to effect a cure. Hospitals were jammed full and doctors were run ragged. "It was worse than the war news at the time." The city was virtually shut down by the epidemic for several weeks. Buffalo weathered the crisis better than most other cities its size, however. One major reason: the leadership provided by the UB medical school and its alumni. U C K I , R . N M LATE WINTER 1989-90 �A PRIME TARGET A bustling industrial center in 1918, Buffalo was playing a significant role in jq the American war effort. With more than 475,000 residents, it was the 10th largest city in the United States. But Buffalo was a prime candidate for an in­ fluenza disaster. Recent immigrants from southern and eastern Europe—nearly half of the city's population—were at high risk. Coming from isolated, rural areas that were large­ ly unaffected by earlier waves of influen­ za, they had little immunity to the virus they would face in congested urban areas. This group suffered the highest mortality and morbidity rates, noted ond and third weeks of October, the ill­ Robert S. Katz in his 1974 study on the ness was reaching pandemic proportions. epidemic. Buffalo was a busy railroad hub, se­ cond only to Chicago, with large num­ bers of troops and supplies passing through. This provided an opportunity for the disease to be brought into the city. While Buffalo had excellent medical resources, they were severely taxed by the demands of war. The city boasted an in­ ternationally renowned expert on pub­ lic health, Francis E. Fronczak, as its health commissioner. Unfortunately, Dr. Fronczak, a UB graduate, was with the American army in Europe when the pan­ demic struck. The ranks of health care providers had been depleted by the city's generous response to the call for military volun­ teers. On Oct. 7, 1918, the Buffalo Even­ ing News reported that there was "a minimum of doctors and nurses in the city, and if the spread of the disease should reach epidemic proportions, the city would be handicapped in combat­ ting it." At the peak of the epidemic on Oct. 20, 138 people in Buffalo and Erie County died from influenza and pneu­ monia. Those diseases accounted for 33 percent of the total deaths in 1918, ac­ cording to the annual report of the act­ ing health commissioner, Franklin Gram. Influenza, both in Buffalo and nation­ ally, hit young adults the hardest. The statistics demonstrated "the greatest mor­ tality during the age period from 20 to 30, at the very prime of life, and it also showed that influenza put at naught all accepted ideas relative to disease resistance," concluded Dr. Gram. Victims were more likely to be male than female. There was an apparently low mortality rate among African Americans, probably because they had acquired immunity during the 1892 epidemic. Death generally resulted from respira­ tory complications, such as pneumonia. The technology was too rudimentary to identify the infecting virus, so treatments were limited. MARSHALLING FORCES The influenza pandemic struck Boston All doctors could do was try to allevi­ before hitting other east coast cities, giv­ The News story proved to be prophet­ ate symptoms, which included "abdomi­ ic. Four days later, another newspaper, nal and gastric pains, gradually appearing As acting health commissioner, the the Buffalo Commercial, reported that Dr. deafness . . . severe and often persistent first thing Dr. Gram did was to form a ing medical officials some warning. Walter S. Goodale, head of the Buffalo cough, pain along branches of the sen­ special advisory committee, which met City Hospital (now Erie County Medi­ sory nerves . . . severe and most distress­ daily through the worst part of the epi­ demic. Several of the physician members cal Center) "and his force are unable to ing headache, pain in the eyes, usually cope with the situation there." Mean­ deep-seated, scotoma, severe dizziness, were associated with the UB medical while, a transit workers' strike had crip­ and apoplectiform seizures," according to school. They included Dr. Gram, Class pled the city, hampering transportation an article by George F. Cott, professor to and from medical facilities. of 1891; Dr. DeWitt H. Sherman, a UB of otolaryngology at UB, in the Decem­ graduate and professor of pediatrics; Dr. ber 1918 issue of the Buffalo Medical Edward J. Meyer, a UB graduate and Journal. faculty member who was president of the Influenza first appeared in Buffalo at the end of September 1918. By the sec- LATE WINTER 1989-90 BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST �11 3 s z =5 o Q Z < g < o u g 5 •• • ORDINARY CITIZENS—NOT JUST PHYSICIANS AND DENTISTS—WORE GAUZE MASKS TO AVOID CONTAGION. BECAUSE INFLUENZA WAS EASILY SPREAD THROUGH CROWDS. BUFFALO PROHIBITED ASSEMBLIES OF MORE THAN IO INDIVIDUALS, THEN SHUT DOWN ALL SCHOOLS, THEATERS. SALOONS, CHURCHES, AND STREETCARS. ••• Buffalo City Hospital's Board of Managers, and Dr. Walter S. Goodale, Class of 1903, who would later become chair of the medical school's Department of Preventive Medicine. Under the leadership of the advisory committee, the City of Buffalo mobilized aggressively to combat the pandemic. Hospitals were asked to dedicate half of their beds to influenza cases. 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CA n 3 CP 3 3 rt ro ro ro CA P ro Pro TO 0 03 p (JQ p P r-t ro' CA P " 3 . CA rt •« O I 3 ro _ --t ^ ro ro3 3 rt £. sT co ro CP T5 < M CA rt ° 3 -t ^ •< ro P o ^ O — 3 3 ^ 3 3 rt ro ro p 3. 3 (JQ S - ro oT CA P I r ��""" NOT LIKE HOME An ophthalmologist saved sight and lives in Kenya and Nepal; a medical researcher tangled with ethical questions high in the Himalayas, and another physician fled Sri Lanka when he found himself in the middle of a bloody civil war. Three doctors from UB found different kinds of adventure and adversity while volunteering in the Third World. By DAVID M. SNYDERMAN n the Third World, an ophthalmologist can lift a death sentence by performing a cataract operation. There, "blindness is fatal," explained ophthalmologist Robert Maynard, M.D. "In Nepal, the expected life span of a blind person is three to five years." Maynard, a 1953 graduate of the UB medical school, is one of many UB physicians who volunteer their time overseas to help the less for­ tunate. In the past few years, Maynard has spent a month in Nepal and three weeks in Kenya, restor­ ing sight to the people in those countries. "I like to travel, and it's a good way to travel. I also like to leave a country better than we found it," said Maynard. "The rate of blindness in both Nepal and Kenya is 20 times that of the United States and it's most­ ly due to cataracts." The need is so great, the ophthalmologists had to work frantically. Maynard said they would see BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST 50 to 100 patients a day with the help of ophthalmic assistants who also acted as interpreters. Maynard found that medical care is lacking in both places, especially Nepal. "In Nepal, outside the major cities, Western medicine is practically non-existent," he said. "In Kenya, things are much better. They do have some medical facilities there." The living conditions were also somewhat primitive. "In Nepal, things were very basic," Maynard ex­ plained. "It was much like it must have been in the middle ages: they do their cooking over a small wood fire. We weren't camped out in tents, but we stayed in a hotel which was still pretty basic. The people lived much as you and I might live if we were backpacking. "The machine has not hit Nepal. In Kenya, things are more progressive but living is still very basic. We had rooms in the eye center in Kenya. It was quite comfortable there." LATE WINTER 1989-90 15 �N ot all physicians can have the same dramatic effect that Maynard has had in restoring sight and thereby saving lives, according to Richard Lee, M.D., chief of the division of maternal and adoles­ cent medicine and a professor of medicine and pediatrics at UB, as well as the head of the Depart­ ment of Medicine at Children's Hospital. "Ophthalmologists probably have the best of all worlds," Lee said, explaining that ophthalmologists can do a lot of good in a short period of time without the need for a continuation of treatment. "The others who are able to do a lot of good are plastic surgeons. They can convert someone from being despised or ostracized" for their looks LATE WINTER 1989-90 into someone who appears normal, he added. Acting as an internist, Lee has been "everywhere except the South Pole and Australia," he joked, although his travels have taken him primarily to the Amazon region of Brazil, the mountains in Chile and the Himalayas, and refugee camps in Thailand. He spends varying amounts of time when he visits, often making several trips per year. "We do some good and we give out some aspirin and vaccines," Lee said, but noted that he can't make the kind of difference in a person's life that some specialists can. "I think the good we do for the people is very small, actually. Some people do a lot of good in a BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST �short period of time, like ophthalmologists. Going into an Indian camp and beginning treatment for leprosy is good, but that treatment must continue for years and as soon as there is another political upheaval it will stop," he explained. The one area where Lee has been able to make a real difference, he said, is in the Thai refugee camps. "That's been a very successful program," Lee said. "We send two to seven medical students to Thailand per year. They've worked in a variety of camps." Lee explained that these medical students teach basic first aid and sanitation to the refugees. Because the students have just learned these things themselves, the methods are still fresh in their minds. "As fourth-year medical students, they are very helpful," he added. The other benefit that comes from Lee's trips is in the field of research. "Most of these things have been done as part of a long-term, on-going interest in the biology of isolated populations," he said. "Those include Indian tribes, specifically in the Amazon region of Brazil, mountain people, certain ethnic and political groups like refugees. We treat them, that's part of our thing, but we do studies on them in terms of infectious diseases, their im­ mune systems, and their genetics. "Much of these populations are genetically in­ bred.... These were isolated people for centuries, for millennium." Because these people have been isolated, they have had to learn to live without harming their en­ vironment. Lee gave as an example his patients in the Himalayas. "They are interesting people," he said. "They are fairly stable ecologically. They have not deforested the area and they are subsistence farmers." However, living in harmony with the land is not without cost, Lee said. "They do pretty well, but they lose a lot of kids," he said. "The price of ecological stability is high in­ fant mortality: 60 per 1,000 (pregnancies) end in still births or (the babies) die within a few hours of birth. A quarter of those who survive the first day will die before they reach puberty." Asked whether his team is trying to bring down the mortality rate, which is between three and six times greater than the rate in New York State, he answered: "I don't see that as our responsibility. We treat what we can but we're only there for a week. There is a limit to what we can do and there is a limit to what should be done. "Perhaps that is a biologically necessary kind of thing," he said, adding that attempting to change the infant mortality rates could have the net effect BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST 17 I mi jflie H n Himalayas, people live ami Lairanomiy wiltlk nine flannel, LnaJ annfanaJ mraorJaflnJy as Inagln, nuotles Raelnaird Lee, M.D. ALove, Lis as ttalce Lody mraeasimreiraneniifts Jo delermranirae effecJs of daeJ. LATE WINTER 1989-90 �of unsteadying the Himalayas' stable population base. "That's a real issue for a lot of the world's popula­ tions living in small villages," he explained. "All of this stuff raises some very serious questions about what medicine's purpose is." very different challege was faced by Brian McGuiness, a 1984 graduate of the UB medi­ cal school. When he was sent by the Christian Blind Mission to Sri Lanka, Sinhalese groups revolt­ ed against the Sri Lankan government and he found himself in the middle of a civil war. "We arrived in August of 1988" said McGuiness, an ophthalmologist who is a member of a private practice group in Southampton, N.Y. "There was a group called the JDP ("People's Liberation Front" in Sinhalese). When we arrived, they started car bombings, harassments, and death threats. "During the period we were there, there were seven general strikes that closed the clinic — if you opened the clinic, they would bomb it." McGuiness was supposed to stay for four years, working at the Ruhunu Eye Hospital, but he and his wife left after four weeks. "We left after there was an assassination of four people. Their bodies were hanged by their necks on our streets. Since then, Christian Blind Mission has pulled out their workers," McGuiness explained. Originally, McGuiness had planned on volunteering in Africa, but the Christian Blind Mission "felt they had more need in Sri Lanka." McGuiness seems disappointed at the problems he encountered. "I had always planned on this in medical school," he said. But his plans are merely deferred, not canceled. "I intend to go back to Africa a month or two months each year." His advice to potential volunteers? "If you plan a long-term commitment, do not trust the people who are sending you. Go check out the conditions yourself. It's a small world — go volunteer for a month" in whatever country you intend to spend several years. Maynard, whose volunteering periods have been on a less permanent basis, had no qualms about recommending his experiences to others. "I would encourage them. I found it very satisfying and rewarding." Lee also was quick to encourage future volunteers. "Have them call me," he suggested. "I think this is a much neglected area of medicine. Most of the world does not live like we live in the United States." If you do go, look to friends, colleagues, and business associates to help you prepare for your trip. McGuiness said that many of the physicians from A LATE WINTER 1989-90 BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST �1 19 r* left, tike Eyes of Iludflh.i to tke Seva Eye Clinic is Nepal keep a careful wailek over RoLeril Maymaril, M.D. Left, in ike his residency at the New York Eye and Ear Infir­ mary donated supplies for him to use in his travels. "Anything I brought with me in the way of medical equipment, I or my sponsors paid for." Lee found the pharmaceutical corporations helpful when he asked. "We usually bring our own (drugs). We would ask for donations from the drug companies — they're actually pretty good. In the Himalayas, there are a few supplies provided by the government." One thing McGuiness found to his liking dur­ ing his short stint in Sri Lanka was the less restricted medical climate. "There is no malpractice, therefore, there is no fear," he said. "You work with one thing in mind: doing good." • BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST Tanililkawa eye camp in Nepal, Ike performed sunrgery Ly flashlight (Lofltom). LATE WINTER 1989-90 �Medical School M.D. = Male Doctors? Crusader says \glass ceiling bars women's progress in medicine By WENDY BROWN " I t is time to make medicine a 'biI gender' profession—not only in I body count, but also in spirit," said Lila Amdurska Wallis, M.D., F.A.C.P., a crusader for the rights of women physi­ cians and patients. Wallis, president of the American Medical Women's Association (AMWA), recently addressed a meeting of the Women Physicians' Association, the Buffalo chapter of the AMWA. A clinical professor of medicine at Cornell University Medical College, Wallis also founded the National Coun­ cil on Women in Medicine, an educa­ tional group focused upon the treatment of women patients. Noting that for centuries medicine had been dominated by men, Wallis said that progress has been made, but women in medicine must still struggle to revise the system. "Change it we must," she stressed. "There are many ills in the system which concern mainly us." Women face difficulties when trying to become doctors and raise families at the same time. Commenting that there is no such thing as a "mommy track" in medi­ cine, Wallis said that due to the demands of a medical program, it is nearly impos­ sible for a woman planning a career in medicine to start a family before she is 30. "There is no reason to listen nervous­ ly to the ticking of your biological clock," she told her audience. "You should be able to have it all and enjoy it all." Wallis advocates the creation of day- LATE WINTER 1989-90 care facilities attached to teaching hospi­ tals, and believes that there should be time allowances for physicians, men and women, to spend with their families. "They are cut off from normal family life," she said. "Human society creates physicians who become less than human beings." Another symptom of the problems with the system, noted Wallis, is the fact that only four out of 11 medical students are women, and that it takes them twice as long to climb the academic ladder. Ad­ ded to that is the actuality of women physicians who still earn only 60 percent of what their male counterparts take home in salary. "It is wrong," she admonished, "when a women must be twice as smart and work twice as hard." But work alone may not be enough to rise above the "glass ceiling," the phenomenon where one sees men being promoted while women, even those who are more competent, are left behind. "We only become aware of it when we bump our heads against it," said Wallis. Striving for leadership is a hollow pur­ pose without skills, Wallis said. She en­ couraged women physicians to attend workshops and conferences which de­ velop skills in assertiveness in dealing with colleagues, patients, and the media. Although these skills may help lead to empowerment, Wallis criticized the American Medical Association (AMA) for being reluctant to relinquish leader­ ship positions to women and minorities, even though they make up the fastest growing section of the medical profession (now standing at 25 percent). "We deplore the AMA's disinterest in women," she said. She maintains that the AMWA is not in competition with the American Medical Association and that their purposes are different. "We can live with the differences as long as we are strong." However, of the 90,000 women physi­ cians in America, only 12,000 are represented in Wallis' organization. "We're growing," Wallis commented, "but not fast enough. "This is not the time for queen bees, not the time for free riders. This is the time for all women doctors to hook together." AMWA, under Wallis' leadership, has undertaken the mission of safeguarding and protecting the rights of women in medicine, both physician and patient. Lobbying in Washington on behalf of women physicians, the group has initiat­ ed educational programs to help women handle the problems of a career in medi­ cine. (See related story.) "We want to destroy the glass ceiling, let the fresh air in, and the sky will be the limit," Wallis said. • INITIATIVES AID FEMALE PATIENTS & PHYSICIANS L ila Amdurska Wallis, M.D., EA.C.P. looks forward to a day when medi­ cine "will not be biased," but will ac­ curately reflect the health needs of BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST ��Medical School women—patients as well as physicians. In 1979, she founded the National Council on Women in Medicine, an educational group that tries to improve the treatment of women patients. As an advocate of women's health, the council examines such problems as os­ teoporosis, premenstrual syndrome, and the comfort of patients during exami­ nations. One result was a movement to find a better way to teach breast and pelvic ex­ ams that would be more sensitive and dignified for the patient. This led Wallis to initiate the Teaching Associates Pro­ gram at the New York Hospital-Cornell Medical Center. This program, which also covers examinations of the male genito-rectal area, is employed by 95 schools in the U.S. and Canada today. Wallis, who is also president of the American Medical Women's Association (AMWA), recently addressed a meeting of the Women Physicians' Association, the Buffalo chapter of the AMWA. She commended the UB students for their efforts to educate area high school stu­ dents on the hazards of smoking, which Wallis calls the "black plague." Another problem we face today is the "white plague." That's how Wallis refers to osteoporosis, the abnormal weakened condition of bone affecting one in four women over the age of 65. It causes dis­ ability, deformity, and death. She stressed the importance of calcium intake and weight-bearing exercise in the prevention of the disease. Under Wallis' leadership, the AMWA has embarked on an education campaign targeted at health care professionals and the public. In addition to this, the organization has set up task forces on leadership train­ ing, smoking education, osteoporosis, and dependent care. • — By Wendy Brown LATE WINTER 1989-90 VISITORS COMPARE MED SCHOOL PRACTICES IN SPAIN AND U.S. T uition for medical school in Spain is about $500 a year, comparable to what an American might pay for a year of parochial grade school. And admission to a Spanish medical school or university is based solely on the score one receives on a national test. If a medical school has 400 openings, the 400 applicants with the highest scores get in. It takes six years to complete medical school in Spain, and there are no electives. These are some of the differences that were discussed when two Spanish phy­ sicians visited the UB medical school in November as part of a tour of American universities sponsored by the U.S. Infor­ mation Agency. Eduardo Lopez de la Osa Gonzalez, a gynecologist, is the vice rector for foun­ dations at the Complutense University of Madrid. Juan Lopez Arranz, a doctor of medicine and surgery, is rector of the University of Oviedo. (A rector is the highest authority in a university.) Their group toured the United States to learn about American university ad­ ministration. Under a law passed in 1983, Spain is changing from a highly centralized university system with a na­ tional curriculum and national degrees to a more decentralized system. Students enter medical school at age 18 after finishing a combined high school-baccalaureate program. After six years of medical school, they receive their M.D.s at age 24. Like Americans, they then start a residency, which averages four years. Some Spanish faculty members would like to compact the six years of medical school into five years, and students favor that plan, said Lopez de la Osa. The problem, he explained, is that no department chairman feels the time spent teaching his own subject can be cut. Also complicating attempts at change is a move toward standard accrediting procedures in Common Market coun­ tries. Along with this move, by 1992 a physician licensed in one Common Mar­ ket country will automatically be licensed in the other countries. Therefore, a proposal to compact med­ ical school curriculum would need the agreement of the other European medi­ cal schools, said Lopez de la Osa. He noted that the American system of medical education has some advantages over the Spanish system. The American system is more practical because it has a higher proportion of clinical work to classroom work. There is also more flexibility in the cur­ riculum. Students can choose courses that better prepare them for their final choice of specialty, he said. A group in Spain is looking at a proposal to add electives to the medical school curriculum without changing the length of study. Because there are no electives now, the Spanish medical students get a wider outlook on every field of medicine, Lo­ pez de la Osa said, but he questioned whether that really is the best way to serve someone who has already decided to specialize in a certain field. • BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST �Medical School HARRINGTON PROFESSOR CHOSEN FOR AUTUMN Tikoscoi-n ; \i. nssi I A Ivan R. Feinstein, M.D., professor of medicine and epidemiology at Yale University School of Medi­ cine, will deliver the Fall Harrington Lecture. The event will be held at 4 p.m. Thurs­ day, Oct. 18, in Butler Auditorium at UB. Feinstein is a pioneer in the use of clin­ ical epidemiology. The author of Clinimetrics, he asserts that much of medical research is inadequate because statistical studies of disease ignore distinctly hu­ man factors such as pain, suffering, and symptoms. • Anne Kelly, a second-year student, was one of four students who received a $500 First Honors Prize in UB's 1989 annual Student Research Forum held in Decem­ ber. Her work on arthroscopic surgery using a laser was conducted at the Hospital for Special Surgery in New York City. The other top winners were Flyunbo Shim, a second-year student; Mukesh Jain, a third-year student, and Gerard Dil­ lon, a second-year student. EVENTS H ere are some post-graduate courses scheduled for 1990 which are ac­ credited by the American Medi­ cal Association and the American Academy of Family Physicians. June 28 to July 1 The Amelia Island Plantation Pediatric Conference will be held from June 28 to July 1 at the Amelia Island Plantation, Amelia Island, Fla. Elliot F. Ellis, professor of pediatrics at UB, is the chairman. The Nemours Chil­ dren's Clinic in Jacksonville, Fla., is the sponsor. The fee is $275 for physicians and $155 for other health professionals. For more information, contact Rayna Saville, coordinator of continuing medical edu­ cation, 219 Bryant St., Buffalo, N.Y., 14222-2099, (716) 877-7965. July 13 to 15 The 13th National Conference on Pediatric/Adult Allergy and Clinical Immu­ nology will be held July 13 to 15 in the Four Seasons Hotel, Toronto. Elliott Middleton Jr., professor of medicine and pediatrics at UB, is the chairman. UB's Department of Medicine is the sponsor. The fee is $275 for physicians and $155 for other health professionals. For more information, contact Rayna Saville, coordinator of medical continuing edu­ cation, 219 Bryant St., Buffalo, N.Y., 14222-2099, (716) 877-7965. August 3 to 5 The Cape Cod Conference on Pediatrics will be held Aug. 3 to 5 in the Tara Hyannis Hotel, Hyannis, Mass. Elliot F. Ellis, professor of pediatrics at UB, is the chair­ man. The Nemours Children's Clinic in Jacksonville, Fla., is the sponsor. The fee is $275 for physicians and $155 for other health professionals. For more BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST information, contact Rayna Saville, coordinator of continuing medical edu­ cation, 219 Bryant St., Buffalo, N.Y., 14222-2099, (716) 877-7965. August 20 to 24 . The scientific meet­ ing of the Interna­ tional Society of Psychoneuroendocrinology will be held Aug. 20 to 24 in the Hyatt Regency Ho- |£|HJP tel, Buffalo. Uriel Halbreich, professor of psychiatry and research professor of gynecology and ob­ stetrics at UB, is the chairman. The UB Department of Psychiatry is the sponsor. For more information, contact Hal­ breich at 462 Grider St., K-Annex, Buffa­ lo, N.Y. 14215, (716) 898-3036. LATE WINTER 1989-90 �Research 24 A program to help workers who are burdened with caring for elderly parents or other relatives is one example of the direct research being con­ ducted at UB's new Multidisciplinary Center on Aging. (For details on the creation of the center, see story on page 26.) Attracting the interest of local indus­ tries and lawmakers, the program for workers caring for elderly relatives has resulted in the establishment of an "In­ stitute of Work/Family Fit." The statesupported institute was started by Gary Brice, an associate director of the center, and Robert Rice, Ph.D., a UB professor of psychology. The major goal of the Multidiscipli­ nary Center on Aging, aside from the center's own research projects, is to "stimulate a significant expansion of research relating to aging" on the part of -investigators throughout the University, said Evan Calkins, M.D., UB professor of medicine and family medicine who is the director of the center. Pointing out that virtually all segments of the University can become involved in gerontology research projects, Calkins views the need to solve problems relat­ ing to the nation's ever-growing popula­ tion of elderly citizens as a "challenge for America." The study of aging, he added, is an in­ terdisciplinary field. A basic question for researchers, he pointed out, is: "What can be done to foster independence for Challenge New center serves ever- By MILT Illustrations by Alan E. Cober LATE WINTER 1989-90 BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST �Research 25 for America growing population of elderly CARLIN BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST delve more deeply into such diverse sub­ jects as retirement and Social Security policy issues; preventive medical care; de­ sign of roads, traffic signs and eyeglasses for elderly drivers; accident prevention on the road, at work and at home; hous­ ing design; nutrition; legal and ethical is­ sues, and education. In working toward its goals of enhanc­ ing the depth and quality of gerontology research at UB, the new Multidisciplinary Center on Aging takes three approaches: direct research, en­ hancement of aging-related research on the part of others, and faculty and career development. The center defines "direct research" as that conducted by staff members \ of the LATE WINTER 1989-90 �Research 26 center and by faculty closely associated with it. Other examples of direct research include: • A study of physician practice pat­ terns in New York State nursing homes and their impact on quality of care, be­ ing conducted by Jurgis Karuza, Ph.D., assistant professor of medicine and an as­ sociate director of the center, and Paul R. Katz, M.D., a staff member of the Buffalo VA Medical Center and an as­ sistant professor of medicine at UB. • A study of nursing home patients' at­ titudes toward quality of life and lifesustaining treatment, and how their opinions correlate with those of their families and physicians, also by Karuza and Katz. • Studies of muscle function in elder­ ly persons, especially those with osteo­ arthritis. Investigators are Calkins, David Pendergast, Ed.D., UB professor of phys­ iology, and Glen Gresham, M.D., chair of rehabilitation medicine at UB. • A research program, supported by the New York State Department of Ag­ ing and other agencies, to identify pat­ terns of social and health support being received by minority elderly and to project future requirements. Investigators are Arthur G. Cryns, Ph.D., professor of social work, and Kevin M. Gorey, UB research scientists. • A study of the effect of anesthesia on the cognitive ability of elderly persons, funded by the National Institutes of Health. Investigators are Cryns and Marion Goldstein, M.D., an associate professor of psychiatry at UB and a staff member at the Erie County Medical Center. As part of its work in faculty and career development, the center conducts a series of workshops on current develop­ ments in gerontology for faculty and graduate students. There is also a pro­ gram of summer research fellowships for LATE WINTER 1989-90 graduate and undergraduate students who want to develop pilot gerontology research projects. • NEW CENTER ON AGING FORMED BY MERGER U B, a pacesetter in the field of gerontology, has decied that one center for dealing with is­ sues related to aging is better than two. The new Multidisciplinary Center on Aging has been formed by the merger of UB's Multidisciplinary Center for the Study of Aging and the Western New York Geriatric Education Center. The basic mission of the new center is to enhance the depth and quality of gerontology research at UB. It receives federal, state and University funding. Continuing as a separate component of the new center is the Western New York Geriatric Education Center, which was founded in 1982 to provide training in geriatrics and gerontology to individu­ als involved in education. The former Multidisciplinary Center for the Study of Aging was established at UB in 1973 as a resource for gerontol­ ogy research throughout SUNY. The new center also houses the Net­ work in Aging of Western New York, Inc. The network is a community-based or­ ganization providing a framework for educational institutions, elderly con­ sumers, students and providers of health and social services for the elderly. Serving as director of the new center is Evan Calkins, M.D., professor of medi­ cine and family medicine. Calkins con­ tinues as director of the Western New York Geriatric Education Center. John N. Feather, Ph.D., a research as­ sistant professor of medicine, is associate director and administrator of the new center, headquartered in Beck Hall on the UB South (Main Street) Campus. He also is co-director of the geriatric educa­ tion center. • ALZHEIMER'S MAY LOWER BLOOD PRESSURE A lzheimer's disease may have effects beyond alterations in an individ­ ual's cognition and behavior, ac cording to a study in the Division of Geriatrics/Gerontology at UB. A review of medical records showed a similar prevalence of hypertension in the past in a group of women with Alzheim­ er's disease and a dementia-free control group. Researchers found, however, that more Alzheimer's disease patients with past hypertension later became normotensive (5 of 7) than did dementia-free patients (1 of 12). Although lacking an explanation, they discounted medications and changes in risk factors for hypertension as account­ ing for the resolution of high blood pres­ sure in the women who became normotensive. • BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST �Alumni SCHOLARSHIPS ATTRACT TOP STUDENTS TO UB T he ability to attract top-notch stu­ dents is one of the greatest benefits of private giving to the University at Buffalo. Maximo Lockward, a third-year medi­ cal student, is one of the many outstand­ ing students who, over the years, has benefitted from the Dr. Mark W. and Beulah M. Welch Scholarship Fund. "It is a great honor to be chosen for an award," said Lockward, who was raised in Puerto Rico and graduated from Loui­ siana State University with a 4.0 aver­ age. "It makes you feel good to realize that people recognize and appreciate your achievements and consider them im­ portant. "Financially, a scholarship award helps a lot with the expenses. As a medical stu­ dent, there is little free time to make ex­ tra money." Although Lockward was accepted to other schools, he said he chose UB be­ cause the other schools didn't offer scholarships. "Academically, it's an incentive for ex­ cellence," Lockward added. Faith Grietzer, a native of Binghamton and a graduate of Cornell, is another third-year student who benefitted from the Welch scholarship fund. The scholar­ ship has helped provide the basics— books, food and rent. "My father is deceased and my mother is a housewife with six children, so I'm trying to put myself through school," she said. "I chose UB because it's a good school and the price is right. Some of my friends are starting out $150,000 in debt. I am getting a quality education for much less, and with the extra help of a scholarship." Mark Welch '15 MARK WELCH M'15 DIES,WAS UB BENEFACTOR M ark W. Welch, M.D., Class of 1915, one of the oldest alumni of the UB medical school and one of its most generous benefactors, died in Rochester, N.Y., on Jan. 25, just 13 days shy of his 100th birthday. A memorial service was held Feb. 7, the date of his birth, in the church he built and endowed, St. Mark's in Ken­ dall, N.Y. Dr. Welch's life exemplified and per­ sonified the full meaning of the word philanthropy — the love of mankind. Fie contributed generously not only to UB, but to many other universities, hospitals, and churches. Many UB medical students have already benefited from the Dr. Mark W. and Beulah M. Welch Scholarship Fund established in 1975. (A story on two of those students, prepared before the editors received word of Dr. Welch's death, precedes this article.) Over the years, his contributions to this fund have totaled nearly $500,000. BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST In addition, Dr. Welch made a bequest in his will that nine percent of his estate go to the University at Buffalo Founda­ tion for the fund. In 1988, the University honored Dr. Welch for his generosity by naming him the 39th recipient of the Samuel Capen Alumni Award, the Alumni Associa­ tion's highest honor. He was born in West Bloomfield, N.Y., and Dr. Welch's family wanted him to become a priest. But he said he always knew he wanted to become a doctor and entered the UB medical school in 1911. As a student, Dr. Welch helped in­ struct other anatomy students in the dissecting room. "It was very unusual to have a student teaching," he noted in an interview in the Buffalo Physician and Biomedical Scientist in 1987. "But I was a damn good student. I knew anatomy and they knew I knew it." Upon completion of a one-year intern­ ship at Sisters of Charity Hospital in Buf­ falo in 1916, Dr. Welch decided to start his own practice in Endicott, N.Y., a ci­ ty of 10,000 residents about 10 miles west of Binghamton. Dr. Welch often performed surgery in the homes of his patients, using ether in the homes lit with electricity, and using the less-volatile chloroform in the homes lit with gas lamps. Although it was a small town, several substantial manufacturing companies were located in Endicott, including one that would later be renamed Interna­ tional Business Machines Corp. In 1925 he started working part time as company physician for IBM at a salary of $3 a month. After 10 years, he was named the company's medical director and re­ mained in that position for 30 years, working there part time while continu­ ing his private practice. He retired from IBM in 1955. LATE WINTER 1989-90 �Alumni JAMES PLATT WHITE SOCIETY HEARS PROGRAM ON GERIATRICS In 1957, Dr. Welch closed his private practice and traveled extensively with his wife Beulah for two years in Europe, Asia and Africa. The couple had no children. Dr. Welch remained active, walking G nearly four miles each day, until his re­ eriatrics was the subject of a pro­ cent illness. gram presented to the members of Gifts in memory of Dr. Welch can be the James Platt White Society at made to the University at Buffalo Foun­ dation. their fourth annual meeting. • Held Oct. 20 in the Lippschutz Room of the UB medical school, the program SPRING CLINICAL DAY TO Focus ON CHANGE involved both the clinical and basic science faculty. It touched on the topics of geriatric education and research at UB, the biology of aging, how the medi­ "^^Phe Changing Aspects of Medical cal specialties relate to geriatrics, and a I Practice" will be the theme of this young physician's perspective on geri­ Iyear's Spring Clinical Day and Re­ union Weekend. The event starts off with atrics. Arnold S. Relman, M.D. The program was spearheaded by Evan a cocktail party Friday evening, April 27. Calkins, M.D., UB professor of medicine Spring Clinical Day will be held Satur­ Peter Millock, general counsel with the day, April 28. New York State Department of Health.• The keynote speaker will be Arnold S. Relman, M.D., editor of the New England Journal of Medicine, who will address "The Changing Climate of Medical Prac­ tice and the Choices Physicians Face." Other topics and speakers are: • "Managed Care: The Group Practice Perspective with a Note on Medical Edu­ cation" will be discussed by Edward Ma­ rine', M.D. He is the medical director of Health Care Plan in Buffalo. DEADLINE APPROACHES FOR AWARD NOMINATIONS T and family medicine who is director of the Multidisciplinary Center on Aging, and Harold Brody, M.D., chairman of anatomical sciences. A cocktail reception was held in the home of UB President Steven B. Sample, followed by dinner at the Country Club he deadline is fast approaching for nominations for the second annual Distinguished Medical Alumnus/a Award. Names must be in by June 1. A postcard for nominations is pro­ vided at the front of the magazine. • "Medical Malpractice 1990: Scope, The award is presented to a graduate Causes of Injury and Potential Solutions" of the UB medical school who has dis­ will be discussed by Donald W. Aaron- tinguished himself or herself nationally son, M.D. A clinical assistant professor or internationally in the eyes of his or of Buffalo. The 65 members who attended each received a pewter Jeffersonian cup as a memento of the day and in appreciation for their support of the school. The James Platt White Society is com­ posed of individuals who have contri­ buted $1,000 or more annually to the school. The current members are: of internal medicine at the University of her peers and has made an outstanding Dr. Bruce Abramowitz Illinois College of Medicine, he is editor contribution to medicine, the arts, or hu­ Dr. Carlos C. Alden Jr. of Medical Malpractice Prevention. manity during his or her career. Dr. Kenneth M. Alford Dr. William S. Andaloro • "Ethical Considerations" will be dis­ The selection will be made during the cussed by Robert L. Dickman, M.D. He summer and the award will be presented Dr. George Baeumler is director of the Department of Family in the fall at a special dinner. Dr. Eugene L. Beltrami Medicine at the Mt. Sinai Medical Center in Cleveland, Ohio. • "The Future of Physician Discipline in New York State" will be discussed by LATE WINTER 1989-90 The 1989 winner was George W. Dr. Richard A. Berkson Thorn, M.D., a medical pioneer whose Dr. Willard H. Bernhoft achievements as clinician, scientist and Dr. Theodore S. Bistany teacher have spanned 60 years. Ms. Anna Bleich • BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST �Alumni 29 Dr. Willard H. Boardman Dr. Harold Brody Dr. August A. Bruno Dr. Elaine M. Bukowski Dr. John L. Butsch Dr. Nicholas J. Capuana Dr. Joseph A. Chazan Dr. James Cole Dr. Joseph D. Concannon Dr. Julia M. Cullen Dr. Daniel E. Curtin Dr. Sterling M. Doubrava Dr. Ronald Dozoretz Dr. William Dugan Dr. Robert Einhorn Dr. George M. Ellis Dr. Daniel Fahey and Dr. Maria Runfola Dr. Donald M. Fisher Dr. Grant T. Fisher Dr. Thomas Frawley Dr. and Mrs. Kenneth L. Gayles Dr. Penny A. Gardner Dr. Matt Gajewski Dr. John W. Gibbs Jr. Dr. Seymour D. Grauer Dr. Wilson Greatbatch Dr. Mala R. Gupta Dr. Thomas J. Guttuso Dr. Eugene J. Hanavan Jr. Mr. and Mrs. Edward A. Hansen Dr. and Mrs. Gerald J. Hardner Dr. and Mrs. Kenneth L. Jewel Dr. Stephen T. Joyce Dr. James R. Kanski Jr. Mrs. Sidney R. Kennedy Jr. Dr. Israel Kogan Dr. Daniel C. Kozera Dr. Marvin Z. Kurlan Dr. Richard A. Leone Dr. Eugene V. Leslie Dr. Richard Levine Dr. Harold J. Levy Dr. Milford C. Maloney Dr. Don L. Maunz Dr. Harry L. Metcalf Mrs. Constance Plummer Miller Dr. Merrill L. Miller Dr. Eugene R. Mindell Dr. Joseph F. Monte Dr. John D. Mountain Dr. Arthur W. Mruczek Dr. Richard J. Nagel Dr. and Mrs. John Naughton Dr. Masao Nakandakari Dr. Richard B. Narins Dr. Charles Natalizio Dr. Timothy Nostrant Dr. Benjamin E. Obletz Dr. Charles O'Brien Dr. Elizabeth P. Olmsted Dr. John S. Parker Dr. Robert J. Patterson Mrs. Patricia Patterson Dr. Clayton A. Peimer Dr. James F. Phillips Dr. David E. Pittman Dr. Frank Riforgiato Dr. Richard Romanowski Dr. Albert G. Rowe Mr. and Mrs. James Samotowka Ms. Thelma Sanes Dr. Joseph I. Schultz Dr. Roy E. Seibel Dr. Elizabeth G. Serrage Dr. Arthur C. Sgalia Dr. John B. Sheffer Dr. John E. Shields Ms. Alice Simpson Dr. James K. Smolev Dr. John J. Squadrito Dr. Eugene M. Sullivan Jr. Dr. Michael Taxier Dr. Henry A. Teloh Dr. Raymond C. Thweatt Dr. Charles S. Tirone Dr. Hazel Trefts Dr. Russell J. Van Coervering II Mrs. Victoria Van Coervering Dr. Barbara Von Schmidt Dr. Franklin E. Waters Dr. Pierce Weinstein Dr. Mark W. Welch Dr. Philip B. Wels Mrs. Harriet E. Wesp Dr. Paul H. Wierzbieniec Dr. Gary J. Wilcox Dr. James S. Williams Dr. Stephen A. Yerkovich Dr. Franklin Zeplowitz Dr. and Mrs. David Ziegler The J a m e s P i a t t W h i t e S o c i e t y hears a p r e s e n t a t i o n o n g e r i a t r i c s . BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST LATE WINTER 1989-90 �People Make Research, Not War Guiseppe Andres reflects on social issues and his 20-year Buffalo career W ith the technology we have to­ day, many of the world's problems could be solved if money wasn't wasted on weapons, said Guiseppe A. Andres, M.D., a professor of microbiology, pathology and medicine at UB. Andres, 66, a leading researcher in kid­ ney disease, was honored for his lifetime research and teaching achievements at a symposium in November at Buffalo General Hospital. He's leaving Buffalo, but emphasized that he's not retiring in­ tellectually. "I don't know fishing," Andres said. "I only know how to do my work." Although Andres doesn't like to talk about himself, he becomes animated when the topic turns to the issue of fund­ ing for science. Andres for many years was a consultant to the study section which analyzed and funded research in immunology and immunopathology at the National Institutes of Health. "The total budget of the National In­ stitutes of Health is $7.7 billion for all the medical research in the country," he pointed out. "Consider that one of the stupid B-2 airplanes (stealth bombers) costs $600 million, and we don't even know if they will be useful. $600 million is the total budget of one of the institutes of the NIH. "We are at a period now where new tools are available for research, so the limitation is just the limitation of LATE WINTER 1989-90 money—so much money is wasted on weapons. We know that with the tech­ nology today, if the money was used for medical programs, problems would be solved, especially in the Third World." The lack of money makes life difficult for Ph.D.s because they're finished if their grants aren't funded. "How can you convince a young stu­ dent of medicine to go into research?" Andres asked. "I think students should be more involved politically and the voice of the scientists should be louder." Andres, who came to the United States from Italy, added that scientists "should convince the public that bio­ medical research is very important, espe­ cially in this country, because we foreigners came to love and admire the United States because of its leadership in science. "If the trend is not corrected, at a cer­ tain point, Europe and Japan will take over the role that the United States has had in the past." The recent warming of relations be­ tween east and west makes this an excit­ ing time. "It is true that in the last 40 years we've had peace. But those 40 years of peace were built on a balance of terror," Andres said. "If it will be possible to maintain peace without this balance of terror, so many others things could be done." The symposium at which Andres was honored was sponsored by Buffalo Gen­ eral Hospital, the hospital's medical staff, and the UB medical school. The symposium presented research on immunological-mediated diseases, partic­ ularly as they affect the kidney. The key­ note speaker was Robert T. McCluskey, M.D., an internationally recognized ex­ pert on immune complex disease. He is the Benjamin Castleman Professor of Pathology at Harvard Medical School and chief of the Department of Patholo­ gy at Massachusetts General Hospital. McCluskey was professor and chair­ man of the Department of Pathology at UB in 1970 when he and Felix Milgrom, now distinguished professor of microbi­ ology at UB, convinced Andres to come to Buffalo. "At the beginning of the '70s, Buffalo was probably one of the strongest centers for immunology," Andres said. He ticked off a long list of notables who were in the department, including Thomas B. Tomasi, now director of Roswell Park Cancer Institute, who described IgA, the body's first line of defense; the late Ernest Witebsky, the in­ ternationally known immunologist who did research in blood groups, and Noel Rose, who, with Witebsky, described thyroiditis caused by an immunological mechanism. "For me, it was a very good, very in­ teresting experience to work in Buffalo," Andres said. "It was possible to do research on a national and internation- BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST �Guiseppe A. Andres, M.D. al level." Andres directed the Renal Research Laboratory at Buffalo General Hospital from 1973 to 1988. For 10 years, it was designated by the World Health Organi­ zation as a diagnostic, reference, and training laboratory for the immunopathology of renal disease. Buffalo General Hospital is a great as­ set because the renal laboratory has a group of very well trained technicians, he noted. Andres and his colleagues studied many aspects of kidney disease, includ­ ing how immune complexes produce damage to the kidneys. They also wrote the first description of a rare condition that can affect patients who receive kid­ ney transplants. When an infection strikes, he ex­ plained, antigens are released into the circulation. To defend against the anti­ gens, antibodies are formed. But sometimes antibodies turn traitor and attack the body. Some patients who receive kidney transplants develop an in­ flammatory condition called tubulointerstitial nephritis. In 1973, Andres and his collaborators found this can be caused by antibodies reacting with the basement BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST membrane of a structure in the kidney called the proximal convoluted tubules. "This is interesting because usually pa­ tients develop antibodies to the base­ ment membranes of glomeruli (the filters in the kidney), not of the tubules," Andres explained. "This was the first description of what turned out to be a very rare disease." It was later found that some individu­ als who haven't had kidney transplants can also develop this condition, he added. The work was done with John Klassen, M.D. who was a fellow in the depart- LATE WINTER 1989-90 , �People ment and is now at the University of Calgary; Felix Milgrom, M.D., distin­ guished professor of microbiology at UB; the late Charles Elwood, M.D. who was a nephrologist at Buffalo General Hospi­ tal; renal transplant surgeons Roland Anthone, M.D., and Sidney Anthone, M.D., both clinical professors of surgery; Kyochi Kano, M.D., now professor of im­ munology at Tokyo University; A.B. Menno, M.D., clinical assistant professor of surgery, and Marion Sepulveda, who was the laboratory supervisor at Buffalo General Hospital. At the Buffalo General laboratory, which serves as a diagnostic and refer­ ence laboratory for all of the nephrologists in Buffalo, Andres splits his time between diagnostic work and research. "I think I got the most pleasure in clin­ ical activity—having the impression your work made a difference helping a pa­ tient," he said. "If you compare the kick you may get out of one of the four branches of aca­ demic life—patient care, administrative work, research or teaching—I think there is no question in my mind that the clin­ ical activity is best, probably because I was trained as a physician." After receiving his medical degree in his native Italy in 1949, Andres worked in the Department of Infectious Diseases at the University of Pisa. For several years he conducted kidney research at Columbia University, and was a research fellow at the Karolinska Institute in Stockholm. He worked with Thomas E. Starzl, M.D., the renowned transplant surgeon, in Denver. In 1982, he received UB's Stockton Kimball Award for outstanding teaching, research and service. He has published widely, both in Italian and English, on clinical immunol­ ogy, human and experimental immunopathology, and kidney transplantation.* LATE WINTER 1989-90 PANEL RECOMMENDS COMBINED TREATMENT FOR DESTRUCTIVE BEHAVIOR A combination of treatments rather than a single therapy is the most effective way to treat destructive behaviors in persons with developmen­ tal disabilities, according to a panel of medical experts convened by the Nation­ al Institutes of Health (NIH). Robert E. Cooke, M.D., UB professor emeritus of pediatrics, was on the 14-member panel of the Consensus De­ velopment Conference on the Treatment of Destructive Behaviors in Persons with Developmental Disabilities held in Sep­ tember. Nearly 4 million people in the U.S. have developmental disabilities such as mental retardation or autism, and ap­ proximately 160,000 exhibit behaviors that injure themselves or others or des­ troy property. In 1988, the cost of treat­ ment of these destructive behaviors exceeded $3.5 billion. Many of these self-injurious behaviors, such as head banging, face slapping, eye poking, ruminative vomiting, and swal­ lowing harmful substances, can be life threatening. The two most frequently employed treatment approaches are behavioral — using a system of reward or punish­ ment—and drug therapy. While the panel did not rule out the use of any therapy, including some con­ troversial punishment techniques, it strongly cautioned that such treatments designed to rapidly reduce destructive be­ haviors should be used only in a com­ prehensive and individualized program and only after appropriate review. The panel also said the prevalence of drug treatment is disturbingly high and lacks robust scientific validation. The panel recommended that the use of drugs should be limited to persons with iden­ tified psychiatric syndromes or used to facilitate behavioral, educational, or other therapies. Despite their widespread use, there has been relatively little scientific research on the effectiveness of any of these methods. The panel called for additional research on treatments, as well as basic research into the cause of the behaviors. Louis Bakay, M.D., professor emeritus in neurosurgery, received a Distinguished Alumnus Award from Harvard Medical School and Massachusetts General Hospital for his pioneering work on blood-brain barrier studies and his elu­ cidation of the pathophysiology of brain injury. • Robert E. Cooke, M.D. Evan Calkins, M.D., professor and head of the Division of Geriatrics/ Gerontology at UB, has been elected to the Johns Hopkins Society of Scholars. Calkins did his internship in medicine at Johns Hopkins Hospital in 1945-46 BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST �People 33 Hospital, as well as director of the Genet­ ics Division at the Shriver Center in Waltham, Mass. • Shepard Goldberg, Ph.D., clinical as­ sistant professor of psychiatry at UB, is president-elect of the American Associ­ ation of Psychiatric Services for Chil­ dren. He is executive director of the Child and Adolescent Psychiatric Clinic. • Lauracinnie D. Jenkins, M.D., clini­ cal assistant professor of family medicine at UB and medical director at the Dea­ coness Family Medicine Center, was honored at the 17th annual Black Achievers in Industry awards dinner. • Lauracinnie D. Jenkins, M.D. Daniel M. Green, M.D., associate professor of pediatrics at UB, has been appointed to the scientific committee of the International Society of Pediatric Oncology. A cancer research pediatrician at Roswell Park Cancer Institute, Green is an international authority on the late effects of cancer therapy in children. • and was an assistant resident in medicine there from 1948-50. Chief of the Gerontology Section at the Buffalo VA Medical Center, Calkins is director of the Multidisciplinary Center on Aging at UB. A master of the American College of Physicians, he recently received the Walter Beattie Award of the New York State Society of Gerontologic Educators and the Walter Cooke Award, presented by the UB Alumni Association. He re­ cently completed a three-year term as a member of the National Advisory Coun­ cil on Aging and is chair-elect of the Clinical Medicine Section of the Geron­ tological Society of America. • Emanuel Lebenthal, M.D., professor of pediatrics at UB, has received a pres­ tigious 1989 UNICEF Quality of Life Award. He was honored for his lifetime commitment to improving the quality of life of children world-wide and his research in chronic diarrhea and mal­ nutrition in infants and young children. Chief of gastroenterology and nutri­ tion at Children's Hospital of Buffalo, he is director of its International Institute of Infant Nutrition and Gastrointestinal Disease. • Richard W. Erbe, M.D. has been ap­ pointed professor of pediatrics at UB and director of the Division of Human Genetics at the Children's Hospital of Buffalo. Erbe was associate professor of genetics at Harvard Medical School and served as chief of the Genetics Unit and pediatrician at Massachusetts General Philip T. LoVerde, Ph.D., professor of microbiology at UB, has received the 1989 Henry Baldwin Ward Medal, the highest award presented by the Ameri­ can Society of Parasitologists. LoVerde, also a professor of pathology at UB, has distinguished himself in the field of research focusing on blood flukes BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST Philip T. LoVerdi called schistosomes. He currently is involved in studies aimed at developing a vaccine that would prevent schistosomiasis, a chronic, de­ bilitating and often fatal ailment caused by the parasites. Especially in the Third World, the disease is a major public health problem. • John Marzo, M.D., clinical assistant in­ structor in orthopaedic surgery, was hon­ ored by the Western New York Chapter of the American College of Surgeons for his essay related to his study on neck in­ juries in football players. James P. Nolan, M.D., chair of the Department of Medicine, has been elect­ ed to the Board of Regents of the Ameri­ can College of Physicians. From 1985-1989 he served as governor of the college's New York State Chapter and in 1988 was named its national "Governor of the Year." Nolan is also director of the department of medicine at the Erie County Medical Center. LATE WINTER 1989-90 �Classnotes Education at St. John's Mercy Medical Center in St. Louis, Mo. Steven G. Cline (M'47) • of At­ lanta, Ga., writes, "I recently retired from radiology. I am now pursuing a new career as a certified financial planner." 1950's James A. Curtin (M'50) • was Milford C. Maloney '53 1930 5 Arthur W. Strom (M'32) • was elected laureate of the Michigan Chapter of the American College of Physicians in 1988. 1940's Theodore W. Koss (M'41) • of Smithville, Tenn., has retired from the practice of medicine. Vincent J. Parlante (M'42) • re­ tired from the practice of medicine in 1988. Dr. Parlante lives in Hillsboro, 111. Thomas F. Frawley (M'44) • was one of five notable graduates to receive the Distinguished Alum­ ni Award presented by the Univer­ sity at Buffalo Alumni Association at its 50th annual banquet in June. Dr. Frawley is chairman of the Department of Graduate Medical LATE WINTER 1989-90 Jerome P. Kassirer (M'57) • received a Distinguished Teacher Award for excellence in clinical teaching from Alpha Omega Al­ pha in conjunction with the As­ sociation of American Medical Colleges. He was also honored by his colleagues for his 30 years of outstanding service to the Division of Nephrology of the New England elected to the Board of Regents of the American College of Physicians and is continuing as chairman of the Department of Medicine at Washington Hospital Center, Washington, D.C. Medical Center. Kassirer is the Sara Murray Jordan Professor of Medi­ cine at Tufts University School of Medicine. Roy J. Thurn (M'52) • was re­ cently promoted to clinical associ­ ate professor of Family Practice at the University of Minnesota, Maplewood. Morton E. Weichsel (M'62) • David H. Weintraub (M'37) • received the Teacher of the Year Award 1988-1989, presented by the Department of Pediatrics at St. Luke's Hospital, Cleveland, Ohio. Dr. Weintraub is an assistant profes­ sor emeritus at Case Western Reserve University Medical School. Reeber is a past president of the Headwaters Medical Society. Milford C. Maloney (M'53) • is president-elect of the American So­ ciety of Internal Medicine. Dr. Maloney is a past president of the New fbrk State Society of Internal Medicine, the Western New "fork Society of Internal Medicine, the Medical Society of the County of Erie, the Heart Association of Western New fbrk and the UB Medical Alumni Association. He subspecializes in cardiology in his solo practice in Buffalo. William J. Sullivan (M'55) • of Los Angeles is a diplomate of the American Board of Psychiatry and Neurology. He is certified in psy­ chiatry and psychoanalysis and is now specializing in forensic psy­ chiatry. Eric Reeber (M'56) • of Bagley, Minn., has been re-elected to a third term as trustee of the Min­ nesota Medical Association. Dr. 1960's was recently appointed director of Quality Assurance and Utilization Review in medical management of the Martin Luther King Jr. Medi­ cal Center, Los Angeles. He has also been appointed professor of pediatrics and neurology at the UCLA School of Medicine and the King/Drew Medical Center. Marvin Z. Kurlan (M'64) • has been appointed a deputy director general of the International Bio­ graphical Center of Cambridge, England. He will assist in the plan­ ning and running of the interna­ tional congresses of the IBC held in major world cities. Dr. Kurlan is a governor of the American Biographical Institute and is the recipient of its World Decoration of Excellence Medallion. Dr. Kurlan is president of the Buffalo Surgical Society and was elected to lifetime membership in the Leadership So­ ciety of the American College of Surgeons and inclusion in The Directory of Medical Specialists, Who's Who in America, 5,000 Per­ sonalities of the World, Men of Achievement, Dictionary of Intema- M a r v i n Z. K u r l a n ' 6 4 tional Biography, and The First Five Hundred. Jerome S. Litvinoff (M'65) • has a neurosurgical practice in San Diego, Calif., and is chairman of the Department of Surgery at Scripps Memorial Hospital in Chula Vista, Calif. Irving S. Kolin (M'65) • has been appointed medical director of Glenbeigh Hospital-Orlando, a pri­ vate psychiatric hospital specializ­ ing in the treatment of eating disorders, substance abuse and related psychiatric disorders in adolescents and adults. Dr. Kolin is a founding member of the American Academy of Psychiatrists in Alcoholism and Addiction. He was in the first group of physicians to achieve certification by the American Medical Society for Al­ coholism and Other Addictions. 1970s Kenneth Solomon (M'71) • was recently appointed associate profes­ sor of the division of geriatric psy­ chiatry, Department of Psychiatry and Human Behavior at St. Louis University School of Medicine. He BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST �Classnotes / Deaths 35 received a Presidential Citation from the Maryland Occupational Therapy Association and is an honorary member of the State Psy­ chiatric Society of Minas Gerais, Brazil. John W. Zamarra (M'72) • has been elected to fellowship in the American College of Cardiology. He is currently in private cardi­ ology practice in Brea, Calif. Arthur W. Mruczek Sr. (M'73) • has been appointed director of the contact lens service at the Erie County Medical Center, where he is a staff ophthalmologist. He prac­ tices medicine with a subspecialty in contact lenses and eye surgery in Medina, N.Y. Eric J. Russell (M'74) • was recently named to the editorial board of the journal Radiology. Dr. Rus­ sell is currently an associate profes­ sor of radiology at Northwestern University Medical School. He and his wife, Sandra, have two daugh­ ters, Gabrielle, 7, and Meredith, 2. Dennis C. Whitehead (M'75) • was elected to the position of vicespeaker of the council of the American College of Emergency Physicians. He is an emergency physician at Dickinson County Memorial Hospital, Iron Moun­ tain, Mich., and is an associate clin­ ical professor at Michigan State University, Lansing. Bruce M. Benerofe (M'79) • writes "I am happy to announce my marriage to Barbara Lipton (M'81) on Sept. 17, 1989. Barbara is practicing cardiology in New York City and 1 am practicing ophthalmology in New Jersey." Margaret J. Graf (M'79) • in­ forms us that she married Alan S. Berkeley, M.D. in 1984 and their daughter Sara was born in 1986. Dr. Graf is an assistant professor of OB/GYN at New York Hospital Cornell Medical Center. fellowship in kidney transplanta­ tion at Washington Hospital Center. "I'm starting anesthesiology — plan for critical care. Wise switch! Happily mar­ ried!" Jill D. Joyce (M'79) • writes, "I delivered my second daughter, Kel­ ly Samantha, in 5/89. First daugh­ ter, Victoria Lynn, born 12/87." Dr. Joyce is currently a staff psychiatrist at Mt. Vernon Community Men­ tal Health Center, Alexandria, Va. John F. Centonze (M'87) • writes, "I am currently a general medical officer on board the U.S.S. Iwo Jima. I have been pre­ selected to begin residency in otolaryngology-head and neck surgery in July 1990 Jennifer Cadiz, please write!)." 1980's Edward J. Rockwood (M'80) • is a glaucoma specialist at the Cleveland Clinic, Department of Ophthalmology. Richard Roy (M'80) • was in­ ducted into the American College of Surgeons in October. Dr. Roy is in group practice of urology in Detroit, Mich. George Foltin (M'81) • is direc­ tor of Pediatric Emergency Service at Bellevue Hospital, New "fork City. Dr. Foltin married Jessica Cooper of Providence, R.I. and is living in Riverdale, N.Y. Daniel P. Schaefer (M'81) • presented a paper on "The Acute Management of Eyelid Lacera­ tions" at the fourth annual Na­ tional Eye Trauma Symposium held in Philadelphia. John A. Feldenzer (M'83) • writes, "Karen, the kids and I have moved to Virginia. I've begun a pri­ vate practice of neurosurgery." Mark C. Steckel (M'84) • writes, "I completed a fellowship in pedi­ atric ophthalmology and strabis­ mus at Columbia-Presbyterian Medical Center and have joined an ophthalmology practice at 4699 Main St., Bridgeport, Conn. We also just moved to 27 Buena Vista Drive, Westport, Conn." BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST Eric J. Russel '74 Blackford Middleton (M'85) • writes, "Jon and Niki Wardner (M'85) visited while on a Western vacation. Enjoyed Wynton Marsalis in the Frost Am­ phitheater at Stanford under the hot sun!" Lynda Stidham (M'85) • of Glenwood, N.Y., writes that she finished residency at Children's in 1988 and is now enjoying life in a rural pediatric practice. Lance A. Besner (M'86) • is now chief resident of psychiatry at the Erie County Medical Center. He was married in April to Luisa Marengo. Michael J. Horan (M'86) • an­ nounces the opening of a new practice in pediatrics with Jean Marfurt (M'86). Their new of­ fice, Suburban Pediatrics, is locat­ ed at 1630 Maple Rd., Williamsville, N.Y. Bryon E. Labrenz (M'86) • has finished his family practice residency and is now employed in a new family practice residency program at St. Francis Hospital in Poughkeepsie, N.Y. Nilda E. Salaman-Dennis (M'86) • has finished a junior Mary C. Davitt (M'88) and Mitchell E. Tublin (M'88) • were married August 12, 1989, in Albany, N.Y. "Many of our friends from the University at Buffalo Medical School were able to join us in the celebration. We are now living in Pittsburgh." Charles Everett and Sandra (Frederickson) Everett (M'88) • proudly announce the birth of their son, Kristian, on July 15, ps Deaths Winfield L. Butsch (M'30) • a surgeon in Buffalo for many years, died Oct. 24, 1989. Dr. Butsch was an avid mountain climber who ascended to Mount Everest's firstlevel base camp when he was 68 years old. The W.L. Butsch Surgi­ cal Lecture Fund has been estab­ lished in his memory through the UB Foundation. James W. Weigel (M'51) • of Columbia, Mo., died on Oct. 11, 1989. Dr. Weigel had a private fa­ mily practice in New Jersey for 20 years before moving to Columbia where he worked at the Universi­ ty of Missouri-Columbia Student Health Center until his retirement. LATE WINTER 1989-90 �Hospital News 36 RESEARCHERS FIND POSSIBLE KEY TO MALIGNANCY R esearchers at Roswell Park Cancer Institute believe they may have zeroed in on the process that makes a cell malignant. "To place our findings in perspective and to paraphrase Churchill, in terms of the War on Cancer, this is not the end; it is not even the beginning of the end," said Garth R. Anderson, Ph.D., assistant research professor. "But, perhaps by com­ heart Nov. 2 at Buffalo General Hospi­ tal during an operation that left his own heart in place. This was the first "piggy­ back" or heterotopic heart transplant done in Western New York. Aponte suffered from coronary artery disease and had been hospitalized since July 1 at Buffalo General. Because Aponte had pulmonary hypertension (high blood pressure in his lungs) doctors decided that the new heart by itself would not be strong enough to overcome the pulmonary pressure. pleting our understanding of what fun­ damental cellular processes cancer represents, our findings may prove to have been the end of the beginning." The researchers reported that when a normal cell called a fibroblast is exposed to a lack of oxygen, such as during the early stages of wound healing, a tightly controlled series of responses is triggered. But if the cell loses control of that se­ ries of responses, it becomes malignant, the researchers believe. The results pro­ vide an important new focus for future studies aimed at understanding the com­ plexities of malignancy. The work was done by Anderson and Daniel L. Stoler, Ph.D., and Lisa A. Scarcello, M.S., all of the Department of Molecular and Cellular Biology at Roswell Park. The breakthrough findings were reported in the Journal of Biological Chemistry (Volume 264, page 14885). • OPERATION LEAVES MAN WITH TWO HEARTS A Rochester man has two hearts af­ ter an operation through UB's Heart Transplant Program. Alfredo Aponte, 54, received a new LATE WINTER 1989-90 Doctors attached the left atrium of the new heart to the left atrium of Aponte's heart, and did the same with the right atriums. The two aortas were connected to each other. A Dacron graft was used to connect the pulmonary arteries be­ cause they were too short. The piggy-back transplant isn't done routinely because a patient suffering from angina or chest pain would continue to have the pain if his heart were left in place. There are other risks as well. The Aponte transplant was the first of three transplant operations performed at Buffalo General in two weeks. UB's Heart Transplant Program has performed 14 transplants since it began in May 1988, and eight of those were performed in the six months between May and November of 1989. The rising number of transplants is due to the increased availability of donor organs because of a Nov. 1 change in regulations, according to the program's staff. If a heart becomes available in New York, it is now offered first to one of the two transplant centers within the state.* GRANT HELPS BABIES OF DRUG ABUSERS C hildren's Hospital of Buffalo has received a grant of up to $350,000 over five years to help the babies of women who abuse drugs, especially cocaine. The grant, from the U.S. Bureau of Maternal and Child Health and the American Academy of Pediatrics, was one of only 10 awarded nationally. The project was the focus of a visit to Buffa­ lo by Louis W. Sullivan, M.D., secretary of Health and Human Services. "Approximately 13 percent of pregnant inner-city women are abusing drugs," said Maureen Montgomery, M.D., co-director of the project. "In most cases, infants are discharged from the hospital into the care of the drug-abusing parent." The project provides preventive health care for the children, who are at high risk of abuse, and home-based support and education for the families. "Resource mothers," minority women trained to provide surrogate parenting, are hired to pay weekly visits to the homes of the substance abusers, lending support and teaching by example. The project will also provide regular well child visits, coordination with local child protective agencies and dissemina­ tion of tracking information and educa­ tion for community agencies providing care to these families. Montgomery is assistant professor of pediatrics at UB and attending pediatri­ cian in the Section of Ambulatory Pedi­ atrics at Children's. The other co-director is Karen Blount, R.N. • BUFFALO PHYSICIAN AND BIOMEDICAL SCIENTIST �iwjl M Buffalo Physician & Biomedical Scientist State University of New York at Buffalo 3435 Main Street Buffalo, New York 14214 Address Correction Requested mrMw&rmrmm, Non-Profit Org. U.S. Rbstagc PAID Buffalo, N.Y. Permit No. 311 � 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Journals and magazines 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 and biomedical scientist, Late Winter 1989-1990 Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--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 1989-1990-Late Winter 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 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_v23n05-1989-1990-LateWinter Table Of Contents A list of subunits of the resource. 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For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/0eb92cfb6d89676e7d0279b69d09718b.pdf 1c83ddd2e9e2c38820843d54959eeb3c PDF Text Text ie buffalo physician the buffal falo physician the buffalo physi| sician the buffalo physician th ie buffalo physician the buffal ilo physician the buffalo physi cian the buffalo physician the uffalo physician the buffalo ph hysician the buffalo physician le buffalo physician the buffal F> physician the buffalo physicil I buffalo physician the buffalo pf tysician the buffalo physician jo physician the buffalo physician th? ^sician the buffalo physician the bu pian the buffalo physician the buffa^ i buffalo physician the buffalo ph | buffalo physician the buffalo pj; lysician the buffalo physician physician the buffalo physicj je buffalo physician the buf Ian the buffalo physician the physician the buffalo phy: Ifalo physician the buffalo^ o physician the je buffalo physician the I |sician the buffalo physi( ysician the buffalo ph^ physician the buffalo | buffalo physician the bj| the buffalo physician the bJ Lthe buffalo physician physician the buffalo ffalo physician the buffalo phy alo physician the buff T BUFFALO �This is a typical Jecture-demonstration situation. At the front of the room assisting Dr. Beverly Bishop, associate professor of physiology, is Nancy Urbscheit, a graduate teach­ ing assistant in physical therapy, and Mr. Nassir Sabah, a lecturer in the School of Health Related Profes­ sions. Closed Circuit Television Closed circuit television is being used for the first time this semester in teaching Introduction to Physiology. The 260 students enrolled in this course have a variety of interests — some are history, physical education and English majors, while others are pre-meds, pharmacists, nurses, biologists, occupational and physi­ cal therapists. This demonstration approach to experimentation allows the pro­ fessor and students to explore together the ways in which a living organism functions. Some physiological events, such as action po­ tentials, are too rapid to be recorded on a penwriter and must be displayed on a cathode ray oscilloscope (CRO). The short persistence of the ordinary CRO beam and the small screen of the CRO tube limit the usefulness of oscilloscopic displays for demonstrations to large classes. Whenever the entire class can simultaneously view identical responses it is a great teaching advantage, according to the physi­ ology faculty. Now that the physiology faculty have the facilities for closed circuit TV (room 128 Capen] they are finding a variety of exciting ways to supplement their lectures and laboratory sessions. Closed circuit TV and video tapes promise to narrow the gap between basic science and clinical medicine by resolving patient availability problems, and spanning the time, space and knowledge barriers. • SPRING, 1970 THE BUFFALO PHYSICIAN �SPRING, 1970 Volume 4, Number 1 THE BUFFALO PHYSICIAN Published, by the School of Medicine, State University of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD Editor ROBERT S. MCGRANAHAN Managing Editor MARION MARIONOWSKY Dean, School of Medicine DR. LEROY A. PESCH Photography HUGO H. UNGER EDWARD NOWAK 2 6 7 8 10 11 Medical Illustrator MELFORD J. DIEDRICK 12 Graphic Artist RICHARD MACAKANJA Secretary FLORENCE MEYER CONSULTANTS President, Medical Alumni Association DR. SIDNEY ANTHONE President, Alumni Participating Fund for Medical Education DR. MAX CHEPLOVE Provost, Faculty of Health Sciences DR. DOUGLAS M. SURGENOR Associate Dean for Continuing Medical Education DR. HARRY J. ALVIS Vice President for Alumni Affairs JOHN C. CARTER Director of Public Information JAMES DESANTIS Director of Medical Alumni Affairs DAVID M. KRAJEWSKI President, University Foundation DR. ROBERT D. LOKEN Director of University Publications THEODORE V. PALERMO 13 14 15 16 17 18 22 24 27 28 30 33 34 35 36 37 38 Vice President for University Relations DR. A. WESTLEY ROWLAND 39 40 42 43 45 Closed Circuit Television inside front cover Dean Pesch Reports Infectious Disease AMA Recognition Dr. Milch Honored Community Services Grant Dr. Rekate Replaces Dr. Hummel New Assistant Veteran's Director Family Practice A Unique Medical Team Pediatric Fellowship Drug Control Children's Hospital Contract President Meyerson Resigns Children's Hospital Addition Dr. Wilbee Medical Education Buffalo General Alumni Spring Clinical Days Health Care Inhalation Therapists Meyer Hospital Facilities Different Kinds of Obesity by Gail McBride Tribute to Dr. Leak Millard Fillmore Physicians Honored Alumni at Walter Reed Dr. Orr Heart Study Dr. McDaniel Dr. Cheplove People In Memoriam Dr. Witebsky Dies Alumni Tours The cover design by Dick Macakanja refers to Aries, Taurus, and Gemini, which are symbols denoting astrological influences from March 21 through June 21. THE BUFFALO PHYSICIAN, Spring, 1970 — Volume 4, 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 1969 by the Buffalo Physician. �From the desk of LeRoy A. Pesch, M.D. Dean, School of Medicine The events which have occurred at this Medical School November 3 to 10 have served to bring into sharp focus many urgent and deeply rooted problems in our society which are related to the health of this nation. Health indicators from many sectors and census tracts clearly show the inadequacy of our present health care system. While the present focus is on disadvantaged segments of society, the overall problem affects all people and all levels of the health care system. The demands which were presented to the Medical School are not new demands nor are they directed at the Medical School alone. They are demands directed at society, a society which has toler­ ated the oppression of people and tolerated the disadvantages imposed on one of our most important human resources — our young people. Our disadvantaged minorities are tired of being oppressed and tired of being called disadvantaged and oppressed. They are tired of the handouts of society, tired of welfaresupported indigent medical care, tired of programs such as medi­ caid which perpetuates second-class medical care. The demands are for equality — equality of educational opportunity, equality of educational effort and advantage, and equality of medical care. In short, our society is demanding that we produce the man­ power, the delivery systems, the opportunities for full and equal participation by all people in the effort to develop the total capa­ bility for elevating the health of this nation to the highest level we are capable of achieving. We must respond, not next year, not next week, not tomorrow, but today. In coming to this University as Dean of the School of Medicine a little over a year ago, I made my own demands for an action pro­ gram that would respond to the urgency of the problem of health. Among these were demands for: —a curriculum which would be responsive to compensation for any educational disadvantage which might result from a truly open admission policy and yet would provide the very best of educational and research opportunities for all of our students; —an organization within the student body which would accept responsibility for meaningful participation in the programs of the school; —appropriate identification and organization of a Faculty of Medicine which would be cohesive in its efforts to produce educational excellence for all students in the school, as well as in residency and postdoctoral training programs; —working together with our affiliated hospitals to build a com­ munity-based, university-coordinated system of health care; —an organizational structure within the university which would cut through our own barriers of academic and governmental bureaucracy so that implementation of our programs for action could be immediate. We have made progress in all of these areas; some more signifi­ cant than others. We must continue to work on all of them. The demand for health care is not the responsibility of this Medical School or this University alone. It is the responsibility of all of us. The community and the nation must provide the facilities, resources, and imaginative programs if we are to get the job done. 2 THE BUFFALO PHYSICIAN �It is no longer a question 'should we?' It is a fact to which we must respond. And we must find the answer to how it can be done. There are many things going on at university campuses at the present time. Some are very difficult to understand. However, this is a quality University. We have a good Medical School and are dedicated to making both of these institutions excellent. Further­ more, we are committed to equality of educational opportunity and to responding to the community and the region we serve. There­ fore, we must say 'no' to violent confrontation, to destructive acts as well as to coercion as tolerable techniques for change. On the other hand we must respond with action and not words. Thus, on the basis of our commitment, when our students who are disadvantaged for any reason ask: Will you provide us with equality of opportunity? We can say 'yes'. Will you guarantee equal educational standards and advantage? We can say 'yes'. Will you equalize financial assistance in such a way that we can do our best? We can say 'yes'. Will you help us achieve more and better health care? We can say 'yes'. Not a qualified or second-class 'yes', but a resounding 'yes'. • As we begin a new year, I would like to take this opportunity to initiate a series of regular reports on matters of concern to all of us. In this way it is my hope that communication may be improved and we may be better informed about developments within the school. At the outset I would like to alert the faculty to a meeting which will be called by the Secretary of the Faculty in the very near future. Its purpose will be to consider the report of a faculty committee on bylaws and the possible adoption of the committee report as an amendment to the bylaws. The substance of the report calls for the establishment of a Faculty Council which will represent the faculty in matters of school policy. You will recall that the committee report was distributed and discussed at the Annual Faculty Meeting last spring. The report will be distributed with the agenda and the call to the meeting. The second matter concerns the current status of programs related to increased enrollment for next year and progress in the area of disadvantaged minority group admissions. At the present time the following format has been established in concert with elected representatives of student groups: —The school will expand the size of the entering fall class by approximately 20 places. —There will be a single Medical School Admissions Committee with an equitable faculty membership from groups formerly under-represented. —There will be a single mechanism for appeals on suspension or dismissal from the School of Medicine. SPRING, 1970 Dean Pesch The Dean Reports �The Buffalo General Hospital dedicated the Oscar J. Oherkircher Urological Suite in De­ cember. It is part of its $7.3 million addition. The national­ ly known urologist, Dr. Oberkircher, M'15, left, first joined the hospital staff in 1917. He examines a portrait and the plaque in the new wing with his sons, Paul, M'59, Oscar, M'52, and David, M'59, all physicians. • Buffalo Evening News Photo —There will be a major recruiting effort for disadvantaged students along the lines of the Career Development Program recommended by Medicine and other Health Science Schools in March 1969. We have developed a harmonious and con­ structive relationship with the community, university faculty, and student groups most directly involved. It is our intention to institute a summer program, comparable to the Harvard Career Development Program this summer. Dr. Chris­ topher D'Amanda has been appointed Acting Director of the Health Sciences Career Development Program with some exciting results in the area of recruitment already demonstrated. Faculty and financial resource development are presently under study. Dr. Eric Barnard has been appointed chairman of a Commit­ tee on Space and Facilities to evaluate and recommend the changes necessary to accommodate the anticipated increase in class size for next fall. Dr. Edward Marine has been working closely with Dean Claude Welch of the University College to develop academic pro­ grams which may include five, six or seven-year curricular tracks with cross-registration between the College and the School of Medicine leading to the M.D. degree. A committee for coordinating the development of these programs will be appointed. 4 THE BUFFALO PHYSICIAN �Another important faculty committee being established is called the ad hoc Committee on Medical Manpower. This committee has been in the planning stages for several months. It will evaluate current efforts in the areas of Community Medicine, Ambulatory Care and Family Practice and will be charged with recommending academic program development in response to the local and regional manpower shortage with particular emphasis on com­ munity and family medicine. Dr. Marine has agreed to serve ini­ tially as chairman of this committee. The final matter I would like to bring to your attention at this time is an important and major change in the administrative or­ ganization of the Dean's office. The most immediate needs of the school call for the resolution of administrative complexities in­ herent in the pattern of the organization of the school. Because we operate major programs in a variety of institutional settings, in­ cluding several within the community, the school has a continuing responsibility in providing leadership to find imaginative solutions to the unsolved problems of our clinical programs, postgraduate education, and the integration of the medical center with the community in which it functions. Consequently, several steps will be taken over the next few months to provide a more effective and efficient administrative organizational structure than the School has had in the past. The first of these changes is the establishment of the position of Executive Associate Dean and Director of Academic Programs. This position will have the authority and responsibility for direct­ ing and coordinating admissions, curriculum development and academic affairs, student affairs, special program development, together with coordination of the interaction between the Student Polity and the Faculty Council. I am delighted to announce that Dr. Edward Marine has agreed to accept this position effective immediately. I feel very fortunate indeed in having a person with his capabilities assume this important administrative position, and I have every confidence that under his leadership major progress will be made in all these areas which are so vital to our educational and clinical programs. Other changes in the area of institutional relationships, fiscal management, and planning and development are under study and will be announced in the very near future.• SPRING, 1970 5 �I Dr. Allen Infectious Disease Dr. Allen teaching at one of the smaller didactic weekly sessions. UST A MINUTE," responded an enthusiastic voice, that of Dr. James C. Allen who came from Baltimore's Johns Hopkins last August to head the first university-wide infectious disease program in Buffalo. "I am just winding up this experiment." In a small office tucked into a corner of a laboratory—in the usual disarray ac­ companying the final throes of occupancy—we talked about in­ fectious disease. "Infection is mainly an acute problem," the young, tall and spare associate professor of medicine pointed out. "The patient recovers or dies. Or he may develop an infection during treatment for another illness. Tuberculosis and venereal disease are two of the major exceptions," he said. Clinical duties in this major subspecialty of the department of medicine are heavily teaching oriented. When house staff is faced with a problem—increasing use of antibiotics, cancer drugs, and corticosteroids over the past decade have changed the pattern of hospital infections—"we are called in," he said. "We counsel them on an approach to diagnosis and therapy." Teaching continues as the basic tenets of appropriate infectious disease practice are em­ phasized during grand rounds and at the smaller, more didactic weekly sessions where students on service at the hospital join in. For the first time this fall, a student elective in infectious disease will be offered. In his approach to research, Dr. Allen looks for the combination of both basic and clinical application. "I want my basic question to be a steppingstone toward the application of a practical answer I want to find the ways and means such as hypersensitivity to bac­ terial products causes tissue damage and disease manifestations. "We pursued the literature hint that hypersensitivity may be a tool toward answering certain basic questions in the pathogenesis of tuberculosis," he said. Over a three-year period, TB-induced pleural fusions in animals were investigated utilizing refined meth­ ods of studying protein and water movement. The result—a specific physiologic lesion related to this type of delayed hypersensitivity phenomena can now be defined. �"Our studies have shown us the 'way' to demonstrate hyper­ sensitivity in this type of manifestation, the 'way' delayed hyper­ sensitivity can cause significant physiologic lesions in the living animal." But even with the best available techniques, a significant percentage of the tuberculous causes of pleurisy cannot be proven. It is often the young, he said, who will subsequently develop significant extra-pleural TB if not treated. "By using the 'tool' of hypersensitivity we hope to understand this process in man. A study is currently underway." Is drug hypersensitivity through antibiotic use clinically signifi­ cant? Dr. Allen and his assistant, Dr. William Lerner, think so. They are zeroing in on an area in which little is known—delayed hyper­ sensitivity following antibiotic use. They are combining the basic question—how the body combats infection—with its practical ap­ plication, the adverse effects of antibiotic drugs themselves. There is a delayed hypersensitivity system, their yearlong study on the experimental model has conclusively proven. A certain response specifically related to the structure of antibiotics can be defined in this system. When their studies are completed, they hope to interpolate their findings to man. A pioneer in the isolation and identification of meningococci anti­ gens will be joining the team in July. He is Dr. Michael Apicella, active in the study of hypersensitivity phenomena, who will be working on problems involving the meningococcus as a casual as well as pathogenic inhabitant of man. In a collaborative study with Dr. Allen, he will focus on certain problems in host resistance.• The Continuing Medical Education lecture series presented over the two-way Telephone Network of the Regional Medical Program of Western New York has been recognized by the American Medical Association. Dr. Harry Alvis, associate dean for continuing medical education, said that physicians who participate in the programs can now receive credit for the required category towards attain­ ing the AMA Recognition Award in Continuing Medical Education. This award involves no academic credit but is a means of acknowl­ edging the genuine desire of many physicians to keep up with advances in their field. Recognition of the network programs as an effective means of edu­ cation was possible only because the programs are organized under the auspices of the Medical School faculty which had already re­ ceived accreditation for its conventional short-term courses. The series started in the spring of 1968 with 15 hospitals in the network. Today there are 51 hospitals in Western New York and Pennsyl­ vania on the network. The regular series of programs for physicians is presented every Tuesday at 11:30 a.m. There are several other network programs for dentists, nurses, pharmacists, physical thera­ pists, podiatrists, medical record librarians, hospital administration and supervisory personnel, dieticians, and environmental health personnel.• SPRING, 1970 7 AMA »-» Ivt!l_.UJ= �Dr. Milch Honored by Albert Einstein Medical College A 1933 graduate who has been on the Medical School faculty since 1938 (except for military leave during World War II) was honored recently by the Albert Einstein College of Medicine of Yeshiva University. He is Dr. Elmer Milch, clinical professor of surgery. He is also acting chairman of the surgery committee at Buffalo General Hospital and a surgery consultant at Roswell Park Memorial Institute. During a reception and dinner Dr. Milch was presented a plaque for "his service to the advancement of medicine." The surgeon has been active and honored by several other medical and civic organizations. Dr. Milch's address, which follows, was entered into the Con­ gressional Record by Congressman Thaddeus ). Dulski of New York on November 6,1969. I should like, first, to express my sincere appreciation for the honor you do me this evening. Recognition is gratifying at any time, but it is recognition by one's peers such as the men at Albert Einstein Medical Col­ lege which is deeply and truly valued. As an individual who has been engaged modestly in medical education for more years than I care to admit publicly, these moments are treasured not only for the infrequency of their occurrence, but also for the oppor­ tunity to speak out in a reflective and philosophical mood both as a physician and a layman. In a rapidly changing society—such as has been ours during the past 3 to 4 decades, we have watched the practice of medicine become a public utility subject to federal, state, and municipal regulatory bodies and laws, which have attempted by their actions to reduce physi­ cians to one common denominator. As a result of these actions excellence is in danger of becoming an increasingly vestigial structure and the resolve to pursue it may soon give way to disillusion. This we must never permit to happen to our youth. What course then is open to our youth, to those in whom we intrust the future and health of our society, and if you will, the future of all mankind? Disillusionment? I hope not. Callous cynicism and an attitude of "what the hell, I'll play ball their way?" I hope not. Petulance and withdrawal from our society, contenting themselves with pouting predictions of apoc­ alypse for the world in which they feel condemned to live? I hope not. I hope that those who one day join the medical pro­ fession will be taught to take none of the easy ways out, but will continue to pursue excellence—for the selfrespect of knowing that one has done his best, for the joy of the pursuit, for the very love of excellence itself. 8 THE BUFFALO PHYSICIAN �MUST TEACH BY EXAMPLE But this hope will be in vain if we do not teach the young by our example. Today, as the moral vacuity of our country is replaced by the moral vacuity of the crash pad, our society is learning the truth of the biblical admonition that it must reap as it has sown. We, in medicine, as practitioners and teachers must try not to repeat the same errors. We just cannot afford the pious invocation of one set of values while we conduct ourselves by another. If we as a profession are to retain our self-respect, we must demand excellence of ourselves first or else we must not demand it of those who will succeed us. Nowhere is the dual nature of that imperative more manifest than in our medical schools. If we are to expect our students to forget the lessons of compromise and expediency, then we must retain the most vigorous standards of excellence in their training. We cannot heed the political call for instant physi­ cians, in a futile, hasty effort to correct years of neglect and mistakes. We cannot and must not play games with our youth and our health because of a wrong sense of priorities permitted to exist over the years. SOCIETY MUST DEFEND STANDARDS If we are to preserve the self-respect of the medi­ cal profession, then society as a whole must defend the standards of excellence. For only through such a defense by the public itself can we hope to produce physicians who will be worthy of their calling and our trust. For only by being the instruments of our own support and standards can we hope to teach the young the necessity of integrity. Only by ourselves turning away from the bastions of mediocrity which would prostitute these principles in the name of political expediency can we hope to one day view ours as a profession which serves as an ex­ ample to society rather than partaking of its present ills. And these facts society must understand and must help us as teachers and physicians do. It is because Albert Einstein Medical College in the comparative short time of its existence has demon­ strated these standards and principles of excellence. It is because as a private institution depending greatly upon public support it has held its head high and to date has refused to bow to the pressures of mediocrity —that I, as an individual, am very proud to be honored this evening and to accept this plaque in behalf of all grateful practitioners and teachers of medicine.• SPRING, 1970 Mr. Edward Kavinoky, co-chairman of the testimonial, presents award to Dr. Miich, "for his service to the advancement of medicine." �$900,000 Grant to Community Services Program The staff of the Community Services Research and Devel­ opment Program includes spe­ cialists in epidemiology, so­ cial work, sociology, statistics, and medicine. Co-directors with Dr. Sultz are Dr. Edward F. Marra, professor and chair­ man of the department of so­ cial and preventive medicine at the Medical School, and Dr. William E. Mosher, Erie County Health Commissioner. J.HE COMMUNITY SERVICES Research and Development Program at the Medical School has received a five-year grant of $900,000 from the National Center for Health Services, Research and Devel­ opment of the U.S. Department of Health, Education and Welfare. The grant will underwrite studies and projects for improving over­ all medical care in Western New York. The first-year budget will be $140,283 with the remainder of the grant allocated over the next four years, according to Dr. Harry A. Sultz, a former dentist and now associate professor of social and preventive medicine and director of the program. "Our objective is to find ways to make the advances of modern medicine and dentistry available to all of our people," Dr. Sultz said. "There is still much that we do not know about disease, but there is much that we do know that is currently of little benefit to large numbers of Americans. We must make it available to them— and make them aware of how and where to seek it." The several projects currently underway include: —a study of how group psychotherapy aimed at allaying anxiety may affect the prognosis of coronary patients—in collabora­ tion with Dr. Michel A. Ibrahim, Deputy Commissioner of Health for Erie County; —a study, for the Regional Medical Program, of the need for health manpower, new clinical techniques and other resources in the care of stroke patients in the Western New York region in collaboration with Dr. Ibrahim and Dr. Harvey Borden of the U. S. Public Health Service; —a study of out-of-wedlock pregnancy and contraception, in collaboration again with Dr. Ibrahim; —for residents of one part of the "inner city," compilation of a Health Rights Guide by medical and nursing students who staffed a clinic in the area last summer—so that residents will know where and how to get medical aid quickly; —publication of a Physician's Desk Reference of Community Services, for the Western New York region, which will be published in the fall and will list 400 services related to health needs, such as hospitals, nursing homes, adoption agencies, or places to obtain wheelchairs or counseling. This is funded by the United Health Foundation and the Erie County Department of Mental Health. The research initially started in 1962 when the then community services unit of the preventive medicine department was asked by the New York State Department of Health to undertake the Erie County Survey of Long-Term Childhood Illnesses. When this mas­ sive study was completed, in 1965, the unit decided to stay to­ gether as a full-fledged research group. Federal support of this program, prior to this grant, has totaled approximately $500,000. The purpose of this first study, whose results have attracted widespread interest, was to ascertain the incidence and prevalence of 70 long-term childhood diseases for which services were not (yet) provided under the state crippled children's program, so that they could be given more informed consideration in terms of state and local health planning.• 10 THE BUFFALO PHYSICIAN �A 1940 Medical School graduate was named acting director of the E. J. Meyer Memorial Hospital January 1. He is Dr. Albert C. Rekate who has been on the faculty since 1947. He succeeds Dr. L. Edgar Hummel, who retired as superintendent of the hospital December 31. The title of the top hospital post was changed from superin­ tendent to director. Dr. Rekate is also associate dean for clinical affairs in the School of Health Related Professions, professor of medicine, and director of rehabilitation medicine at the hospital. He has been on the Meyer staff since completing his internship there in 1941, except for three years in the Army Medical Corps from 1944 to 1947. The new director has co-authored seven major articles for medi­ cal journals, including a treatise on "Liver Function in Alcoholism" in 1963. Two years later he organized a rehabilitation program at Meyer which embraced alcoholism along with drug addiction, men­ tal illness and other conditions. He has held other Meyer appoint­ ments—assistant residency, attending physician, associate director of medicine, assistant psychiatrist, and acting head of the cardiol­ ogy department.• Dr. Rekate Dr. Rekate Named Director of Meyer Hospital Dr. Hummel Retires Dr. L. Edgar Hummel, superintendent of the E. J. Meyer Memorial Hospital since March 1, 1957, retired December 31. He has been a member of the hospital's medical-dental staffs since 1939, and on the School of Medicine faculty since 1938. Dr. Hummel reached retire­ ment age in April, 1968. He did his undergraduate work at UB, and in 1931 received his M.D. from Harvard Medical School. "It has been a fruitful and satisfying experience to have headed up one of the great municipal hospitals of the country," Dr. Hummel said.D Dr. Christopher D'Amanda is the new assistant to the Dean in the Medical School. He will be acting director of the new Health Sci­ ences Career Development Program. He will also serve as interna­ tional liaison officer of the Medical School and be involved with the delivery of health services and care in the community. The 35year-old physician is also an assistant research professor in the department of medicine at the E. J. Meyer Memorial Hospital. In 1956 Dr. D'Amanda received his bachelor's degree in English Literature from Harvard University. He received his M.D. degree from the State University at Buffalo in 1962. He was an intern and resident at the Buffalo General Hospital from 1962 to 1966. During July, August and September of 1966 Dr. D'Amanda was preparing himself for a special assignment at the National Communical Dis­ ease Center, Atlanta, Georgia. From November, 1966 to November, 1969 he was at Upper Volta and the Ivory Coast, West Africa, in the measles control and smallpox eradication program. This pro­ gram was sponsored by the United States Public Health Service.• SPRING, 1970 11 New Assistant to the Dean Dr. D'Amanda �Mr. Speer Veteran's Hospital Director "Part of the challenge in my coming to Buffalo," said new Vet­ eran's Hospital Director Eugene E. Speer Jr., "is participating in the expansion of the hospital's training and ongoing research pro­ grams." For the 57-year old Alabama born director, this means better patient care, a more active affiliation and cementing of rela­ tions with the Medical School. The 1937 graduate of Athens College in Alabama, who as a boy really wanted to be a surgeon while his family hoped for a min­ ister, pursued graduate work at George Washington University. He later lectured there on hospital budget and outpatient records. He received the equivalent of a master's degree in sociology and per­ sonnel administration from the University of Alabama. The blue eyed administrator, who "won't stay if I can't keep things moving ahead" has 23 years' Veterans Administration ex­ perience in four hospitals. He comes here from Louisville, Ken­ tucky where he held an equivalent directorship. This was pre­ ceded by five years' service with the Air Force, enlisting as a private and discharged as a captain. He worked most of the time in military hospitals. That's where he became interested in hospital adminis­ tration. But he has also taught at all grade levels in Decatur, Alabama following graduation. And he has held principal and vocational advisor positions as well. Leisure time, if there is any, finds Mr. Speer either rebuilding stereo equipment, dabbling in hybrid dahlias or reading sports magazines. About 25 years ago he was a Red Cross water safety instructor and he readily admits that both he and Mrs. Speer find the outdoors one of the best means of relaxation. Golf and fishing are also high on the agenda. "Things are moving ahead," said the new director. "We are mak­ ing progress."• New Family Practice Plan Three young physicians, all May Medical School graduates, are practicing family medicine as the first resident physicians in the new specialty of family practice at Deaconess Hospital. They are — Drs. Michael Smallwood, Timothy Harrington, and Robert J. Gibson. Patient families will be assigned to each one of the three resi­ dents, who will handle their problems personally, calling in con­ sultants as necessary, including a social worker who will be assigned to the program. The resident will practice "preventive medicine," working not just with the sick in the family, but with the well, to keep them from getting sick. When the resident is not seeing patients, he will be encouraged to pursue a program that will be helpful in whatever circumstances he elects to practice after his residency. The residents will be encouraged to learn more about facilities available to their patients in the community, such as public health nursing. They may also spend some time in compre­ hensive health planning, medical society or regional medical pro­ gram offices.• 12 THE BUFFALO PHYSICIAN �A Unique Medical Team The James D. Felsens form a unique medical team. Since 1967 they have been working with three tribes of Indians in Arizona (Hualapis, Havasupais, San Carlos Apaches). Dr. Felsen is a 1966 Medical School graduate, and his wife is a nurse with the Head Start Program. The husband-wife team dou­ bles in everything from educator to social work to pharmacist. They have come a long way in three years—from a mule-back clinic to administrator of a modern U. S. Public Health Service Hospital with a staff of 75 on the San Carlos, Arizona Apache Res­ ervation. Before completion of the hospital the Felsens loaded mules with supplies every three weeks and rode horses into the canyon to conduct a clinic for the tribe. The Arizona and New Mexico Indians have problems of improv­ ing their socio-economic status, and fitting themselves into the mod­ ern world, according to Dr. Felsen. "It is amazing how far they have come in three generations, since they were overpowered by the cavalry." The single most isolated group of American Indians is the 300 Havasupai who live at the bottom of the Grand Canyon. The Apaches are a more advanced tribe, but the problems the health workers face are similar. "We have the facilities, but very few Indians see themselves as responsible for their health. They shift the responsibility to the doc­ tors and the Public Health Service," Dr. Felsen said. "Curative medicine for the Indians is as modern as anywhere in this country, but preventive medicine is only in its infancy," he said. "I'm not so sure this doesn't carry through into Buffalo and other cities. The facilities are there, but hundreds of thousands of people are not getting services because they don't know they exist," Dr. Felsen said. The Felsens went to serve among the Indians because of the op­ portunity to see "raw disease." They stayed because of the need and the desire "to progress into community medicine." They both agreed they are being rewarded because "the Indians are beginning to demand services on their own rather than waiting for us to insist on their participation." The Felsens spent August and September in Africa giving medi­ cal care to Sierre Leone's Peace Corps volunteers and gained some new ideas for bringing better community medicine to the Indians of the Southwest.D SPRING, 1970 13 �Pediatrics Fellowship A Both Julie and Dr. Rubin admire a pretty dress. L/rUg Control N INTEREST IN PEDIATRICS? A curiosity about kidney disease following lectures on the kidney by Charles M. Elwood ? That sums up Julie Dratch's summer fellowship at the Children's Hospital. "I wanted pediatrics and an opportunity to work under Dr. Mitchell I. Rubin," the petite dark haired senior said. "The daily clinical rounds, the workups in the outpatient clinic where I can follow my patients have been really exciting. One, an eight year old girl, will be in again this morning. Proteinuric, we are treating her with steroids and I am eager to see how she is responding." It is also an opportunity to become familiar with research and laboratory procedures. There is Dr. James Brennan's weekly biopsy conference at the Buffalo General Hospital. And there is Julie's study on the nephrotic syndrome. By recording laboratory and clinical data on 55 patients who have evidence of minimal disease documented by renal biopsy, she feels that "we may be able to predict prognoses based on what we have seen happening." The future? Hopefully an internship in a New York City hos­ pital. She has worked at Roosevelt, one of Columbia's teaching hospitals where many of the patients are Puerto Rican. She is taking Spanish lessons twice a week because "if I am accepted at Roosevelt I want to be able to talk to them."D The recent explosion of drug use should be a warning to society to establish a "system of anticipatory control" today for mindeffecting narcotics sure to appear in the very near future. That is what Dr. Cedric Smith, professor and chairman of the department of pharmacology, told the State Joint Legislative Committee in Pro­ tection of Children, Youth and Drug Abuse. "There will be new and different drugs for changing the way one thinks. Our present system of research and education is too inertiabound to respond to the protection of the populace. It was evident ^* ve t o t e n y e a r s ago that psychedelic and marijuana use was spreading rapidly," Dr. Smith said. The professor called for a control system of psychedelic agents including: [1) a monitoring group responsible for recognizing new compounds and techniques for thought manipulation, for assessing potential and for initiating research; (2) a research group for studies on man and animals in both short and long range periods; (3) a program to keep the public educated on new techniques for combating drug abuse. Dr. Smith warned that lack of proof that a drug does permanent harm does not give it an automatic clean bill, noting that "both thalidomide and DDT were widely used before it was realized that they were harmful."• 14 THE BUFFALO PHYSICIAN �Following a year's review and analysis by University and Hospital authorities, the up-dated contract of affiliation between The Chil­ dren's Hospital of Buffalo and the University Schools of Medicine and Dentistry was signed by Dr. Peter Regan and Mrs. Robert B. Adam, President of the Hospital's Board of Managers on January 8, 1970. Dr. Regan is Acting President of the University. Hospital-University affiliation originated in 1936 and was up­ dated in 1942. Both the previous agreements, however, only stated the intention of the two parties to affiliate without specific com­ mitment as to what the agreement would entail. Both institutions, realizing the necessity for maximizing their efforts to obtain State and Federal funds of benefit to both decided to re-draft the document spelling out specific principles within a legal context. The document in no way alters the status of the hospital. It still maintains complete control of its operation as a non-profit corpora­ tion chartered under the laws of the State of New York directed by a 24 member Board of Managers from the community at large. The document includes provisions for appointments and promo­ tions within the framework of the Medical Staff Bylaws of the hospital. It now also provides for representation of Administration and Hospital Board members on University policy committees which involve the Hospital including search committees for hos­ pital department head positions. At the same time it provides for recognition and representation of University representatives on the Hospital's Board of Managers. In both cases, representation is exofficio. Both parties feel that this mutual cross representation will provide a more complete flow of information between the two institutions. With a singleness of purpose they can thus provide the best possible care for children of Western New York and the best possible teaching program for the Medical and Dental students of the University.D Children's Hospital Contract Signed President Martin Meyerson has been elected president-designate of the University of Pennsylvania. He will assume his new position in September. He succeeds Dr. Gaylord P. Harnwell, who will retire in September. Mr. Meyerson came to Buffalo in September, 1966 as the succes­ sor to Dr. Clifford C. Furnas, who had reached mandatory retire­ ment age. Since September, 1969 Mr. Meyerson has been spending two-thirds of his time as chairman of the Assembly on University Goals and Governance, which is studying the functions and pur­ poses of American Colleges and Universities. Mr. Meyerson, who was a member of the Pennsylvania's city planning faculty from 1952-57, will become the 19th chief executive officer of the institution. "This decision has been the most difficult one of my life," Mr. Meyerson said.D Pennsylvania Lures President Meyerson SPRING, 1970 15 Mrs. Adam, Dr. Regan, Dean Pesch �Children's Hospital Addition This is how Children's H o s p i t a l w i l l l o o k i n 1 9 8 0 . A t t h e e x t r e m e l e f t [ A ] i s the nurses' residence. The 10-story buiiding (B] is under construction. Adjacent (CJ is the existing Tanner Buiiding, and in the (D) area is where the research facility will be built. A few remarks at the groundbreaking ceremony by Mr. Frank Muddle, hospital director; Mrs. Robert B. Adam, President, Board of Managers; Mr. B. John Tutuska, Erie County Executive; and Dr. Jean Cortner, Professor and Chairman of Pediatrics. Ground was broken December 3 for the first phase of Children's Hospital's $11.5 million, 10-story addition on Bryant Street. It includes construction of the basement, sub-basement, installation of elevators and completion of the first two floors plus exterior walls for the bal­ ance of the 10-story building. This building, scheduled for completion in 1973, will be financed with hospital funds, government grants and $7 million from a com­ munity-wide campaign that will be completed in 1971. It will house administrative offices, hospital services, the Outpatient Department and clinics. Rehabilitation and mental health facilities will also be expanded to meet the increasing needs of 22 regularly scheduled clinics on subjects ranging from allergy to well-baby care. The master plan, scheduled for completion in 1980, includes construction of another 10-story research build­ ing fronting on Hodge Street. This building will pro­ vide laboratories and offices for the hospital's burgeon­ ing research programs in surgery, kidney disease, hered­ ity, allergy and other conditions. The new buildings are tailored to meet the rapidly expanding needs of the hospital's Outpatient Depart­ ment and the teaching and research requirements of the hospital staff and the School of Medicine. The hospital is the only Children's Hospital in New York State.• THE BUFFALO PHYSICIAN �Dr. Robert H. Wilbee has two new assignments. He is assistant dean at the Medical School and acting associate director at Meyer Memorial Hospital. At the University Dr. Wilbee's main responsibilities will be in the areas of student and academic affairs, while at the Meyer he will be co-ordinating planning for the new hospital and assist in administration. Dr. Wilbee was born in Edmonton, Alberta, Canada in 1929, but was raised in Western New York, and graduated from Kenmore High School in 1947. He then attended Dartmouth College and was awarded an A.B. in Psychology in 1951. He served in the United States Army during the Korean War and returned to the University of Buffalo School of Medicine to graduate in 1959. His postgraduate training included a rotating internship at the University of Cali­ fornia in San Francisco and a four year residency in General Surgery at the Buffalo General Hospital. From 1964 to 1968, he was associated in practice with Dr. Joseph Dziob at the Bethlehem Steel Corporation with a main interest in trauma surgery. In 1968 he was appointed Assistant Professor of Surgery at the University. He directs the Emergency and Trauma Services at the E. J. Meyer Memorial Hospital. He is a member of Alpha Omega Alpha (honorary Medical Society), the County, State and American Medical Association, the Buffalo Surgical Society, a Fellow of the American College of Surgeons, and a Diplomate of the American Board of Surgery. He is on the staff of the E. J. Meyer Memorial, Buffalo General, Chil­ dren's and Veterans Administration Hospitals.• New Duties for Dr. Wilbee Ten continuing medical education programs will be offered this spring, according to Dr. Harry J. Alvis, associate dean for continu­ ing education. Continuing Medical Education March 6 DEPRESSION IN THE MEDICALLY ILL PATIENT March 12 — June 11 (12 Thursday Evenings) — Physical Examination of the Cardiac Patient April 9 —NEUROLOGY SEMINAR DAY April 10 and 11 — 33rd Annual UB Medical Alumni SPRING CLINICAL DAYS — "THE PHYSICIAN and SOCIETY" April 23 and 24 — MODERN CONCEPTS IN CORONARY CARE May 7 — OTORHINOLARYNGOLOGY May 14 and 15 — NEW ADJUNCTS IN ANESTHESIOLOGY May 27 and 28 — GERIATRIC MEDICINE June 1 and 2 — REHABILITATION OF STROKES and SPINAL CORD INJURIES June 1 - 5 — REFRESHER SEMINAR IN PEDIATRICS SPRING, 1970 17 Dr. Wilbee �As clinical clerk Kenneth Piazza examines anesthetic machine, resident Richard Saab adjusts cystoscope and Nurse Behr explains its fiber optic cord into light supply. Buffalo General Hospital Adds New Wing A quick in/out surgery unit . . . a new urology suite that may be the finest in the country . . . 108 new beds in spacious, light rooms that are accented by bright colors, print draperies, and carpeting . . . a new reference library. They are all located in a new four story wing at the Buffalo General Hospital that is only the first phase of a planned 16story tower. 18 Spelling relief to an acute hospital bed shortage is the ground floor emergency de­ partment. It is geared toward patients whose surgical or diagnostic requirements can be handled on a one-day basis. Four fullyequipped operating rooms are backed by an orthopedic room large enough to treat four patients at one time, its own x-ray facilities, and laboratories where emergency blood counts or urine analyses can be performed. Laboratory work for scheduled minor opera­ tions are performed on an outpatient basis a day or two before surgery. And the patient need report no earlier than an hour prior to surgery. While under observation as he recovers from a local anesthetic, or in need of a spe­ cialist or a specific test, the patient occu­ pies one of the department's eight holding beds. By nine the next morning he will either have been discharged by the attending phy­ sician or admitted to the hospital. The new Oberkircher urology suite has both outpatient and operative facilities for patients suffering from diseases of the urin­ ary tract and related conditions. There are consultation rooms where minor treatment not requiring anesthetics can be performed. There are also three cystoscopic rooms equipped with the most modern and up-todate equipment to allow the physician to look THE BUFFALO PHYSICIAN �into the patient's bladder, outline the kidney, do all of the necessary techniques, and even operate. The fourth operating room for pros­ trates, bladders and tumors is the transurethroresection room. The specially equipped x-ray room — urology depends so much on x-ray studies — has an adjoining darkroom where the x-ray is developed in just 90 seconds. Patients in the recovery room nearby are watched through a window wall from the nursing station directly opposite. It is not unusual to find a renal isotope laboratory under medicine's Dr. Charles Elwood located in this suite. Urology and kidney disease are closely allied. Locker rooms, toilet facilities, dressing areas. Every nook and cranny re­ veals a storage area for supplies. The two-in-a room 108 beds are located on 3 floors, 36 on each. Each individually tem­ perature controlled room has its own bath­ room and shower. Each bed which can be raised and lowered by the patient, has its own TV set adaptable to closed-circuit use for inhospital communications. In the new Dr. A. H. Aaron Library, house staff and students have access to all of the hospital's reference volumes housed in book stacks. Or they may relax in the comfortable reading room at one of the study booths while they glance through a current medical journal located in the racks. Space, light, bright colors, print drapes, carpets. Just aesthetic touches to what is the first phase of a new teaching and patient care facility.• On grand rounds in the new wing with medicine chief, Dr. James Nolan. One of the smaller student conference rooms that are located on all four floors of the new wing. SPRING, 1970 19 �Medical intern John Breen listens to an elderly patient who complains of food lodged in his esophagus. Clinical clerk Ronald Blum works up an emergency blood count in one of the new laboratories. THE BUFFALO PHYSICIAN �Buffalo General (cont'd) Associate director, Dr. Theodore Jacobs, and director of ambulatory services, Dr. Wilfred Fuge, check emer­ gency oxygen supply in one of the new 2-bed patient rooms. The new Dr. A. H. Aaron library located on the second floor of the new wing. Medical students attend a urology conference in new urology suite. SPRING, 1970 21 �33rd Annual State University at Buffah Theme: "THE PHYSICIAN AND SOCIETY" April 10 and 11,1970 Prrofjrcim STATLER HILTON HOTEL Empire State Suite FRIDAY, APRIL 10 8:15 a.m. Registration 9:30 -10:00 a.m. Welcome: DR. SIDNEY ANTHONE, M'50 President, UB Medical Alumni Association Announcements: DR. HARRY J. ALVIS Associate Dean for Continuing Medical Education 10:00 -12:00 THE ROLE OF THE PHYSICIAN IN SEX EDUCATION: Panel Discussion Moderator: DR. HAROLD J. LEVY, M'32 Clinical Associate in Psychiatry "Education for Human Sexuality" DR. MARY S. CALDERONE Executive Director, Sex Information & Education Council of the United States, New York City "COMMUNITY EXPERIENCE IN SEX EDUCATION" The Pediatrician's Role DR. ROBERT J. EHRENREICH Clinical Associate in Pediatrics The Gynecologist's Role DR. MORRIS UNHER, M'43 Clinical Assistant Professor of Gynecology-Obstetrics The Clinical Psychologist's Role DR. SHEPARD GOLDBERG Clinical Associate in Psychology in Department of Psychiatry 12:00 -12:30 p.m. Business Meeting Election of Officers 12:30- 2:00 p.m. Luncheon 2:00 - 4:00 p.m. THE SOCIAL HAZARDS OF A PHYSICIAN'S LIFE: Panel Discussion Moderator: DR. BERNHARDT S. GOTTLIEB, M'21 Psychiatrist, Private Practice, New York City 22 THE BUFFALO PHYSICIAN �Medical Alumni Spring Clinical Days 6:00 p.m. The Drug Problem in Physicians DR. RALPH B. LITTLE Psych o - A n a l y s i s t , S e n i o r A t t e n d i n g I n s t i t u t e of t h e P e n n s y l v a n i a H o s p i t a l , Philadelphia The Alcoholic Problem in Physicians DR. LeCLAIR BISSELL Co-ordinator, Alcoholism Service, D e p a r t m e n t s of Medicine a n d P s y c h i a t r y , The Roosevelt Hospital, New York City The Suicide Factor in Physicians DR. HARVEY L. P. RESNIK C h i e f , C e n t e r for S t u d i e s of S u i c i d e P r e v e n t i o n , National I n s t i t u t e of M e n t a l H e a l t h ( o n l e a v e U B , P r o f e s s o r of P s y c h i a t r y ) Fiftieth Class Reunion Reception and Dinner • Georgian Room Empire State Suite SATURDAY, APRIL 11 8:15 a.m. Registration 9:30 - 11:30 a.m. PEPTIC ULCER: Panel Discussion Moderator: DR. JAMES F. PHILLIPS, M'47 Clinical A s s i s t a n t P r o f e s s o r of Medicine Physiology of Gastric Secretion DR. WILLIAM F. LIPP, M'36 C l i n i cal Associate Professor of Medicine Pathogenesis of Peptic Ulcer Disease DR. SAMUEL SANES, M'30 P r o f e s s o r of P a t h o l o g y Drug-induced Peptic Ulcer Disease DR. JAMES L. A. ROTH P r o f e s s o r of Clinica l M e d i c i n e , D i r e c t o r of I n s t i t u t e of G a s t r o e n t e r o l o g y , U n i v e r s i t y of Pennsylvania School of Medicine Surgical Therapy of Peptic Ulcer DR. STANLEY O. HOERR Chairman, D e p t . of Surgery, C l e v e l a n d C l i n i c 11:30 - 12:00 "Adaptations and Change in the University" DR. PETER F. REGAN Acting President 12:30 - 2:45 p.m. Terrace Room UB MEDICAL ALUMNI ANNUAL LUNCHEON and STOCKTON KIMBALL MEMORIAL LECTURE "Teaching and Learning Where the Product is Delivered — The Com­ munity Hospital" SPRING, 1970 DR. ROBERT L. EVANS V i c e P r e s i d e n t — Me d i c a l A f f a i r s , Y o r k H o s p i t a l , York, Pennsylvania 23 �Health Care Dilemma A NEW NATIONAL HEALTH CARE SYSTEM for all—agreed the panelists (industrialist, labor leader, economist, mayor) at the 80th annual meeting of the American Association of Medical Colleges. Four revolutions, pointed out Carnegie Corporation president Alan Pifer, will form the matrix to radically mold it. They are emergence of consumer voice, quest for social justice, new atti­ tude toward medical care as a right, and concept of health main­ tenance on a national scale. A major start toward this system, this layman believes, will appear within the next decade. Can our country build on its present foundations a system of health care capable of serving the entire population? Can it find the means to bring both public and private interests together into a single focus? Will it be the catalyst to set starts of performance, encourage experimentation in delivery of health care, coordinate existing resources, save private facilities from financial collapse, design and fund a system of national insurance, meet costs of training increasing numbers of physicians and other health work­ ers? "Yes," Mr. Pifer answered, "if there is a national will and the nation's top leadership responds to that will." Can there be good health without improved education, housing or economic opportunity? Health planning, he pointed out, cannot be isolated from other kinds of social planning. There must be an interface. Is there a sense of outrage within the medical profession over our present nonsystem for health care, a determination to seize the leadership in bringing into being an equitable national system of comprehensive care? Mr. Pifer replied, "Among individuals per­ haps. The best we can expect from the medical profession—that it not offer the kind of bitter, rear guard opposition to a national system of health care as in the past—Medicare. "On more limited fronts, you who direct the affairs of 350 great medical centers, can: —design and try out experimental new delivery programs to de­ fined population groups; —initiate new educational programs for physicians to train them as broadly-grained in social sciences as in biomedical fields; —institute programs to produce on an experimental basis new kinds of professional health workers; —mount new programs to help answer old and new questions as nation girds for national system of comprehensive health care." But, he clearly stated, you can, you must get together, continue to work together not to plead but to demand Federal support for research, experimentation and training of physicians and health workers, especially from minority groups. "For you in medical centers, the day is past when you can set your faces against change . . . with all of your great experience and competence you have a far more demanding responsibility—how to design the brave new world and its changes," he concluded. A private health plan was outlined by Kaiser Industries board chairman Edgar J. Kaiser. One of the nation's largest contracting organizations, Kaiser Industries has experimented with a number of medical programs since its first big Cuban highway project in 24 THE BUFFALO PHYSICIAN �1927 where arrangements for good medical care had to be made. At Hoover Dam, their first large construction job, 5,000 employees and their families made up a small city of 15,000. Their most serious health care problem was in the spread of incomes between supervision and hourly workers. At Booneville adequate medical facilities from a Portland hospital association 40 miles away were furnished on a fee-for-service basis. A young doctor's capitation payment system was adopted at Grand Coulee Dam. Families under full coverage brought hospital charges down to 7 cents per day for wives and 25 cents per week for each child. Not only was the system self-supporting financially, but enthusiastically received. During the second World War, 100,000 workers employed at each of Kaiser's two Navy yards were basically covered by the same plan. But it was optional, and proved a great success. The war ended. Kaiser had helped to develop one workable solution. "As the basic incentives were good," the dynamic industrialist said, "it was decided to open the plan to the public. Twenty-four years later, it is the largest group practice prepayment plan in the country. It provides comprehensive, prepaid medical and hospital care to two million members on a direct service basis in 19 of its own hospitals, two extended care facilities, and 52 clinics." Mr. Kaiser further pointed out, "each group is independent and autonomous; the contractual agreement is between the doctors and the group." But facing the medical care industry today is how to provide adequate medical care to all segments of our population. Nine out of ten Americans under age 65 are covered by voluntary health in­ surance plans. But there are the aged whose voluntary health in­ surance is inadequate and the totally disabled who represent a significantly higher cost group for personal health services. It is here, he feels, where the Federal government should play a sig­ nificant role in the financing mechanism. A promising development in experimentation is Medical School involvement in organizing ghetto health care services. New ap­ proaches, he pointed out, are not only justified but imperative if our nation is to solve its pressing domestic problems. "There is a gap between demand for better health care and capa­ bility of present American industry to meet that demand," Mr. Kaiser emphasized. "Government, at all levels, can help us close the gap. I believe that working together—in a constructive coales­ cence—we can and will meet the challenges within our free and pluralistic system." A national health service corps where students, recruited on a volunteer basis in lieu of military service, will provide direct per­ sonal health services to the poor. The charismatic United Auto Workers' Union president, Walter P. Reuther, feels that nothing will do more to counteract the sense of alienation of American youth. "We must give them a feeling and a sense of purpose, relate their education to the central problems that cry for solutions in our great cities. "We are in trouble in America, deep trouble," he warned the 80th AAMC audience. "It goes into the body politic because our values are out of focus. There is too little concern about the qual- SPRING, 1970 25 �ity of our goals and too much concern with the quality of our goods. If the national commitment is there, we can do anything." Ninety percent of a!) scientists in history are alive today. More technical progress, he feels, will be done over the next 25 years than during the past 2,500. But it is how we commit this fantastic power that is crucial. Both science and technology are neutral, he said. They have no ideology or morality. But man has. Somehow, he must relate his scientific and technical know-how to the knowwhy of human and social problems. "Our cities, housing, schools, are in crisis, our environment de­ teriorating dangerously through pollution. High on America's agenda of unfinished business is the restructuring of the health care system. The annual cost of health care services is 60 billion dollars. It is the second largest expenditure, second only to the military, and its costs are skyrocketing." His argument was not directed to the American doctors but to­ ward the obsolete 'model T' system that "... we remain wedded to, a system incapable of bringing about a rational, effective ser­ vice of resources, manpower, facilities. We need a new model, a new national health care system." A national committee on health insurance—Mr. Reuther is a member—is directed toward this commitment. The committee does not have all the answers, he pointed out, but "we ask your full participation as we search for the answers. Ingenuity and social inventiveness are essential if we are to determine how best a free society shall structure such a national program." A new medical care system will not be the result of one single piece of legislation, Harvard economics professor, John T. Dunlop, said. It will come only as a result of small changes by a great many people working on its separate elements. More money, he feels, is not what the medical industry needs. The federal estimate for the 70's is five times the outlay for the present decade. "What are we getting for what we pay?" Training may be the answer but only if it is related to other activities. Professor Dunlop cautioned that a new system of financ­ ing care should not be confused with its method of delivery. The consumer, poorly advised on the quality of health care, comes to the "bargaining table" with less than equality for his health. "Health is a kind of public good. And the sin of medicine is that its research is determined by deliberate public expenditure rather than the market itself." Medicine should play a greater role. It must take the real costs of capital into account. While medical facilities are needed Pro­ fessor Dunlop feels that they should not be so closely tied in with hospitals. And wages of hospital workers, interns, residents, can no longer be treated as an outgrowth to industry's role, but must reflect an evolution of our health care system. Medical schools will not be so isolated in the future. To intro­ duce students to problems of the public sector, it must interface with social sciences. The new kind of doctor will see his career in the public sector. Medical schools, having more to say about medi­ cal practice in their communities through health care centers and 26 THE BUFFALO PHYSICIAN �programs, will play a greater role of leadership in developing paramedical personnel, training programs and standards. In the days ahead, the Harvard economist summed up, the medi­ cal school must provide leadership to begin to pull together the diffuse and separate developments. As a Mayor who entered San Francisco politics two years ago, Joseph L. Alioto feels that he has had a front seat on things hap­ pening in the big cities. While 1.2 million labor union members in California participate and contribute $750 million annually in vari­ ous health plans, medical services in the ghetto are obviously in­ adequate. Fifty percent of their children are not immunized against disease and 54 percent do not see a dentist. "We must look toward a national comprehensive health plan," Mayor Alioto emphatically stated. He feels that more professionals from minority groups must be trained and it is up to the Medical Schools to do so. "The gap between black/white communities can and must be closed." "The greatest free society is threatened by change—quite radi­ cal," he alarmingly pointed out, "unless we are up to the com­ petitive challenges. And your challenge is to work out a system of delivery of health care services to all."D A 1952 Medical School graduate has started a special two-year training program for inhalation therapists. He is Dr. Jerome J. Maurizi, an internist and specialist in pulmonary diseases and clinical assistant professor of medicine. There are 19 students enrolled in the first class. This special pro­ gram is a cooperative venture between Erie County Community College and three hospitals—Deaconess, Meyer and Millard Fill­ more—where students receive laboratory training. The Regional Medical Program of Western New York is funding the program. Science courses over the two-year period include general chem­ istry, anatomy and physiology, physics, microbiology, pathology, and pharmacology. Other courses include English, ethics and ad­ ministration, sociology, and psychology. Students, who complete the course successfully, will receive an associate degree. This will enable them to apply for registry by the American Registry for Inhalation Therapy. Dr. Maurizi pointed out that lung diseases are second only to heart diseases in their incidence among humans. One out of every five persons admitted to a hospital today makes use of some type of inhalation machine. Furthermore, inhalation therapy has become almost standard procedure in postoperative care. The internist estimates that hospitals in the Western New York area need about 200 inhalation therapists. Many working as tech­ nicians now need upgrading because the machines are more com­ plicated and diversified. Dr. Maurizi predicts that within five years, the two-year program will be made into a full four-year program offering a regular de­ gree, and New York State will be licensing inhalation therapists just as they do x-ray technicians.• SPRING, 1970 27 Inhalation Therapists i K a r l Lisnerski, c h i e f i n h a l a t i o n t h e r ­ apist and Marilyn Heim, inhalation therapy technician of Deaconess hospital, carefully inspect respira­ t o r y e q u i p m e n t w i t h Dr. Jerome J. Maurizi. �New Research Facilities at Meyer Hospital 1. Rats, cats, rabbits, mice, guinea pigs, and goats. Whatever the need for investi­ gators, they are supplied by the Animal Unit. Supervising technician Edward Halsted checks bacterial injections in rats— part of an infectious disease program. 2. A seven day a week, 24 hour a day toxicology laboratory operated by Erie County and the School of Medicine. "We investigate all chemical causes of death" chief toxicologist Thomas A. Rejent pointed out. Attempted suicides, accidental poisonings, hospital emergencies involving comas and causes unknown, identification of drugs, monitoring of people in industry exposed to hazardous agents—he gets them all. The usual time for an ultra violet scan of a compound to determine what patient took and how much is circulating—45 min­ utes. 3. Research problems are discussed and information exchanged at the surgery re­ search laboratory meeting. 4. Ongoing research on PKU (phenylketo­ nuria) and inborn errors of metabolism. Technician Lynn Allen operates the spectrom while administrative assistant Sally Bloom checks research data with technician Phyllis Pepe. 5. Six research laboratories zeroing in on infectious diseases. Open to all area hospitals on a no charge basis is the testing of sera from patients suspected of having disgammaglobulin, anemias, liver disease, allergic reactions or skin problems. Ultracentrifuge chromatography on a blood sam­ ple is performed by research assistants Do­ lores Czerwinski and Charlene Romanello. "After we isolate its particular protein, our study really begins." 6. Dr. Morris Reichlin and technician Nancy Bailey check the results of an ex­ periment. 7. Dr. Thomas Tomasi works in one of his infectious disease laboratories. 8. A unique collection of 3,000 teaching slides methodically documented and most of them photographed by Dr. Louis Bakay. They will prove an invaluable tool for pre­ senting all types of patient problems to residents. 28 THE BUFFALO PHYSICIAN �SPRING, 1970 29 �Different Kinds of Obesity by Gail McBride Miss McBride was a science writer at the University before joining the AMA press relations staff. "Just as there appear to be a number of different kinds of cancer and mental illness, there may also be different kinds of obesity," says Dr. Lawrence A. Frohman, associate professor of medicine. "Thus a weight reduction regimen that helps one person may not suffice for another." Dr. Kenneth H. Kurtz, professor of psychology at the University, agrees; "We have every reason to believe how much we eat is determined by a large number of factors, both psychological and physiological. I suspect that the complex system regulating food intake can break down at various points and that people overeat for different reasons. For some, overeating may be due to poor eating habits; for others, there may be a disturbance in the setting of the 'fat regulator' in the body so that these individuals cannot satisfy their hunger without becoming overweight." To substantiate their ideas about hunger and obesity, the two scientists and their associates are experimenting with rats — fat ones, thin ones, young ones and old ones, and hungry and nonhungry ones. As a result of these studies Dr. Frohman and colleagues Drs. Lee Bernardis, assistant research professor of pathology, Jack Goldman, assistant professor of medicine and J. David Schnatz, associate professor of medicine, believe they are zeroing in on a major cause of obesity. They are advancing the theory that in some persons there is an insidious biochemical defect in the central nervous system that is genetically determined and results in the secretion of unusually high insulin levels into the bloodstream. The increased insulin levels in turn cause certain appetite control mechanisms to go hay­ wire, and the subject gradually becomes obese as, for example, with advancing age. "High insulin levels are the hallmark of obesity," says Dr. Frohman, "and it has been felt up to now that they result from overeating; that is, more insulin is needed to handle the increased amount of glucose entering the body in foods. We believe, how­ ever, that the reverse is true. High insulin levels may, in a rather complex way, actually cause obesity." It is known that when high insulin levels and low growth hor­ mone levels are present in the body for any reason, there is an increase in the depositing of fat. This can occur even when the person or animal is eating normally, because the excess insulin causes more than enough glucose to be shunted into cells, and that which is not needed for energy is converted into fat. The controls for most of this, scientists believe, reside in a small area of the brain called hypothalamus. It contains, among other things, the appetite stimulating center and the appetite sup­ pressing center. These are generally distinct but are interrelated in certain ways; they also can affect other portions of the brain. The Buffalo researchers found in their experiments that when the appetite suppressing portion was destroyed in very young rats with an electric current (via a needle inserted into the brain), a number of things happened: Growth hormone levels went down, and body growth decreased. Food intake decreased slightly, then returned to control levels. Insulin levels in the bloodstream went 30 THE BUFFALO PHYSICIAN �Dr. A. Edward Maumenee, professor of ophthalmology at Johns Hopkins University (right) accepts the Lucien Howe Medal from Dr. Peter F. Regan (left), acting president of the university. Also pictured are Dr. Eugene H. Radzimski, M'41, president of the Buffalo Ophthal­ mologic Club, and Dr. Thurber LeWin, M'21, chairman of the selection committee. The award was presented to Dr. Maumenee in recognition of his teaching and research in his field. The award has been pre­ sented only 10 times since it was established in 1930. • up and, as they did so, followed along somewhat with the amount of food intake. Fat levels in the blood went up and the actual amount of fat in the body increased. A relationship was detected between the high fat levels and high insulin levels. Furthermore, at the end of the experiments, the fat levels and the insulin levels in the bloodstreams of animals that had been subjected to surgery were nearly double that of normal rats of the same age. The food intake levels never rose to abnormal heights but because of the excess insulin and low growth hormone there was a pronounced increase in the laying down of fat in the body. And Dr. Frohman and colleagues think that something of this nature can occur in human beings — a biochemical (probably enzyme) defect resulting in gradually rising levels of insulin and eventually, obesity. "It could start to happen at any age," says Dr. Frohman. "And we have recent evidence that obesity is not determined by the type of diet. Rats that have high insulin levels can become obese on both high fat and fat free diets," he adds. At present, Dr. Frohman and co-workers are studying the obese, high-insulin rats to see how their bodies handle carbohydrates, fats and proteins entering the body in foods. Later the animals will be given various drugs, such as those that inhibit insulin secretion, to see what changes might occur. Help for human beings afflicted with a biochemical defect of this nature is far in the future but might consist of giving drugs to SPRING, 1970 31 �speed up a chemical reaction in the brain or to suppress insulin secretion. In a somewhat different vein, psychologist Dr. Kurtz is studying the general processes which regulate hunger and the amount of food consumed. "This actually means studying weight regulation in the normal range," he says, "since we must first understand this in order to completely understand obesity." Dr. Kurtz believes that eating may be influenced as much by learning as by some innate "drive" to eat. His idea is that an ani­ mal's urge to eat depends in large part on how long he has been deprived of food. The animal has learned in prior experience to associate food with the physiological state of hunger and when it is hungry or deprived for some time food becomes more palatable than usual -— the attractiveness of the reward is enhanced. "Our older idea about eating and other behavior says that we are being goaded or pushed by aversive stimuli to do certain things," says Dr. Kurtz. "But another way of looking at such behavior is that we are being 'pulled' by the attractiveness of the reward. Presumably, food is more attractive to an animal that is hungry than to one that is not. This view suggests that we can measure someone's motivation for a particular goal by determining how much effort he is willing to expend or how much discomfort he will tolerate to get that goal." "In India there is no obesity because there is not enough food. But in America, there is an abundance of highly palatable foods," Dr. Kurtz continues. "This, coupled with other factors such as boredom, may lead to overconsumption of foods, even at the great cost of overweight. Improving self-control may consist of finding some way to tip the balance so as to make the remote possibility of weight gain more important than the immediate satisfaction of eating. A person may find it easier to resist eating if he avoids the environment in which the learned motive to eat is strong." "Much more work is needed," he comments, "but we might speculate that sometime in the future we could predict the period of roughest going in a reducing diet and give the person some type of treatment to tide him over."D 32 THE BUFFALO PHYSICIAN �Very few physicians who heard Dr. Glenn H. Leak lecture on "The Solitary Thyroid Nodule" last May knew that Dr. Leak had discovered such a nodule in his own neck and as a specialist in cancer knew that he was probably doomed to die of the disease. He gave the lecture over the Tele-Lecture Network of the Regional Medical Program. Dr. Harry }. Alvis, who did know, told the story on the network in December after Dr. Leak's death. As associate dean for continu­ ing medical education, Dr. Alvis had invited Dr. Leak to give the lecture in the fall of 1968. When the time grew near, however, Dr. Leak called to say that he doubted if he could keep the commitment. He gave no reason but, when Dr. Alvis asked if he would suggest a colleague who could pinch-hit for him, he replied "the man I've chosen to do my own operation is the one in whom I have the most confidence." A few days later, however, Dr. Leak changed his mind and called Dr. Alvis to say: "I'll be able to handle that assignment myself. Don't worry further about it." "We met at the studio at the appointed hour," Dr. Alvis said. "When the questions came in from physicians throughout the area, they were searching, penetrating, asking about the prospects for palliation and for cure, what the alternatives might be, the risks of operation and the probable outcome. "As we sat together in this small room, no one else knew that this man was talking so calmly and dispassionately about his own problem. As he answered the questions, recounted the statistical and clinical evidence and the prospects such a patient faced — the tension I felt became almost more than one could bear. We parted, neither mentioning it. "All too often people think of heroes as being military figures. Heroes are to be found in all walks of life, and some of the bravest are not recognized as such until they have passed from the scene."• j/\ Tribute , to UT. LGQK The new McAuley Building of Mercy Hospital opened De­ cember 12. This is the first of three phases of construction to make the hospital the most automated in the Buffalo area. The total cost will be almost $10 million. Architect Mortimer f. Murphy said that the concept of a hospital where "every­ thing but the patient will be on conveyor belts" would reduce hospital costs, since an aver­ age of only 2.7 employees would be required per patient as compared with 3.4 in the average hospital. • �The Gates Circle complex. The Millard Fillmore Hospital is planning a new 150-bed hospital in Amherst, plus the expansion of the present Gates Circle complex. Both proj­ ects, costing nearly $16 million, will probably be completed in 1972. The four-level Amherst Hospital (near Maple and Hopkins) will house an obstetrical department, an emergency room, medical and surgical facilities, radiology and pathology services. The expansion at Gates Circle will permit dou­ bling the size of emergency, radiology, and medical records departments and an expanded surgical suite. The pathology, central supply, physical therapy, and outpatient services will also be expanded. When the new wing is opened the present building will be remodeled to provide such new units as a six-bed pulmonary intensive care unit, a cardiac intensivecare section, and a 44-bed extended-care section which will have its own kitchen, dining, recreation, and occupational therapy rooms. • Millard Fillmore Expansion The 150-bed hospital in Amherst. m- « \..w 34 THE BUFFALO PHYSICIAN �Honors Achievement Awards Five Buffalo-area physicians — all on the Millard Fillmore Hos­ pital staff, Department of Pulmonary Research — received the Honors Achievement Award for their creative efforts in the field of vascular medicine and surgery. This 5th annual national award [one of 25) is sponsored jointly by the Purdue Frederick Company of Yonkers, New York and the Angiology Research Foundation of New York City. The School of Medicine also received a citation "for providing the climate and facilities for research." Three of the physicians are on the faculty. The five physicians are: Drs. Edward M. Cordasco, senior re­ search physician at the Millard Fillmore Research Institute and clinical associate in medicine at U.B.; Frederick R. Beerel, clinical assistant in medicine at Millard Fillmore and clinical assistant pro­ fessor at the School of Medicine; John W. Vance, attending physi­ cian at Millard Fillmore and clinical assistant professor of medicine at the University; Reinhard W. Wende, M'58, associate attending radiologist at Millard Fillmore; R. Ronald Toffolo, M'57, attending radiologist at the Hospital. The physicians each received an Honors Citation Volume of the Journal ANGIOLOGY for the month in which the honors research was published, and an Honors Certificate commemorating this event. The title of the published research: "Newer Aspects of the Pulmonary Vasculature in Chronic Lung Disease." Colonel Alfred Gentilcore, USAF (Ret.), of the Angiology Re­ search Foundation, made the awards at the Medical School. Dr. LeRoy A. Pesch, Dean of the Medical School, said he was grateful to the Purdue Frederick Company and the Angiology Re­ search Foundation for honoring his faculty members and the Medical School. • Regional Medical Program of Western New York Two-Way Telephone Conferences This year the two-way telephone conference continues in an expanded format. Four series of programs are presented: —a weekly series of general interest considered useful to any and all physicians. This series is presented on Tuesday morn­ ings; —the once-a-month city-wide Obstetrics and Gynecology Con­ ference meeting at 9:00 A.M., usually on the first Wednesday of the month; —the once-a-month Pediatrics Conference from Children's Hospital presented at 10:00 A.M., on the second Friday of each month; —the once-a-month series on trauma presented on the fourth Thursday at 10:30 A.M.; There are now 51 hospital-outlets on the network which contin­ ues to grow.D SPRING, 1970 35 Dr. E d w a r d M. Cordasco, Dr. Fred­ erick R. Beerel, Colonel Alfred Gentilcore (USAF, Ret.) from the Angiology Research Foundation, Inc., and Walter H. Kaempf, Jr. of the Purdue Frederick Company. �Alumni Head Walter Reed Departments . Blohm Blemly Two medical school alumni are new department heads at Walter Reed General Hospital. They are Colonel Raymond W. Blohm, Jr., new chief of the department of medicine, and Colonel Nelson R. Blemly, chief of radiology service. Colonel Blohm has served as assistant chief of the Department since 1964, a position that was interrupted for a one year tour of duty in Vietnam in 1966 as medical consultant to the U. S. Army forces. A native of New York State, Colonel Blohm received his medi­ cal degree from the University in 1947 and entered the military service that year. He completed a year's internship at Letterman General Hospital in San Francisco, then went to Brooke General Hospital, Ft. Sam Houston, Tex. for a two years' residency in medicine. In 1950 he returned to Letterman for his third year residency in medicine. After completing the Regular Army Medical Basic Officers Course at Fort Sam Houston, Tex., Colonel Blohm was assigned to the 10th Field Hospital in Wurzburg, Germany as chief of medicine. In that capacity he served consecutively at Ft. Monroe, Va., Ft. Dix, N. J., Ft. Devens, Mass., and Ft. Ord, Calif. During the last two assignments he was also chief of professional services. In 1964 he was assigned to WRGH. The Colonel is a Diplomate of the American Board of Internal Medicine, a member of the American Medical Association, a Fellow in the American College of Physicians, a member of the Associa­ tion of Military Surgeons, the Phi Chi Medical Fraternity, and the Loyal Order of the Boars. He is an associate Clinical Professor of Medicine at Georgetown University and is a member of the Ad­ visory Board appointed by the Regional Governor of the American College of Physicians for the District of Columbia. In 1966, he was awarded the "A" prefix by the Surgeon General for proficiency and experience in his specialty in Internal Medicine. In June 1967, he was awarded the coveted Legion of Merit fol­ lowing his tour of duty in Vietnam. He has twice been awarded the Army Commendation Medal. The colonel and his wife, Elizabeth, reside in Kensington, Md., with their five children, Raymond, 20, Michael, 18, Jeffrey, 15, Steven, 14, and James, 8. Colonel Blemly has served as assistant chief of the Radiology Service since 1966. A native of New York State, Colonel Blemly earned his bache­ lor's degree at the University of Rochester in 1945 and his medi­ cal degree at the University of Buffalo in 1949. He returned to col­ lege in 1961 to earn his master's degree at the University of North Carolina. The colonel served in the Navy during World War II and in June 1949 entered the Army Medical Corps. He completed his medical internship and residency at Walter Reed General Hospital and in 1954 was assigned to Tripler General Hospital in Hawaii as as­ sistant chief, Radiology Service. From 1957-1961 he served as chief of Radiology Service at Valley Forge General Hospital in Phoenixville, Pa. After a year at the University of North Carolina, Colonel Blemly was assigned to 36 THE BUFFALO PHYSICIAN �WRAIR for a two year fellowship in radiobiology. He then served as chief, Radiobiology Section, Ft. Detrick, Md., prior to his as­ signment at WRGH beginning in 1966. In 1967 Colonel Blemly was awarded the "A" Prefix in radiology. The "A" Prefix is recognized as the highest military occupational specialty rating offered for professional accomplishment in the Army Medical Department. The Colonel and his wife, Phyllis, reside in Rockville, Md. with their four children, Michael, 20, Craig, 17, Yvonne, 16, and Chris­ tian, 14.• «rn XODAY IS A SPECIAL DAY," said Dr. Edward C. Lambert. It is the dedication of the entire eighth floor of Children's Hospital to a distinguished folmer chief who contributed so much to the hospital and the community. How do you best remember a man? A man like the late William J. Orr? Some remember him as Buffalo's Mr. Pediatrics. Some, as the man who brought national recognition to the hospital during his 35 years on its staff. Others considered him Buffalo's represen­ tative to the Academy of Pediatrics. Not only is he remembered for his interest in child care but "he anticipated community medicine" recalled Dr. Mitchell I. Rubin, his successor as pediatrician-in-chief of the hospital. "His work in the community—past president of the Erie County Medical So­ ciety, the Eighth District branch of the State Medical Society, the Academy of Medicine, the hospital medical board, the University and Medical Alumni associations—should remind each of us of our responsibility." Earlier Johns Hopkins days were recalled by contemporary and long-time staff member J. Wilmot Jacobsen. "While I worked on the wards, 'Bill' worked in a basement laboratory with Emmett Holt, Lawson Wilkins, and two others. Two years later, the now legendary paper on calcium phosphate metabolism in rickets was published. "I was arbiter in the decision of order of collaborators' names to appear on the paper. The selection was based on a piece of paper marked "1" inserted under beer mugs in the corner tavern. Luckily, Bill picked no. 1." Dr. Orr, who died two years ago, taught in the Medical School since four years after his graduation in 1920, and rose from as­ sistant to clinical professor of pediatrics. "For these many blessings we dedicate today this portion of the building which he—Dr. Orr—helped to build." A portrait of the late pediatrician, to hang in the hospital, was presented by pediatrics head, Dr. Jean Cortner, to the Board of Managers president, Mrs. Robert P. Adam.D SPRING, 1970 37 Dedication to Dr. Orr Dr. Cortner with portrait �Research Team Studies Heart Dr. McDaniel Named Assistant to the Dean McDaniel A seven-man research team representing the Medical School, en­ gineering department and Cornell Aeronautical Laboratories are working together on heart problems. They have combined their knowledge in the development of a probe no larger than the tip of a needle to measure the flow of blood through the heart. The scien­ tists expect that soon they will be able to insert the probe, which has been used successfully in tests on animals, into the heart of a human and monitor the flow of blood in the aorta. The four physicians are Drs. Ivan Bunnell, M'43, and George Schimert, associate professors of medicine and surgery respec­ tively; David G. Greene, professor of medicine, and Herman L. Falsetti, assistant professor of medicine. Two members of the University engineering department, Drs. Gerald P. Francis and Kenneth M. Kiser, associate professors of mechanical and chemical engineering respectively are working on the project with Robert J. Vidal, an aero dynamist with Cornell. This group began serious research last July when they were awarded a $64,000 grant from the Heart Association of Western New York. "The probe will prove valuable in a number of heart problems, including disease of the aortic valve, its circulatory control and ir­ regular rhythm. I also anticipate its use in measuring distortions in blood flow in artificial valves, which are sometimes troubled by clotting. Until now it has been impossible to measure the flow of blood for more than a few heart beats. Other techniques have been tried, but have been too complicated to be successful," Dr. Greene said.D Dr. James B. McDaniel, Jr. has been named assistant to the dean at the Medical School. He has been on the School of Medicine faculty since 1963. At the present time, he is a clinical associate in gynecology and obstetrics, and will continue in this capacity. Dean LeRoy A. Pesch said Dr. McDaniel will also serve on the Admissions Committee of the Medical School and work in student affairs and in career development programs aimed at increasing the number of minority group students. He will also represent the gynecology and obstetrics department on the Community Medical Manpower Committee. Dr. McDaniel received his Bachelor of Science and M.D. degrees from Howard University, Washington, D. C. in 1950 and 1957, respectively. He did his internship at Freedmen's Hospital, Wash­ ington, D. C. in 1957-58; and his residency at D. C. General Hospital, 1958-62. In 1965 Dr. McDaniel was appointed to the American Board of Obstetrics and Gynecology, and in 1969 to the American College of Obstetricians and Gynecologists. He is president of the local chapter, National Medical Association, and on the Board of Directors of the Erie County Cancer Society. He is on the staff of Buffalo General, Children's, Deaconess, and E. J. Meyer Memorial Hospitals. He has written articles on pregnancies for several pro­ fessional journals.• 38 THE BUFFALO PHYSICIAN �The Dr. Max Cheplove Award Dr. Matt A. Gajewski, M'39, president of the Buffalo Board of Education, was honored at a testimonial dinner recently by the Adam Plewacki Post 799, American Legion. He was honored for his contributions as a physician, board member, and leader of servicemen's organizations.• Six medical alumni are newly elected of­ ficers of two Buffalo General Hospital Boards. Elected to the Senior Medical Board are: Drs. Everett H. Wesp, M'39, president; }. Edwin Alford, M'34, vice president; and Marshall Clinton, M'40, secretary-treasurer. Elected to the Adjunct Medical Board were: Drs. James F. Phillips, M'47, president; Paul K. Birtch, M'43, vice president; and Albert A. Gartner, M'52, treasurer. Dr. Nancy J. Stubbe was re­ elected secretary.• Dr. Richard J. Leberer, M'50, is the new pres­ ident of the Catholic Physicians Guild.• Dr. Thomas J. Murphy, M'51, received a special plaque from the Firefighters Union "in appreciation for his service."• Dr. Steven G. Cline, M'47, has been ap­ pointed clinical associate in radiology at the Woodruff Medical Center, Emory University, Atlanta, Georgia. He is also in the x-ray de­ partment of South Fulton Hospital.• The Erie County Academy of General Prac­ tice has established an annual award, The Dr. Max Cheplove Medal. It will honor a physician or layman who makes "the out­ standing contribution to the ideals and prin­ ciples of family practice on the national and international scene." The first recipient of the silver medal was State Senator William T. Conklin of Brook­ lyn, co-author of the Conklin-Cook bill passed at the 1969 session of the State Legislature. The bill requires tax supported medical schools in New York State to establish de­ partments of family practice. Dr. Robert W. Haines, M'54, president of the chapter, made the presentation. Dr. Cheplove, a 1926 Medical School grad­ uate, has been responsible (more than anyone else] for increasing the stature of the general practitioner in Erie County. He was an or­ ganizer and past president of the chapter. He is also past president of the New York State Academy of General Practice and the Erie County Medical Society. In November, 1968, the Erie County Medi­ cal Society named him "Family Doctor of the Year" for "his achievements in fostering and maintaining the quality of family doctors to serve the health needs of American families." One month later The Buffalo Evening News named him one of its "outstanding citizens" of the year.D The Medical Foundation of Buffalo re-elect­ ed Dean LeRoy A. Pesch to a three-year term on the board. Dr. George F. Koepf, M'37, is ex­ ecutive director. Mr. E. Douglas Howard II was re-elected president; Allen O'Donnell, vice president; and Dwight Campbell, sec­ retary.• Dr. Syde A. Taheri, clinical instructor in surgery and associate attending in cardiovas­ cular surgery, Millard Fillmore Hospital, re­ ceived the Honors Achievement Award for his research and studies in Angiology at the 15th annual meeting of the American College of Angiology in Las Vegas, Nevada in Oc­ tober. His paper, "Abdominal Pain Due to Isolated Narrowing of the Celiac Artery" was selected as worthy of such recognition.• Dr. John M. Benny, M'40, has accepted a position as physician in the University's Stu­ dent Health Services. He had been on the E. J. Meyer Memorial Hospital staff for 24 years. He resigned as medical superintendent December 31.• Three of 15 physicians who signed as incorporators of Blue Shield of Western New York 30 years ago were honored as special guests of the Board of Directors September 25. They are: Drs. Julius Y. Cohen, M'09; Carlton E. Wertz, M'15; and John D. Naples.• SPRING, 1970 39 �People Dr. Stanley }. Cyran, Jr., M'46, has been named assistant vice president for Medical Services for Penn Central Company. He has been Medical Director for Penn Central in Philadelphia since 1964. Dr. Cyran served a rotating internship at the E. J. Meyer Me­ morial Hospital, and a residency in internal medicine at Sisters of Charity Hospital. He then became Battalion Surgeon of the 26th Infantry Regimental Combat Team and was on the medical staff of the 98th General Hos­ pital in Munich, Germany. While overseas he did graduate work in medicine at the Univer­ sity of Vienna and in pathology at the Uni­ versity of Munich. After military service, he entered private practice at Tonawanda.D Dr. John C. Patterson, clinical associate in gynecology-obstetrics, is director of the Tu­ mor Registry for the Regional Medical Pro­ gram of Western New York. The Registry will provide physicians with cumulative data for the improved management of cancer patients. Regionally, it will provide increased experi­ ence for teaching hospitals and feedback of quality controlled data to hospital staffs.• Three alumni are officers in the United Health Foundation of Western New York. Dr. Thomas S. Bumbalo, M'31, was re-elected president; Drs. James R. Nunn, M'55, and Stephen A. Graczyk, M'20, are vice presidents for research and professional education, and finances and treasurer; Dr. Frank Husted, as­ sociate dean, School of Health Related Profes­ sions, is vice president for program develop­ ment.• Dr. Barry M. Epstein, M'67, saved a man's life on the Colorado River Indian Reservation near Parker, Arizona recently. The senior as­ sistant surgeon in the Public Health Service Hospital on the reservation saved the life of Augustine Lopez, who broke his neck in a dive into shallow water. Dr. Epstein will re­ turn to Buffalo in June to become a resident at the Buffalo General Hospital.• 40 Dr. Eugene J. Lippschutz, a cardiologist, has been appointed Associate Provost of the Fac­ ulty of Health Sciences. He has been on the School of Medicine faculty since 1934. Cur­ rently he is professor of medicine and asso­ ciate chairman of the Department of Medi­ cine. The 62-year-old physician received his bachelor and medical degrees from George­ town University, Washington, D. C. Dr. Lipp­ schutz interned at the Buffalo General Hos­ pital in 1932-33, where he has been physician and chief of clinical cardiology. Dr. Lippschutz is a Diplomate of the Ameri­ can Board of Internal Medicine and a Diplo­ mate of the Board of Cardiovascular Disease. He is also a Fellow of the American College of Physicians. In 1967 he received the Award of Merit of the American Heart Association. Dr. Douglas M. Surgenor, Provost of the Fac­ ulty of Health Sciences, said that Dr. Lipp­ schutz would concentrate his efforts in the general area of academic development and re­ tain his professorship in the School of Med­ icine. n Dr. Erwin Neter, professor of microbiology, is editor and chief of a new journal, "Infection and Immunity" of the American Society for Microbiology. The new journal will be de­ voted to the advancement and dissemination of fundamental knowledge concerning patho­ genic microorganism and infection; ecology, epidemiology, and host factors; antimicrobial agents and chemotheraphy; and immunology. This journal will be the successor to the cor­ responding section of the Journal of Bacteriol­ ogy, edited by Dr. Neter. He is also Director of Bacteriology at Children's Hospital and for­ mer editor of Bacteriological Reviews.• Dr. Charles A. Bauda, M'42, was elected secretary of the National Federation of Cath­ olic Physicians' Guilds in Denver, Colorado recently. He is chief of the General Practice Department at Emergency Hospital and on the staff of Columbus and Sisters Hospitals. Dr. Bauda is also a director of the National Fed­ eration's Region II and program director for the 1970 International Congress to be held in Washington, D. C.D THE BUFFALO PHYSICIAN �Two faculty members have received re­ search awards from the Mid-Hudson Heart Association, Inc., Kingston, New York. They are Drs. }. David Schnatz, M'57, associate pro­ fessor of medicine, and P. D. Papahadjopoulos, research assistant professor of biochemistry. Dr. Papahadjopoulos will continue his work in phospholipids and proteins, while Dr. Schnatz is doing research on the relationship of an area of the central nervous system and blood lipids thought to cause blood-vessel disease. • Dr. Riggo Three medical alumni radiologists are lead­ ing the fight against cancer and other diseases at the Wyoming County Community Hospital in Warsaw, New York. They are Drs. Hyman Tetewsky, M'50, Charles Riggio, M'60, and Charles Tirone, M'63, all of the nuclear medi­ cine department. They have a new $55,000 organ-scanning isotope machine called a Gamma Camera used to detect cancer and its metastases. It is used to scan the brain, liver, lungs, kidneys, and bones. Services of the Gamma Camera are available to all patients. The project is funded by the Regional Medical Program of Western New York. The three radiologists have also initiated a special training program for isotope techni­ cians. Currently there are six students en­ rolled in the combined two-year program in x-ray and isotope technology.D An associate clinical professor of biochem­ istry is the new associate director of the Erie County Laboratory. He is Dr. Max E. Chilcote. He will be working with Dr. Noel R. Rose, lab­ oratory director, administering the several di­ visions located at Meyer Memorial Hospital and City Hall. • A grant for $10,000 has been awarded to Dr. Eric A. Barnard, Professor and Chairman, Department of Biochemistry, by the Muscular Dystrophy Associations of America, Inc., for 1970. The grant is for work on a project en­ titled "Cholinesterases at Single Nerve Junc­ tions in Developing and Dystrophic Muscle".• SPRING, 1970 Six alumni are officers of the Meyer Me­ morial Hospital medical staff. Re-elected presi­ dent is Dr. Eugene V. Leslie, M'51. Returned to office with him are: vice-president, Dr. Ross Markello, M'57 and treasurer Dr. Joseph A. Zizzi, M'58. Dr. Daniel A. Rakowski, M'60, was elected secretary, and Dr. Norman Chassin, M'45, was elected voluntary staff representa­ tive. Dr. Albert C. Rekate, M'40, is president elect. He is also acting hospital director. • Dr. Harold Brody, professor of anatomy and associate dean, School of Medicine, has been named chairman of the American Biology Re­ search Committee of the International Associ­ ation of Gerontology for a three-year term. As chairman of this committee Dr. Brody is an automatic member of the American Executive Committee for the 9th International Congress of Gerontology which meets in Kiev, Russia in August 1972. Dr. Brody's appointment was an­ nounced by Dr. Nathan Shock, International Congress President. • Three alumni, who are members of the Med­ ical School faculty will head departments at the Millard Fillmore Hospital. Dr. Lawrence H. Golden, M'46, will be chairman of the depart­ ment of internal medicine; Dr. Robert V. Moesch, M'46, chairman of the department of obstetrics and gynecology; and Dr. James R. Nunn, M'55, chairman of the department of general practice. Dr. Golden is a clinical assist­ ant professor, while Dr. Moesch is a clinical associate professor, and Dr. Nunn a clinical associate.• 41 People �In Memoriam Dr. Sherman Little, 62, who was professor of pediatrics and assistant professor of psy­ chiatry from 1946-58, died November 15 in London, where he was spending a sabbatical leave. After leaving the Medical School fac­ ulty he became professor of pediatrics and child psychiatry at the University of Southern California.• A former clinical instructor at the Medical School, Dr. Reeve M. Brown, died November 23. He had been medical director of the Chev­ rolet Motor Division River Road plant for 31 years. He was one of the founders and chief of occupational medicine at Kenmore Mercy Hospital. He was also a member of the Mil­ lard Fillmore Hospital staff and instructor in the Nursing School from 1943-48.• Dr. Albert M. Rooker, M'06, died January 18. The 90-year-old physician retired in 1959. Dr. Rooker was a life member of the American College of Ophthalmology and Otolaryngology and a Fellow of the American College of Sur­ geons. He was also a member of the AMA, and local and state professional organizations. • Dr. William C. Byrnes, M'24, died January 14 in Sisters Hospital after a long illness. He had been a member of the Sisters Hospital staff since 1939. The 69-year-old general practitioner retired last September. He had also been an assistant pathologist at Veterans Hospital. After interning at the Buffalo General Hospital in 1924, he joined the staff. Dr. Byrnes was active in several professional organizations. • A Buffalo surgeon, who devoted his entire professional career to the fight against cancer, died of the disease December 15. He was Dr. Glenn H. Leak, 53, a 1940 School of Medicine graduate. He was a clinical associate professor of surgery and co-ordinator of the cancer teaching at the Medical School. He was also president of the Medical Alumni Association in 1962-63. A specialist in cancer surgery, Dr. Leak was a past president of both the Erie County Unit and the New York State Division of the Amer­ ican Cancer Society, and the James Ewing Society, an organization of physicians and scientists who devote most of their time to 42 cancer work. In 1958 the ACS named him the recipient of its Division Annual Award for outstanding service. Six years later The Buf­ falo Evening News cited him as an outstand­ ing citizen for his work in revitalizing the so­ ciety's state division. Dr. Leak interned and served as an assistant resident in pathology at the Buffalo General Hospital. In 1942 he entered the Army and served with the 23rd General Hospital. While in the service he received five battle stars and a unit citation of merit. After his discharge in 1946, he took postgraduate work in cancer surgery at the Memorial Center for Cancer and Sloan Kettering Institute in New York from 1947-50 before returning to Buffalo to en­ ter private practice. He was elected to the board of directors and the Executive Committee of the Erie County Unit of the Cancer Society in 1951, and was still a member of the board at the time of his death. He served as president of the unit in 1955 and 1956. Ten years later he was named a delegate from the unit to the state di­ vision's representative assembly. On the state level, he served as president in 1964 and 1965, and as chairman of the Executive Committee for seven years. He was director of the Ameri­ can Cancer Society for Region I from 195763; vice chairman of its medical and scien­ tific committee since 1966; chairman of its sub­ committee on professional films; and a mem­ ber of the research reference, Cancer Cru­ sade, public education and personnel manage­ ment study committees. In 1962 at his own expense he traveled to Moscow to attend the International Cancer Congress. During his years with the Cancer Society he gave many speeches to lay groups on various phases of the disease, stressing the importance of early diagnosis. His own dis­ ease, unfortunately, gave no early symptoms and had already spread from the original site when it was diagnosed. Dr. Leak was also a past president and member of the board of directors of the Har­ vard Club of Western New York; a Fellow of the American College of Surgeons; a Diplomate of the American Board of Surgery; a founder and member of the Society of Head and Neck Surgeons; a member of the Erie County and New York State Medical Societies and the American Medical Association.• THE BUFFALO PHYSICIAN �Dr. Witebsky Dies Dr. Ernest Witebsky, an internationally fa­ mous immunologist at the University, died December 7 of a heart attack. He was 68 years old. Dr. Witebsky joined the School of Medicine faculty in 1936 as associate profes­ sor of bacteriology in the department of path­ ology. In 1941 he was named professor and head of the department of bacteriology and immunology. In 1954 he was named "Distin­ guished Professor." From 1958 to 1960 he served as Acting Dean and then Dean of the Medical School. From 1964-66 he served as acting director of the Erie County Labora­ tory. When he retired in August 1967 he was named director of the newly created Center for Immunology. Dr. Witebsky's three major contributions to medical knowledge were all made after he came to the University as a refugee from Nazi Germany. They were: (1) Isolation of the blood Group "B" sub­ stance, which he accomplished with Dr. Niels Klendshoj, also a member of the University faculty. (2) Discovery that "A" and "B" substances, in forms similar to powdered sugar, could be added to "O" Group blood to produce a "uni­ versal type" of blood which could be given in an emergency to patients whose blood groups were not known. The blood studies led in turn to a method of determining blood groups with greater accuracy than ever be­ fore. This is done by giving "A" substance to persons with "B" blood and vice versa, and using their blood serum for testing other per­ sons' blood groups. (3) The discovery that it is possible for the body to build up antibodies against constitu­ ents of its own tissues, something previously believed impossible. One of Dr. Witebsky's colleagues said, "it is rare to find that a whole area of medicine owes its establishment and clarification of its many facets to a single investigator. Dr. Witebsky belongs to this extraordinary cate­ gory." Dr. Witebsky grew up with medicine. He was born in Frankfurt, Germany on Septem­ ber 3, 1901. His father, Dr. Michael Witebsky, SPRING, 1970 was an obstetrician in Germany and an uncle was a famous nose and throat specialist. At the University of Heidelberg, where Dr. Witebsky received his medical degree (1926), he was a pupil of Hans Sachs, who had been the pupil of Paul Ehrlich, the father of im­ munology. Dr. Witebsky served as assistant to Dr. Sachs in the research division of the Can­ cer Institute at Heidelberg from 1925-29, and continued as assistant professor of immunol­ ogy until 1933. He and his parents went to Switzerland, and in 1934 he became a Fellow at the Mt. Sinai Hospital in New York City. When he became head of the department of bacteriology and immunology at the Univer­ sity, his full-time staff consisted of one tech­ nician and one laboratory assistant and his annual budget, exclusive of salaries, was $500 for teaching 70 medical and 50 dental stu­ dents. At the time of his retirement the fulltime staff numbered more than 100 and had research grants totaling $800,000. Over the years Dr. Witebsky authored more than 300 publications in German, French, English and American medical journals deal­ ing with problems in immunology and bac­ teriology. He was consulting editor of four professional publications—Transfusion, Clini­ cal & Experimental Immunology, Blood and in German, Blut. He was also past editor of the Journal of Immunology. The teacher-researcher won many honors for his work including: —the Karl Landsteiner Memorial Award of the American Association of Blood Banks; —"Dr. Med. honoris causa" from the Uni­ versity of Freiburg (1958); —selection as a NATO visiting professor, University of Munich (1965); —election as a member of the Deutsche Akademie der Naturforscher Leopoldina in East Germany in 1966 (one of the most distinguished groups of scientists in the world); —the Cross of Merit awarded by the Neth­ erlands Red Cross for exceptional service to the Red Cross in 1968. At the recep­ tion marking the 25th anniversary of the Blood Transfusion Service of the award­ ing group, he was introduced to Queen Juliana of the Netherlands; 43 �In Memoriam —the Ward Burdick Award of the Ameri­ can Society of Clinical Pathologists, 1967; —The Chancellor's Medal of the University of Buffalo (1950) for accomplishment "which dignifies the performer and Buf­ falo in the eyes of the world;" —Selection as one of T h e B u f f a l o Evening News' "outstanding citizens" for 1968; —A plaque from the Buffalo Academy of Medicine (1969) in recognition of his "out­ standing activity as physician and inves­ tigator;" —The Stockton Kimball Faculty Award of the School of Medicine (1963). Although he had never attended the Uni­ versity, the Alumni Association of the Medi­ cal School made him a member in 1968. A year earlier, the 1969 graduating class (as sophomores) made him an honorary member of the class, the last one he taught as head of the department. Dr. Witebsky formerly served as head of the department of bacteriology and serology at The Buffalo General Hospital and director of its blood bank. He was co-founder of the In­ ternational Society of Hematology, and his prestige brought the Society to Buffalo for its first meeting in 1948. He was a Fellow of four societies—the American Association for the Advancement of Science, the American Public Health Association, the American Academy of Microbiology, and the New York Academy of Sciences. The British Society for Immunology made him an honorary member in 1960 and the Royal Society of Medicine an affiliate in 1958. He was also a member of the Royal Society of Health, and the Pan American Medical As­ sociation made him a Diplomate in 1964. He was also a member of many professional or­ ganizations at the local, state, regional, and national level. Dr. Witebsky had been certified by the American Society of Clinical Pathologists, the College of American Pathologists in "clinical pathology" by the American Board of Pathol­ ogy and in "public health and medical labora­ tory immunology" by the American Board of Microbiology. The first two named him a Fellow. Dr. Witebsky is survived by his wife and two children — Dr. Frank G. Witebsky, a Captain in the Medical Corps of the Air Force, and Mrs. Grace E. Hamilton of Kenmore. Captain Witebsky had returned from Vietnam four days before his father's death.• Dr. Earl D. Kilmer, M'04, died November 30 in Olean General Hospital after a long illness. The 88-year-old physician was for­ merly Town of Rushford health officer. After graduating cum laude from the Medical School, he practiced at Rushford until 1919 when he moved to Olean. He retired in 1947. Dr. Kil­ mer was active in many local, regional, and state professional and civic organizations.• Dr. Harry A. Chernoff, M'26, died December 23 while attending a meeting at the Montefiore Club. He had been a general practitioner and specialist in internal medicine for 43 years. He had been a member of the medical staff at Sister's Hospital since 1926 (president in 1963), and attending physician in parisitology. He was also on the Medical School faculty for several years, and was a medical consultant in the field of compensation claims. The 65-year-old physician came to America from Russia. He interned at the Buffalo Gen­ eral Hospital and was the company physician at the Larkin Company from 1926 to 1930. He served in the Army Medical Corps in Italy and Africa during World War II, and held the rank of Colonel in the Reserves when he retired in 1963. Dr. Chernoff was a founder and director of the Rosa Coplon Jewish Home and infirmary. He was active in many local, state and na­ tional civic, religious and professional organi­ zations.• Dr. Anthony J. Manzella, a prominent Buf­ falo surgeon for more than 30 years, died December 8 in Sisters Hospital after a long illness. He was 63 years old. He was president of his medical school class in 1930 the year he graduated. Dr. Manzella was a former chief of surgery at Emergency Hospital where he was on the board of directors. He retired in May 1968. He was a Fellow in the American College of Surgeons, and was active in many local, regional and national professional or­ ganizations.• 44 THE BUFFALO PHYSICIAN �Two 1970 Alumni Association Tours I. "EXPO-70" TOUR — AUGUST 16 - SEPTEMBER 5 (21-DAYS) $1,389.00 per person from Buffalo $1,339.00 per person from Chicago $1,183.00 per person from San Francisco (plus $13.72 taxes payable at time of booking) Stops include: San Francisco, Honolulu, Manila, Hong Kong, Kyoto (Expo-70], Tokyo, Honolulu. Tour Escort: Henry E. Mark of Hallmark Travel Agency, Inc. II. "BAHAMAS HOLIDAY" — NOVEMBER 15 - 27 (8-DAYS, 7-NIGHTS) $285.00 per person (twin room occupancy) at the exclusive KING'S Inn & Golf Club, Freeport, Grand Bahama Island For details write or call: Alumni Office, 250 Winspear Avenue State University of New York at Buffalo Buffalo, New York 14214 (716) 831-4121 The General Alumni Board Executive Committee — M. ROBERT KOREN, '44, President; ROBERT E. LIPP, '51, President-elect; HERMAN COHEN, '41, Vice-President for Develop­ ment; MRS. ESTHER K. EVERETT, '52, Vice-President for Associations and Clubs; EDMOND GICEWICZ, '56, Vice-President for Administration; JEROME A. CONNOLLY, '63, Vice-President for Activities and Athletics; JOHN J. STARR, JR.,'50, Vice-President for Public Relations; CHARLES J. WILSON, JR., '57, Treasurer; WELLS E. KNIBLOE, '47, Immediate Past-President. Past Presidents: DR. STUART L. VAUGHAN, '24; RICHARD C. SHEPARD, '48; HOWARD H. KOHLER, '22; DR. JAMES J. AILINGER, '25; DR. WALTER S. WALLS, '31. Annual Participating Fund for Medical Education Executive Board for 1969-70 — DRS. MAX CHEPLOVE, M'26, President; HARRY G. LaFORGE, M'34, First Vice-President; MARVIN L. BLOOM, M'43, Second Vice-President; DONALD HALL, M'41, SecretaryTreasurer; JOHN J. O'BRIEN, M'41, Immediate Past-President. SPRING, 1970 THE BUFFALO PHYSICIAN �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 HARRY HOFFMAN & SONS PRINTING 1 � 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. 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Closed Circuit Television Dean Pesch Reports Infectious Disease AMA Recognition Dr. Milch Honored Community Services Grant Dr. Rekate Replaces Dr. Hummel New Assistant Veteran's Director Family Practice A Unique Medical Team Pediatric Fellowship Drug Control Children's Hospital Contract President Meyerson Resigns Children's Hospital Addition Dr. Wilbee Medical Education Buffalo General Alumni Spring Clinical Days Health Care Inhalation Therapists Meyer Hospital Facilities Different Kinds of Obesity by Gail McBride Tribute to Dr. Leak Millard Fillmore Physicians Honored Alumni at Walter Reed Dr. Orr Heart Study Dr. McDaniel Dr. Cheplove People In Memoriam Dr. Witebsky Dies Alumni Tours Date Created Date of creation of the resource. 2022-09-15 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. v04n01 Extent The size or duration of the resource. 48 p. Spatial Coverage Spatial characteristics of the resource. New York (State)--Buffalo Rights Holder A person or organization owning or managing rights over the resource. Copyright 1970 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/2d5714277b155c64632542b7bc2e7420.pdf ad6bb46ec8554cd2fec2b3b861450a33 PDF Text Text fhc Buffalo Physician SCHOOL OF MEDICINE STATE UNIVERSITY OF NEW YORK AT BUFFALO �Dr. Carl 5. Benson, M'22 Dr. I. Frederick Painton, M'27 Nine Class Reunions April 7, 8 Pictures were not available lor Drs. William C. Baker, William M. Bukowski, Richard /. Kenline, cochairman, class ol 7 947, and Dr. R. Ronald Tofiolo, class of 7957. Dr. Elmer Friedland, M'32 Dr. John Ambrusko, M'37 Nine Classes will have reunions during Spring Clinical Days April 7 and 8. Approximately 400 physicians and their wives are expected to attend the reunion dinners. Mr. David Michael, director of med­ ical alumni affairs, is organizing the reunion dinners with the help of reunion chairmen pictured here. Dr. Carl S. Benson of 109 Murray Avenue, Binghamton, New York is chairman of the 50 year class reunion (1922). O t h e r living members of this class: Doctors Franklin T. Clark, 4825 Lewiston Road, Niagara Falls, N e w Y o r k ; F t a r r y L. C l a r k , 9 3 0 O c e a n A v e n u e , B r o o k l y n , N e w Y o r k ; Thomas P. Moylan, 53 Ardmore Road, West Hartford, Connecticut; Lynn Rumbold, 33 Indian Spring Lane, Rochester, New York; Daniel R. Tronolone, 139 North Ogden Street, Buffalo; and Perry G. Vayo, 1400 East Avenue, Rochester, New York.D �Spring 1972 Volume 6, Number 1 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo IN THIS ISSUE Class Reunions EDITORIAL BOARD (inside front cover) Editor ROBERT S. McGRANAHAN Managing Editor MARION MARIONOWSKY 2 Dr. Eccles 7 Maternal, Child Medical Center by Jean A. Cortner, M.D. Photography HUGO H. UNGER EDWARD NOWAK 9 Continuing Education Courses 10 Fetal Care Unit MELFORD J. DIEDRICK 12 Dr. Miller Retires Graphic Artists 13 Cummings Foundation Grant/ Indonesian Researcli Medical Illustrator RICHARD MACAKANJA DONALD E. WATKINS 14 VA Hospital Secretary 16 Dr. Cudkowicz FLORENCE MEYER CONSULTANTS President, Medical Alumni Association DR. LOUIS C. CLOUTIER President, Alumni Participating Fund for Medical Education DR. MARVIN BLOOM Vice President, Faculty of Health Sciences 17 Immunodermatology Conference 18 Hypertension 20 Immunology Convocation 21 RMP Goals/Dr. Cammer 22 Screening Drugs 23 $1,073,849 Grant 26 Student Convocation 27 Ear Grant/Brains DR. CLYDE L. RANDALL 28 Spring Clinical Days Vice President, University Foundation 30 Ecology JOHN C. CARTER 31 Immunology Center/ Dr. Edgar C. Beck Director of Public Information 32 Mental Health Center JAMES DeSANTIS 33 Dr. George W. Thorn DAVID K. MICHAEL 34 Health Care Challenge Director of University Publications 40 Family Practice Center Director of Medical Alumni Affairs THEODORE V. PALERMO Vice President for University Relations DR. A. WESTLEY ROWLAND The Buffalo Physician 44 Scuba Class 46 Canadian Medicare 47 Dr. Samuel Feinstein 48 The Classes 53 People 56 Alumni Tour/In Memoriam The cover design by Richard Macakanja focuses upon Dr. John Eccles' study of the cerebrum (pages 2-6). THE BUFFALO PHYSICIAN, Spring 1972 — Volume 6, 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 1972 by The Buffalo Physician. �Dr. Eccles Dr. Eccles Takes a Philosophic Look at the Cerebrum \ L n studies the brain because all that matters in his life is a result of its functioning. Not only does it account for his immediate perception — his vision, hearing, memory, emotion, thoughts, ideals, imagination, technical skills —but his creative achievements — his art, philosophy, science — as well. I n v e s t i g a t i o n s , b e g u n a f t e r W o r l d W a r II b y a n A u s t r a l i a n n e u r o physiologist led to his knighthood in 1958 and to a Nobel prize in 1963. Sir John Eccles —"Dr. Eccles" as he prefers to be called in this country — heads the Center for the Study of Neurobiology. He came to Buffalo in July 1968 from the Australian National University in Canberra where he had been professor of physiology for 17 years. As a Rhodes Scholar from Australia he went to Oxford to work under Sir Charles Sherrington, distinguished physiologist and Nobel Laureate. There he was introduced to the scientific examination of the nervous system and later derived a philosophical approach to the problems of the nervous system from Dr. Sherrington. Sherrington's philosophy, published in Man on his Nature, has guided Dr. Eccles in his efforts to understand the way in which the brain is related to mind. From analytical studies of individual nerve cells, Dr. Eccles has developed theories of how they function, the means by which impulses are passed from one cell to another, and the manner of their interconnection. New insights into both reflex actions and the formation of thought within the brain by the eminent scientist — he is a philosopher as well — provide a firm base for future progress. Before man can experience even the simplest sensation, Dr. Eccles explained, millions of cerebral nerve cells must be activated in just a matter of milliseconds. They must then be woven into pat­ terns by both space and time. And the limitless possibilities of con­ nectivity between them provide an infinite variety of patterned operations. Ten billion cerebral nerve cells — each a living entity — endow man with potentialities adequate for any achievement. He explained that what exemplifies man's essential uniqueness is his attempt to understand his work through accumulated experiences over a life­ time. In his self consciousness, Dr. Eccles pointed to man's transcendance over animals. "Man has imagination, a sense of values, and systemization of knowledge stored and transmitted in the coded form of written language, thus permitting progressive de­ velopment. Man has the power to understand nature and to con­ trol it." But, for this amazingly young 68-year old scientist, there remains a fundamental mystery of man's existence that transcends any biological account of the development of his body including his brain with its genetic inheritance and its evolutionary origin. While he accepts the explanation of his own origin — animal an­ cestry — as well as a well-established biological mechanism of evolution through mutation and natural selection, they provide but a partial explanation. 2 THE BUFFALO PHYSICIAN �For the slim, relaxed man with gray eyes and thinning gray hair, "in some way completely beyond my understanding, my thinking changes the operative patterns of neuronal activities in my brain. Thinking thus comes eventually to control discharges of impulses from pyramidal cells of my motor cortex, eventually contracts my muscles, and so gives the behavioral patterns that stem therefrom." There is general agreement, said the holder of the Royal Society's 1962 Royal Medal, that for every conscious experience there is a counterpart in man's neuronal mechanisms. "We may be on the threshold of understanding the basic principles responsible for memory traces, patterned engrams as they are termed." These engrams, he continued, are available for recall in memory when there is an appropriate input into its circuitry. The Nobel Laureate — Dr. Eccles won the prize at age 60 — further explained that a neuronal pathway, activated by a particular sensory input will, on repeated activation, achieve a kind of stabi­ lization through enhanced synaptic functions of its neuronal link­ ages. While neuronal mechanisms involved in perception are known, there is much less understanding of the neuronal mech­ anisms underlying conscious experience. Science, said the distinguished professor of physiology and biophysics, is loaded with "values." It represents the sum total of each scientist's personal performance to explain some aspect of nature. This explanation is then offered for critical judgment and experimental testing by others to eliminate error. Scientists therefore can only develop hypotheses approaching progressively nearer to the truth. "If only mankind understood that science is a very human en­ deavor to understand nature, to present in all humility the best of our feeble efforts to do so," the former president of the Australian Academy of Science said, "perhaps it could then be appreciated as a great and noble human achievement rather than as a destructive force, as some great monster to be either feared or worshipped." Drs. Peter Scheid, Ingmar Rosen, lohn and Helena Eccles record impulses from nucleus of brain stem in cerebel­ lum (has control of movement) in a decerebrated cat. SPRING, 1972 This material has been ex­ trapolated from Dr. Eccles book, "FACING REALITY: Philo­ sophical Adventures by a Brain Scientist" published by SpringerVerlag, New York in 1970. In this book Dr. Eccles expresses his efforts to understand a hu­ man individual, namely himself, as an experiencing being with an evolutionary origin. The book was published in the hope that it may help man to dis­ cover a way out of his aliena­ tion and face up to the ter­ rifying and wonderful reality of his existence with faith, and hope.n courage, �For Dr. Eccles, chances that life exists elsewhere in the cosmos are infinitely small. But he points to the immense projects that are planned for Mars to search for forms of life. Says the Melbourne medical graduate (1925) who received his doctorate from Oxford four years later, "we must realize the full negative impact of new knowledge derived from the study of the Moon, Venus, Mars, and the problems of space travel. As physiologists, he explained, "we can predict with complete assurance that man is forever earthbound. We share this earth as brothers and there will never be anywhere else to live." Although its mode of operation cannot yet be explained sci­ entifically, Dr. Eccles feels certain that there is freedom of will. For, he said, "we experience, do things, have conscious control of move­ ment." While he feels that scientific activity is an affair of man's rational, conceptual thought with exercise of will, movement, and sensory perception, he cautioned that creative illumination can only come to minds prepared by assimilation and critical evaluation of knowledge in a particular field. In the subconscious mind, he pointed to evidence for creativeness — enormous development of complex, highly specialized engrams in the neuronal network with its stored memories and critical evaluations, its permanency resulting from increased function in synaptic use. These "plastic" patterns, he said, point to the "knowhow" of the brain. Drs. Cary I. Allen, Cian B. Azzena, Tadao Ono record impulse from motor cortex, relay nuclei to the cerebellum. For creative imagination to exist, Dr. Eccles pointed to the need for an adequate number of neurones, and a wealth of synaptic con­ nection between them to build up limitless engrams of highly specific character. If there is potency for unresting activity in engrams so that spatio/temporal patterns continually weave into complex/interacting forms, then the stage is set for creative imag­ ination. Continuing, he explained that continuous intensive interplay of these patterns of neuronal activation are necessary for the sub­ conscious operation of the mind. New emergent patterns can then be expected and if these patterns have organization to combine and transcend existent ones, "some new idea born of creative imagina­ tion will emerge." But he cautioned that if creative imagination is to be fruitful "there must be a process of conscious criticism, evaluation to dis­ cover flaws in a new idea, a consistency with existing knowledge, the design and carrying out of experimentation to test predictions from this new idea. And," he added, "finally there must be new hypotheses." Science, says Dr. Eccles, is an art and must therefore be learned in a strange way. What he feels is needed is creative imagination, experimentation, and a good idea of what to expect from past ex­ perience. He cautioned that while expectations may be fulfilled it is the "something else coming in that you take no notice of . . . the something that keeps reappearing, that is nature's way of trying to tell me something" that is essentially the way he has made dis­ coveries. 4 THE BUFFALO PHYSICIAN �CAT CEREBELLUM The structure of the neuronal network? More complex than a vast telephone exchange says Dr. Eccles. Its 1 0 billion densely packed nerve cells — within the folded surface sheet of the cerebral cortex — communicate with each other by specified regions of close contact called synapses. While each nerve cell receives many thousands of these synaptic contacts via branches or axons that stem from other nerve cells, each in turn influences hundreds or thousands of others when triggered to discharge an impulse along its own efferent pathway (axon) with its numerous branches. Each nerve cell receives information from hundreds of others by convergence and in turn gives to hundreds by divergence. While excitatory synapses stimulate, inhibitory ones counteract or silence what otherwise might turn into a convulsion of millions of activated nerve cells. SPRING, 1972 5 �Dr. Eccles recognizes the existence of three worlds. The first is that of matter and energy (World I), the second is conscious ex­ perience (World II), and the third is civilization and culture (World III), that is dependent for its continuity on coded information in books and other artefacts. While the subjective world (World II) is dependent on the neuronal mechanisms of the brain — ready for recall — the world of objective knowledge (World III) is where prob­ lems, theories, and arguments are coded in some appropriate form to ensure their objectivity and continuing independence. But knowledge of all three worlds he believes to be a result of human intellectual activity. Science, for example, gives us our knowledge and understanding of World I and also is concerned with World II. He asks! Does not the mystery and wonder of our origin and nature surpass myths whereby man in the past attempted to explain his origin and destiny? And cannot life be lived as a challenging and wonderful adventure that has meaning to be discovered? And he responds! "We must appreciate man's greatness, we must regain faith and hope in man and his destiny. Else all is lost."D Drs. Takeloshi Ono, Saburo Kawaguchi, Tadao Ono prepare some electrodes for stimulation of various structures in the brain. THE BUFFALO PHYSICIAN �During the first half of this century, many children's hospitals were built in the United States, most of which were "free-standing," that is, separate from other major medical facilities in the community. This was understandable and even desirable at the time because oediatricians were fighting an uphill battle for independence from he domination of internal medicine. The results were excellent in that pediatricians, surgeons, nurses and other professional and paraprofessional personnel congregated into specifically and efficiently designed units for the care of children. Laboratory and X-ray pro­ cedures more appropriate to the child were developed, and a social a n d p s y c h o l o g i c a l s e t a i m e d a t u n d e r s t a n d i n g a n d h e l p i n g t h e ill child occurred. Dr. Cortner Some of the children's hospitals were built in university com­ plexes and many others moved into university or medical com­ plexes in the course of time, but in most cases merely constructing buildings next to each other failed to supply the magic necessary to produce continuous excellent care for the child from conception through adolescence. The majority of newborns arrive into this world unannounced to the pediatrician and with little or no pertinent past or family history immediately available to him. Perhaps the very fact that we use birth date instead of conception date to mark the beginning of life testifies that w e d o not recognize that a live child is under­ going his most important period of growth and development in utero. Within the last decade, we have learned how to communicate better with the child in utero and, although still severely limited, w e c a n d e t e r m i n e i n t h e f i r s t t r i m e s t e r o f p r e g n a n c y if h e h a s c e r t a i n genetic disorders, such as mongolism or other chromosomal anomalies, or certain biochemical defects, such as Tay Sachs and Lesch-Nyhan disease, thereby giving the parents the option of pre­ vention by abortion. Maternal and Child Medical Center Concept by Dr. Jean A. Cortner In the third trimester of pregnancy, we have been able to in­ stitute diagnosis and therapy of the child severely affected with erythroblastosis. Also, we can determine fetal age much more accurately and therefore prevent some hyaline membrane disease, about which w e have been able to d o so little o n c e it occurs. All of this, plus the many neonatal complications that relate directly to maternal health and disease, argues forcefully for better integra­ tion of obstetrical and pediatric services. Dr. William Silverman and other neonatologists have long argued that the mother is the best neonatal transport unit despite man's r e c e n t e f f o r t s a t r e d e s i g n i n g t r u c k s . If w e a r e g o i n g t o m a k e u s e o f this fact and attempt to bridge the abrupt transition of care at birth, high-risk pregnancies must be delivered where both the mother and infant can receive optimal care. At the other end of the pediatric spectrum, we have the same problem with adolescents. The healthy teenager goes through another of the most important periods of growth and development without an orderly transition of his care from the pediatrician to the internist. The adolescent with a chronic condition has an even worse time, as demonstrated by the diabetic who gets caught beSPRING, 1972 7 Dr. Cortner is professor and chair­ man of the department of pedi­ atrics and physician-in-chief at Children's Hospital. He presented this paper at the Pediatric Section of the AMA convention in Atlantic City, lune 27, 7977. �tween two disagreeing physicians, undermining his confidence in both. A few model adolescent units have already demonstrated that internists and pediatricians can work together and present a united front to the patient, even though they may disagree privately. Under these conditions, the adolescent is properly introduced to the in­ ternist who will ultimately take over his complete care, and he receives continuous care in the process. Dr. Schoenfeld A physician, columnist, author will give the annual Harrington Lecture March 17 at 8:30 p.m. in G-22, Capen. He is Dr. Eugene Schoen­ feld, who is on the Student Health Service Staff at the Univer­ sity of California at Berkeley. He received his M.D. degree from the University of Miami in 7967. In 1964 he received an M.P.H. degree from Yale University's School of Public Health. Dr. Schoenfeld is famous for his book, "Dear Doctor HIPpocrates — Advice Your Family Doctor Never Gave You." He is also noted for his medical column related to sex, drugs and dieting. In the 1960's Dr. Schoenfeld work­ ed with Dr. Schweitzer at Schweitzer Hospital in Africa.• the Of course, all of this can theoretically be provided in a large general hospital, assuming that a critical mass of obstetrical and pediatric patients is attained, and that the various disciplines work together rather than independently within the same walls. Perhaps, however, it can be done even better in a "maternal and child medi­ cal center," which attempts to provide a continuum of care from conception into young adulthood. What then are the major ingredients necessary to convert a free-standing children's hospital into a maternal and child medical center? First of all, a large obstetrical service is required. Ideally, this service should deliver 4000 or 5000 newborns per year in order to attain the critical mass necessary for all of the supporting services, such as obstetrical anesthesia. This obstetrical service should cater to the high-risk mother and infant and, in addition to having its own obstetrical clinic at the medical center, should have outreach clinics in high-risk areas. It has already been shown that these clinics can be run in major part by well trained paraprofessionals with the backup of a single attending obstetrician per clinic. The pediatrician should work with the obstetrician in these clinics, also using paraprofessionals if necessary or desirable, to give well and sick child care. Gynecologists/obstetricians have already recognized that there are at least three major subdivisions of their specialty: perinatology, endocrinology and fertility, and gynecologic oncology. The maternal and child medical center should be the ideal place for the perina­ tologist to care for the mother and child. Endocrine and fertility specialists and internists should be available to care for the medical problems associated with the high-risk mother, such as diabetes, hypertension, renal disease, etc. Laboratory services must be ex­ panded to provide the tests pertinent to the care of the mother and the developing fetus, including the techniques for prenatal detection of genetic disorders and fetal monitoring during labor and delivery. A division of perinatal medicine should be administered jointly by the departments of obstetrics and pediatrics and should contain obstetricians, pediatricians, basic scientists and even in­ ternists concerned with the intrauterine and immediate postpartum health of the child. At the other end of the spectrum, a division of adolescent medicine should be jointly run by the departments of internal medicine and pediatrics, and at least one full or part-time internist should be a member of each pediatric specialty team, such as hematology, endocrinology, renology, etc., in order to assure continuous care for children with chronic diseases as they emerge into the adult world. The center must also supply rehabilitation for all of those afflicted with a chronic disease, a portion of which 8 THE BUFFALO PHYSICIAN �should be supplied by a department of family psychiatry concerned with the individual in his family and social setting. Pediatricians have long known that " a n o u n c e of prevention is worth a pound of cure." Such a medical center dramatically illus­ trates this axiom and provides the ideal substrate for medical re­ search aimed at prevention as well as cure or improved quality of life. American College of Physicians Cocktail Party Hosted By: SUNV at Buffalo Medical Alumni Association Open to: could legitimately be called "old wine in new bottles" unless, in All Alumni and Friends Wednesday, April 19, 1972 Atlantic City addition to the changes noted above, the traditional intradisciplinary attitudes of obstetricians, pediatricians and internists yield to patient- Check Convention newspaper for hotel and room. The problems in health care recognized here are not new and oriented concern for interdisciplinary continuous care. O n e children's hospital in this country is attempting t o estab­ lish the type of maternal and child medical center described, and in so doing accepts the responsibility for evaluating the care given in order ultimately to present hard data rather than opinion and anecdote. The Children's Hospital of Buffalo has the good fortune of already having an obstetrical service which currently delivers approximately 2,600 children per year. This is being expanded and oriented toward the delivery of the high-risk mother and infant. Outreach clinics are being established in several so-called high-risk areas in the community. Departments of Internal Medicine and Family Psychiatry and Divisions of Perinatology and Adolescent Medicine are in the planning stages. Perhaps most importantly, frequent discussions of the problems that we conceptualize solving are being held in order to develop the appropriate attitudes among the various professional disciplines. The responsibility for evalua­ tion will be assigned to competent epidemiologists who have no personal ax to grind. This is the third trimester of the 20th century. We must re­ e v a l u a t e o u r p o t e n t i a l s a n d p r i o r i t i e s if w e a r e t o p r e v e n t a r e ­ tarded 21st century.• Eight continuing education courses will be offered by the Medical School during the next four months. All are open to practicing physicians and medical students. March 9 — Kidney Disease, Diagnosis and Treatment: The Role of Kidney Biopsy, Hotel Statler Hilton (with the Kidney Foundation of Western New York). March 24 — Child Development: On the Importance of In­ fancy, Statler Hilton Hotel. April 7 and 8 — Thirty-fifth Annual U/B Alumni Spring Clinical Days, Goodyear Hall, University campus. April 13 and 14 — Highlights of Current Problems of Clinical Anesthesia a n d Intensive Care, Treadway Inn, Niagara Falls, N. Y. May 4 and 5 — Surgical Aspects of Gastroenterology, Parkway Inn, Niagara Falls, N. Y. May 17 —Pediatric Cardiology, Children's Hospital. M a y 1 9 — C o m m u n i t y Psychiatry in t h e G e n e r a l H o s p i t a l , E. J. Meyer Memorial Hospital. June 5-9 — Refresher Seminar in Pediatrics, site to be an­ n o u n c e d .• SPRING, 1972 9 Continuing Medical Education Courses �Dr. Ray discusses fetal monitoring ol patient with Dr. Dan McMahon as Nurse Syers and husband ol patient look on. Delivering a better baby who is at high risk is the major goal of ]^0YV p 0 t c l l p „ „ p IT n i f a nGW ^6la' Care Un't ^ a S ' 3 e e n °P e n e d by the department of obstetrics and gynecology at the Children's Hospital. Explained its director, Dr. Michael Ray, "it is done through a two-phase approach in evaluating fetal well being. By continuous monitoring of the fetal heart rate from the capillaries of the scalp and automatic recording onto strip charts of the stress of uterine contractions (the physiological phase) the physician can tell at any time during delivery how well the baby is doing. "But if an abnormality is indicated," said the 32-year old Buffalo born (Children's Hospital) and educated (Canisius High School 1957, SUNYAB medical graduate 1965, internship in mixed medicine 1966, and residency in gyn/ob 1970) "we are equipped to go to the next step to determine the biochemical half or the acid base balance of the unborn child through a sample of its blood from capillaries of the scalp." While well over 95 percent of pregnancies are normal ones, pointed out the assistant professor of obstetrics and gynecology who divides his time equally between the Children's and E. j. Meyer Memorial Hospitals where a monitoring program is also underway, "we are primarily interested in that small percentage of patients with special problems. They may range from severe toxemia (metabolic disturbances) to diabetes, heart or kidney disease, an rh incompatibility or a postmature baby in need of special care." There are at least 250,000 babies or about three percent of births a year in this country displaying neurological damage which may be due to a genetic condition such as Mongolism or from a virus infection such as Rubella. But when it is due to either birth asphyxia or perinatal hypoxia — a lack of oxygen at some stage of birth — then Dr. Ray believes that something can be done. 10 THE BUFFALO PHYSICIAN �More than 120 babies at high risk, or a little over ten percent of all hospital deliveries at the Children's were monitored during the unit's first half year of operation. Eliminated has been the guess­ work on how well a baby is doing during its journey through the birth canal, the most hazardous that any of us will ever undertake. For it is during these 24 hours surrounding delivery w h e n t h e d e a t h rate is higher than a t any other period during a lifetime. Finding a better way to evaluate how well a baby is doing dur­ ing labor and delivery became a quest for Dr. Ray. For the two parameters used during delivery while he was a resident were listening to a baby's heart beat — valuable only in the most ominous conditions — and looking for meconium staining of the amniotic fluid — a signal of potential problems. Together they lacked reliable predictive value and could not point to the degree of danger that the baby was undergoing. With encouragement and support through a Buswell Fellowship by the department of obstetrics and gynecology, and funds from the United Health Foundation of Western New York, the young physician over the next year (1970-71) studied continuous fetal heart rate monitoring — stressed in the literature at that time — at the University of Southern California. As a postresident fellow at Los Angeles County Hospital under Dr. Edward H. Hon, the pioneer in electronic fetal monitoring, Dr. Ray cared for patients in the perinatal intensive care delivery room or more simply the research center where various maternal and fetal parameters were studied with respect to certain methods of anesthesia (such as paracervical blood and its effect on the baby in utero and after birth). He also worked on a uterine relaxant, for there are times when a physician would prefer to stop labor until the baby recovers in utero and then proceed with the delivery. Explained Dr. Ray, there is nothing better than a uterus as incubator or a normal placenta as an organ of biochemical and blood gas exchange. Drs. Jim Brennan and John Antkowiak chock remote monitor while Mesdame^ Fuhrmann and Rellinger chart the findings. SPRING, 1972 �Returning to Buffalo in 1971, Dr. Ray developed and set up the new fetal care unit at the Children's Hospital where training is also an important feature. Resident physicians and medical students rotate through the unit, and a summer elective is offered to under­ graduates. "We are doing normal things with normal patients in a new way," said Dr. Ray who is happy to be back in Buffalo. "We are utilizing electronics in fetal monitoring. Monitoring has been used in adults," he continued, "but never before in the intrauterine patient." As an undergraduate, he completed two summers as a Fellow with Dr. David Dean in a cardiopulmonary laboratory working on cardiac problems in adults. A subsequent elective was spent in pediatric cardiology with Drs. Edward Lambert and Arno Hone. But he has taken one step in time backward, to the intrauterine patient. With funding, Dr. Ray hopes at some future date to start a research delivery room where he again can study multiple maternal/ fetal cardioparameters. For it is only through the triad of research, service, and teaching that optimal care for the intra or exo-uterine patient can be assured.• Dr. Miller Retires Dr. Miller Dr. David K. Miller, who has served both the School of Medicine and the E. J. Meyer Memorial Hospital for more than 34 years, re­ tired last fall. The outstanding teacher, scholar and clinician was professor of medicine and associate director of medicine at the county hospital at the time of his retirement. Dr. Miller received a bachelor's degree from Illinois Wesleyan College in Bloomington in 1925 followed by a medical degree from Harvard University in 1929. After completing an internship at Boston City Hospital he studied in both Germany and Austria. From 1931 to 1937 he was assistant in medicine and assistant resident physician at the Rockefeller Institute for Medical Research before coming to Buffalo as instructor in medicine. Two years later he became director of medicine and head of the department of medicine at E. J. Meyer Memorial Hospital (19391967) as well as professor of medicine at the University. From 1937 to 1948 he directed the laboratories at Meyer Hospital. In July, 1967 Dr. Miller asked that he be relieved of his hospital duties. A Fellow in the American College of Physicians, a member of county, state, and national medical societies as well as the Buffalo Academy of Medicine, American Society of Clinical Investigation, Society of Experimental Biology and Medicine, and the Harvey Society, he has also written numerous articles on anemia, blood and bone marrow. The 67-year-old physician was the recipient of a spe­ cial plaque at the annual 1969 Stockton Kimball Luncheon for "his contributions as outstanding teacher, scholar and clinician."• 12 THE BUFFALO PHYSICIAN �$39,000 Cummings Foundation Grant to Dr. Barnard A $39,000 grant from the Cummings Foundation of Buffalo has been awarded to Dr. Eric A. Barnard, professor and chairman of the biochemistry department to set up a protein-sequencing laboratory. The equipment purchased under the grant will be used in research of muscular dystrophy and other genetic diseases, as well as on the evolution of protein molecules. According to Dr. Barnard, the new equipment will reduce from years to weeks the time needed to determine the sequential arrangement of amino acids, the building blocks of protein mole­ cules. Changes in these sequences have been linked to genetic diseases. Dr. Barnard said, "This equipment exists so far in only a few laboratories in the world. Its acquisition puts the University ahead in this field." He added, "It will lead in time to an acceleration of our studies of the differences between protein molecules found in the muscles of animals and children with muscular dystrophy and those found in normal muscles." This research is largely supported by the Muscular Dystrophy Associations of America. Currently four faculty members of the U/B Biochemistry Department are involved in bio-medical research projects on proteins, in which this equip­ ment will be a great aid.D Indonesian Research A young couple will be working on Indonesia during the next six months. two different projects in Dr. Zebulon C. Taintor, an assistant professor of psychiatry, will be working with psychiatric hospitals in the computerization of patients' histories. They will be based in Djakarta. His wife, Mavis, will d o research for her doctoral thesis in political science. Her topic: "The Communist Party in Indonesia from 1951 to 1965." This is her second visit to Indonesia. She was there in 1968 to begin her research while her husband was a volunteer physician in Vietnam. Dr. Taintor said, "there is an effort to get a world-wide report­ ing system among psychiatric hospitals by having patients' histories computerized. This will enable us to determine the influence of local conditions, culture and other factors on mental illness." His Indonesian studies are sponsored by the International Com­ mittee Against Mental Illness and by the World Health Organization. Dr. Taintor has been head of the Medical School's graduate and resident psychiatry p r o g r a m s c e n t e r e d a t t h e E. J. M e y e r M e m o r i a l Hospital. He has also helped in establishing the drug emergency program at Meyer Hospital.• SPRING, 1972 13 Dr. Barnard with the new time saving equip­ ment. �Medical School Research at Veterans Hospital 1. A team that is investigating transport processes across biological membranes under Dr. john W. Boylan, professor of medicine and physiology, move into new quarters at Veteran's Hospital. 2. Dr. Stephen Wittenberg, assistant professor of medicine, joined three team members for coffee. Left to right: Dr. Wittenberg; Dr. Judith Van Liew, research assistant professor of medicine; Dr. Daphne Hare, assistant professor of medicine and biophysical sciences; Dr. Theodore Herman, research assistant professor of medicine. 3. Pretty much "at home" in their new laboratories are several of the 15-member immunology unit team. Under Dr. Morris Reichlin, professor of medicine, studies on immunity in health as well as in disease are underway with particular em­ phasis on the antigenic structure. They are also studying abnormal antibodies in certain connec­ tive tissue disease and muscle proteins in certain muscle diseases. Left to right: Mrs. Patricia Dix, graduate student; Miss Bonnie Reid, secretary; Dr. Morris Reichlin; Dr. Martha Mattioli, research assistant instructor in medicine; Miss Nancy Ball­ ing, technician. 4. In the hematology unit, under Dr. Robert W. Noble, Jr., assistant professor of medicine and biochemistry, studies on immunology, specifical­ ly the chemistry of reaction of hemoglobin with oxygen, are underway. Graduate student Miss Sandy 5. McDonald performing fast kinetics of hemoglobin reactions. In the endocrine unit, studies on the control of carbohydrate incubate tissue and lipid metabol­ ism are underway, particularly the effects of ex­ perimental obesity in rats. Under Dr. Jack K. Goldman, assistant professor of medicine, resi­ dents rotate through the service while medical students perform their research under his super­ vision. Discussing some aspects of her project with Dr. Goldman is o n e of two laboratory tech­ nicians, Mrs. Elizabeth Gabel, while Mrs. Marjorie Kodis works at centrifuge. 6. In the rheumatology unit, Dr. Floyd A. Greene, associate professor of medicine, works with red cell membranes, rh factor, and lipid protein in­ teractions. Also performed by the unit is s o m e clinical work in immunoglobulins. the lab is technician Mrs. Doreen 7. At work in Milbrandt. A bit of research on tests related to Hodgkins Disease is under underway hematology in the hematology consultant Dr. Ben unit Fisher along with some work on cell culture to measure phosphatase. Bordenave. At work is technician Mrs. Anna ��DR. G U S T A V O C U D K O W I C Z , a n internationally r e n o w n e d p r o ­ fessor of pathology and microbiology at the Medical School and a member of the advisory board of its Center for Immunology, has been invited to participate in a joint United States/Australian re­ search thrust on cancer as well as American/French cooperation on human transplantation. At an international cancer conference to be held in Sydney, Australia March 13-17, world experts in leukemia, melanoma and skin cancer will report on new information in the hope of improving the understanding of its causes and mechanisms. Dr. Cudkowicz will participate in the sessions on leukemia and report results from his own investigations relevant to immunologic rejection of leukemic cells. From there he will join an American/Australian symposium on current cancer research to be held in Melbourne the following week as one of 12 U. S. representatives on cancer research efforts. He has also been invited to present seminars on immunology and transplantation a t Melbourne's famed Walter and Eliza Hall Institute of Medical Research. In response to an invitation from the French Public Health Service (INSERM), Dr. Cudkowicz will also journey to Paris for two weeks as a visiting scholar. He will visit several medical institutions and lecture on the above subjects at the Pasteur Institute, the Col­ Dr. G u s t a v o Cudkowicz lege de France, and the Institute de Cancerlogie et d' Immunogenetique. To better predict the outcome of a bone marrow graft by "typing," Dr. Cudkowicz will also formulate plans for future re­ search with Dr. Jean Dausset, one of the pioneers in identifying human transplantation antigens at the Institut de Recherches sur Conferences in les Maladies du Sang in Paris. These experiments will be carried out under a Franco/American Agreement for Transplantation. The Australia, France contemplated studies on about a dozen families who have already for Dr. Cudkowicz ing additional antigens that are tissue specific. These may be ex­ been typed for major transplantation antigens are aimed at identify­ clusively expressed on hemopoietic cells which are responsible for blood formation. This will be the first attempt at "typing" humans for tissue-specific transplantation antigens of bone marrow cells. To date, explained Dr. Cudkowicz, studies on hemopoietic cell antigens have only been carried on in Buffalo. They have been confined to the laboratory mouse, a good transplantation model for man. In­ vestigations have revealed that these particular antigens determine whether bone marrow grafts will either "take" or be promptly rejected. Why is bone marrow transplantation so important? "In a num­ ber of inborn immune deficiency diseases and blood disorders (such as agammaglobulinemia and sickle cell anemia) and in acquired diseases (such as bone marrow aplasia due to an overdose of drugs)," said Dr. Cudkowicz, "marrow grafts act as replacement therapy. For not only do such grafts replace the blood-forming system but the immune system as well. Thus, once a foreign marrow graft is accepted, the recipient will also accept other organs from the same donor." 16 THE BUFFALO PHYSICIAN �Details of the test systems for the joint collaborative effort with Dr. Dausset and for the shift from laboratory to hospital are present­ ly being worked out in Buffalo's department of pathology. A team has been working with Dr. Cudkowicz over the past few years on identifying, defining, and elucidating the kinds of cells that partici­ pate in humoral and cell-mediated immune reactions. In their experiments in the mouse, the current team (Eva Lotzova, Ph.D., instructor of pathology; Domenico Trizio, MD, and Toshiya Kino, MD, both Buswell Fellows and research assistant professors of path­ ology) has found that hemopoietic specific antigens are controlled by independent genes. The major one, the team discovered, is close­ ly linked to the chromosomal region that is responsible for the usual transplantation antigens. Said Dr. Cudkowicz, "there is a strong possibility that the same holds true in man." Considerable progress by the team has permitted an insight into cellular events leading to immune response and marrow graft rejection in mice, a natural prelude to work on man. Explained the Italian-educated physician/researcher, "what we are basically after is a better understanding of h o w the many facets of the immune system are regulated. Armed with this knowledge, we could then intervene more effectively by therapeutic treatment of the patient." In their unique approach the team has sought the key to the immunobiology of hemopoietic grafts and genetic regulation of immune reactivity. "This last variable," said Dr. Cudkowicz, "is of great importance for the morbidity of the patient and may represent the key to what is known as 'predisposition' for certain diseases. Our research is aimed toward finding a useful tool by which w e can select donors for bone marrow grafts on one hand, and for identify­ ing by a simple laboratory test the 'predisposed' on the other."D Immunodermatology Conference, June 28, 29 The department of microbiology at the Medical School will sponsor a "Immunodermatology Work Shop Conference" on June 28 and 29. Dr. Ernst H. Beutner, professor of microbiology, will direct the two day conference. He will be assisted by three of his associates in the department. Dr. Tadeusz Chorzelski of the Academy of Medicine in Warsaw, Poland, and Dr. Robert Jordon of the Mayo Clinic, will be among the distinguished experts participating. The workshop will include reviews and demonstrations of current methods for immunopathologic studies of skin diseases.• SPRING, 1972 17 Checking data (left to right) are Drs. Cudkowicz, Toshiya Kino, Domenico Trizio and Eva Lotzova. �For the one out of every ten in this country who has a hypertensive condition, a multidisciplinary attack by a unique team at the Univer­ sity may have profound effects. In over eight years of research the team of investigators—bio­ chemists, pathologists—has pinned down the pathogenesis of some forms of experimental hypertension in the rat. Team studies, con­ firmed by those of others, point to oversecretion of a hormone — 11-deoxycorticosterone or DOC as it is referred to — as the causative agent. Chief research assistant Luther Joseph and Dr. Brownie compare loss oi muscle, iat, etc. on tumor-bearing rat with one that is normal. But the studies in experimental hypertension began back in 1962 when a large grant in pathology research, prepared by path­ ology chairman Floyd Skelton, was funded. Fie was joined a year later by a young Scottish-born and educated biochemist, Dr. Alex­ ander Brownie, who continued his research into the steroid bio­ chemical aspects of hypertension. Upon the untimely death of Dr. Skelton in 1967, Dr. Brownie assumed responsibility for the $1,000,000 research and training grants in the relatively new field of experimental pathology. They were among the largest recorded in Medical School annals. A threeyear renewal recently awarded to the 40-year old research associate professor of pathology and professor of biochemistry assures con­ tinuation of the team attack into the problem of hypertension. Experimental Hypertension Headquartered in four thousand square feet of well-planned, well-equipped space in the Old Bell Plant, a satellite of the Uni­ versity, the experimental hypertension team interest centers on its three important aspects — pathology, steroid biochemistry, and electronmicroscopy. "So well do we as investigators cooperate," Dr. Brownie said, "that the same six animal models of experimental hypertension are used for all three purposes." In the steroid biochemistry effort, Drs. Brownie and Samuel Gallant, a Ph.D. graduate of the training program in experimental pathology, are looking for the mechanism that will explain how hypertension — that is more prone in the male than the female — works. To determine the abnormalities that exist in function, models related to abnormalities in hormone production are being used. Ultra-structural investigations are the responsibility of Drs. Peter A. Nickerson and Iwao Nakayama. Now in his fifth year of research with the team, Dr. Nickerson — he is a Clark biology alumnus — feels that what will ultimately lead to our complete un­ derstanding of the pathogenesis of hypertension and especially the role of the adrenal gland will be knowledge derived from ultra structural studies correlated with the steroid biochemical work of Dr. Brownie. Dr. Nakayama, who was the first to identify the ACTH-secreting cells in the pituitary by using models of hypertension, joined the team following a two-year absence. He continues studies on the fine structure of hormone-secreting cells of the anterior pituitary. But these electronmicroscopists are interested in looking at hypertension from other angles as well and have turned their atten­ tion to tumors in the pituitary that secrete very large amounts of pituitary hormones. They are now able to develop hypertension in 18 THE BUFFALO PHYSICIAN �animals bearing ACTH, growth hormone, and prolactin secreting tumors. Because of success with animal, models, attention has been turned to the human, and to development of micromethods to measure hormones in the blood. Pathology efforts, headed by Dr. Agostino Molteni, center on the effect of hypertensive disease on various organs of the body, but specifically the kidney. Techniques gained in experimental models have been translated by the Milanese physician (he joined Dr. Skelton in 1965, earned a doctorate in ex­ perimental pathology in Buffalo two years ago) into a community testing program for the diagnosis of renal vascular hypertension. In a screening program with Buffalo General Hospital's Drs. David Greene and Ivan Bunnell, DOC in both normal as well as hypertensive individuals is being measured t o determine its role in human hypertension. In a study of hypertension in children with Dr. Joseph RahiII, blood levels of renin by radioimmuno and bioassays have revealed some very interesting connections between renin and hypertension. At the burn treatment center at Emergency Hospital, there is an i n v e s t i g a t i o n u n d e r w a y w i t h D r s . L o u i s C l o u t i e r a n d L. M o l t e n i o n renin and steroid hormone levels in the high percentage of severely burned patients that are hypertensive. As the development of spontaneous hypertension in animals correlates a bit closer to hypertension in the human, much of Dr. Molteni's present efforts are directed toward the role of salt in this experimental model. Because of team findings with experimental models, an attempt will be made to prevent hypertension. In its approach, an immuno­ logical one, Dr. Gallant has achieved some success in preparing a n t i b o d i e s a g a i n s t D O C i n t h e r a t . It i s h o p e d t h a t i n d u c t i o n o f antibodies in animals against DOC will deter the effects of hyper­ secretion of DOC. An antisera will also be prepared to be used in the radioimmunoassay of these steroid hormones. Teaching pathology and biochemistry to both medical and dental students remains an important task for these investigators Dr. Nakayama and graduate students Carl Porter and Michael Tseng join Dr. Nickerson in a demonstration of material by electronmicroscopy. At planning session Dr. Brownie illustrates a point to Dr. Nakayama as Drs. Nickerson, Gal­ lant, and Molteni look on. SPRING, 1972 19 �while support, through a training grant, assures a future supply of experimental pathology researchers. Over the past two years eight doctorate degrees in this field have been awarded. And at any one time there are about a half-dozen pre- and post-doctoral fellows training under the team. It is coordinated team effort that has led to its success. And for its ebullient young principal investigator — who has returned from an Edinburgh sabbatical committed to continue collaborative efforts begun there, to lead in the ninth year of research efforts into experimental hypertension, to co-chair the Medical School curriculum committee, to pursue his own research interest in the mechanism of action on ACTH, and whose medical school classes in biochemistry are highly regarded — it is raising the question that DOC may be involved in hypertension that is most satisfying. For "it is something that has not been looked at very seriously in the past." a problem with Dr. In summing up the work of the group, Dr. Brownie feels that "our work with experimental models, where DOC has been con­ stantly involved, makes it absolutely necessary to evaluate its role in human hypertension. While it may not be the causative agent in the human, it must be eliminated. For if it is not DOC then it is probably another adrenal cortical hormone."• Immunology International Convocation The third International Convocation on Immunology will be June 12-15 at the Statler Hilton Hotel. This is the third of a continuing series of biennial convocations sponsored by The Center for Im­ munology at the Medical School. The Center was established in 1967 to foster training and research in immunology. The Ernest Witebsky Memorial Fecture will be given at the opening session by Dr. Elvin A. Kabat, professor of microbiology, at Columbia University. His topic: "General Features of Antibody Molecules." A special feature of the four-day convocation is a banquet in honor of Professor Pierre Crabar, Institut Pasteur, Paris. He has made many important contributions to the study of antigens and antibodies, and has done much to stimulate the de­ velopment of immunology as a discipline in France and the world. The purpose of the Convocation is to bring together scientists from all over the world to present and discuss the current status and future trends in various areas of immunologic research. This program will be concerned with the properties of the specific sites on immunoglobulin molecules responsible for their reaction with antigens and with the specific receptors on cells whose interaction with antigen triggers the immune response. The program will probe the relation of the structural features of antigens, antibodies, and cell receptors to the specificity of their interactions.O 20 THE BUFFALO PHYSICIAN �The Regional Medical Program of Western New York is changing its priorities to meet the health needs of the people of this region. The three new goals: (1) t o stimulate a n d p r o m o t e preventive serv­ ices in health maintenance. (Prevention includes efforts to limit the progression of disease at any stage, reduce the likelihood of its recurrence and to maintain health). (2) To develop and improve primary care services (augmenting availability and distribution of first-stage medical care in under-served rural and inner city areas). (3) To encourage the development, expansion and integration of rehabilitation services into the continuum of medical services (effec­ tive home care, social services, patient education and the extension of physical and occupational therapy services out into the com­ munity under the direction of the primary physician).• New Goals for RMP Dr. Cammer's Career For 25 years a 1939 Medical School graduate has had a reputation as a distinguished medical practitioner, educator, author, consultant and lecturer. Dr. Leonard Cammer has been a clinical associate professor of psychiatry at the New York Medical College since 1948. He was founder (1959) and first medical director of Cracie Square Hospital, New York City. In 1962, Dr. Cammer authored a textbook, "Outline in Psy­ chiatry," that has been used in many medical schools throughout the world. In 1969 h e authored " U p From Depression" that was o r i g i n a l l y p u b l i s h e d b y S i m o n a n d S c h u s t e r . I n 1 9 7 1 it w a s p u b l i s h e d by Pocketbooks, New York. Modern Medicine in commenting on the book said, "it is a splendid book for the laity which should b e very helpful to all those persons who have a close relative who has become depressed." Dr. Cammer has also authored or co-authored 25 original papers, and has made several presentations at professional meetings in this country and Mexico. Dr. Cammer is a Fellow in the American Psychiatric Association, American College of Psychiatrists and Acad­ emy of Psychosomatic Medicine. He holds membership in several other state and national professional organizations. He also has appointments to four New York City area hospitals and serves as a consultant to several state and national agencies. After graduating from the College of the City of New York in 1933, Dr. Cammer entered UB. In 1937 h e received his master's degree in physiology. After graduating from medical school he took a two-year rotating internship at City Hospital, Welfare Island, New York City, 1939-41, and was a commander in the Naval Medical Corps from 1941-1946. From 1944 to 1947 he was in psy­ chiatric training as a Commonwealth Fund Fellow, Institute of Penn­ sylvania Hospital; the Pennsylvania Hospital for Nervous and Men­ tal Diseases; and the New York State Psychiatric Institute and Hospital. Dr. Cammer appeared on over 50 local and national tele­ vision and radio broadcasts during 1969-1971.• SPRING, 1972 21 Dr. Cammer �Screening Program for Drugs "Exceptional" was the summer fellowship committee's ranking of an application submitted by Lynda M. Young to explain possible effects of drugs on a mammalian fetus during development. It placed the sophomore medical student in the category reserved for those projects that "in some cases were planned as carefully as senior research programs." For Lynda the summer fellowship was her opportunity to get back into embryology and to find out what research, that is so closely allied to medicine, is all about. Her screening program for drugs was a continuation of some of the pioneering work in teratol­ ogy begun by Drs. Sumner Yaffe, Maimon Cohen, and Anil Muk­ herjee. Lynda M. Young A search through the literature revealed little clinical investiga­ tion into the effect of drugs on the fetus until the Thalidomide disaster of a decade ago. Subsequent animal studies however show teratogenic effects — its mechanism as yet unknown — of drugs to be both dose- and time-related, with the fetus highly susceptible during the first three months of gestation. Alarmingly a women takes an average of four to five medica­ tions during her pregnancy. And common drugs such as most vita­ min preparations, aspirin, antacids, diuretics, cathartics, antihista­ mines, barbiturates, she discovered, are taken without medical su­ pervision or knowledge. Dr. Anil Mukherjee and Lynda examine plate through double microscope. Drugs may affect maternal tissues by reducing oxygen-carrying capacity of blood, altering level of blood glucose, reducing availabil­ ity of either essential vitamins, hormones, aminoacids or trace ele­ ments. Or they may have a direct effect on embryonic cells in structure to cause deformity or may interfere with the passage of oxygen, glucose or other vital substances across the placenta. Because of inadequate enzyme systems the fetus is unable to metabolize drugs in the same way as mature organisms. Therefore drug administration during pregnancy should be minimal, with bene­ fits to mother carefully weighed against possible harm to fetus. Said Dr. Mukherjee, "one of the things that we are learning is that more and more women are becoming aware that they must not take medicine during pregnancy." With so little data on drug effect available in the early stages of development, Lynda felt drawn to this type of research. She selected the drug sodium salicylate for use in her experimental model for while it is a popular nonprescription medication taken for a variety of ailments it also causes neonatal bleeding and coagulation defects. Concentrations of this drug paralleled doses used in treatment schedules. In her attempt to develop an in vitro system to serve as a model for screening drugs she hoped that her methods would provide some insight into the problem. 22 THE BUFFALO PHYSICIAN �Lynda rapidly became adept in growing embryos over the summer. She tested all cell stages up to the blastocyst stage. The embryos, grown in vitro, were exposed to different drug concentra­ tions for varying lengths of time. Observations were made over a 24-hour period for gross morphological abnormalities or death of the embryos. Dosage, she discovered, was a more important factor than length of drug exposure in producing teratogenic effects. Lynda, who is now a junior, will continue her screening pro­ gram over the academic year. Together with Drs. Mukherjee, Cohen, and Yaffe, she has submitted her work for publication in the journal Teratology.• Denise Bash discusses a point with Lynda. Dr. Farhi Receives $1,073,849 Grant A $1,073,849 grant was awarded to Dr. Leon Farhi, professor of physiology and project director of the Laboratory of Environ­ mental Physiology. Funding, by the National Heart and Lung In­ stitute over the next five years, will permit expansion of studies into the cardiovascular effects of changes in environmental factors. " W e a r e p r o u d t h a t a t t h i s t i m e o f f i n a n c i a l s q u e e z e yve a s a department (physiology) have been found worthy of such an award," Dr. Farhi said. Funding of this comprehensive proposal will allow the department to support not only individual investigators but also the electronic and mechanical facilities of its unique new central laboratory — its human centrifuge, submergence basin, run­ ning track and high pressure chamber rated at 170 atmospheres. With other laboratories opening into its area, this new labora­ tory provides a focal point for the team of investigators. There is thus maximum efficiency in an enlarged team effort to study the effects of air, water, artificial atmospheres such as pressure and temperature, inspired gas composition, and gravity field on three interrelated physiology. areas — cardiovascular, respiration and circulatory While fundamentally still interested in the basic processes that affect man under environmental stresses (the Eskimo, etc.), the ex­ pert in pulmonary physiology points o u t that " t h e r e is n o d o u b t that we are looking very seriously at things that are important in the everyday life of an urban population," Dr. Farhi said. Ecological application of one, greater involvement into the effects of carbon monoxide on the population, has already been made. For in a pioneering work on the effects of carbon monoxide in man to which Dr. Farhi has m a d e a major contribution, it was found that there is n o level of this gas in o u r environment that is without effect. It therefore becomes important to minimize man's exposure to it.D SPRING, 1972 23 �"""" I 1A mSI0U" ™»» « *"»»»« m „ mcmrr .. '""L w i y A C H, july I971 Either, and V take this RL W^g9 will last •mbers iq„0 -d wiU tacinde ^om"^o%^iol°^TtWs occaB^a mnich*X^ )Otiies ;eit dt to join this dinner ail in the best wishes Pahn Wot\otaT"y C°»™M5 �It was a chance to see one another, to have a good time following the 25th International Congress of Physiological Sciences held in July in Munich. But to the former Fellows who were trained in their earlier days in Buffalo's department of physiology under Dr. Her­ mann Rahn, and to current faculty, the Buffalo Reunion was also an opportunity to honor this leading physiologist. It was their way of paying homage to the man who has had such an enormous impact on world health through his teaching. For through the understand­ ing of life processes—he imposed a rigorous discipline for careful work, accumulation of good data, and its imaginative interpretation —has come the foundation for good medicine. In his presentation of an enormously broad overview of science to the more than 70 foreign scholars from 21 countries who have trained in Buffalo over the past dozen years, Dr. Rahn has covered the whole spectrum, from the little one-celled animal to man journeying into outer space. Many of these Fellows are now de­ partment heads, leaders in the field in both Europe and South America. They are training hundreds of others. This international exchange program, initiated in 1957 by Dr. Rahn when he joined the Buffalo faculty as its physiology chairman, features not only a scholar/student/technician/lecture exchange, but cooperative publications and field studies to far-flung corners of the globe. Most of the foreign scholars in residence were originally trained as doctors of medicine. In order to pursue some area of physiology, they later went into basic research. Not only was there Gemutlichkeit (comradeship) at the tradi­ tional Brotfest (beer, bread, cheese, radishes) at the Augustiner Garten that afternoon, but there were moments of solemnity as well. To four eminent physiologists who, through their students, have maintained a long association with Buffalo, were presented Honorary Buffalo Awards by festivities chairman Dr. John Boylan. The "Honorary Buffaloes" are Dr. Kurt Kramer (Munich), Dr. Klaus Thurau (Munich), Dr. Rodolfo Margaria (Milan), and Dr. Pierre Dejours (Strasbourg). In his presentation of the Order of the Avian Egghead, Dr. Charles Paganelli alluded to the similarities between the work of its recipient, Dr. Rahn (doing physiology studies on the embryo of an unhatched egg) to that of an outer space ship that must also learn to live in its unusual environment. Dr. Rahn proudly wore the medallion the remainder of the day. What manner of teacher is Dr. Rahn? Said a former student, "he taught me most of what I know. He has always been a great believer in learning through doing. He would always challenge students, not tell them what to do. As a guide rather than a trainer, he would watch us do our own thing."• SPRING, 1972 25 Dr. Rahn, Dr. Pierre Dejours, one ol Honorary Buffalo's, Dr. Boylan �Ccorge Newman jr., Dr. Sumner Yaffe 21 Medical Students Honored Twenty medical students shared 14 awards at the annual fall Medical School Convocation in Butler Auditorium. A senior, George New­ Dr. Peter Regan, Mary lane Massie man, Jr., received three awards — Lange and Alumni Association, both for outstanding achievement during the third year, and the Children's Hospital prize for ability to understand childhood disease. The other recipients and awards: Merck and Company Award (for academic excellence during the third year) Patricia K. Duffner and Richard A. Savage; Mosby Award (for high performance during the previous year) Third Year: Robert DiBianco, Frederick S. Hust; Second Year: Susan J. Hakel, Steven J. Morris; First Year: Barry Kilbourne; Lange Award (for high performance during the previous year) Third Year: Marc J. Leitner; Second Year: Michael V. Murphy, Tim­ othy T. Nostrant; First Year: Bernard S. Alpert, Susan P. Ham­ mond ; Farny R. Wurlitzer Award (for outstanding work in psychiatry) Mary Jane Massie; Physiology Award (for outstanding performance in physiology) Don­ ald R. Greene; Ernest Witebsky Memorial Award (for outstanding performance in microbiology) Timothy T. Nostrant, Michael R. Savona; Dr. Felix Milgrom, Michael R. Savona, Timothy T. Nostrant James A. Gibson and Wayne J. Atwell Anatomical Award (for high­ est record of anatomy during first year) George M. Kleinman; Kornel L. Terplan Award (for demonstration of best knowledge of pathology during second year) Barry Sanders; Roche Laboratories Award (for highest ranking student during first and second years) Michael R. Savona; Pfizer Award (for three years of academic excellence) Thomas J. Lawley; Dr. John Watson Award (for excellence in medicine) John W. Kraus; Alpha Omega Alpha (honorary society) Robert DiBianco, Frederick S. Hust, Thomas J. Lawley, Marc J. Leitner, Stephen M. Newman, and Richard A. Savage.• 26 THE BUFFALO PHYSICIAN �Dr. Joel M. Bernstein, M'61, clinical associate in surgery (otolaryn­ gology), at the University, received a $10,000 grant from The Deaf­ ness Research Foundation of New York City. The money will be u s e d f o r r e s e a r c h t o d e t e r m i n e if a u t o i m m u n e d i s e a s e o f t h e i n n e r ear can be produced experimentally. "To the best of our knowledge, no American investigator has studied the problem of autoimmune disease of the inner ear," Dr. Ear Research Grant Bernstein said. "Except for several articles in the German literature and one by a Japanese investigator, there have been no fundamental experiments on autoimmune disease of the cochlea." Dr. Bernstein went on to say that he hopes this research will shed some light on some inner ear diseases whose causes are un­ known. Hopefully we may be able to provide some information on Meniere's Disease, sudden deafness and sensorineural hearing loss, following stapedectomy. Dr. Bernstein is the principal investigator. He will be assisted by Dr. Noel R. Rose, M'64, director of the Center for Immunology at the University, w h o is the co-investigator. The Center for Im­ munology laboratories at the University and the Temporal Bone P a t h o l o g y L a b o r a t o r y a t t h e E. J. M e y e r M e m o r i a l H o s p i t a l , a l o n g with the Animal Research Laboratory at the hospital will all be used for the project. Dr. Daniel Fahey, M'48, directs the Temporal Bone D r . Bernstein Pathology Laboratory and is a clinical associate professor of surgery (otolaryngology). The Deafness Research Foundation carries the endorsement of leading professional bodies in the fields of otology and otolaryn­ gology, and it is the only national, voluntary health agency devoted primarily to furthering research into the causes, treatment and pre­ vention of hearing impairment and other ear disorders. Now in its fourteenth year of operation, it is responsible for having directed more than $3.7 million to otological research and other related ob­ jectives since its establishment.• Nobel prize winning Dr. John C. Eccles, Distinguished Professor of physiology and biophysics at the Medical School participated in a symposium on Human Rights, Retardation and Research in Wash­ ington, D. C. recently. Professor Eccles participated in a panel dis­ cussion of "Why Should People Care." "What is o n e of the most serious problems confronting man today?" h e asked. " I t is not war. It is n o t pollution. It is essentially that man has lost faith in himself. The alienation of man is my deep concern." Calling retarded persons those who "got a bad deal genetically," Dr. Eccles said science still does not know " h o w re­ tardation happens" and suggested the key to the mystery may lie with current research into "how human weekend session was sponsored Foundation.• SPRING, 1972 brains are built." The by the Joseph P. Kennedy Jr. 27 Building Brains �35th Annual State University at Buf Theme: "CURRENT SOCIAL & ETHICAL ISSUES IN MEDICINE" April 7 and 8, 1972 V. rocjram MAIN CAMPUS -SUNYAB Goodyear Hall, 10th Floor FRIDAY, APRIL 7 9:00 a.m. Registration 9:30 a.m. Welcome: LOUIS CLOUTIER, M.D.'54 President, UB Medical Alumni Association 9:45-10:45 a.m. MODERN APPROACHES TO DRUG ADDICTION (feature film: "What Did You Take?") Moderator: NATHANIEL WEBSTER, M.D. Staff Physician, Masten Park Community Rehabilitation Center Panelists: GARY W. HEALEY, Ph.D. Staff Psychologist, Masten Park Community Rehabilitation Center OSCAR S. LOPEZ, M.D. Masten Park Community Rehabilitation Center 10:45-11:15 a.m. Intermission 11:15-12:15 p.m. DELIVERING HEALTH SERVICES IN THE FORM OF PROFESSIONAL CORPORATIONS Moderator: CASPER FERRARO, D.D.S. Consultant, Professional Services, Marine Midland Bank of Western New York Panelists: RAYMOND ROLL, JR., J.D. Senior Partner, Lipsitz, Green, Fahringer, Roll, Shuller, & lames, Attorneys JACK GELLER, J.D. Attorney, Lipsitz, Green, Fahringer, Roll, Shuller, & lames 12:15-12:45 p.m. Business Meeting, 12:45-1:45 p.m. Luncheon 1:45-3:15 p.m. ABORTION IN NEW YORK STATE ONE YEAR AFTER THE LAW Moderator: Election of Officers JACK LIPPES, M.D.'47 Associate Professor of Gynecology-Obstetrics Medical Director of Planned Parenthood, Buffalo Panelists: LISE FORTIER, M.D., F.R.C.S. (C) Gynecologist, University of Montreal, School of Medicine, Montreal, Quebec, Canada EMMA HARROD, M.D. Director of Maternal and Child Health, The Erie County Health Department CHRISTOPHER TIETZE, M.D. Director of the Bio-Medical Division, The Population Council, New York City 3:15-3:45 p.m. Intermission �falo Medical Spring Clinical Days 3:45-4:45 p.m. CANCER OF THE Moderator: FACE JOHN QUINLIVAN, M.D.'45 Plastic and Reconstructive Surgeon, Buffalo Mercy Hospital Clinical Instructor in Surgery Panelists: GORDON H. BURGESS, M.D.'63 Dermatologist, Roswell Park Memorial Institute JOSEPH R. CONNELLY, M.D. Plastic and Reconstructive Surgeon, Buffalo Mercy Hospital JOHN T. PHELAN, M.D. General Surgeon ot Oncology, Buffalo General, St. lerome (Batavia) Hospitals Clinical Instructor in Surgery 6:30 p.m. Fiftieth Class Reunion—Plaza Suite, Reception and Dinner SATURDAY, APRIL 8 9:00 a.m. 9:30-10:30 a.m. Registration MEDICAL AND LEGAL RAMIFICATIONS O F PATIENTS SUBJECTED TO NEW AND EXPERIMENTAL DRUGS AND TREATMENT Moderator: RALPH HALPERN, J.D. Partner, Raichle, Banning, Weiss and Halpern, Attorneys Panelists: WILLIAM A. CARNAHAN, J.D. Partner, Carnahan, DiGiulio, LaFalce, Moriarty, and Hill, Attorneys DANIEL T. ROACH, J.D. Partner, Adams, Brown, Starrett, and Maloney, Attorneys JOHN H. WEBSTER, M.D. Chief Therapeutic Radiologist, Roswell Park Memorial Institute JACK ZUSMAN, M.D. Director of the Division of Community Psychiatry, School of Medicine, SUNYAB 10:30-11:00 a.m. Intermission 11:00-12 noon NEW DEVELOPMENTS IN Moderator: HEALTH CARE DELIVERY ERNEST HAYNES, M.D. Director, Family Practice Center, Deaconess Hospital Clinical Professor of Family Practice Panelists: HIRAM B. CURRY, M.D. Professor and Chairman, Department of Family Practice, The Medical College of South Carolina KENNETH ECKHERT, SR., M.D.'35 Chairman, Comprehensive Health Planning Council of Western New York Clinical Instructor in Legal, Social, Preventive Medicine J. W A R R E N PERRY, P h . D . Dean, School of Health Related Professions, SUNYAB 12:30 p.m. Medical Alumni Annual Luncheon and Stockton Kimball Memorial Lecture, Main Dining Room G u e s t Lecturer: ROBERT J. GLASER, M.D. Vice President Commonwealth Fund, New York City �Dr. Harry L. Metcall, M'60, (left) president of the Erie County Chapter of the New York State Academy of Fam­ ily Physicians and Dr. Max Cheplove, M'26, congratulate Dr. John Schoff Millis, win­ ner of the organization's 1971 Dr. Max Cheplove Award for "significant advancement of the cause of family medi­ cine." Dr. Millis is chancellor emeritus at Case Western Re­ serve University, Cleveland. Both Drs. Cheplove and Metcalf are on the clinical fac­ ulty of the Medical School.C3 Buffalo Evening News Ecology of Health Dr. Edward M. Cordasco, clinical assistant professor of medicine, is one of the founders of the Niagara Frontier Environmental Edealth Research Foundation. It will conduct a three-year pilot study of the "ecology of health" in Erie and Niagara Counties, including the environmental aspects of lung disease. The foundation was con­ ceived about 15 months ago when Mrs. Florence Briggs of Niagara Falls approached area physicians and the UB Research Institute with financial backing for environmental health studies. The project became a reality in early December with the election of a board of directors and board of advisers, according to Dr. Cordasco. Utilizing Niagara County health personnel, the foundation is canvassing area residents to determine individual health histories of respiratory processes as well as testing healthy persons and those with a history of respiratory ailments. More than 20,000 persons will be tested in the next three years to determine the related factors leading to lung disease such as smoking, allergies, air pollu­ tion and heredity. Erie County will also be included in studies and the foundation's long range plans include a "multi-county" opera­ tion. Other studies will deal with the effects of water and land pollution on health. This is the first environmental health group in New York State and one of the first in the nation, according to Dr. Cordasco.• 30 THE BUFFALO PHYSICIAN �Immunology Center in Jeopardy Buffalo, which is known all over the world as a mecca for immunol­ ogy, is in clanger of losing that reputation. For, without an e n d o w ­ ment of its own, the Center for Immunology can no longer keep or for that matter even attract the brightest young scientists who must look to other institutions for security and a chance to build a solid medical career. The Center was established at the State University at Buffalo in December 1967 as an integral part of the School of Medicine and the Health Sciences Center where a wide scope of immunological re­ search and teaching could continue to advance. Would it not b e tragic to see the goals and dreams of o n e of our most illustrious faculty, the late Dr. Ernest Witebsky, distin­ guished professor and past chairman of the department of bac­ teriology and immunology who served as The Center's first director, also die? For he envisioned Buffalo as the focus for immunology and Dr. Forlier started practicing in 1957 and since 1960 has been a very active protagonist of Family Planning and went on to defend abortion on demand even in a very Catholic, French Quebec which is already changing rapidly in its position on the subject. In fact the birth rate in Quebec which, many years ago was the highest in Can­ ada, is now the lowest. Dr. Fortier will appear on the abortion panel Friday afternoon at Spring Clinical Days.[J helped to build it into o n e of the few institutions in the world to include the most important fields of immunology as it applied to human health and disease. It would b e here, at The Center, w h e r e teaching and training of future bright young scientists would con­ tinue to add lustre to Buffalo's reputation. Will you help to keep' The Center open through a contribu­ tion to the Ernest Witebsky Fund for Immunology — U.B. Founda­ tion, 250 Winspear Avenue, Buffalo 14215?D Dr. Beck Honored Dr. Edgar C. Beck was honored at a retirement dinner in Novem­ ber. Many of the guests were colleagues and patients. The 1919 Medical School graduate was a specialist in the treatment of dia­ betes. He was on the clinical faculty 45 years and retired in 1966 as clinical professor of medicine. In 1923 h e was o n e of the first Buffalo physicians to treat diabetic coma with insulin. In the 1950's he promoted administering the simple painless diabetes detection test on a mass scale in such places as department stores. Dr. Beck recalled that many doctors treated patients in their homes, day and night. House calls led the doctor to an intimate knowledge of his patient's family and financial, emotional and social problems. "Often this had to serve in the diagnosis in lieu of a battery of laboratory tests." Dr. Beck said, " he was often able to relieve mental and physical pain because of his experience, his sympathetic understanding and his closeness to the family. This was known as the art of medicine and I h o p e that it will not b e completely lost because it can greatly supplement the scientific approach." Dr. Beck believes his hopes will be fulfilled. He bases his optimism on the eagerness of today's medical students to serve the underprivileged. In 1953 Dr. Beck won UB's Samuel P. Capen Award for instituting the Annual Participating Fund for Medical Education.• SPRING, 1972 31 Dr. Beck �Mental Health Center Director Dr. Stanley R. Platman, deputy director of the South Beach Psychi­ atric Center in Brooklyn, N. Y., is the new executive director of The Buffalo General Hospital Community Mental Health Center. The appointment was announced by Dr. Theodore T. Jacobs, director of Buffalo General. At the same time, Dr. S. Mouchly Small, chairman of the department of psychiatry in the School of Medicine an­ nounced Dr. Platman's appointment as a clinical professor in the department of psychiatry. The 37-year-old Dr. Platman is presently an associate professor in the department of psychiatry at the Downstate Medical Center, SUNYAB, in Brooklyn. Construction of Buffalo General's Community Mental Health Center was completed late last year, but the opening of $4.8million facility has been delayed, largely because of the search for a director. Dr. Jacobs said BGH was "very pleased to obtain a man of Dr. Platman's stature to assume direction of our Community Mental Health Center. We have great confidence that he can bring this fine facility to its fullest potential in providing a vitally needed service to our community." Dr. Platman's appointment as director of the center was confirmed by the Mental Health Department of the Erie County Health Department and by the Community Board of the Community Mental Health Center. Dr. Platman will strive to staff the BGH CMHC as quickly as possible and begin its psychiatric services to one-sixth of Erie County. The BGH CMHC has 60 in­ patient beds for adult patients and outpatient facilities for both adults and children. Dr. Platman was born in London, England. He received his bachelor of medicine and bachelor of surgery degrees from Queens University in Belfast, Ireland, in 1959. He became a member of the Royal College of Physicians in London in 1963, and completed his Dr. Platman American Boards in Psychiatry in 1970. He served his internship as a physician in Belfast City Hospital and, as a surgeon, at Whittington Hospital in London. Dr. Platman was a Medical Officer with the British Medical Service in Swaziland from October, 1960, to Octo­ ber, 1961. He was a resident in psychiatry and neurology at Tara Hospital and the University of Witwatersrand in Johannesburg, South Africa, from October, 1961, to May, 1963, before beginning general practice in London. Dr. Platman came to the United States in November of 1963 as a research scientist at the Bureau of Research in Neurology and Psychiatry, Princeton, N. J. In June of 1964, he joined the Depart­ ment of Medicine at Presbyterian Hospital, Columbia University, New York City, where he did research in endocrinology. In June of 1966, he went to the New York State Psychiatric Institute, Columbia University, as the head of a metabolic research unit. Dr. Platman then moved on to the South Beach Psychiatric Center and the Downstate Medical Center in May, 1969. At the psychiatric center, he began as chief of clinical service and advanced to his present position as deputy director in November, 1969. 32 THE BUFFALO PHYSICIAN �Dr. Platman is the author of approximately 50 papers in psychi­ atry. In 1969 he received the Aesculapius Award from Rome Univer­ sity, Rome, Italy, "for work with the use of cations in psychiatry." In addition to being a member of the Royal College of Physicians, Dr. Platman is a member of the American Association for the Ad­ vancement of Science, the American Medical Association, the Ameri­ can Psychiatric Association, the Association for Research in Nervous and Mental Disease, Inc., the Association of New York State Mental Hygiene Physicians, the American Public Health Association, the British Medical Association, the Canadian Psychiatric Association and Sigma Xi.G Dr. George Thorrt Honored The annual report of the Peter Bent Brigham Hospital in Boston has been dedicated by Dr. George W. Thorn, a 1929 graduate of the Medical School. Dr. Thorn is physician-in-chief and the Hersey Professor at the Harvard Medical School. He was cited for bring­ ing a new era of biological chemistry to the hospital. "The scope of his knowledge seemed almost limitless and to each problem he added a new dimension or direction of investiga­ tion. This intellectually facile and imaginative teacher knew no peer in his generation. Equally distinguished are his scientific contribu­ tions — too many to set forth at this time but which encompassed original and fundamental contributions not only in endocrinology but also in the wide field of medicine," said the annual report author, Dr. Eugene C. Eppinger. Dr. Thorn delved into the study of adrenal cortex diseases when the function of this organ was almost obscure and its diseases poorly understood and fatal. Effective treatment today is based on the fundamental knowledge of structure and function provided by George Thorn's work. The doctor was praised for his virtues of loyalty to his as­ sociates, for his teaching success which is personified by more than 200 former students holding professional positions in medical schools throughout the world, and for his " . . . Herculean efforts in the 'dark days' of the hospital which were important and probably crucial in maintaining the integrity of the hospital," said the dedi­ cation. "George Thorn should also be cited for his remarkable fore­ sight in establishing fundamental sciences as an integral part of the hospital. His efforts in this regard which are now so widely copied were indeed pioneering two decades ago. Without doubt the im­ pact of his contribution has served to bring the proceeds of the biological science to medicine on a scale far exceeding that of the Brigham itself."G SPRING, 1972 33 Dr. Thorn �Educators Meet Health Care Challenge T he NATION'S MEDICAL EDUCATORS grappled with ways to improve the system by which their physician graduates prescribe medical care for Americans at the 82nd annual meeting of the Association of American Medical Colleges in Washington, D. C., Oct. 28-Nov. 2. They hope to meet the challenge that has resulted from pressures and criticisms that politicians, the public, commis­ sions, students, faculty and physicians have leveled against medical education. The chairman of the Association of American Medical Colleges, declaring an end to what he called "the days of ivory tower isola­ tion" in academic medicine, prescribed a 12-point program "to accomplish our task of bringing the nation's health system to an optimal level by 1985." In his address to the 82nd AAMC annual meeting, Dr. William G. Anlyan, vice president for health affairs at Duke University proposed: • Development of a time-availability health-care system in which no one in the nation would be beyond one hour's time of a doctor's care. • Building into the system equal care for all under a non­ voluntary insurance program, but with the options of pre-payment or fee-for-service financing. • Establishment of a peer review system for recertification of physicians every five years and making continuing education manda­ tory. • Instilling a greater awareness among physicians that, in the health-cost spiral, "the doctor's order in the hospital or office is far costlier than any other trigger mechanism." • Increasing medical school admissions to a level of 25,000 by 1985—double the current number of medical freshmen. • Creation of a separate, cabinet-level rank of Secretary of Health, and coordination of all health programs of the present Department of Health, Education and Welfare, the Veterans Ad­ ministration and the Department of Defense under a Federal Health Council reporting directly to the President. Dr. Anlyan also called for sustaining a "first-rate national effort in bio-medical research," noting that "a thriving research and de­ velopment program is a vital component of every industry, and the health industry is no exception." He said that in addition to in­ creasing the numbers of specialists in medicine, schools should make a major effort to train primary care physicians based in general internal medicine or general pediatrics, and that selected com­ munity hospitals should serve as their educational laboratories. Among his other points, Dr. Anlyan called for greater flexibility within medical curriculums; educational programs for upgrading the quality of management in academic health centers; restructur­ ing their organizational charts to fit administrative responsibilities; and acceptance by academic medical centers of "the total con­ tinuum of medical education" and assumption of "new roles tailored to the health-care needs of society." 34 THE BUFFALO PHYSICIAN �Congressman Paul G. Rogers also called for a Federal Depart­ ment of Health headed by a cabinet officer. The Florida Democrat w h o is Chairman of the House Subcommittee o n Public Health and the Environment exploded several myths including the myth that there is a coherent system of Federal health programs under govern­ mental leadership; that the priority of health in HEW comes first (not welfare). And the greatest myth is the mythical 22.2 billion dollar health figure (for the 12 months ending June 30, 1972) created by the Office of Management and Budget. The figure in truth covers a wide range of services bearing little relationship to health maintenance of the American people. The 92nd Congress is already an activist in health legislation and major decisions are being made. "The production of men of medicine by universities and colleges constitutes the production of a national resource. Inventory has been taken of existing manpower resources and comparison of needs examined and for the first time a goal set. We are gearing legislation to meet that goal," Congress­ man Rogers said. The Congressman challenged the medical educators to extend themselves beyond the confines of teaching. "We need your ex­ pertise, your leadership to guide us to excellence in methods of service past the walls of your institutions to the point that you be­ come a resource for your entire region. Leadership must come f r o m y o u a n d y o u r i n s t i t u t i o n s a n d n o t t h e s t a t e if t h e i n s t i t u t i o n i s to maintain its integrity. I know Congress will try to give health the priority it deserves. W e can give it support and help build the structure, but you must give it life and vitality. The genius of medical knowledge and manpower is in the university teaching college and hospital." The president of the National Academy of Sciences said the government will n o longer support research that is vague even though this type of research has done much in the last two decades. Dr. Philip Handler reminded the educators that today's medical student comes to our medical school much better prepared. "We must revise the content of our basic science courses. We have overtrained physicians in science. Our bio-medical courses must be more clinically oriented. "Scientific medicine has overtaken and bypassed most of us in this room," Dr. Handler said. Senator Warren G. Magnuson proposed that many experts in a variety of medical specialties be sent abroad for brief periods to study health-care systems of foreign countries. He is chairman of the Senate Commerce Committee and the HEW Subcommittee, and one of the Senate's leaders on health affairs. Mr. Magnuson's idea is aimed at exposing more American medical professionals to the good and bad points of existing health plans and at stimulating discussion among their peers and the public when they return to their every-day jobs in research, teach­ ing and practice. "Such a program could have considerable impact on the problem of understanding the difficulties of providing better health care for Americans." SPRING, 1972 35 "The Federal health establishment is entitled to have a lull-time Sec­ retary ot Health who can be heard in the White House over the guil­ lotine of the Office of Manage­ ment and Budget." — Congressman Paul C. Rogers �Medical school deans and faculty members are encouraged to come to Washington—to write letters and visit with their congressmen often so they can have some input into federal health bills that are in the planning stage. Faculty members must also talk to lay groups in their respective communities. The pub­ lic wants to meet, see and hear from the scientist, the physician— so they can have a better under­ standing of medicine.D Such trips, for about three months each, would be for the purpose of studying the foreign systems, not for research or treating exotic diseases, the Washington Democrat said. "I would like to get 100 or so biomedical representatives—medical professors, research­ ers, private practitioners, nurses and other allied health workers— to learn first hand about other systems." "Through NIH we have brought foreign nationals, outstanding in some phase of health, to the United States. We must make that a two-way street. This will help us understand our own health-care system and differences in others," Senator Magnuson said. "Today American doctors have reached the point where they are technologically the best trained physicians in the world. But we are not providing optimal medical care. We must seek to solve today's problems in ways that do not create bigger new problems for tomorrow. "I have often thought that we need new and different types of trained health manpower—different than you and I have even thought about. We need people who can do new things in health care. I am an optimist. With your help and leadership we can affect change. We must narrow the gap in health between what is and what should be," Senator Magnuson concluded. HEW Secretary Elliot L. Richardson told the educators that "we all want a healthier nation. A nation where the right to health care is protected but freedom of choice is preserved. Where our doctors stand on the frontiers of research but are also present in the inner city and rural America. Where we train the finest specialists in the world but provide every American with access to primary care. Where we build a profession on scientific excellence but insure that all peoples in our pluralistic society are participants. The letter of the law may soon be on the books, but the spirit depends upon your perceptions of the need and your commitment to fulfilling it. "The burden falls primarily on you. For it is in the medical schools that the attitudes and aspirations of your profession are formulated. The potential of a new Federal role in health man­ power is not that it provides greater financial security for the pres­ ervation of the status quo, but rather that it challenges you to prevent as well as cure, to replace the arrogance of knowledge with the humility of service and to open up the ivory towers of medical research and reach out to the people in need," Secretary Richardson said. 'We reach for the stars and our expectations outrun our achievenents. There is a limit somewhere o the productivity of a society and onsequently on how much can be lone, by how many in all the ealms for which we hold limitless imbilions, including health." —Chancellor Alexander Heard The Alan Gregg Memorial lecturer reminded his audience of the "limitless scope of health concerns today." The Chancellor of Vanderbilt University, Alexander Heard, pointed out that health is affected by poverty, diet, as well as air and water pollution. "The scope of health concerns is all-embracing. All health is now public health. Neither public nor private hospitals, nor medical schools, nor their universities, nor combinations of institutions, can address the intricate problems they face except through and with the aid 36 THE BUFFALO PHYSICIAN �of government (local, state, regional, national). Government, after all, is the vehicle for comprehensive common action in our country," the Alan Gregg Memorial lecturer said. "All health professionals will find that what they do and want to do are matters of public policy. The relationships with the rest of society of those concerned with health care will increase in in­ tricacy, frequency, and importance. The full health education of physicians and other types of health personnel will not be complete in the future without attention to the social and political context within which they must function. They are participants in the political process, whether they desire to be or not. Their effective participation will be greatly influenced by their breadth of view­ point, their understanding of the full society within which they function, and of the processes of decision-making that will ul­ timately determine what they and their institutions are asked to do, permitted to do, forced to do." Mr. Heard outlined four conspicuous needs: (1) Increased labor and financial efficiency is a necessity because health ex­ penditures have been growing faster than the gross national product. (2) The role of the physician as the uniquely central, dominant figure in health care is changing and will change more. (3) There is no cost-free benefit. We can improve our environment if we increase productivity. But we can do it then only if we use the pro­ ceeds that flow from increased productivity to restore the environ­ ment, rather than to purchase additional amenities of life. That is the type of choice to be made. (4) The goals we expect from a health system require searching, ethically oriented scrutiny. The society and its health professionals need more closely defined and limited objectives in the competition for social priorities and the resources to reach them. Senator Edward M. Kennedy outlined his views on the issue of Federal health policy. He expanded upon three areas — health manpower, conquest of cancer, and health maintenance organiza­ tions. He is Chairman of the Senate Health Subcommittee. "If the American people are going to underwrite a substantial and growing proportion of the costs of educating this nation's health manpower, then they have a right to know what those costs are. I believe Congress will provide significantly greater resources for health manpower than it ever has in the past. And I believe it will do so because of the growing recognition that adequate numbers of the appropriate types of health manpower is one of the keys that can unlock the health crisis which confrohts this nation. "The basic philosophy of the Senate Health Manpower bill was to encourage the medical schools to accelerate their efforts to pro­ duce more of the right kinds of health manpower. And to do it as rapidly as possible. It is painfully obvious that the research grant is a woefully inadequate mechanism for assuring the stability of high quality educational programs addressed to national health care needs. SPRING, 1972 37 "The future of hospitals, of med­ ical schools, medical of university-based centers, of health care generally, very directly depends on the quality of the governments of our country, in all their forms and operations."—Chancellor Alexander Heard The Chancellor reminded medical educators of Health Organization's the the World 7946 defini­ tion which has become famous: "Health is a state of complete physical, mental and social wellbeing and not merely the absence of disease and infirmity." �"Biomedical research is the only aspect of America's health care in­ dustry that can fairly be evaluated as excellent." "We must delivery refashion our health system. And we must harness the enormous leverage of the public financing of health care. For, properly harnessed, that lever­ age can turn the rhetoric of reform into reality." — Senator Kennedy. "We must develop a new kind of 'multi-hospital teaching institu­ tion'." — Dean Rogers (Dr. Rogers assumed the presi­ dency of the Robert Wood Johnson Foundation on January 15, 1972). "For too long the financing tail has wagged the health care dog. The time has come to change that sorry situation. For, if we do not, we will only compound the very serious policy mistakes we have al­ ready made. Comprehensive HMO legislation can and should be­ come the cutting edge of reform of the health delivery system. To view it otherwise is to diminish the opportunity that now exists. "If comprehensive HMO legislation is the cutting edge of re­ form, national health insurance is its essential companion. If we really mean business when we talk of a delivery system which renders quality services on an equitable basis, then we must face the fact that no program of project grants or loans guarantees can suffice. HMO's can only prime the pump. Continuity of care, quality care, economical care, and equity of access to that care demands equitable national health insurance. That, ladies and gentlemen, is what national health insurance is all about. "The debate on national health insurance is far from over and I firmly believe the public's interest is best served by the most searching, critical, and strenuous debate possible. I favor the Health Security Act because it is the best answer I see to this crisis," Senator Kennedy said. Dean David E. Rogers of the Johns Hopkins School of Medicine stressed the importance of making our medical schools more adapt­ able and more responsive to the needs of our students and society. "Unless we do it immediately, medical educators will be sup­ planted by others who might do it even worse." Dean Rogers continued, "Although I don't see much evidence in our teaching medical centers for a change, we must assume a leadership role. We must join with others in society to create a real unit of health. Unless we do we will find ourselves an unimportant force in the health care picture. We must be excited by and be will­ ing to experiment with new methods and new objectives. But time is running out, and we must get about it. "We should continue to be deeply involved in the advance­ ment of biomedical science. Society will be sold short if we are not. On the other hand, it is time that we owned up to the fact that our compelling interests in science do not necessarily educate physicians properly for their roles in society and the delivery of medical care. "Our programs for teaching health professionals are in need of dramatic overhaul. We should design programs which would recognize the commonality of certain kinds of learning for doctors, nurses, physician assistants, psychologists, and other health pro­ fessionals so that they would get acquainted earlier with one an­ other and their individual professional aspirations. If the physician is indeed to be the captain of a health care team, would it not be reasonable to train him as a member of the crew as well as the captain so that he understands and appreciates the areas of re­ sponsibility which will fall to his other health colleagues? Training the physician in splendid isolation does not make sense to me if we are designing for the future. How can one be an effective captain of a team that one has never played on? 38 THE BUFFALO PHYSICIAN �" W e should redesignate what is meant by a 'university' hospital " W e in universities cannot pro- or teaching service . . . University teaching centers should accept mole any unity in the health sys­ full responsibility for the differentiation period of education of the tem if a physician now labelled the 'residency' program. Let's place all post­ 'white hats' graduate specialty hospital, while the 'other residency training programs directly under university a u s p i c e s . If w e t r u l y b e l i e v e w e h a v e r e s p o n s i b i l i t i e s f o r e d u c a t i n g physicians — not untried young men and women labelled M.D.'s — let's take it o n . "Acceptance of full responsibility for all of the postgraduate residencies would bring more realism into our medical teaching centers without disabling them, would encourage the development of university based multi-track programs for physicians which were responsive to the actual health of our country, and might do much to eliminate the disunity between those who 'practice' and those who 'teach' in our profession," Dean Rogers said. An intern at the Duke University Medical Center, Dr. Douglas S. Lloyd, said "house staff members are a new force in medicine and they intend to make the 1970's a decade of transition to new health care delivery and an educational system. They are seeking new approaches to medical education, and then want a chance to help design them. Specifically house officers want to serve on policy committees at departmental and institutional levels. They want a voice in matters which involve patient care and allocation of re­ sources. Often they are closer to the problems of patient care than the senior staff, and so they want the opportunity to effect change in the management of these problems." The dean of the UCLA School of Medicine, Dr. Sherman Melinkoff, urged his colleagues to keep an open mind to new ideas, but cautioned not to stampede. "If one school decides to try an experimental approach to family medicine, well and good. Let's see h o w it turns out. But let us not encourage legislators to make the funding of all medical schools dependent upon the creation of De­ p a r t m e n t s o f F a m i l y P r a c t i c e . If o n e s c h o o l d e c i d e s t o t r y c l a s s e x ­ perimental techniques, again let us keep an open mind. But let us not at once hail this trial as the revealed advent of a better era and promptly legislate fiscal penalties for not toeing the line."D SPRING, 1972 39 full time faculty are the who run the super- guys' run primary care, community hospitals or ambulatory programs." —Dean Rogers �To C R E A T E FAMILY PHYSICIANS by intent —not by default." Deaconess That is the motto at the Family Practice Center of Deaconess Hos­ Hospital's Family operational in October of 1970 and is the h o m e of the only fully Practice Center pital, 840 Humboldt Parkway in Buffalo. The Center became fully approved Residency Program in Family Practice in this area. There are now 73 approved Residency Programs in Family Practice in this country. At the present time there are eight residents in the program. This will increase to 14 in July and ultimately to 24 — eight in each of the three years. Three 1969 Medical School graduates will com­ plete the program in June —Dr. Robert Gibson, Dr. Timothy Har­ rington, and Dr. Michael Smallwood — all eligible for board certifi­ cation in Family Practice. Dr. E. R. H a y n e s is Director of t h e P r o g r a m in Family Practice. He is also Clinical Professor of Family Practice in the Department Third year resident Dr. Michael Smallwood at work in the laboratory. o f S o c i a l a n d P r e v e n t i v e M e d i c i n e i n t h e M e d i c a l S c h o o l . "T h e m a i n objective of our program" said Dr. Haynes, "is to provide realistic graduate educational experiences in Family Practice equal to those which have hitherto been only available in the established disci­ plines." In February of 1969, the AMA formally recognized the new specialty of Family Practice —the 20th specialty and the first to a p p e a r in m o r e than 2 0 years. It also recognized board certification in Family Practice. Board certification is now open to practicing Family Physicians who can meet basic study requirements and satis­ factorily pass the examinations. Board certification in Family Prac­ tice is by examination only. Already, almost 4,000 physicians have become board certified in this new specialty. After 1978, certifica­ tion will be open only to graduates of approved programs. 40 THE BUFFALO PHYSICIAN �The patients attending the Family Practice Center are treated as individuals against the background of society, e.g. as family units. their family and of their When the family first comes to the Center, it is assigned to o n e of the young physicians, and from that point on the Center takes 100 percent responsibility for meeting or arranging for that family's health care needs. The physician to whom the family is assigned sees them by appointment in his office a t the Family Practice Center. If a c o n s u l t a t i o n o r r e f e r r a l i s i n d i c a t e d then patients are referred to appropriate specialists. The majority of patients who need hospitalization are admitted to Deaconess Hospital under the care of members of the Center Staff and ap­ propriate consultants. The major emphasis in the Program is on practical experience with a representative cross-section of ambulatory patients. Families registered with the Center receive continuing comprehensive care with the help of the allied health professionals and appropriate community resources. The accent is o n the " t e a m approach" to health care and reflects anticipated future patterns of practice. Approximately 35 per cent of the Center's patients are on medicaid and 6 per cent on medicare. The remainder pay fees personally on a fee for service basis or are covered by insurance plans. Patients unable to pay their bills in full may make arrangements to pay their bills on a monthly basis. Dr. Neal Meade, first year resident, Dr. Michael Smallwood, third year resident, Dr. Ernest R. Haynes, and Dr. Frederick Downs, second year resident, discuss ideal office layouts. SPRING, 1972 41 Dr. Timothy Harrington, chief resident, checks laboratory tests with head nurse Miss Denyse Wade. �Dr. Haynes and Mrs. Elizabeth Harvey, associate professor of social work, discuss a problem. Dr. Gregory Swift, first year resident, checks fundi. The majority of residents in this program start as rotating Interns at Deaconess Hospital. At the end of this program, the resident ob­ tains his license t o practice in New York State and is qualified t o par­ ticipate in the care of patients outside the hospital setting. There are three main aspects to the program in the last two years of the residency. The first of these has already been mentioned — the continuing care of a representative cross-section of patients. The second is a series of electives — many on a preceptorship or one-toone basis — which allows the resident to obtain additional in-depth experience in all the disciplines of medicine appropriate to future family physicians. These include such areas as medicine, pediatrics, gynecology, psychiatry, E.N.T., dermatology, and many more. A master's degree course in epidemiology is also a popular choice. The third aspect of the program is a continuing series of seminars and conferences on a daily basis. The topics discussed range widely and involve specialists from many fields. Drs. Haynes and Wm. Fiden, a second year res/dent, with a patient. 42 �In 1970, Dr. Haynes stated that h e saw four major challenges to b e m e t if t h e n e w p r o g r a m s i n F a m i l y P r a c t i c e w e r e t o b e s u c c e s s ­ ful. These were: student interest; development of faculty; adequate funding; and the understanding and cooperation of those in the established disciplines. Now, in 1972, student interest is so great as almost to be an embarrassment, and the understanding and cooperation in those in established disciplines has been demonstrated. The two major problems that remain are the development of faculty and of ade­ quate funding. Only time and the interest of dedicated men will solve the former. The latter—adequate funding—is now recognized as a problem a t the federal level a n d funding is now being d e ­ veloped for both undergraduate and graduate programs in Family Practice. Such a development is essential as the capital cost of such Programs is high and their continuing expense significant. " O u r Program is one of 73 in this country responding to society's need for an adequate number of well educated Family Physicians. At this time there are 550 residents in Family Practice. This number will increase to over 1,000 in July. I am glad that most of our graduates intend to practice Family Medicine in rural Western New York communities and in the Buffalo area" Dr. Haynes said.D SPRING, 1972 43 Mrs. Joyce Cais, a nurse, prepares lor an EKC,. �The skin and scuba class in action. The submergence basin is 8 feet deep and 8 ieet wide and 198 ieet in circumference. Scuba instructor loseph Cunningham visits with Dr. Edward Flynn, postdoctoral fellow (also scuba instructor), Mrs. Nancy Ledger, a secretary, Miss Sally England, a technician, Nancy Urbscheit, a graduate student. Dr. Amos Ar, post doctoral fellow, is standing in back with arms folded and Dr. Alan Saltzman, postdoctoral fellow, is working with two colleagues (backs to camera). 44 THE BUFFALO PHYSICIAN �Climbing out oi the submergence basin are Dr. lames Vorosmarti, postdoctoral fellow, Dean Markey, technician, and Robert Mazzone, a graduate student who is also a qualified diver and scuba instructor. Dr. lames Vorosmarti, postdoctoral The Scuba Class Watermanship was a family affair for 15 mem­ bers of the physiology department recently. All of the swimmers learned the art of scuba and skin diving during an 8-week after hours class in the new Laboratory for Environmental Physi­ ology facility. The class was a mix of men and women—faculty, students, secretaries and tech­ nicians, all members of the physiology depart­ ment. The scuba instructors were qualified professional divers, who were also members of the department. The participants donned fins, masks, snorkels and mouth pieces and plunged in to learn the techniques of underwater swimming and breath holding along with other water techniques. "We want a nucleus of people in our de­ partment trained in working effectively under water. They will serve as subjects when our laboratory becomes operational," Dr. Hermann Rahn, chairman of the department said.Q SPRING, 1972 fellow. �Canadian . A QUEBEC PHYSICIAN told his Buffalo colleagues about his own Medicare W. Herbert Burwig lecture sponsored by Deaconess Hospital, Dr. province's stormy controversy over total medicare. At the annual Robert A. Kinch said, "American doctors must present a united front and have the best public relations man in the States on your side in debates over socialized medicine." The chief of obstetrics and gynecology at Montreal General Hospital pointed out that the medical profession in Quebec was badly mauled by the press and public when the general practitioners and specialists split over the "tarif unique," a provision of the medicare system mandating the same fee for an operation regardless of the training or qualifications of the o n e performing it. The government threatened fines when the specialists decided to withhold their services in opposition to the provision. But the strike coincided with the kidnapings of Labor Minister Pierre Laporte and British diplomat James Cross and rumors of a general FLQ uprising and massive casualties persuaded the doctors to relent. "The government feared that the most highly paid, and pre­ sumably the best, doctors would not participate in medicare. The well-off could conceivably get a better quality of medical care than the poor," Dr. Kinch said. Since the plan took effect in January 1971, it has become very difficult to see a physician on short notice and some patients have complained about "a mass production type of practice" instituted by doctors unwilling to spend much time with any patient because of the lower fees. "Despite the controversy and initial computer problems, every medical act that the physician carries out is paid for and physicians' incomes in general have increased," Dr. Kinch said.D Buffalo Evening News Dr. Norman Courey (left), Dr. W . Her­ bert Burwig (center) and Dr. Robert A. Kinch of Montreal, who gave the Dea­ c o n e s s Hospital's annual W . Herbert Burwig l e c t u r e at the Statler Hilton. Dr. Kinch also re­ c e i v e d an award as an outstanding gynecologist. �Dr. Feinstein Honored Buffalo Evening News Dr. Samuel Feinstein, retired director of the West Seneca State School, was honored recently by the state's top mental hygiene officials and 250 of his colleagues. The 1931 Medical School gradu­ ate is a clinical associate professor of psychiatry a t the University. State Mental Hygiene Commissioner Alan D. Miller and deputy commissioner Frederic Grunberg headed the well-wishers who paid tribute to Dr. Feinstein. He became director of the West Seneca School in July 1961 and retired October 31, 1971. In his tribute Dr. Miller said, "I think of him as I would a superb artist or athlete who knows his craft so well that others say of him 'it looks so easy'. I don't know of anyone in the de­ partment w h o is s o universally esteemed as Sam." Dr. Feinstein served his internship at Deaconess Hospital and his residency in psychiatry at St. Lawrence. Later he became staff psychiatrist and through a series of promotions rose to become its clinical director in 1949. He was appointed to a similar post at Buffalo State Hospital in 1954. In 1960 Dr. Feinstein drew the task of converting the J. N. Adam Memorial Hospital in Perrysburg, then a tuberculosis center, to a facility for the mentally retarded. The Erie County Association for Retarded Children cited Dr. Feinstein in 1967 for "distinguished service to the mentally retarded" and in June 1969 Commissioner Miller presented him with the state's distinguished service citation as "a master planner and organizer of treatment and habilitation for the retarded." Dr. Feinstein is a Diplomate of the American Board of Psy­ chiatry and Neurology, a Fellow of the American Psychiatric As­ sociation and a member of the American Association of Mental De­ ficiency, as well as the AMA and the Erie County Medical Society. He is a past president of the Western New York District Branch of the American Psychiatric Association and the Buffalo Neuropsy­ chiatry Society.• SPRING, 1972 47 Dr. Samuel Feinstein (left) retired director of the West Seneca State School with two top officials of the State De­ partment of Mental Hygiene — Dr. Alan D. Miller, the commissioner (center) and Dr. Frederic Crunbery, his deputy commissioner for mental retardation. �The Class of 1904 One of the Medical School's oldest alumni is Dr. Julius Richter, who will be 96 in December. He moved to Buffalo in 1880 from Allegheny, Pennsylvania. Dr. Richter received his medical degree in 1904 and attended the New York Post Graduate School for a course in General Surgery. In 1913 he returned to Buffalo, entered private practice and was appointed to the Medical School faculty. When he resigned in 1928 he was an assistant professor of surgery and associate professor of anatomy. He was also a Consulting Surgeon at Millard Fillmore, the E. J. Meyer Memorial and Lafayette General Hospitals. He was also an associate member of the Lafayette General staff. Dr. Richter is a well known artist. He has exhibited at the Albright-Knox Art Gallery and in national • exhibitions, winning many prizes. He is a member of the Buffalo Society of Artists and served on its council for many years. He was also a member of the Buffalo Print Club. Dr. Richter was a founder and past president of the Buffalo Surgical Society and a founding member of the National Board of Surgery. He also served on the Board of Directors of the Lafayette General Hospital, the Erie County Medical Society and the Buffalo Academy of Medicine. Dr. Richter's first wife died in 1958, and in 1969 he married Elizabeth T. Sinclair. The couple is living at 916 Delaware Avenue (Apt. 1-C), Buffalo.• The Class of 1919 Dr. Joseph R. LaPaglia, M'19, of 50 Lincoln Avenue, Dunkirk, New York, is a general prac­ titioner who has been on the Board of Educa­ tion there for 16 years and president of the board for 8 years.• Dr. Lrank H. Valone, M'19, an ear, nose and throat specialist in Rome, New York lives at 1409 North George Street, Rome.D The Classes of the 1920's Dr. Allen E. Richter, M'20, a retired surgeon, lives at 201 N. Ocean Boulevard, Apartment 1203, Pompano Beach, Florida.• 48 Two members of the 1921 class—Drs. Antonio F. Bellanca and Gaetano P. Runfola—were hon­ ored by the BaccelIi Medical Club of Buffalo on their 50th anniversaries of graduation from the Medical School. Dr. Bellanca, chief of medicine at Columbus Hospital since 1948, is a past president of both the Erie County Medical Society and the medical and dental staff. Dr. Runfola, a school physician for 35 years, is a member of the Erie County School Boards As­ sociation.• Dr. Caryl A. Koch, M'23, family practitioner, lives at 6435 W. Quaker Street, Orchard Park, New York. He is a school physician at Orchard Park Central School and president of Ismailia Temple A.A.O.N.M.S. Medical Unit.n Dr. Hobart Reimann, (left) a 1927 Medical School graduate, discusses a portrait, "Moslem Mullah" that he painted with Dr. Saied Hojat. The water color was made from a photograph Dr. Reimann took in I960 when he taught at the University of Shiraz (Iran). Dr. Hojat recog­ nized the subject in an exhibit on display in the library. The Iranian religious leader was his grandfather. Dr. Reimann is associate director of medical affairs at The Hahnemann Medical College and Hospital of Philadelphia.• �Dr. Milton A. Palmer, M'27, an ophthalmol­ ogist, has been re-elected president of the Buf­ falo Eye Bank and Research Society, Inc. (his 15th consecutive term). He holds the past presi­ dent's plaque (1951-53) from Buffalo Ophthal­ mologic Club. Dr. Palmer practices and lives at 18 Park Boulevard in Lancaster.D The Classes of the 1940's Dr. Francis J. Audin, M'41, is Director of the Department of Anesthesiology, New England Deaconess Hospital, Boston. He is also senior partner of Audin Anesthesiology Associates and is active in state, county and city medical so­ cieties. His address is 54 Lowell Road, Wellesley Hills, Massachusetts.• The Classes of the 1930's Dr. Arthur W. Glick, M'31, has been ap­ pointed acting chairman of the departments of dermatology of the Mount Sinai School of Medicine and the Mount Sinai Hospital. He succeeds Dr. Samuel M. Pack, who has retired. Dr. Glick came to the hospital in 1938 as a re­ search assistant in dermatology. In 1962 he became attending dermatologist, and in 1966 he was appointed clinical professor of derma­ tology at the School of Medicine. Prior to com­ ing to New York, Dr. Glick was affiliated with the Montefiore Hospital, Allegheny General Hospital and the Falk Clinic of the University of Pittsburgh School of Medicine.• Dr. Louis A. Vendetti, M'33, a general prac­ titioner, is chairman of the Cheektowaga Air Pollution Board and police surgeon. He lives at 225 George Urban Blvd., Cheektowaga.• Dr. Paul A. Burgeson, M'36, an internist, re­ signed as chief of staff and of medical service at Wyoming County Community Hospital in August, 1971 to direct SUNY College at Geneseo's Student Health Service. Dr. Burgeson was a Fellow, American College of Physicians, and was recently awarded honorary life member­ ship, Wyoming County Medical Society. He is a consultant, internal medicine, Wyoming County Community Hospital. Dr. Burgeson lives at 141 West Court Street, Warsaw, New York.D Dr. Ruth C. Burton, M'39, recently assumed a post as psychiatrist, Student Health Service, Syracuse University. She is also an assistant clinical professor at Upstate Medical Center. Previously, Dr. Burton had been supervising psychiatrist, Onondaga County Department of Mental Health, acting as a consultant to social agencies and courts. Her address is 770 James Street, Syracuse, New York.D SPRING, 1972 Dr. Richard Ament, M'42, of 22 Lake Ledge Drive, Williamsville, New York, is a clinical professor in anesthesiology at the University. He is on the board of directors and chairman, of the American Society of Anesthesiologists' Committee on Manpower, and on the panel of consultants for the American Medical As­ sociation's Advisory Committee on Allied Health Professions.• Colonel Ralph R. Chapman, M'42, a surgeon with the U. S. Army Medical Corps has re­ turned from duty as deputy commander of the Medical Command of the U. S. Army in Viet­ nam. Since his return in May, he has been serving in the Office of Secretary of Army as medical'member of Army Council of Review Boards at the Pentagon. Dr. Chapman was certified by the American Board of Surgery in 1957. He and his family (wife and four children) live at 7704 Hemlock Street in Bethesda.D Dr. Thomas R. Humphrey, M'43, a pathologist on the staffs of Lancaster Community and Antelope Valley Hospitals, California, was med­ ical missionary to the Belgian Congo from 1946-1961. His article on "Plegmorphic Carci­ noma of Larynx Archives of Pathology" was published in the ARCHIVES OF PATHOLOGY (1967). Dr. Humphrey lives at 43828 Gadsden Avenue in Lancaster.• Dr. Edmund M. Collins, M'44, a surgeon (maxillofacial), is clinical associate at the Uni­ versity of Illinois. A member of the Board of Trustees, American Association of Medical Clin­ ics, he is also president of the Champaign Chamber of Commerce. He lives at 9 Greencroft, Champaign, Illinois.• 49 �Dr. John G. Allen, M'46, an obstetrician Golden Key Award at Dallas meeting of Texas gynecologist, has been nominated to receive Association for Children with Learning Disabil­ the 33rd degree, the highest honor of Scottish ities. He lives at 1285 Thomas Drive, Beaumont, Rite Freemasonry at a meeting of the Supreme Texas.• Council of Scottish Rite in Boston. Dr. Allen, who is a former Captain in the Army Medical Dr. Irving R. Lang, M'49, of Newark has been Corps, has provided leadership in sex educa­ elected president of the American Cancer So­ tion programs for young people in Corning. He ciety, New York State Division.• lives at 31 Forest Hills Drive.• The Classes of the 1950's Dr. Eugene M. Marks, M'46, who was certi­ Dr. Allen L. Goldfarb, M'51, is the new direc­ fied last summer by the American Board of tor of the Millard Fillmore Hospital's Acute Preventive Medicine in field of occupational Coronary Care Unit. He is a clinical associate medicine, is associated with Bridgeport's Rem­ in medicine at the Medical School. Dr. Gold­ ington Arms Company in that field. A Fellow farb interned and took his residency at Millard of Fillmore. the American Academy of Occupational He succeeds Dr. Chavalit Svetilas, Preventive who joined a new cardiac surgery team at Medicine, Royal Society of Health, he lives at Arnot-Ogden Memorial Hospital, Elmira, New 22 Grand Place, Newton, Connecticut-^ York.D Medicine, American College of Dr. Milton Robinson, M'51, has joined the Dr. Raphael S. Good, M'48, is a clinical as­ Niagara Falls Memorial Medical Center as full- sociate professor of obstetrics-gynecology at the University of Miami School of Medicine. time director of the new Community Mental Health Center. The Buffalo State Hospital (Ni­ After 15 years of ob-gyn private practice in agara Unit) "After Care Program" is located in Miami, Dr. Good began a residency in psychi­ the Center. The Center is also associated with atry in April, 1971 at Jackson Memorial Hos­ pital, Miami. His address is 3431 Poinciana dren. Dr. Robinson served his psychiatric resi­ Avenue, Miami, Florida.• the West Seneca Psychiatric Center for Chil­ dency at Buffalo State Hospital and did post graduate work at the Syracuse Psychopathic Dr. Myron (Mike) Gordon, M'48, an obste­ trician/gynecologist, is an associate professor at New York Medical College, director of Fam­ ily Planning Service, and a Fellow of the Ameri­ can College of Surgeons. He has also been appointed perinatal consultant in research branch of National Institute of Neurological Disease and Stroke. Dr. Gordon, who was married in December to Karol B. Tucker in Valley Stream, Long Island, lives at 530 East 90th Street, New York.D Hospital. Dr. Robinson has headed Memorial's Division of Psychiatry since 1960. In 1971 the Division was given full departmental status. Before coming to Niagara Falls, Dr. Robinson was a senior psychiatrist and supervising psychi­ atrist at Buffalo State Hospital.• Dr. Jerome J. Maurizi, M'52, director of the respiratory therapy department at Deaconess Hospital, has been appointed a member of the Board of Trustees of the American Registry of Inhalation Therapists. He is one of eight phy­ sicians in the nation named to this board. Dr. Dr. Paul C. Weinberg, M'48, of 1307 Mount Vieja Street, San Antonio, Texas, is an associate Maurizi is a clinical associate professor of medicine at the Medical School and professor professor in obstetrics-gynecology at the Uni­ and chairman of the Erie Community College versity of Texas (San Antonio).• Inhalation Therapy Program.• Dr. Percy W. Bailey, Jr., M'49, a psychiatrist, Dr. Julian Kivowitz, M'58, a child psychiatrist, is chairman of the Governor's Advisory Council is an assistant professor in psychiatry at UCLA. for children with Language and Learning Dis­ He lives at 2473 La Condesa Drive in Los An­ abilities in Texas. geles.• He also received the 1971 50 THE BUFFALO PHYSICIAN �Dr. Donald Lewis Cohen, M'59, clinical and Dr. David T. Carboy, M'63, an ophthalmolo­ anatomical pathologist, lives at 539 Boyd Drive, gist, lives at 118 Leedsville Drive, Lincroft, New Sharon, Pennsylvania. He is Director of Labora­ Jersey and is on the American Board of Oph­ tories at Sharon General Hospital.• thalmology (1969).• Dr. Elton M. Rock, M'59, a gastroenterologist, is a clinical instructor in medicine at the Uni­ versity, and gastroenterologist and member of department of internal medicine at Sisters Hos­ pital. He lives at 56 Old Orchard Drive in Williamsville.D Dr. Leonard Jacobson, M'64, an ophthal­ mologist, lives at 7752 Montgomery Road, Apt. 4, Cincinnati.• Dr. Sheldon Rothfleisch, M'64, who lives at 32 Argyle Terrace, Irvington, New Jersey, spe­ cializes in plastic reconstructive and hand sur­ gery. He is an instructor in plastic surgery at the New Jersey College of Medicine.• The Classes of the 1960's Dr. Harris C. Faigel, M'60, is a clinical in­ structor in pediatrics at Boston University, and Dr. David C. Ziegler, M'64, is Head, Division directs Adolescent Medicine at the Kennedy of Neurology, Department of Neuropsychiatry, Memorial Hospital in Brighton. He is on the U. S. Naval Hospital, Oakland, California. He is editorial board of Clinical Pediatrics, board of also director of the Electrodiagnostic Labora­ directors of Mass. Planned Parenthood, acting tory and clinical director of neurology at the chief of pediatrics at Kennedy Memorial Hos­ pital, vice president of medical staff at Kennedy Everett A. Gladman Memorial Hospital of Oak­ Memorial Hospital and is doing research on Danville.• land. His home address is 121 St. Francis Court, anemia in adolescents, postdental bacteremia, and computer-administered health question­ naires in adolescents. He is also active in two treatment programs for adolescent Dr. Ralph D. D'Amore, M'65, writes that he is "in solo Family Practice in Hamilton, New drug York and enjoying every minute of this 'new' abusers. He lives at 123 Sewell Ave., Brookline, enriched specialty." Dr. D'Amore lives on West Massachusetts.• Lake Road, Hamilton.• Dr. Joseph A. Cimino, M'62, has recently been appointed Deputy Commissioner of Health, New York City Department of Health. He is also an instructor of environmental medi­ cine at New York University Medical School. Dr. Cimino acquired Master's degrees in Public Health and in Industrial Health from Harvard after leaving UB Medical School and went on to positions in New York City as Medical Director of Poison Control Center; Chief Medical Offi­ cer New York City Civil Service Commission, and was the first Director of Health and Safety for the Environmental Protectional Administra­ tion. He lives at 6 liana Lane, Thornwood, New Dr. Michael S. Feinberg, M'65, specializing in surgery of the hand, is in private practice at 50 High Street. He completed an orthopedic residency at the Buffalo General Hospital and a year as preceptee in hand surgery with Los Angeles' Dr. Joseph H. Boyes. He lives at 20 Old Spring Lake, Williamsville.n Dr. Ira Hinden, M'65, a family practitioner, lives at 1508 Hawthorne Drive, Wooster, Ohio. He is president of the B'nai B'rith Wooster Lodge. Dr. Hinden served two years in the U. S. Air Force at Clark AFB Hospital, Philip­ pines (1968-1970).• York.D Dr. Calvin Marantz, M'65, a pathologist, has completed four and one-half years of active Dr. Rae R. Jacobs, M'62, will move in July to duty with the U. S. Navy and is now practicing the University of Kansas Medical Center as as­ general pathology at the Turtin Community sistant professor of surgery, from the Augusta, Hospital in Turtin, California. He lives at 13691 Georgia Veterans Administration Hospital.• Tea House, Santa Ana.n SPRING, 1972 51 �Dr. Harry D. Verby, M'65, a pediatrician, lives at 651 Columbia Drive, San Mateo, California. He is a clinical instructor at the University of California at San Francisco; a Fellow, American Academy of Pediatrics; and a Diplomate, Amer­ ican Board of Pediatrics.• Dr. )ames D. Felsen, M'66, has recently moved from Tulsa, Oklahoma to Suite 307, 33 Lancaster Terrace, Brookline, Massachusetts. He is studying for a M.P.H. at Harvard School of Public Health, probably in the field of Interna­ tional Health.• Dr. Deming L. Payne, M'66, is a resident surgeon at the Medical College of Virginia fol­ lowing three years at the Eglin Air Force Base in Florida and the Air Force Base in Thailand. He lives at the Hampshire Place, Apt. 623A, Westover Hills Boulevard, Richmond.• Dr. John M. Pifer, M'66, is in the State of Bihar in India where he will be working the next two years in smallpox eradication. He worked in this same field the last three years with the United States Public Health Service in Nigeria. "Our goal is to eradicate smallpox from the world by 1975. It is gone now except for the Sudan and Ethiopia in East Africa and the Indian subcontinent including parts of India, Pakistan and Afghanistan." Accompany­ ing Dr. Pifer is his English bride, Sue, who he met in Nigeria.• Dr. Cary Presant, M'66, an instructor in medicine at Washington University (St. Louis), has been appointed to the staff of John Coch­ ran Veterans Hospital. The hematologist/oncologist is collaborating on research in phytohemagglutinin receptor sites on red, white and cancer cells with Dr. Stuart Kornfeld. Dr. Presant lives at 8914 Eager Road, Brentwood, Missouri.• Dr. John R. Anderson, M'67, is a U. S. Navy Flight Surgeon, Advanced Jet Training Squadron 26, Chase Field, Beeville, Texas. In 1968-69, Dr. Anderson completed his anesthesiology residency at Philadelphia Naval Hospital. From September, 1969 to April, 1970, he was at the Naval Aerospace Medical Institute, Pensacola, Florida. He expects to leave Texas in May or June of 1972 to begin a radiology residency, 52 probably at Bethesda Naval Hospital. Dr. An­ derson received AMA's Physician's Recognition Award in Continuing Medical Education in 1970.• Dr. William M. Burleigh, M'67, who lives at 102 W. Rampart Drive, #P211, San Antonio, Texas, is a pathologist at the Fifth U. S. Army Medical Laboratory at Fort Sam Houston.• Dr. John C. Bivona, Jr., M'68, is now at the U. S. Army Hospital, Department of Surgery, West Point Military Academy, after completing two years of general surgery residency at Kings County Hospital Center. He lives at 1-31 Thayer Road, West Point, New York.D Dr. Gilbert B. Green, M'67, a psychiatrist, graduated from the Menninger School of Psy­ chiatry last June and has been with the U. S. Navy at the Marine Corps Recruiting Depot in San Diego. He lives at 8511 Porter Hill Terrace in La Mesa, California.• Dr. Kenneth L. Jewel, M'68, is a radiologist, who lives at 800 Victory Boulevard, Staten Island, New York. Upon completion of his residency in diagnostic radiology in June, 1972, he will join the radiology staff at Columbia Presbyterian Medical Center. His article "Pri­ mary Carcinoma of The Liver: Clinical and Radiologic Manifestations" has been published in The American Journal of Roentgenology, Radium Therapy and Nuclear Medicine, Vol. CXI 11, No. 1, September, 1971.• Dr. Roger B. Perry, M'68, returned in July from active duty with the U. S. Army and is now a radiology resident at Michael Reese Hos­ pital. He lives at 2801 S. King Drive, Apt. 1805, Chicago.• Dr. John E. Shields, Jr., M'68, who lives at 200 Carman Avenue, Apt. 12-J, East Meadow, New York, is a resident at Nassau County Medi­ cal Center.D Dr. Jeffrey S. Stoff, M'68, an internist, is a staff research associate at the National Institutes of Health. He will begin an assistant medical resi­ dency at Boston City Hospital—Harvard Medical Service in July 1972. Dr. Stoff lives at 7553 Springlake Drive, Bethesda.• THE BUFFALO PHYSICIAN �People Dr. Charles F. Nicol, clinical assistant profes­ sor of neurology, is the new president of the Buffalo Catholic Physicians Guild. Dr. Richard R. Romanowski, M'58, was named vice presi­ Drs. Stephen T. Joyce, M'63, and David M. dent, and Dr. Eugene T. Partridge, M'60, is the Richards, M'62, were inducted as Fellows of the n e w treasurer. Dr. Cornelius J. O ' C o n n o r , clin­ American Academy of Orthopaedic Surgeons ical instructor in family practice, is t h e newly at the group's annual meeting in Washington, elected D. C. in January.• M'36, was named a delegate to the National Federation.• secretary. Dr. Hubbard K. Meyers, Dr. Thomas B. Tomasi, professor of medicine, is the author of a book, " T h e Secretory Im­ munologic System," the only o n e of its kind. Dr. Carel Jan van Oss, associate professor of microbiology, has been invited to serve as a It is t h e official proceedings o n a Conference on Secretory Immunologic System of Decem­ consultant to NASA via the Universities Space ber 1969 at Vero Beach, Florida. The book is sponsored by the U. S. Department of Health, periments on "Electrophoresis and other Chem­ Education and Welfare, National I to be launched in 1 9 7 3 . • Institute of Research Association for the evaluation of ex­ ical Separation Processes," planned for Skylab Child Care and Human Development.• Dr. Noel R. Rose, professor of microbiology Dr. Barbara G. Steinbach, clinical instructor, and director of the Center for Immunology, is has been elected a candidate member of the the new secretary-treasurer of the Academic American Academy of Pediatrics. She is a mem­ Clinical Laboratory of Physicians and Scientists. b e r o f t h e p e d i a t r i c a t t e n d i n g staff a t t h e E. J. Meyer Memorial Hospital.• ences Chapter of the Senate Professional As- He is also president of the Buffalo Health Sci­ Seven Buffalo physicians were inducted as sociatioh, chairman of the Faculty Senate Com­ mittee on Academic Freedom and Responsibil­ ity, and councillor of the new Western New new Fellows of the American College of Sur­ York Branch of the American Society for Micro- geons in Atlantic City during the 57th annual biology.D Clinical Congress. They are: Drs. Robert M. B a r o n e , M ' 6 6 ; J o h n L. B u t s c h , c l i n i c a l i n s t r u c t o r in surgery; Roger S. Dayer, M ' 6 0 ; James F. Dr. Erwin Neter, professor of microbiology, Mumma, clinical assistant professor of surgery is president of the Western New York Branch (proctology); Gerald P. Murphy, research as­ of the American Society for Microbiology. He sociate professor of surgery (urology); Hertzel is also a member of the Clinical Laboratories Rotenberg, Advisory Committee of the New York State assistant professor of surgery (otolaryngology) a n d J a m e s F. U p s o n , clinical Department assistant professor of surgery.• chairman of of Health, and was appointed the Committee on Proficiency Testing Materials by Assistant Surgeon General David J. Sencer.G Miss E d n a L. H a b i c h t r e c e i v e d t h e N e w York State Award for Distinguished Service from the Easter Seal Society in November. She was cited for 10 years of voluntary effort as publicity Dr. Felix Milgrom, professor and chairman of the department of microbiology, has been ap­ chairman in Erie County for the annual drive pointed to the Advisory Committee on Immun­ to support the New York State Society for Crip­ ology and Chemotherapy of the American Can­ pled Children and Adults. Miss Habicht is public relations director for Children's Hos­ cer Society; and to the Arthritis and Metabolic p i t a l .• SPRING, 1972 Disease Program Project Committee of National Institutes of Health.• 53 the �While attending the American Society of Hematology meetings in San Francisco in De­ cember, Dr. Oliver P. Jones, distinguished pro­ fessor of anatomy who retired as department chairman last June after 28 years, met 14 of his former students. They are: Doctors Marvin Bloom, Flossie Cohen, Cary Presant, Morton Spivack, Samuel Armstrong, Paul Archambeau, Marshall Lichtman, May Leong, Louis Wertalik, Spencer Raab, Glenn Tisman, Ed Shanbron, O. Odujinrin, Alvin Volkman.n Dr. Marguerite T. Hays, associate professor of medicine, has been elected secretary of the Eastern Great Lakes Chapter of the Society of Nuclear Medicine. The assistant professor of biophysical sciences is also a member of the President's Committee to study educational and academic attachments of the Western New York Nuclear Research Center.• A research professor of medicine, Dr. Julian L. Ambrus, received the annual scientific award of the Hungarian Medical Association of America, Inc. Dr. Ambrus is also director of the Springville Laboratory, a facility of the Roswell Park Memorial Institute.• Three alumni have been elected officers of the medical staff at Mercy Hospital. A general surgeon, Dr. Charles J. Tanner, M'43, is the new president, succeeding Dr. Milford Maloney, M'53. Dr. Joseph Griffin, M'49, is the new vice president and Dr. Henry Petzing, M'46, is the new secretary. Dr. Joseph Prezio, clinical assistant professor of medicine, is the new treasurer.• Dr. Thomas F. Anders is first director of the division of child psychiatry at Children's Hos­ pital. He comes to Buffalo from the Albert Einstein College of Medicine at Montefiore Hospital, New York City. He is serving on a part time basis until June. Dr. Anders will also head the pediatric division of behavioral sci­ ence at Children's Hospital.• At the annual meeting of the American Col­ lege of Chest Physicians, Dr. Edward M. Cordasco, assistant clinical professor, was ap­ pointed a member of the executive committee of the air pollution section of the National Environmental Committee.• 54 Three alumni are officers of the Mt. View Hospital in Lockport, N. Y. Dr. Thomas C. Regan, M'48 is the new president and chief of staff. Dr. J. Revitt Oldham, M'38, is the newly elected vice president and Dr. David Denzel, M'59, is the new chief of surgery. Other offi­ cers are: Dr. Consan Dy is the chief of medicine and Dr. Fidelis Camorotta, secretary.• Dr. John R. F. Ingall, director of the Regional Medical Program of Western New. York, is the new chairman of the national steering com­ mittee for all 56 regional medical programs. Dr. Ingall is an assistant professor of surgery and associate dean for planning and program development.• Dr. Pasquale R. Greco, M'41, a clinical as­ sistant professor of surgery (urology) has been named to the Kidney Disease Institute Advisory Committee by Governor Nelson Rockefeller. Dr. William E. Mosher, Erie County Commis­ sioner of Health and clinical professor of social and preventive medicine, was also named to the committee along with Mildred D. Spencer, medical writer, Buffalo Evening News.D Dr. Michael L. Boucher is a clinical instructor of psychology in the department of psychiatry at the University. Dr. Boucher, who received his doctorate from Syracuse University in 1970, is headquartered at the E. J. Meyer Memorial Hospital. He lives at 61 Lorfield Drive, Am­ herst, N. Y.D Dr. Fred M. Snell, professor of biophysics, has written a computer program to randomize test procedures for patients of the methadone maintenance clinic at Sister's Hospital.• Dr. William J. Staubitz, professor of surgery and head of the division of urology, is the first American to be elected vice-president of the Canadian Urological Association. He will be president-elect in 1973 and he will be the president at the Ottawa meeting in 1974. Dr. Staubitz is also president-elect of the North­ eastern Section of the American Urological As­ sociation and he will be president in 1973 at the Toronto meeting.• THE BUFFALO PHYSICIAN �Dr. Edward L. Valentine, M'45, director oi the Bufialo Red Cross regional' blood program with Drs. Eckherl and Surgenor. A professor of biochemistry, Dr. Douglas M. Dr. Franz E. G l a s a u e r , a s s o c i a t e p r o f e s s o r in Surgenor, was named chairman of a commit­ neurosurgery, lives at 87 Bridle Path, Williams- tee of medical and scientific personnel form­ vilie. This 1955 University of Heidelberg (Ger­ ed to advise the Buffalo Regional Red Cross Blood Program on scientific developments in 20 publications in various national and inter­ blood services. This new group, the Blood many) medical school graduate has contributed national journals. Following the presentation Program Scientific Advisory Committee, was of two papers on cisternography and on echo- formed by Dr. Kenneth H. Eckhert, M'35, chair­ encephalography at the Third man of the Greater Buffalo Regional Chapter Congress in Sao Paulo, Brazil this fall, he visited of the American Red Cross. The duties of the Buenos Aires as a representative of the Capital committee will include advising blood program Foundation for International Education in Neu­ personnel of new developments in blood re­ rosurgery to evaluate a former neurosurgical search. Currently Dr. Surgenor is studying and resident. examining options for the National Blood Re­ memberships is temporary director and repre­ sources program.• sentative of Western New York to the newly- Among Pan-American his numerous professional founded New York State Neurosurgical Society. A research assistant professor of surgery, Dr. T h o m a s L. D a o , h a s r e c e i v e d a s e c o n d g r a n t of $53,876 for research seeking development Dr. jimmie Holland, psychiatrist, w h o is a of a cure for breast cancer by the Mary Flagler graduate (1952) of Baylor, is director of psychi­ Cary Charitable Trust. Dr. Dao is also chief of atry a t t h e E. J. M e y e r M e m o r i a l Hospital. S h e the department of breast surgery at the Roswell Park Memorial Institute. The original grant of is a Diplomate of the American Boards of Neurology and Psychiatry and has held offices $197,300 provided for an annual expenditure in t h e Western N. Y. District Branch of t h e over a five-year period.• American Psychiatric Association since 1959. Dr. Holland directs two grants, one that sup­ ports teaching of psychosomatic principles to Dr. H e n r y E. Black of 8 0 3 E. Fillmore A v e n u e , medical house staff and a fellowship in psy­ East Aurora, N. Y. is a clinical instructor of medicine at the University. He received his de­ chosomatic medicine and the other, teaching gree in cardiology from the University of Birm­ She and her family live at 137 Depew Avenue, ingham Medical School, England in 1 9 5 8 . • Buffalo.• SPRING, 1972 depression and suicide in a general hospital. 55 �Alumni Tour .... Spain — Costa del Sol March 31 — April 8, 1972 • 8 days, 7 nights, $299 (plus 10% tax & service) per person, double occupancy (single supplement — $60.00) • Round Trip Jet from New York City • Breakfast & 7-course Gourmet Dinner served daily • All facilities at PLAYMAR Hotel, Torremolinos (Malaga) • For details write or call: ALUMNI OFFICE, SUNYAB 123 Jewett Parkway Buffalo, N. Y. 14214 (716) 831-4121 In Memoriam Dr. Faye H. Palmer, M"I2, died December 26 after a long illness. He had been a general practitioner in Erie County for 50 years. He retired in 1962. Dr. Palmer was a first lieutenant in the Army Medical Corps during World War I and was an examining physician for a local draft broad during World War II. He was active in local, regional and national professional or­ ganizations.• Dr. Theodore C. Krauss, clinical assistant pro­ fessor of medicine, died November 16 in Mil­ lard Fillmore Hospital. He had been on the faculty since 1957, and was a pioneer in the field of geriatrics. He was on the staffs of Mil­ lard Fillmore and Meyer Memorial Hospitals, and medical director of the Rosa Coplon Jewish Home and Infirmary. He was a consultant on the aging and served on many county, state and national committees. In 1961 Dr. Krauss was a member of the state delegation to the White House Conference on the Aging. The same year the Buffalo Evening News recognized him as one of Buffalo's 10 "Outstanding Citi­ zens." The Czechoslovakian native was gradu­ ated from the Royal University of Bologna School of Medicine and the Royal University of Franz Joseph. He interned in Budapest and New York City.D The General Alumni Board Executive Committee — DR. EDMOND J. GICEWICZ, M'56, President; MORLEY C. TOWNSEND, '45, President-elect; )OHN G. ROMBOUGH, '41, Vice-President lor Activities; FRANK NOTARO, '57, VicePresident lor Administration; MRS. CONSTANCE MARX GICEWICZ, Vice-President lor Alumnae; JAMES J. O'BRIEN, '55, Vice-President tor Athletics; DR. FRANK GRAZIANO, D.D.S., '65, Vice-President for Constituent Alumni Croups; JEROME A. CONNOLIY, '63, Vice-President lor Development and Membership; G. HENRY OWEN, '59, Vice-President for Public Relations; DR. HAROLD J. LEVY, M'46, Treasurer; Past Presidents: ROBERT E. LIPP, '51; M. ROBERT KOREN, '44; WELLS E. KNIBLOE, '47; DR. STUART L. VAUGHAN, M'24; RICHARD C. SHEPARD, '48; HOWARD H. KOIHLER, '22; DR. JAMES J. AILINGER, '25. Medical Alumni Association Officers: DRS. LOUIS C. CLOUTIER, M'54, President; JOHN J. O'BRIEN, M'41, VicePresident; LAWRENCE H. GOLDEN, M'46, Treasurer; ROLAND ANTHONE, M'50, Immediate Past-President; MR. DAVID K. MICHAEL, M.A. '68, Secretary. Annual Participating Fund for Medical Education Executive Board for 1971-72 — DRS. MARVIN L. BLOOM, M'43, President; HARRY G. LaFORGE, M'34, First Vice-President; KENNETH H. ECKHERT, SR., M'35, Second Vice-President; KEVIN M. O'GORMAN, M'43, Treasurer; DONALD HALL, M'41, Secretary; MAX CHEPLOVE, M'26, Immediate PastPresident. 56 THE BUFFALO PHYSICIAN �O n e finds it difficult these days to consider change as synony­ mous with improvement, but your Alumni Executive Committee looks forward enthusiastically to the 35th Annual Spring Clinical Days. This year will find us on campus again but in new surroundings. The school's spring recess provides the time and Goodyear Hall, the place. The 10th floor suite provides a better view and we have the traditional listening in store for us. Again, the five year class reunions will fill o u t t h e w e e k e n d of April 7 a n d 8. R e m e m b e r , t o o , the scholarship needs have steadily mounted and our aim is to in­ c r e a s e , if p o s s i b l e , o u r a i d t o m e d i c a l s t u d e n t s . Y o u r c o n t r i b u t i o n s are our only source of this aid.D First Class Permit No. 5670 Buffalo, N. Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY— Medical Alumni Association 2211 Main Street Buffalo, New York 14214 Att.: David K. Michael �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 Address Correction Requested 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. Office Address Home Address If not UB, MD received from In Private Practice: Yes • No • In Academic Medicine: Yes • Specialty, 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Journals and magazines 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 1972 Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--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 1972-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_v06n01-1972-Spring Table Of Contents A list of subunits of the resource. Class Reunions Dr. Eccles Maternal, Child Medical Center by Jean A. Cortner, M.D. Continuing Education Course Fetal Care Unit Miller Retires Cummings Foundation Grant/ Indonesian Research VA Hospital Dr. Cudkowicz Immunodermatology Conference Hypertension Immunology Convocation RMP Goals/Dr. Cammer Screening Drugs $1,073,849 Grant Student Convocation Ear Grant/Brains Spring Clinical Days Ecology Immunology Center/ Dr. Edgar C. Beck Mental Health Center Dr. George W. Thorn Health Care Challenge Family Practice Center Scuba Class Canadian Medicare Dr. Samuel Feinstein The Classes People Alumni Tour/In Memoriam Date Created Date of creation of the resource. 2022-09-15 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. v06n01 Extent The size or duration of the resource. 60 p. Spatial Coverage Spatial characteristics of the resource. New York (State)--Buffalo Rights Holder A person or organization owning or managing rights over the resource. Copyright 1972 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/44e3b13470c52d374e441803ec5c4fd7.pdf f67c113022a327d1d5de23019976230f PDF Text Text spring clinical i ^ days �From the desk of — Lawrence H. Golden, M.D. '46 President, Medical Alumni Association Are Alumni Really Necessary? THE MAJOR STUDENT role is primarily to learn. The faculty have clear cut assignments in areas of instruction, investigation and administra­ tion. Do alumni have a genuine function? Hopefully, we are more than the source of potential financial support in a time of tight govern­ mental funds. Other organizations have tried this approach and after initial enthusiasm, faltered. Many are committed to active teaching of students particularly in the clinical years that require hospital assignments. Recently there has been an even greater involvement of alumni in policy making in various departments as well as in the administrative aspects of the School of Medicine. As important as all these functions are — are they enough? I suggest that they are not. What is needed is a concept that implies tenure, a feeling of belonging. Although the student graduates, he remains an integral part of the University the rest of his professional life. His activities reflect on the University just as the status of the University reflects on his own personal evaluation. The alumnus must therefore respect this University and be concerned about its welfare. The University like every institution in this country has strengths and weaknesses; problems that are obvious and many that are unrecognized. The University needs its alumni now more than ever and I suggest that we become more aware of the University for the single reason that we are a part of the University, as vital a part of it as its students and its faculty. Our special strength lies in the fact that we have moved from its walls and this permits mature surveillance and the opportunity for wise counsel and guidance. With this concept of alumni — the problems may not be all solved immediately, but a spirit that lends itself to grappling with them will be nurtured.• THE BUFFALO PHYSICIAN �Fall 1973 Volume 7, Number 3 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD IN THIS ISSUE Editor ROBERT S. MCGRANAHAN Managing Editor MARION MARIONOWSKY Photography HUGO H. UNGER EDWARD NOWAK Medical Illustrator MELFORD J. DIEDRICK Visual Designers RICHARD MACKANJA DONALD E. WATKINS Secretary FLORENCE MEYER CONSULTANTS President, Medical Alumni Association DR. LAWRENCE H. GOLDEN President, Alumni Participating Fund for Medical Education DR. MARVIN BLOOM Vice President, Faculty of Health Sciences DR. F. CARTER PANNILL Executive Officer, School of Medicine DR. CLYDE L. RANDALL Vice President, University Foundation JOHN C. CARTER Director of Public Information JAMES DESANTIS Director of Medical Alumni Affairs DAVID K. MICHAEL Director of University Publications PAUL L. KANE Vice President for University Relations DR. A. WESTLEY ROWLAND 2 3 6 14 16 20 23 24 25 27 28 30 35 36 37 38 41 42 45 46 48 51 52 54 62 63 64 65 66 68 69 72 75 76 Are Alumni Necessary? ( i n s i d e f r o n t c o v e r ) Spring Clinical Days Record Keeping Drug Reaction Health Security Nuclear Medicine Intern Matching Outer Space Resources/Executive Officer Commencement Seniors Honored 5,853 Graduates Oncology Unit Summer Fellowships Hospital Head/Dr. Larson Professors Honored Dr. Gottlieb/Alumni Receptions New Experience Medical Education/Chicago Reception West Side Health Center 141 Residents, Interns Learning Center Environmental Physiology Lab Alumni Luncheon/Emergency Communications New Campus Our First Professor of Medicine by O. P. Jones, M.D. Physicians Retire $10,000 Gift Dog Racing Dr. Greco Millard Fillmore Hospital Research Award The Classes People In Memoriam Alumni Tours The cover design by Donaid Watkins features Spring Clinical Days. The picture story of this annual event is on pages 2-15. THE BUFFALO PHYSICIAN, Fall 1973 — Volume 7, 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. Copy­ right 1973 by The Buffalo Physician. FALL, 1973 �The Stockton Kimball luncheon. Problem Oriented Record Keeping A SYSTEMS TYPE APPROACH to caring for the patient was described by Dr. Robert L. Dickman, M'68, at the opening session of 36th annual Spring Clinical Days. The director of ambulatory services at the Buf­ falo General Hospital said "the use of computerized, problemoriented medical record is now widely accepted." It was designed by Dr. Lawrence Weed in Cleveland several years ago. "This is no gimmick. I have seen it work and I am a believer," Dr. Dickman said. Its four components — parelleling the four phases of medicine — were described by Dr. Dickman. The first is gathering of a data base (physical, history, profile, lab data). This leads to its second component, defining the patient's problem(s), — social, psychiatric and demographic. This problem list then allows the physician to make plans, the third part of the record, to diagnose and set priorities in treating the patient. And to plan for patient education. In the fourth component, the physician notes the progress on patient prob­ lems. This is done subjectively, objectively, through an assessment where you have what "you think is going on." And finally, plans for the patient are noted. Use of this tool all but eliminates one of the greatest problems in treating a patient, the error of omission where material buried in the back of the medical record is irretrievably lost. But its advan­ tages are numerous, Dr. Dickman pointed out. Once the problem list is defined, care becomes more directed. "To have a summary or index before you helps you make the decisions as 'total problems' you will deal with on that particular day, and to set priorities," he continued. "There are no set rules on the work sheet. Take a piece of paper and make your own problem list — anyway you 2 THE BUFFALO PHYSICIAN �want to. The data base will differ for different situations but once it is decided upon, it must be obtained consistently and reliably on everyone in that group. Never neglect to note a problem simply because you have no good explanation for it. Always update and alter the problem list as new data is obtained." It is a reflection of where you are, where you came from and perhaps where you are going." It also has potential as a medical education tool in teaching students, and house officers. It is a handle by which to audit perfor­ mance, to determine whether care planned has done any good by consults and review. No longer need there be a standardized hospital workup for each patient readmitted. One need only refer back to the problem list "in front of you and staring you in the face." Dr. Dickman also pointed to the written record that holds up in a court of law, the saving of time for the physician when a patient fills out an automated questionnaire and returns it. Now the physician can practice what he has been trained to do — to diagnose and to treat. "The Problem Oriented Medical Record is an invaluable tool which allows us to deliver more comprehensive patient care. By using the problem list both for inpatient and outpatient care we insure continuity and avoid obtaining data in one setting and neglect­ ing it in another. "By using this record comprehensive care is insured by forcing the physician to at least consider all of the patient's problems every time he sees him," Dr. Dickman concluded. Qnrinn TA a ^JJilllg LjlllllCal UciyS "Allergic reactions to drugs continue to be a major medical problem. And the effects of a combination of drugs on a patient is complicated and unpredictable. Many times there are serious complications." That was the unanimous agreement of the four-man panel on Drug Reactions, Interactions and Toxicity. Drug dosages needed for optimal therapeutic effects differ widely among patients. The 'usual dose' of most potent drugs accomplishes little in some persons, causes serious toxicity in others, and is fully satisfactory in few. The inability of standard dosage schedules to exert a sufficiently intense pharmacologic effect in many patients is often misinterpreted as therapeutic ineffectiveness of drugs. Con­ versely, drug toxicity is often caused by the failure to reduce the usual dosage appropriate in other patients, according to Dr. Jan KochWeser, associate professor of pharmacology and chief of the clinical pharmacology unit, Massachusetts General Hospital. How can we determine the optimal dose of a drug for each patient? Dosage adjustments are easy when the intensity of a drug's pharmacologic effects can be accurately and simply quantitated dur­ ing its clinical use. For example, dosage requirements for guanethidine or warfarin can vary by a factor of 50 from one patient to another. Nevertheless, the drugs are useful therapeutic agents. With many drugs, the best dosage for individual patients is difficult because the pharmacologic response is not quantifiable in the usual clinical situation. The physician may not even know whether tfmj T^TM l (J T? O Q /"""M OD C J—'J- *-*-£3 vDOU L-LW-L ±o FALL, 1973 3 > �Drs. Moloney, Yaffe, Keisman, Koch-Weser, Hurwitz Spring Clinical Days fc) J Drs. Edward Eschner, Yerby Jones prescribed dosage is producing the expected therapeutic benefit, particularly when the drug is given for prophylactic purposes. "Hypersensitivity reactions to drugs can be defined as those adverse reactions mediated by immune mechanisms, involving either humoral antibodies or sensitized lymphocytes," Dr. Robert E. Reisman said. Understanding of these hypersensitivity reactions and appropriate diagnostic tests require identification of the antigen and type of antibody involved. Most drugs such as penicillin are of small molecular weight and by themselves are generally unable to stimulate antibody formation. They act as haptens, combining with body pro­ teins to become antigenic and this leads to antibody formation. "The multiplicity of allergic reactions which can occur from one drug such as penicillin is due to differences in the participating antigen and antibody. Appropriate therapy for a drug reaction is at least partially dependent upon the immunopathogenesis. From a clinical viewpoint factors affecting allergic drug reactions include presence of atopy, prior drug reactions, age, type of drug adminis­ tered, prior drug exposure, and route of drug administration." Dr. Sumner J. Yaffe told the physicians that administration of a drug to a pregnant woman presents a unique problem to the physi­ cian. "Not only must the physician consider maternal pharmacologic mechanisms, but he must also be aware of the fetus as a potential recipient of the drug. It is estimated that a pregnant woman takes an average of four or five medications during her pregnancy. In some of these therapeutic endeavors directed toward maternal disease, consequences of such drug usage have often been unexpected, with tragic results in the developing fetus for who the drug was not intended. "The teratogenic effects of drugs are dose and time-related. The fetus is highly susceptible during the first three months of gestation. It is possible for teratogenic drugs to exert their effects on a fetus 4 THE BUFFALO PHYSICIAN �within 11 days of conception — before the woman suspects her pregnancy. The mechanisms of teratogenic agents are little understood, particularly in the human. "The inadequate enzyme systems of the fetus prohibit them from metabolizing drugs in the way mature organisms do. The effects of this inability are not known. Given the present lack of scientific knowledge, it is felt that throughout the entire period of pregnancy, administration of any drug should be held to the minimum The benefits to the mother must be carefully weighted against the possible harm to the fetus. Be aware of the problems connected with drug interactions, warned Dr. Aryeh Hurwitz, a University of Kansas assistant professor of medicine and pharmacology. "Be able to pinpoint what is happen­ ing if you see an unexpected presence. The combination of drugs is complicated. We may be unable to predict when an undesired reaction may occur." The effect of a drug, he continued, is related to its time duration. If it is somehow bound in the gut, it prevents absorption. But if a drug is 99 percent protein bound, its free fraction unbound, it becomes an active drug — increasing five fold in its activity. Acetic drug use, he pointed out, replaces other potent drugs from protein bindings. "And there will be predictable hemorrhaging," Dr. Hurwitz said. And he emphasized that "if you forget everything else that I say, don't forget about my caution against the use of Doriden. Don't use itTj > A general session FALL, 1973 5 The M e d i c a l Alumni A s s o c i a t i o n A w a r d of A p p r e ­ c i a t i o n w e n t t o Dr. C l y d e L. R a n ­ dall, acting dean and vice presi­ d e n t for t h e H e a l t h S c i e n c e s "for his outstanding leadership and years of dedicated service to the School of Medicine and t h e m e d i c a l c o m m u n i t y . " In h i s v e r y brief r e m a r k s Dr. R a n d a l l said " h e w a s t h r i l l e d t o b e a part of d e v e l o p i n g o u t s t a n d i n g m e d ­ ical s t u d e n t s i n t h i s c o m m u n ­ i t y . A l t h o u g h w e are l a c k i n g i n n e w , m o d e r n facilities w e h a v e a medical school in the city w h e r e t h e p r o b l e m s a r e . " Dr. Moloney made the presenta­ tion. Mr. Woodcock is also pictured. • �Health Security and the Healing Arts by Leonard Woodcock, President International Union, United Auto Workers As I travel about the country I am asked from time to time why I as a union leader take a major interest in reforming our nation's health care system. My response is that the safeguarding of health is of the greatest importance to the worker and his family. He recog­ nizes that without good health the hard fought gains in his economic situation, won at the collective bargaining table, are almost without meaning. If his health becomes poor and he can't work, he knows he and his family can barely live. The disability rate for families below the poverty level is at least 50 percent higher than for middle and upper income families. Our members almost all grew up in poor families. They are all too aware that a child born in poverty has twice the chance of dying before age 35 as a child born into a middle income family. And so union members feel an urgent need to have ready access to decent, comprehensive health services at prices they can afford. For some thirty years the UAW has negotiated with employers to provide funds to make possible this access to good health care. But despite rapidly escalating expenditures our efforts in this area are becoming less and less productive. Our members have been ready and willing to give up wages for health protection. Today it costs them one month's wages to pay for private health insurance that does not provide full and needed coverage. According to HEW, in seven years it will cost them two month's wages to pay for the same partial protection. In recent years we have come to recognize that the problems of fragmentation of health services, disorganization in the delivery system and shortages of professional personnel, with the resultant skyrocketing costs will not be solved by our diverting more and more money from wages to buy private health insurance. The prob­ lems in health care are problems of the society. So we in the labor movement are making a major effort to bring about needed change through social reform. This is the primary reason why I am here today. I have the greatest respect and admiration for the tremendous advances made in medicine and science in the last forty years, and for you, the splendidly trained practitioners who have added to this knowledge, and who apply it. I am well aware that you are much more interested in your program subjects like "Nuclear Medicine" and "Drug Reac- Drs. O'Brien, Randall, Mr. Woodcock, Drs. Golden, Moloney, President Ketter 6 THE BUFFALO PHYSICIAN �Spring Clinical Days The registration desk tions and Toxicity" than in an address on health care by a union president. But you, like we in labor, have no choice. You must con­ cern yourselves with the major problems of health care organization, delivery and costs, if your valued services are to reach fully those who require them. So I have come to Buffalo with the sincere hope that as a result of meetings such as this, clarifications of viewpoints on the major issue of national health insurance will emerge. I must also say that I take some pleasure in noting from your program, that in part because you are willing to listen to me, the AMA Council on Medical Education and the Academy of General Practice will approve ten credit hours for you. The other day two physicians who are also Congressmen offered a diagnosis of the current state of health care legislation. One a Democrat, the other a Republican, they agreed that a national health insurance law is coming soon. They agreed that physicians will lose control over their own profession if organized medicine continues to fight against public demands for real improvements in health insurance and against more consumer influence in shaping the deliv­ ery of health care. And they agreed that physician self-interest demands that they cast off their negative approach. I think that many physicians recognize that the AMA's Medicredit proposal is a negative approach. It sets the course of medical care in a hard and fixed frame when it should invite innovation. It assures higher costs when it should reduce waste and duplication. It encourages unnecessary surgery when it should promote preven­ tive medicine and quality controls. It is insurance industry oriented when it should be patient oriented. To illustrate one of its many serious deficiencies, look at the dental benefits. The AMA was criticized by the American Dental Association for excluding dental benefits from the previous Medicredit bill. This year, the AMA representatives are boasting of the inclusion of dental benefits. But they fail to make clear that th FALL, 1973 7 �— Spring Clinical Days Mrs. Stockton Kimball benefits are limited to children age 2 to 6. They don't broadcast the fact that there is a $100 deductible per child, per year. This is the tooth fairy in reverse: the parent will leave $100 under the pillow before the dentist provides any services. The dental benefit, really, is consistent with the rest of the Medicredit bill in that it completely ignores the needs of both patients and physicians. Reforms are conspicuous by their absence. The lure of tax credits would theoretically result in better and broader health insurance coverage for all. But the facts are that only the working poor with incomes below about $6,000 annually would have any real incentive to buy the policies proposed by the AMA. And they would be incouraged to buy the worst kind — individual policies that return only 50 cents on the dollar to the health system. The other 50 cents stays with the insurers. The whole Medicredit plan is really a sellout to the insurance industry. As practicing physicians, you should tell the AMA you won't buy it. But to date, I wonder how many physicians have had the time, or taken the time, even to read the national health insurance plan that is being presented in your behalf to Congress. You ought to read it and understand it because 200 Congressmen and Senators have signed their names to it on the word of AMA lobbyists that you, the physicians of America, are solidly behind it. Few people have read and fully digested the 17 different national health insurance bills before the Congress. It's too much to ask of doctors. So I'm here today to talk about just two of them — the Health Security bill and the AMA's Medicredit bill. And I'm here to tell you that, according to your own principles and standards, the Health Security bill rather than the AMA bill has the doctors' interest at heart. There's a high level game being played by the AMA. They are using your dues to promote the interests of the insurance industry. You'd think that Mutual of Omaha and Aetna would spend their own money to lobby Congress for favors to the private insurance companies. But the AMA is spending your money for that purpose. The Medicredit bill does not serve doctors well. It does not serve the interests of patients. But it certainly will create billions of dollars in new business and profits for the insurance companies. It has been said a thousand times by the AMA hierarchy that we who support the Health Security bill don't care about you. I'm here to tell you we care a great deal about you. It is time we had a sensible dialogue to explore and expand the wide areas of agreement that we share. No such dialogue has been possible with an intransig­ ent organization purporting to represent you that is responsive only to its most conservative constituents. But I say to you that if you or any other group of physicians has suggestions about improving the Health Security bill, within its broad principles, then we are eager to hear from you and to sit down and talk with you. We have done this with the 26 physicians who are members of our Committee for National Health Insurance and with literally hundreds of others. We can't talk with the medico-politicians in Chicago. They tell you that Health Security will come between patient and doctor. Show us where that is, and we'll change it. To my knowledge, the AMA has never released any poll of its membership on the subject of national health insurance but the 8 THE BUFFALO PHYSICIAN �An honor guard table magazine, Modern Medicine, reported the reactions of 17,000 physi­ cians last year. Understandably, because they do not like change, most physicians were against any form of national health insurance. But, those who saw any merit in national health insurance proposals, by a slightly higher percentage, preferred the Health Security program to those of the AMA or the Nixon Administration. A later poll, con­ ducted by the Gallop Organization, found 51 percent of physicians favorable to some form of national health insurance. Numerous national and state polls show that about two-thirds of all patients want governmental health insurance to replace private insurance, which most find ineffective or defective, or both. Doctors and patients may differ on what are the most pressing problems in American health care. But they agree on many things. They agree that our present health insurance programs aren't working well and ought to be changed. They agree that we ought to expand medical education and produce more doctors and also physicians' assistants. They agree that hospital facilities ought to be expanded and improved and that both basic and applied research in health science and health care should be well-funded. These are matters on which both patients and doctors are in firm agreement. But to date in Washington, we find that representa­ tives of patients are struggling to stop the budget-cutters at the OMB from axing health programs that ought to be strengthened, while the AMA, in line with its consistent policy that health care for all Americans should be the responsibility of no one in particular, has raised no audible objection or concurred with most of what's going on. Meanwhile, Federal Administration engages in prolonged flights of fancy about its accomplishments, but the President's health budget reveals a harsh insensitivity to the needs of both patients and doctors. President Nixon wants to cut into health services research and development and cut out entirely the regional medical program. He gives no additional support to biomedical research and proposesj ^ FALL, 1973 9 On June 18 President Nixon signed a major bill that would extend through the fiscal year health programs totaling $1.2 billion. Included were several programs the Administration had planned to eliminate — Hill-Burton hospital construc­ tion at $197-million, regional medical programs at $159million, public health and other training program at $68-million and new mental health pro­ grams at $174-million. • �A class reunion dinner to phase out all NIH fellowship and training grants. Who will provide for biomedical research which is essential to your clinical practice when the government support stops? The Administration says it will come from the normal economic forces of the private market­ place. The faculty and governing body of your Medical School here will tell you such a statement at best derives from ignorance and at worst deceit. Because Community Mental Health Centers have demonstrated great success, Mr. Nixon and Mr. Weinberger want to stop supporting them. But what does this mean to your patient: the adolescent who needs the counselling you are unable to provide in a busy practice, the addict, the alcoholic, the emotionally disturbed? Within this troubled society many look to the Community Mental Health Center as a vital, and often only resource. But of the 2,000 centers planned throughout the nation, only 560 have been established. They have relieved the overcrowding and stress in state mental hospitals and the pressures on the family physician. Mr. Nixon wants the Commun­ ity Mental Health Center legislation to expire this June 30th. Even though the OMB has developed ingenuous devices for obscuring their intentions, the facts are that no health program entirely escapes the budget cutter's axe. Not health manpower educa­ tion, nor preventive health services, nor disease control. Not allied health training nor population research and family planning, nor medical libraries. Instead of proposing innovation for the Hill-Burton program, they propose interment. They would replace Public Health Service hospitals and clinics with vacant lots. They would cut back on Medicare. It is not surprising that the AMA benignly watches as these cuts occur. Nobody has ever accused the AMA of any leadership in protecting the patient's rights or improving his lot. But everyone knows that the practicing physician is deeply concerned about his patient. And if he does not have the time to crusade for the rights and needs of other doctors' patients, he is still concerned. 10 THE BUFFALO PHYSICIAN �I say now is the time to express your concern. But let your Congressman know that you support good governmental health activities and oppose budget cuts that rank health low in national priorities. And let Mr. Nixon know, too. Last year I had the privilege of addressing the annual meeting of the American Society of Internal Medicine at Atlantic City. I made the point then that of all the proposals before the Congress for national health insurance, only the Health Security bill measured up to that Society's own standards. It was and is the only bill meeting their first principle — "that every American should have comprehensive health insurance cover­ age." The AMA plan, the Administration plan and each of the others fails to provide comprehensive coverage. Even though so-called "catastrophic insurance" is being promoted in these plans this year, their enactment would only result in a delay of comprehensive cover­ age. The prospect of catastrophic insurance already is encouraging promoters and entrepreneurs both within and outside the medical profession to "go public" with exotic and esoteric machinery and treatment, some of it bordering on quackery and little of it geared to the needs of the physician and his patient. Catastrophic insurance says to the consumer: "If you get real sick, we'll start paying your bills. But don't get too sick because we'll stop paying them." That isn't what you need to practice good medical care. It isn't what your patient needs. The primary physician is the forgotten man in that equation, and so is his patient. The philosophy that holds that a patient's serious illness should be a financial disaster for his family is inconsistent with the professional motivation of the physician. In the Health Security program, which emphasizes early diag­ nosis and treatment, the primary physician has a special place. If he is a solo practitioner, he is offered alternatives in the payment methods which are not available to other specialties. He can elect to be paid by fee-for-service or by a capitation method, with fair and reasonable sums paid him for each patient. If he selects the capitation method, he is encouraged through financial incentives to establish formal linkages for his patients with other health care providers and institutions, including hospitals, nursing homes and home health services. In other words, he will be able to write an order for his patient outside the hospital just as he now does in the hospital, and thereby activate a system providing needed services for his patient. And in selecting capitation, he is assured not only of economic parity with the fee-for-service practitioner, but funds from a separate account for personnel to run a good office. If he is in a prepaid group practice involving other specialties, the primary physician practicing under the Health Security program will receive special financial and professional recognition of his primary role as the provider and manager of comprehensive personal health care. And he will have his own "Professional Standards Review Organization" to give practical effect to the art and science of quality controls. I think the public is becoming more acutely aware of the need for better quality controls in the medical care system. Particularly FALL, 1973 11 Spring Clinical Days �President R o b e r t L. Ketter told the al umni that pre­ eminence in medical education is our goal. "We want to develop a strong l i n k b e t w e e n t h e M e d i ­ cal School and the University. W e h a v e just h i r e d a n e x t r e m e l y a b l e v i c e p r e s i d e n t fo r t h e H e a l t h S c i e n c e s (Dr. P a n n i l l ) , a n d w e are s e a r ch in g for a n e w dean for the School of Medicine. We want a nationally prominent man. Your aiumni president, Dr. Golden, is a member o/ the search committee." • the stream of reports of unnecessary surgery and its effects on friends and neighbors is causing consternation. I know many of our five million UAW members and their families are shocked by these reports. We also agree that a well trained physician is in an excellent position to evaluate the quality of care. We have some trouble in understanding why he must be from the local group and subjected to the social, organizational and referral pressures that come from having to pass judgment on one's neighbors and friends. We wonder if a physician is any less competent to review a surgical report or a tissue analysis if his practice is four hundred miles removed from the site of the surgery, than if it is four miles removed. Is it unreasonable to expect that patients may have meaningful views about how they are handled by physicians, the ways in which they are referred, the information they are given or not given about their conditions, and the instructions which are passed on to them during the following treatment? Our experience in the UAW leads me to believe that these are important aspects to quality which require consumer input. The overwhelming majority of consumers have no knowledge as to whether they have had too many procedures inflicted upon them or not enough. They have no assurance that the care they receive is, in fact, consistent with the best modern medical knowl­ edge. They must look to you and the control procedures you set up to give them this assurance. Most encounters with physicians and health services take place not in hospitals, but behind the closed doors of physicians' offices. In this setting there are exceedingly few if any checks on what hap­ pens. We therefore are in agreement about the need for effective quality safeguards. If you will broaden your view to take into account the quality considerations as seen by consumers, it seems to me it is quite possible for us to work out with you an appropriate mechanism. The AMA has spread a myth about the Health Security program that it is "monolithic". It has become their favorite scare word. I want to dispel that myth right now, if I can. We believe there ought to be a Social Security-type trust fund to pay for health services, instead of an army of insurance company claims clerks. There are presently 1800 insurance companies selling thousands of different kinds of health insurance policies. But we do not believe in a monolithic structure for the delivery of services. We believe in pluralism. We believe that many types of organizational arrangements should be encouraged and evaluated. Contrary to what doctors are being told, we do not reject solo practice, fee-for-service medicine. We favor flexibility, not rigidity. And we don't favor socialized medicine. It is not our position that doctors should become civil servants or that hospitals should be taken over by the govern­ ment. The people who are making these allegations about a "mono­ lithic" Health Security bill know full well that the bill encourages pluralism in the delivery system. Any who takes the time to read it knows it, too. Your society and our union agree there is a great need to increase the availability of medical services, and that increasing physician productivity should receive equal emphasis with increasing the number of physicians. 12 THE BUFFALO PHYSICIAN �Dr. Edward Zimmerman entertains the 1923 class. Obviously, we cannot project needs for future physician man­ power without assessing possible productivity gains through new organizational arrangements. This should be based on reasonable, practical planning. But once there is identification of goals, we should move realistically toward their attainment. . 1 TA In 1931, there were 1,097 persons in the United States for every OPTLILG LJIIIIICCII IJciyS general practitioner. In 1970, as you well know, there were almost four times that many persons per general practitioner and an increas­ ing number of them were foreign nationals and graduates of foreign medical schools. Furthermore, the shortages of health personnel in the urban ghettos and the rural areas have reached the desperate stage. Not only are they statistically far worse off than other areas, but as you well know, the majority of these physicians are elderly, often past the retirement age. It is therefore of little value to make funds available to consumers when with those funds they cannot obtain the needed services. The Health Security Act implements the principle of increasing the availability of medical services and increasing physician produc­ tivity. There is a substantial Resources Development Fund to provide new support for the education and training of new health profession^ mmn jsstaas mtu [" tSU Mtmi mm 1rnmmimam PHOTO* I £[£080*1 The winning exhibit. �Dr. Oscar Oberkircher Nuclear Medicine Dr. Steinbach als, with priorities for groups which have been disadvantaged in the past. There is technical assistance and the start-up support for new health plans. There is a way to pay for all the services provided by these plans. There are incentives for primary physicians to utilize ancillary services for their patients, including physician assistants as appropriate. Health Security is a program providing universal coverage for patients and incentives for doctors to better organize themselves to deliver care, and with cost containment and quality safeguards. The doctor will remain the key and essential figure. Only he will prescribe for his patient and the financial barrier between them will be removed. I am here today to suggest that a new spirit of cooperation between the physician and the representatives of his patients is possi­ ble and desirable. Cooperatively, we can deal with all of the problems which currently plague the delivery of health care in this country. We can work together toward the goal of a health care system approp­ riate to the needs and desires of our advanced nation. Such a system * S P o s s i ^^ e o n ^ i n a s o c i ety which has its priorities straight — a society that puts the health and well-being of its people at the top of its agenda. "Ninety-five per cent of nuclear medical procedures are diagnostic in character. These studies have reached their present level of impor­ tance in the practice of medicine because they provide vital diagnos­ tic information with little or no discomfort to the patient." Dr. Merrill A. Bender, clinical professor of nuclear medicine also said "the radia­ tion dose to the patient is very modest and in most instances compar­ able to that received from diagnostic X-ray studies. "In the early days of nuclear medicine it was hoped that radio­ isotopes would provide an effective tool for the treatment of a signifi­ cant number of malignant and benign diseases. Unfortunately this hope has not been realized, and only two or three disease states have been successfully treated with these materials. These include hyperthyroidism and selected cases of cancer of the thyroid and advanced heart disease treated with radioactive iodine, and certain blood disorders." Dr. Bender told the physicians that "imaging" of radioisotope distributions has allowed us to detect pathological processes in many different organs — the brain, thyroid, liver, pancreas, kidneys, bone as well as circulating ailments involving lungs, heart, great vessels and spleen. Of equal importance in the field of nuclear medicine is the evaluation of function and the measurement of the size of various 'spaces' in the body — blood volume. In just 10 minutes the circula­ tory condition of a patient undergoing major surgery can be evaluated. The most common function study is that of the thyroid gland where a radiation detecting technique determines the percent trapped there. By measuring concentration/excretion through the kidney, one can diagnose and evaluate nephritis, hypertension, renal transplant and for those concentrations that localize in the liver, evaluation of cirrhosis and hepatitis. 14 THE BUFFALO PHYSICIAN �"The quantitative scintillation camera gives us a new diagnostic procedure. Not only does it visualize redioisotope distribution but quantifies the amount of compound in a specific location as a function of time. We can also evaluate the degree of cardiac disability in acquired heart disease and measure renal and cerebral blood flow. The latter is proving very useful in the evaluation of strokes." The thyroid scan or "scintigram" is a pictorial representation of the regional activity of the thyroid gland. "The scan is most fre­ quently helpful in situations where the thyroid gland is palpably enlarged. In patients with normal or slightly reduced thyroid func­ tion, the thyroid scan may be useful in evaluation of palpable nodules. These nodules are classified as 'hot, warm or cold', by whether they concentrate more, the same or less radioactivity than does the sur­ rounding tissue. When the nodule is 'warm or cold', the value of the scan depends largely upon the morphology which it demonstrates." Another panelist Dr. Jehuda J. Steinbach pointed out that the field of competitive radioassays is the most rapidly expanding field in nuclear medicine today. "A few years ago only a few selected laboratories could perform only one or two selected tests. By contrast today the available procedures and laboratories that can perform them are almost too numerous to count." Brain scanning has become widely available during the past 10 years, according to Dr. George J. Alker. "Today most hospitals are equipped to perform this examination and in most nuclear medicine departments it is the single most frequently performed imaging procedure. Although originally intended to be a means of localizing brain tumors, it was soon recognized that a number of non-tumorous diseases of the central nervous system can also be diagnosed and localized by this technique. Today brain scanning is firmly established as an important vart of the workup of patients with a wide variety of neurological diseases." Dr. R. Ronald Toffolo reviewed the 205 placental scans carried out in the nuclear medicine department at Millard Fillmore Hospital from April 1965 to March 1973. "Approximately three per cent of patients show vaginal bleeding in the last trimester of pregnancy; of these placenta previa is the cause in less than one per cent. A standard five inch crystal rectilinear scanner and flat field collimator are used." Dr. Hays Spring Clinical Days Dr. Yehuda G. Laor pointed out that liver scanning is rather simple and does not involve any patient preparation. "Spleen scan­ ning has become easier and simpler in recent years with the intro­ duction of Technetium 99m Sulfur Colloid, and Indium-113m colloid for liver scanning. Because of the short half-life of these isotopes, larger doses can be injected for routine studies. Pancreas scanning has not progressed in recent years. And because of the difficulty of performing and interpretation of pancreas scans as well as the high cost, these studies are not as widely performed as liver and spleen scans." Dr. Joseph Prezio discussed pulmonary emboli and the lung scan; Dr. Monte Blau, nuclear medicine overview; Dr. Suraj P. Bakshimd, bone scanning; Dr. Marguerite Hays, thyroid scan, and Dr. Eugene V. Leslie, clinical professor of radiology, chairman of the radiology department and acting chairman of the nuclear medicine department, moderated the panel. • FALL, 1973 15 . �r.rvrm:, Relaxing in the student lounge. Intern Matching After announcing the "matchings" Dr. Cummiskey said he was leaving the University to join the department of radiology at the Meyer Hospital as a resident. Michael Haberman, Louis Zibelli, Mark Heller "Two thirds of you were 'matched' with your first choice of hospital and 85 percent ranked with a hospital listed among your first three choices." That's what Dr. Thomas G. Cummiskey, assistant dean at the School of Medicine told the 115 members of the graduating class. To further point out the high calibre of this class he pointed to the "matches" with the prestigious Johns Hopkins Hospital, Los Angeles Harbor Hospital, Vanderbilt, Michael Reese and Columbia Presbyterian Hospitals. Under the National Internship Matching Plan, which attempts to match the preferences of the students with those of the hospitals throughout the country, 44 will remain in Buffalo and 22 others will continue their training in other parts of New York State. The remainder will go to 20 other states, with California receiving the largest number of 10. One will go into the Public Health Service in New York City. Fourteen members of the class did not participate in the matching plan electing to make their own arrangements. Eighty-two of the seniors chose to continue their training at University-affiliated hospitals. Twenty-nine others will go directly into specialty residencies, bypassing the internship which appears to be phasing out throughout the country. Of this group, six have selected the specialty of family practice, previously known as general practice. Four will complete their training at the Deaconess Hospital's Family Practice Program. The University Program at Buffalo General and Meyer Memorial Hospitals received all 20 of the interns it requested in straight medicine and 14 of the 15 asked for as general rotating interns. Children's Hospital received eight of the 14 pediatric residents it requested. Two of the three psychiatry residencies were filled at the Meyer and one of five surgery interns requested there was filled. Four of 12 surgery residents were filled at the combined Buffalo General/Meyer Hospitals program as well as. two of four rotating general. 16 THE BUFFALO PHYSICIAN �BRUCE M. ABRAMOWITZ, St. E l i z a b e t h , Boston, straight medicine WILLIAM J. ACKERMAN, University of C a l i f o r n i a ( S a n D i e g o ) , A f f i l i a t e d H o s p i t a l s , r o t a t i n g CHARLES L. ANDERSON, Deaconess Hospital, Buffalo, family practice residency FREDERICK K. BECK, Bridgeport Hospital, Connecticut, rotating WILLIAM S. BIKOFF, Buffalo General/Meyer Hospitals, Buffalo, rotating medicine DONALD R. BLOWERS, Hennepin County General, Minnesota, rotating LAWRENCE B. BONE, E.J. Meyer Memorial Hospital, Buffalo, straight surgery DAVID H. BREEN, Cedars Sinai Medical Center, Los Angeles, straight medicine FREDERIC R. BUCHWALD, Public Health Service, New York City, rotating FERNANDO J. CAMACHO, Mont e f i o r e H o s p i t a l , N e w Y o r k C i t y , s t r a i g h t medicine JACK R. CAVALCANT, Meadowbrook Hospital, East Meadow, N.Y., rotating medicine YUNG CHEUNG CHAN, Henry Ford Hospital, Detroit, surgery residency ABBY COHEN, Herrick Memorial Hospital, Berkeley, rotating JEREMY COLE, University of California (Los AngelesJ, straight medicine RAYMOND DATTWYLER, University Hospital, Madison, Wisconsin, straight medicine MARK M. DECHTER, University 0/ Virginia Hospital, Charlottesville, family practice RICHARD DUNDY, Detroit General Hospital, Michigan, rotating THOMAS DWYER, Buffalo General/Meyer Hospitals, Buffalo, rotating DEMETRIUS ELLIS, Children's H o s p i t a l , Pittsburgh, Pa., straight pediatrics LEE A. EVSLIN, Maine Medical Center, Portland, rotating RETA D. FLOYD, Huntington Memorial H o s p i t a l , Pasadena, C a l i f o r n i a , r o t a t i n g ROBERT G. FUGITT, Deaconess Hospital, Buffalo, straight surgery VINCENT FUSELLI, University Hospital, Columbus, Ohio, straight pediatrics KENNETH L. GAYLES, M i c h a e l Reese Hospital, C h i c a g o , straight m e d i c i n e THOMAS E. GILLETTE, Washington Hospital, D.C., rotating JOSEPH M. GRECO, Millard Fillmore Hospital, Buffalo, surgery residency RICHARD GREEN, St. Joseph's Hospital, Phoenix, Arizona, straight medicine MICHAEL A. HABERMAN, E.J. M e y e r Memorial H o s p i t a l , B u f f a l o , p s y c h i a t r y residency THOMAS E. HAGUE, D e a c o n e s s H o s p i t a l , B u f f a l o , general rotating RALPH R. HALLAC, B u f f a l o G e n e r a l / M e y e r H o s p i t a l , B u f f a l o , straight m e d i c i n e MAXINE D. HAYES, V a n d e r b i l t University, A f f i l i a t e d H o s p i t a l s , Tennessee, straight pediatrics MARC E. HELLER, Mary Imogene Bassett H o s p i t a l , C o o p e r s t o w n , N . Y . , rotating JEFFREY P. HERMAN, Monte/iore Hospital, New York C i t y , s t r a i g h t pediatrics FREDERIC M. HIRSH, Deaconess Hospital, B u f f a l o , f a m i l y p r a c t i c e r e s i d e n c y DONNA HRUSHESKY, B a l t i m o r e C i t y H o s p i t a l s , Maryland, straight medicine WILLIAM HRUSHESKY, B a l t i m o r e C i t y H o s p i t a l s , Maryland, straight medicine ROBERT HUDDLE, R o c h e s t e r General H o s p i t a l , N e w Y o r k , straight surgery ISRAEL J. JACOBOWITZ, Bellevue H o s p i t a l C e n t e r , N e w Y o r k C i t y , surgery residency BRUCE R. JAVORS, N.Y. Med. College/Metropolitian, New York City, radiology/diagram residency DANA E. JOCK, Mary Imogene Bassett H o s p i t a l , Cooperstown, N.Y., rotating LEELAND JONES, Buffalo General/Meyer Hospitals, Buffalo, rotating medicine BARRY A. KASSEL, H a r t f o r d H o s p i t a l , Connecticut, surgery residency DOUGLAS L. KIBLER, Buffalo General/Meyer Hospitals, Buffalo, rotating JOSEPH T. KING, Cleveland Clinics, Ohio, general rotating MICHAEL KLEIN, Syracuse Medical Center, New York, ob/gyn residency JOHN T. KLIMAS, Johns Hopkins Hospital, Baltimore, pediatrics residency PAUL KURITZKY, Millard Fillmore Hospital, Buffalo, rotating medicine SHARON KURITZKY, Millard Fillmore Hospital, Buffalo, rotating medicin FALL, 1973 17 �ROBERT S. LaMANTIA, B u f f a l o G e n e r a l / M e y e r H o s p i t a l s , B u f f a l o , r o t a t i n g medicine DANA P. LAUNER, North S h o r e / M e m o r i a l H o s p i t a l , N e w Y o r k C i t y , surgery residency DEXTER S. LEVY JR., Santa Barbara C o t t a g e H o s p i t a l , C a l i f o r n i a , rotating NANCY L. LIEBERMAN, New E n g l a n d Medical Center ( T u f t s ) , straight p e d i a t r i c s JEFFREY LIGHT, C e d a r s Sinai M e d i c a l C e n t e r , Los Angeles, straight medicine JOHN I. LOWENSTEIN, Washington H o s p i t a l , D . C . , rotating general THOMAS A. LOMBARDO JR., Millard F i l l m o r e H o s p i t a l , B u f f a l o , surgery residency The Art Mruczeks JAMES S. MARKS, University o f C a l i f o r n i a ( S a n F r a n c i s c o ) , pediatrics residency MARY JANE MASSIE, E.J. Meyer Memorial Hospital, Buffalo, psychiatry residency C H A R L E S J. M c A L L I S T E R , M e a d o w b r o o k H o s p i t a l , E a s t M e a d o w , N . Y . , s t r a i g h t m e d i c i n e RICHARD B. McCORMICK, Charity Hospital, Louisiana, straight surgery DANIEL J. McMAHON, Deaconess Hospital, Buffalo, family practice residency STEVEN J. MORRIS, Grady Memorial Hospital, Atlanta, straight medicine ARTHUR W. MRUCZEK, Buffalo General/Meyer Hospitals, Buffalo, straight medicine MICHAEL V. MURPHY, Millard Fillmore Hospital, Buffalo, rotating general JOSEPH M. MYLOTT, Deaconess Hospital, Buffalo, straight surgery STEPHEN A. NASH, Maricopa County G e n e r a l , P h o e n i x , rotating general VINCENT NAT A LI TIMOTHY NOSTRANT, U n i v e r s i t y o f Michigan, A f f i l i a t e d Hospitals, Ann A r b o r , straight medicine PATRICK L. O'CONNOR, M i l l a r d Fillmore Hospital, r o t a t i n g surgery PAUL A. ORENS, St. Peters Hospital, Albany, radiology/general residency RONALD D. OSGOOD, Mercy Hospital, Buffalo, rotating general EUGENE OSTROFF, Buffalo General/Meyer Hospitals, Buffalo, rotating general PAUL A. PALMA, Presbyterian H o s p i t a l , N e w Y o r k C i t y , straight pediatrics GARSUTIS K. PALYS, Hershey M e d i c a l C e n t e r , P e n n s y l v a n i a , f a m i l y p r a c t i c e r e s i d e n c y ROBERT L. PENN, N.C. Memorial, Chapel H i l l , N . C . , straight medicine DANIEL A., PIETRO JR., B u f f a l o G e n e r a l / M e y e r Hospitals, B u f f a l o , r o t a t i n g medicine IRA H. PORES, B u f f a l o General/Meyer H o s p i t a l s , B u f f a l o , rotating medicine MELVIN R. PRATTER, A l b a n y H o s p i t a l , N e w Y o r k , straight medicine JOHN E. PRZYLUCKI, M i l l a r d Fillmore H o s p i t a l , B u f f a l o , surgery residency STEVEN T. PUGH, M e d i c a l C o l l e g e o f Virginia, Richmond The Dan Wistrans The Ralph Hallacs THE BUFFALO PHYSICIAN �T h e babies stole t h e s h o w Re t a Floyd (right) and friend ANDRE RASZYNSKI, C h i l d r e n ' s H o s p i t a l , B u f f a l o , pediatrics residency SCOTT G. READER, Buffalo General/Meyer Hospitals, Buffalo, rotating general MICHAEL A. RIOZZI JR., St. Mary's Hospital, Long Beach, California, rotating LYNNE S. ROSANSKY, Maimonides Hospital, Brooklyn, rotating medicine J U D I T H R O U S S O , E.J. M e y e r M e m o r i a l H o s p i t a l , p s y c h i a t r y r e s i d e n c y JACOB D. ROZBRUCH, New York/Memorial Hospital, pediatrics residency JON P. RUBACH, Buffalo General/Meyer Hospitals, Buffalo, rotating medicine BARRY SANDERS, B u f f a l o General/Meyer H o s p i t a l s , B u f f a l o , rotating medicine MICHAEL A. SANSONE, B u f f a l o G e n e r a l / M e y e r H o s p i t a l s , B u f f a l o , straight medicine MICHAEL R. SAVONA, Presbyterian H o s p i t a l , N e w Y o r k C i t y , straight medicine MARK N. SCHEINBERG, C h a r i t y H o s p i t a l , Louisiana, straight ob/gyn ARNOLD W. SCHERZ, Bronx M u n i c i p a l H o s p i t a l C e n t e r , B r o n x , pediatrics residency ROBERT SCHULMAN, Children's Hospital, B u f f a l o , pediatrics residency DENNIS SCHUSTER, University o f K e n t u c k y M e d i c a l C e n t e r , L e x i n g t o n , straight surgery ARTHUR SGALIA, B u f f a l o G e n e r a l / M e y e r H o s p i t a l s , B u f f a l o , straight medicine ROGER SIMON, B u f f a l o G e n e r a l / M e y e r Hospitals, B u f f a l o , rotating medicine ROY W. SLAUNWHITE III, Children's H o s p i t a l , B u f f a l o , pediatrics r e s i d e n c y STEPHEN A. SMILES, Bellevue H o s p i t a l C e n t e r , N e w Y o r k C i t y , straight medicine RICHARD A. SPECTOR, Charity H o s p i t a l , Louisiana, rotating DENNIS E. STEMPIEN, University of Minnesota, Minneapolis, straight medicine DARLENE THORINGTON, Deaconess Hospital, B u f f a l o , f a m i l y practice residency T h e Barry Sanders JOHN P. VISCO, E.J. M e y e r Memorial H o s p i t a l , B u f f a l o , straight medicine RONALD L. WASHBURN, University of Michigan, Ann Arbor, r a d i o l o g y / d i a g . r e s i d e n c y THOMAS D. WASSER, Rochester G e n e r a l H o s p i t a l , N e w Y o r k , rotating general MATTHEW H. WEBER, E.J. M e y e r Memorial H o s p i t a l , B u f f a l o , rotating surgery RICHARD L. WIGLE, K e e s l e r A i r Force Base, B i l o x i , M i s s . , straight medicine GARY J. WILCOX, Los Angeles County Harber General, C a l i f o r n i a , s t r a i g h t p a t h o l o g y CHARLES E. WILES III, E.J. M e y e r Memorial Hospital, B u f f a l o , surgical r e s i d e n c y EDWARD L. WILSON, Millard F i l l m o r e H o s p i t a l , B u f f a l o , rotating medicine JONATHAN WISE, Memorial Hospital, New York City, pediatrics residency DANIEL C. WISTRAN, Rhode Island H o s p i t a l , Providence, straight medicine ROBERT A. WOOLHANDLER, B u f f a l o General/Meyer H o s p i t a l s , B u f f a l o , rotating medicine HENRY M. WYMBS, B u f f a l o General/Meyer Hospitals, B u f f a l o , rotating medicine LYNDA M. YOUNG, Children's Memorial Hospital, C h i c a g o , straight p e d i a t r i c s LAWRENCE ZEMEL, Children's H o s p i t a l , B u f f a l o , pediatrics residency LOUIS R. ZIBELLI, Monte/iore H o s p i t a l , N e w Y o r k C i t y , straight medicine FALL, 1973 19 �In cold room working with electrophoresis are Mrs. Eddy and Drs. Giilman, Bigazzi and Van Oss. I Separating Living Cells in Outer Space 20 NCREASING THE DEFENSE MECHANISMS of those who suffer from immunological disease may be a step closer to reality through pioneering investigations underway by a team of immunologists at the Medical School. Headed by Dr. Pierluigi E. Bigazzi, the team is devising a way to separate living cells through their electrical charge, something that has always been hard to do because of interference from the force of gravity. Their proposal, to study this phenomenon where there is no problem — in outer space where at zero gravity there is no cell sedi­ mentation and therefore separations can be per­ formed easily with simple devices — was awarded a major NASA contract. The group who is working with the research associate professor of microbiology are Dr. Cetewayo Giilman, research associate; Mrs. Martha Eddy, research technician, the staff of the department of microbiology's immunochemistry laboratory directed by Dr. Carel J. van Oss. Consultants are Drs. Noel R. Rose and Stan­ ley Cohen of The Center for Immunology at the University. THE BUFFALO PHYSICIAN �"The most important cell for immunologic reactivity," said Dr. Bigazzi who is a graduate of the University of Florence (Italy), "is the lymphocyte." Subdivided into at least two populations, they are T (thymus-dependent) and B (bone marrow-derived) cells. T cells, involved in cell-mediated immunity, make up a variety of substances known as "lymphokines." B cells, on the other hand, are involved in antibody formation. Deficiencies in T and/or B cells cause severe human diseases such as agammaglobulinemias, Di George's syndrome, etc. Or they may occur in patients with various malignancies such as Hodgkin's disease and chronic lymphatic leukemia. "It is clear," Dr. Bigazzi said, "that if we want to restore immunological compe­ tence to a deficient individual we must be sure that we are giving the right kind of lymphocytes or their products to the patient. If we can do so, we can specifically strengthen the protective defenses of those who suffer from certain types of tumors, chronic infections or who need to undergo organ transplantations." Electrophoretic separations are done by allowing the negatively charged cells — in sus­ pension in water — to migrate in an electric field toward the positive electrode. T cells, more negatively charged than B ones, must migrate faster. But during the time it takes for T cells to run significantly ahead of B cells, all of the cells will have settled to the bottom of the vessel at one (1.0) gravity on earth. Until now the only way that T and B cells have been separated is through microanalytic methods that have produced minute quantities and with the help of very complicated steady state fluid flow electrophoresis contrivances. The Buffalo team hopes to find a simple method to separate them in larger amounts for later use in clinical situations. But to do this they must find ways to simulate by different densities something close to the zero gravity that is found in outer space. Explained Dr. van Oss, "we must be able to simulate on earth what we hope to accomplish in outer space." And the team has already begun to get resultsj ^ Dr. Gillman and Mrs. Heide count the number of lymphocytes in fraction separated preparation by electrophoresis. FALL, 1973 21 �"With the aid of heavy water at one grav­ ity," the professor of microbiology continued, "we have been able to fool lymphocytes into thinking for a short time that they are at zero gravity. And by using electrophoretic migration from the bottom to the top of a tube, we have recently succeeded in having the most nega­ tively charged (T) cells overcome gravity and rise to the top before the B cells." While separations are now being achieved with quantities of cells running about several hundred thousand per fraction, the team hopes to separate millions to billions of cells. When enough data are collected in their laboratory on earth, experiments for Skylab and its con­ tinuous Shuttle will be planned. But first prior­ ity of the team is to devise a method to freeze lymphocytes for their trip to Skylab and immediate return to earth following separation. On the trip of Apollo 16 to the Moon an electro­ phoretic separation of different inert latex parti­ cles was achieved at zero gravity. This demon­ strated the feasibility of doing electrophoresis at zero gravity. Work is now underway in Buffalo's immunochemistry laboratory as well as at NASA to prepare the way for more sophisticated zero gravity cell electrophoresis experiments. Explained Dr. van Oss, "Although this approach awaits the development of continuously operating space laboratories to be applied routinely to clinical problems, these pioneering investigations should open the way for such applications. • The "team" discuss progress on electrophoresis of lymphocytes. �President Robert L. Ketter has appointed a five-member Task Force to study the utilization of University staff, facilities and funds now devoted to teaching and research in the life sciences. Einstein Profes­ sor Jui H. Wang will chair the Task Force on the Utilization of Life Science Resources which has been charged with determining whether the present organizational structure contributes "in an optimal fash­ ion to the accomplishment of our teaching, research and service missions." Two Medical School faculty members — Sir John C. Eccles, Nobel Laureate and distinguished professor of physiology and bio­ physics, and Dr. Om P. Bahl, professor biochemistry — are on the task force. The other members are Dr. Peter T. Lansbury, professor of chemistry and Dr. Frank A. Loewus, professor of biology. Dr. Ketter, in a letter to the Task Force, noted that "The Univer­ sity's organizational chart suggests, at first glance, a possible duplica­ tion or overlap" of resources. He noted that there are eight depart­ ments involved in the study of biology or specialized areas of biology. There are five departments concerned with chemistry. Pharmacology is offered in departments located in the Schools of Medicine and Pharmacy and at Roswell Park Memorial Institute. Dr. Ketter asked the Task Force to examine the present organiza­ tional structure and answer the question "Are there alternative modes of organization which might lead to a better utilization of University resources and a more efficient accomplishment of our objectives?" No deadline was set for the group, but Dr. Ketter said he wishes to impress upon its members "the primary importance and urgency of the problem" and that he hopes the Task Force will present a report to him as soon as possible. • Medical School Executive Officer Dr. Clyde L. Randall, vice president for health sciences at the Univer­ sity since 1970 and acting dean of the School of Medicine since 1971, has been appointed executive officer of the School of Medicine. Dr. Robert L. Ketter, president, made the appointment on the recommendation of Dr. F. Carter Pannill, who became vice president for health sciences on July 1. Dr. Randall will hold the post until a permanent dean is appointed. An 11-member search committee, chaired by Dr. Alan J. Drinnan, was appointed in March to find and recommend candidates for the deanship. No deadline for the committee has been set, although Vice President Pannill has said that he would like to have the new dean appointed as soon as possible. Referring to Dr. Randall's new assignment, President Ketter said, "We are deeply indebted to Dr. Randall for accepting this interim assignment with the same dedication he has shown in his key position as vice president for health sciences during the past three years. We are most fortunate to have his experience and ability as we launch a new era for health sciences at this University." • FALL, 1973 Life Science Resources �Dr. Edward F. Marra gives final instructions to the graduates. 127th Annual Commencement It was traditional. There was the procession of cap-and-gown clad Doctor of Medicine candidates and faculty, the Invocation, and oathtaking (Maimonides as well as Hippocratic). There was the hooding and signing of the Book of Physicians where family and friends individually acknowledged their loved ones. There was the dedi­ cation of the medical/dental school yearbook, MEDENTIAN by the class to Dr. Jules Constant and his eloquent response. There was the class president's moving charge to the graduates, as well as recog­ nition for outstanding work through awarding of prizes. But, added was the graduates' plea to support Dr. Mohamed Megahed denied tenure and promotion — and the conferring of Mas­ ters and doctor of philosophy degrees to basic sciences candidates at the School of Medicine ceremonies. • The processional. The Medical School had its own commencement for the first time in recent years. It was com­ bined with the annual class day awards. The University had 15 separate Commencement Ceremonies in May for the first time. • 24 �18 Seniors Honored Eighteen senior medical students shared 1'5 awards at commence­ ment exercises of the School of Medicine, May 20 at Kleinhans Music Hall. One, Michael R. Savona, earned three while three others, Wil­ liam J. Ackerman, Robert L. Penn, and Michael A. Sansone, earned two each. The awards were presented to the following by Dr. Clyde L. Randall, acting dean of the School of Medicine and vice president for Health Sciences who also conferred 115 MD degrees to the seniors. To basic sciences graduate students 43 PhD degrees, 24 Master of Arts degrees, and four Master of Science degrees were awarded. Alpha Omega Alpha (National Honorary Society) — William J. Ackerman, Dana E. Jock, Nancy L. Lieberman, Charles J. McAllister, Robert L. Penn, Melvin R. Pratter, Michael R. Savona, Stephen A. Smiles, Richard A. Spector, Dennis E. Stempien. Thesis Honors — Daniel C. Wistran U p j o h n Award (zeal, diligence, application in study of medicine) — Maxine D. Hayes B u f f a l o S u r g i c a l Society Prize in Surgery (academic excellence) — Dana P. Launer David K . Miller Prize in Medicine (demonstration of Dr. Miller's approach to caring for the sick — competence, humility, humanity) — Michael A. Sansone Gilbert M. B e c k Memorial Prize in Psychiatry (academic excellence) — James S. Marks Philip P. Sang Memorial A w a r d (efficiency in practice of medicine, dedication to human values) — Michael R. Savona Morris Stein Neural Anatomy Award (excellence in neural anatomy) — Michael V. Murphy Maimonides Medical S o c i e t y Award (application of basic science principles to practice of medicine) — William J. Ackerman Hans J. Lowenstein Award in Obstetrics (academic excellence) — Michael R. Savona B e r n h a r d t a n d Sophie B. G o t t l i e b Award (combination of learning, living, serving) — Michael A. Sansone M a r k A . Petrino Award (demonstrated interest, aptitude for general practice of medicine) — Daniel J. McMahon Lieberman A w a r d (interest, aptitude in study of anesthesiology) — Steven T. Pugh Emilie D a v i d Rodenberg Memorial Fund (academic excellence in study of diabetes, its complications) — Kenneth L. Gayles Dr. Heinrich Leonhardt Prize in Surgery (academic excellence) — Robert L. Penn • FALL, 1973 25 Linda Young, Dr. Cummiskey Michael Sansone, class president all four years, said "complete and competent medical care is our prime motivation . . . that he (Dr. Megahed) has literally devoted mind/soul to educating students, caring for patients." �"I have always used teaching as a way to make learning easier /or myself . . . I have learned much from teaching you," Dr. Jules Constant said. He was honored in the Medentian. Graduate students receive their master's and Ph.D. degrees. Five black students were among the 115 medical graduates. Only six black physicio graduated from the Medical School before 1967. Roger Simon receives congratulations from William C. Baird, chairman of the University council. Charles Anderson, Dr. Thomas Cummiskey Kenneth Gayles, Dr. Cummiskey THE BUFFALO PHYSICIAN « �In a commencement luncheon address on the tenth floor of Goodyear Hall, President Robert L. Ketter said that the 1973 graduating class of 5,853 students is the largest in the school's history and brings to a total of 71,928 the number of graduates of the school since it was founded in 1846. More than half of that total, 38,767, have graduated in the eleven years U/B has been a member of the State University of New York. As a private institution, the University graduated only 33,161 in the 116 years from 1846 to 1962. Dr. Ketter made special note of the 97 Equal Opportunity Program students receiving their degrees, 23 of whom have achieved honors. 16 were graduated cum laude, 5 magna cum laude and 2 summa cum laude. One of the summa cum laude students maintained an academic average of 3.8 of a possible 4.0. The Equal Opportunity Program was initiated at U/B for underprivileged students following the assassination of Martin Luther King in 1968. This year's class is the program's second full graduating class. In analyzing the total number of 1973 U/B graduates, Dr. Ketter said that 484 doctorates, 1,290 masters, 3,664 bachelors and 45 associate degrees are being awarded. 115 medical doctors and 75 dentists were graduated, while the School of Law awarded 180 Juris Doctor degrees. The graduates came from 49 New York State counties, 18 states, and 35 foreign counties. Commenting on U/B's decentralized commencement ceremonies initiated this year, Dr. Ketter described "preliminary opinions" as "favorable." He said that the 15 separate ceremonies attracted more than 13,000 friends or members of the families of graduates and a higher proportion of graduates than participated last year. Dr. Ketter concluded his remarks by citing seven members of the U/B faculty and staff retiring this year after a combined University service of 225 years. They are: Dr. Gregory Breit, distinguished profes­ sor of physics; Dr. Raymond Ewell, former vice president for research; Miss Dorothy M. Haas, former director of Norton Hall; Dr. John Horton, professor of American history and former department chairman; Dr. A. Margaret Larsen, former chairman of functional nursing; Dr. Harriet F. Montague, professor of mathematics, and Dr. Oscar A. Silverman, director emeritus of university libraries and former Eng­ lish Department chairman. • Drs. S. Mouchly Smali, Cedric Smith, Edward Marra. FALL, 1973 27 5,853 Graduates �Drs. EJJison and Ronald Rohe, a Fellow in oncology and hematology, examine a patient. T, A New Medical Oncology Unit REATMENT, TEACHING AND RESEARCH are the main thrusts of the first Medical Oncology unit at the E. J. Meyer Memorial Hospital. Here, Dr. Rose Ruth Ellison and a team of oncologists, fellows, and residents will study and treat the gamut of neoplastic diseases seen in the outpatient service and in the hospital. They will also provide consultation and work with physicians and surgeons treating patients who have neoplastic diseases. "Our group," says Dr. Ellison who is an associate professor of medicine, "will be particularly involved with patients who have recurrent disease and those with neoplastic problems who are no longer amenable to surgical or irradiation treatment." The investigator, who has over 20 years of experience in clinical cancer research, drug trials, clinical pharmacology in leukemias, lymphomas, and solid tumors, is planning a joint medical oncology/hematology training program where medical house staff and fellows will study the natural history of these diseases. "We want them to learn about methods of specific and supportive care for these patients," Dr. Ellison, who is also the hospital's associate direc­ tor of medicine, said. The fellows will also participate in clinical pharmacologic studies that must precede the therapeutic evaluation of new drugs in patients with cancer. For medical students, there will be a joint medical oncology/sur­ gery approach to their cancer teaching program. The medical oncology team will join the surgical group headed by Dr. Gerard Burns, who is associate professor of surgery, in clinical conferences, discussion of patient care and didactic lectures for the student who will have access to cancer teaching materials. For those seniors who want a more concentrated approach, there will be the opportunity of an elective in the medical oncology unit. Says Dr. Ellison, "Before we give any drug to a patient, we want to complete a wide range of clinical and laboratory studies to arrive at a profile of a tumor in that patient. We then treat according to protocols that take advantage of the chemical structure and bio­ chemical activity of the drugs involved. Such protocols standardize the routes and schedules of drug administration, the measurement of the effects of a compound on the tumor in a particular disease, the kinds of patients to be treated, and the methods for analyzing the effects. We have developed a standardized type of record keeping that involves an enormous amount of cooperation among national investigators as a means to learning more about clinical cancer and improving available treatment." 28 THE BUFFALO PHYSICIAN �Dr. Ellison, a graduate of Columbia University College of Physi­ cians and Surgeons, will continue as executive officer of an inter­ national cooperative group, Acute Leukemia Group B, which is active in evaluation of new chemotherapeutic methods in leukemias, lymphomas, and solid tumors. In this research group, funded by the National Cancer Institute and headed by Dr. James F. Holland, research professor of medicine and chief of Medicine A at Roswell Park Memorial Institute, are clinical and laboratory scientists from over 50 hospitals and six countries who study the results of treatment in more than 1500 patients a year. Such patients, are treated under formal controlled protocols with standardized methods of treatment, record keeping and evaluation. Clinical research in such cooperative studies, points out Dr. Ellison, has already led to development of markedly improved treatment for acute leukemia in children. Less marked, but definite improvement in available treatment for acute leukemia in adults, is now being seen. "While chemotherapy alone is curative only in some patients with choriocarcinoma, Wilm's tumor and Burkitt's lymphoma (and hopefully in some children with lymphocytic leukemia), it is pallia­ tive in numerous other situations," says the former associate chief of Medicine A at Roswell Park Memorial Institute and staff member at Memorial Hospital and Sloan-Kettering Institute in New York City. "It is expected that large-scale study of combinations of drugs — alone or in combination with other modalities of therapy — will lead to considerable improvement in the treatment of other cancer," she said. Dr. Ellison is a member of the Advisory Committee on Clinical Investigation of the American Cancer Society, The Cancer Clinical Investigation Review Committee of the National Cancer Institute, and the National Board of Trustees and the Medical and Scientific Advisory Committee of the Leukemia Society of America, Incor­ porated. She is also secretary-treasurer of the American Society of Clinical Oncology, and will continue to be a consultant at Roswell Park. Dr. Ellison's husband, Dr. Solon A. Ellison, is professor and chairman of the Oral Biology Department in the Dental School at the University. • Dr. Edward S. Hender­ son is the new chief of Medicine A at Roswell Memorial Institute. He served as head of the Leukemia Service Department, National Cancer Institute, Bethesda, Md., since 1965. Dr. Henderson re­ places Dr. fames F. Hol­ land who joined the staff of Mt. Sinai Hospi­ tal, New York City. Dr. Stephen AJpert, Dr. Ronald Rohe, Dr. Ellison, Stephen Yerkovich, 3rd year medical student, Donald Younkin, 3rd year medical student, and Dr. Richard Bettigole, associate professor of medicine, examine a patient. �Summer Fellowships For 49 medical students, studies were not over when the spring session ended in May. Through the unique opportunity of $750 to $1000 fellowships, 30 freshmen, 16 sophomores, and 3 juniors are spending a ten-week period in a new or continuing clinical or research experience. In reviewing applications received from medical students that outlined proposed research or clinical projects under specific precep­ tors, the six member summer fellowship committee (three from basic sciences, an equal number representing clinical departments) under chairman Dr. Carl J. Bentzel awarded nine $1000 fellowships to con­ tinue outstanding projects begun earlier. Through this program, the associate professor of medicine hopes to encourage medical students to continue project-oriented research on their own time during their four years of medical school. Pointed out Dr. Bentzel, "some of these projects are as carefully planned and pursued as research projects by senior faculty." Receiv­ ing these special stipends were Jack Cukierman, John Hedger, Lynne Hochberg, Michael Nakao, Mary Roembolt, Ian S. Brown, James Burdick, Nina Kostraba, and Robert Weiss. Over half of the students (31) are working on projects involving basic medical sciences, clinical research as well as in the study of health care services. The remaining 18 are furthering their educa­ tion through preceptorships in the clinical field. Most (43) remain in Buffalo to work in University research laboratories and at Roswell Park Memorial Institute, in local hospitals or in health clinics located in the county. Two traveled to Ecuador and Colombia (South America) to gain insight into medical practices there while one is spending the summer at a Brooklyn Medical Center, another at the University of Rochester. $1,000 Continuing Fellowship Local Project Cukierman, Jack '75 Testing implanted device for peritoneal dialysis Hedger, John '75 Hochberg, Lynne '75 Nakao, Michael '75 Roemboldt, .Mary '75 Brown, Ian S. '74 Burdick, James '75 Kostraba, Nina '75 Weiss, Robert '76 Effect of antiarrhythmic drugs on digitalis-induced atrial arrythmias Morphological study of two neurosecretory systems related to salt/water balance in Lebistes Reticulatus Perception/processing of stimuli alternating between receptive surfaces in audition/somesthesis AC current response to altering epithelial morphology Sensitization of human lymphocytes to autologous malignant cells Induction/treatment of Wilm's tumor in Wistar/Firth rats Nonhistone proteins/gene regulation Enhanced sensitization of cultured human lymphocytes to autologous malignant cells CLINICAL Bishop, William C. '76 Experience in a mental health emergency clinic Gitterman, Benjamin '76 Community medicine Goldfield, Norbert '76 Societal response to managing drug abuse 30 Jewish Hospital/Medical Ctr., Brooklyn, Dr. B. Levowitz E.J. Meyer Hospital, Dr. S. Wittenberg Anatomical Sciences, Capen Hall, Dr. E.R. Hayes Psychiatry, 2211 Main Street, Dr. S. Axelrod Veterans Hospital, Dr. C. Bentzel Roswell Park Mem. Institute, Dr. J. Mitchen Roswell Park Mem. Institute, Dr. G. Murphy Biology dept., Dr. T. Wang Roswell Park Mem. Institute, Dr. J. Mitchen E.J. Meyer Hospital, Dr. M. Gerstenzang Jesse Nash Health Center, Dr. A. Goshin E.J. Meyer Hospital, Dr. C. D'Amanda THE BUFFALO PHYSICIAN �Kramer, Stanley J. '76 General preceptorship in a state school Krawczyk, Justine A. '76 Experience in treatment of alcoholism Krypel, Geraldine '76 Community health care/delivery Lichtenstein, Howard '76 Preceptorship in geriatrics Pohl, Melvin I, '76 Ritter, Thomas L. '76 Child psychiatry Rural clinic/hospital experience Russell, Keith '74 Evaluating infants born to methadone dependent mothers Shriro, Linda '76 Tardino, John A. '76 Child psychiatry Rehab, approach to physically handicapped/retarded children Weiss, Barry D. '76 Rehab, approach to physically handicapped/retarded children RESEARCH Local Anderson, Serafin C. '76 Bartkowski, Henry '74 Cohen, William I. '75 Bowe-Anders, Constance '76 Ferraras, Richard '75 Friedes, Francine E. '76 Fogel, Marshall A. '76 George, Donald E. '76 Horner, Douglas '76 King, Janet '76 King, Peter '76 Kulick, Kevin B. '76 Lazoritz, Stephen '76 Neander, Michael J. '76 Nocek, Marie A. '76 Project Compare blood pressure measurements in low birth weight infants by three different methods Electron microscopic studies of human ependymal linings in hydrocephalus Idiopathic hypopituitarism Postnatal dev/funct. differential of mammalian retina Antibody response to specific bacterial infections Relating ob/gyn patient's sex edu/attitudes on menustration/ovulation/pregnancy to socio/econ status Estrogen antagonism of activating effect of androgens on prostatic membrane ATPase Isolate/characterize hexoseaminidase A; invest. Tay-Sachs disease Factors affecting cadmium distr/excretion in rat Evaluate psychiatric problems in patients undergoing radical surgery for cancer therapy Specimen preparation for gross human anatomy Study knowledge/attitudes on pre/postabortion counseling of male Investigate relationship between pharmacokinetics of anti­ bacterial agents/clinical success of drug therapy in urinary tract infection of pediatric patient Prepare prosected specimen for gross anatomy Samuel, Agnes L. '76 Schenk, Carlos '76 Study ligation of intestinal lymphocytes; effect on serum lipids DNA content of normal/abnormal cells in retina of rat Failure of prenatal masculinization Szfler, Hanley J. '75 Renal clearance of digoxin used as guide to drug therapy Wagman, Bernard '76 Anesthesia procedures, respiratory physiology Warner, Natalie '75 Zak, Thaddeus A. '76 Effect of 6-aminonicotinamide on dev. nervous system/rat Physiologic function of superoxide dismutase; a "new" enzyme Rowland, Michael C. '75 West Seneca State School, Dr. L. Huzella Veterans Hospital, Dr. L. Lewandowski Lackawanna Community Health Ctr., Dr. A. Goshin Buffalo State Hospital, Dr. N. Winkelstein Children's Hospital, Dr. T. Anders Concord Medical Grp, Springville, Dr. C. Rodgers E.J. Meyer Hospital, Dr. C. D' Amanda Children's Hospital, Dr. T. Anders Children's Rehab. Center, Dr. E. Warner Children's Rehab. Center, Dr. D. Kerr-Grant Children's Hospital, Dr. G. Ciacoia Anatomical Sciences (Capen Hall Neurosurgery (Meyer), Drs. J.C. Lee, L. Bakay Children's Hospital, Dr. T.Aceto Neurosensory Lab., Dr. W. Noell Children's Hospital, Dr. E. Neter E.J. Meyer Hospital, Dr. L. Hevizy Veterans Hospital, Dr. W.E. Farns worth Children's Hospital, Dr. R. Davidson U. of Rochester, Dr. J.C. Smith Roswell Park Mem. Institute, Dr. M. Plumb Anatomic Sciences (Capen Hall), Dr. J.C. Lee Erie County Medical Group, Mrs. E. Kaiser, C. Lechner Children's Hospital, Dr. T.Aceto Anatomical Sciences (Capen Hall), Dr. J.C. Lee Veterans Hospital, Drs. D. Dean, A. Gage Neurosensory Lab., Dr. W. Noell Children's Hospital, Dr. H. Meyer-Bahlburg Millard Filmore Hospital, Dr. F. Kauffman E.J. Meyer Hospital, Dr. R. Markello Pharmacology Dept., (Capen Hall), Dr. F. Kauffman Biochemistry Dept., (Capen Hall), Dr. M. Ettinger FAMILY PRACTICE (arranged by Dr. James R. Nunn) Cassiano, Coley J. '75 Dr. Robert Haines, 3435 Bailey Avenue Franklin, Hall A. II '75 Dr. Herbert E. Joyce, 3435 Bailey Avenue Zinn, Steven '75 Drs. E.R. Haines, J. Nunn, Deaconess Hospital INTERNATIONAL Burke, Alan M. '76 Trautman, Paul D. '75 FALL, 1973 Clinical Urdess, Guayaquil (arranged by Dr. E. Beutner) Ibaqune, Columbia Medical practice in Ecuador Clinical preceptorship in a Colombian hospital 31 �Drs. Cohen and Bigazzi go over research results. Cellular Immunity Dr. C o h e n h a s contributed over 50 scientific articles and is editor of three journals in his field. He has co-authored a book with Dr. Robert T. McCiuskey of Harvard University, who served as chairman of path­ ology at UB from August 1968 to September 1971 on Mechan­ isms of Cell-Mediated Immun­ ity. It d e t a i l s v a r i o u s a r e a s o f immunology mentioned in this story. • 32 There is a diverse approach in Buffalo to the study of a rapidly-growing field of immunologic research called cellular immunity. A team of investigators with Drs. Stanley Cohen and Takeshi Yoshida, are looking at a specific class of immune reaction that is mediated by living cells called lymphocytes rather than by anti­ bodies. This immunologic response functions as an enhancing system. For it makes inflamma­ tory cells work more effectively at sites where antigen is present in the body. Responsible for this activity are factors known as lymphokines. Soluble substances pro­ duced by sensitized lymphocytes, they also pro­ duce profound effects on many other kinds of cells. The first lymphokine to be discovered, migration inhibition factor (MIF) by Dr. John David of New York University and Dr. Barry Bloom of Albert Einstein University, is now under study in the laboratories of Dr. Cohen. What the professor of pathology and former acting director of The Center for Immunology basically wants to do "is to identify new lymphokines, characterize them in relation to one another, and explore the range of their bio­ logical activity." This approach was pursued in his studies with Dr. Hidekichi Sonozaki on the effects of lymphokines on inflammatory exudate cells within the peritoneal cavity of guinea pigs. Not only did they show that MIF (previously defined only in vitro) could function within the intact animal but that a specific kind of lymphocyte, called a T-cell, was responsible for the reaction. Also pinpointed in some lymphokines was another important property known as chemotaxis. These are chemical agents which attract living cells. These findings led to a series of experi­ ments on chemotaxis of various inflammatory cells with Dr. Motomichi Torisu and University of Connecticut's acting pathology chairman Dr. Peter Ward. The investigators were the first to THE BUFFALO PHYSICIAN �discover the mechanism by which eosinophils are attracted to immunologic reactions in cer­ tain allergies and autoimmune diseases. This mechanism involves the formation of a sub­ stance called ECF by sensitized lymphocytes. Said Dr. Cohen who is a Columbia College of Physicians and Surgeons graduate (1961), "during our investigations we continually ask whether substances under study have any real significance inside the body. While it is obvi­ ously worthwhile to describe a factor affecting cells in a test tube or tissue culture system, until we know that it functions in vivo we have no proof that it is useful in protection against disease." He cited a lymphokine discovered through a biophysical technique pioneered by micro­ biologist Dr. Carel J. van Oss that affects the surface tension of inflammatory cells. However it awaits the defining of an in vivo system to prove whether it may play an important role in modifying inflammatory cells by making them more efficient scavengers. Dr. Yoshida checks a lymphocyte culture. FALL, 1973 Dr. Cohen "asks" the results of a computer program. Because of continued concern with human applications, the investigators, joined by Dr. Takeshi Yoshida, turned to studies of mediator substances which could be directly extracted from immunologic reactions. They showed that many factors previously found only in cultures of sensitized lymphocytes could be detected in tissue extracts as well. "We seem to have established a link in the chain of events," said Dr. Cohen, "which begins with the 'switching on' of a specific lymphocyte and ends with an immunologically-induced inflammatory reaction." The lymphokines provide one route by which the immune system serves a protective function. It is especially important in diseases involving viruses, fungi, and certain intra­ cellular parasites. However the 36-year old immunopathologist is quick to point to similar factors made by other kinds of cells in the body that also play a role in resistance to disease. Their production is not dependent upon the immune system. He pointed to interferon pro­ duction as an example. Could cells infected by viruses be induced to produce substances which function like lymphokines as well as interferon? asked Drs. Cohen and microbiologist Dr. Tom Flanagan. With Drs. Peter Ward and Takeshi Yoshida they showed that mumps virus and Newcastle dis­ ease virus could induce nonlymphoid cells in tissue culture to produce MIF as well as chemotactic substances. I 33 cr �A group of investigators check a radioactive immunologic assay. Further investigations with oral biologist Dr. Robert Genco showed that mumps infection of monkey parotid glands led to the release of similar factors within the glands themselves. Extracts of these glands, when injected into nor­ mal tissues, produced identical inflammatory reaction to those in infected glands. Encouraged by results in infectious dis­ eases, the Buffalo team turned to a study of vari­ ous malignant states. With Dr. Pierluigi Bigazzi, they showed that certain oncogenic (tumorproducing) viruses could induce infected cells to make lymphokine-like substances. Moreover, in a series of experiments with Dr. Richard Zeschke lymphokines themselves were found able to modify the behavior of tumor cells. In cooperative studies with Drs. Ben Fisher of the Veterans and Richard Bettigole of the Meyer Hospitals, patients with lymphoma and leukemia are being studied for similar effects. Already demonstrated is the appearance of MIF in the sera of some of these patients at certain stages of their disease. Future studies are 34 planned by Dr. Cohen to correlate this promis­ ing lead with the extent of malignant disease or response to therapy. These diverse multidisciplinary ap­ proaches to the study of mechanisms of inflam­ mation and immunity involve pathologists, internists, surgeons, and microbiologists. Even computers are members of this informal "team." Continuing an interest he developed as a resi­ dent at the Massachusetts General Hospital and while training in immunology under Dr. Baruj Benacerraf at New York University, Dr. Cohen is performing computer simulation studies on the above phenomena. Much of the work has been done with Martin Milgrom, a medical stu­ dent at Columbia University This collaborative approach extends to training programs in which Dr. Cohen participates such as basic pathology course, an advanced elective in computer programming, W.H.O.-sponsored immuno methodology courses, and a series of international convoca­ tions sponsored by The Center for Immunology. • THE BUFFALO PHYSICIAN �Mr. Marshall G. Ause, director of management and planning for the Chicago-based American Hospital Association (since 1968) is the new director of the E.J. Meyer Memorial Hospital. He assumed his new duties August 1. A native of Minnesota, Mr. Ause has 27 years of experience in hospital administration. He holds a master's degree in hospital administration from the University of Minnesota and received his bachelor's degree from St. Olaf College, Northfield, Minnesota. He has held top level administrative posts at military hospitals in North Little Rock, Arkansas and St. Cloud, Minn., at civilian hospitals in Orange, Calif., Brooklyn, N.Y. and Milwaukee, Wisconsin. Mr. Ause has served on the advisory council for the Hospi­ tal Administration course at the University of Minnesota's School of Public Health and has' lectured at several West Coast colleges and universities. His responsibilities in Buffalo will include planning the operation of the county's new $87.5 million Comprehensive Health Center, under construction adjacent to the Meyer. "I was attracted to this position by the high quality of medical care, the dedicated hospital advisory board, the new facility under construction and the hospital's affiliation with the University Medi­ cal School. Also I think Buffalo will be a very attractive place to live." • Ause Heads Meyer Hospital Dr. Donald Larson Joins Faculty Dr. Donald A. Larson has been named associate vice president for health sciences and professor of biology. Since 1959 he has been professor of botany and director of education for health professions at the University of Texas at Austin. Dr. Larson, a native of Chicago, received his bachelor of science degree (1953) from Wheaton College and master of science (1955) and doctor of philosophy (1959) degrees from the University of Illinois. He received a Teaching Excellence Award from the University of Texas Students' Association in 1966. He is a member of the Botani­ cal Society of America, American Society of Cell Biology and Sigma Xi. He has authored more than 30 papers published in professional journals. • FALL, 1973 35 Dr. Larson �Two Health Sciences faculty members were cited for their dedication to teaching and concern for students in the Medical/Dental schools' student yearbook, Medentian. Dr. Gerard Wieczkowski, Jr. was hon­ ored by the dental students and Dr. Jules Constant by the medical students. Dr. Constant Medentian Honors Two Professors Dr. Wieczkowski Dr. Wieczkowski, 31, is assistant professor of operative and pub­ lic health dentistry. He joined the dental faculty in July 1969 as a teaching fellow following graduation from SUNYAB dental school. While a dental student he served as senior class president, editorin-chief, Medentian, was a member of the Med/Dent Student Council, on the dean's search committee, faculty conference on education, and received the senior class alumni award. As a faculty member he has lectured extensively throughout the state on preventive medicine among other subjects, and has been deeply involved in both student/faculty relations. His current research centers on developing a protocol to study anterior restorations and a staff study of pit/fissure sealants. Dr. Constant, 51, is clinical associate professor of medicine who has been on the faculty since 1962 when he was instructor in medicine. The Canadian-born cardiologist received his MD degree from the University of Toronto in 1953, interned at Washington, D.C.'s Central Dispensary and Emergency Hospital, followed by a residency in general practice in Arizona and a year of general practice in Canada before resuming his training in the field of internal medicine in San Diego's Mercy Hospital. A year in private practice there preceded a fellowship in cardiology in London with Dr. Paul Wood. He returned to Buffalo in 1960 to spend the next four years as a research fellow in cardiology at Buffalo General Hospital. He he authored several articles and two books, Bedside Cardiology and Learning Electrocardiography, (a complete course). In their dedication to Dr. Wieczkowski, the dental students said "in the four short years that Dr. Wieczkowski has been on our clinical staff he has shown a talent for teaching that has gained him the respect and admiration of those he has guided. Only when concern for the student and concern for the design of his educational experi­ ence are held primary, can the teacher most effectively achieve his goals. Dr. Wieczkowski is always available and approachable whether in or out of the clinic. He has taken active part in committees of faculty-student interaction where his unique background as recent graduate and instructor make him sensitive to the positions of both parties. In appreciation for his work and desire to serve us, we the Class of 1973, make this dedication." In their dedication to Dr. Constant, the medical students said "it is with great pleasure that the Class of 1973 dedicates this yearbook to Dr. Jules Constant . . . represents a very rare breed of medical educator — one who literally spends all his time with medical stu­ dents. There are very few members of the Class of 1973 who did not attend and thereby profit from his weekly sessions in cardiac physical diagnosis and electrocardiography during our sophomore year. And during any month of the school year at the Buffalo General Hospital one can see several senior students trailing behind him as they head for the coffee shop and a discussion or to one of the floors for a consult. It is his enthusiasm as a teacher and his neverending willingness to inconvenience himself and his family for the sake of students that has earned our deepest respect and gratitude." 36 THE BUFFALO PHYSICIAN �A1921 honor graduate of the Medical School was among eight leaders in education, business and politics honored in June at the 34th annual installation and awards dinner of the University's Alumni Associa­ tion. Dr. Bernhardt S. Gottlieb received the Distinguished Alumni Award. He is still in psychiatric practice in New York City and teaches at the State University Downstate Medical Center and New York University. Dr. Gottlieb interrupted his long practice for a three-year residency at the New York State Psychiatric Institute. He has also earned a bachelor's degree in social sciences from City College of New York, and a doctor of medical science in psychiatry from Colum­ bia University College of Physicians and Surgeons. Bernhardt Gottlieb has been president of Metropolitan New York City Medical Alumni of U/B, a member of the General Alumni Board and donor of an award which is given annually to a U/B medical graduate who combines living in the community and academic abil­ ity. He maintains a lively interest in alumni affairs and in particular, the Bernhardt S. and Sophie B. Gottlieb Psychiatric Library Fund. Mr. Gerald C. Saltarelli, chairman and president of Houdaille Industries, Inc., and Mr. Charles K. Bassett, businessman and philanthropist, received the Capen and Cooke Awards. Mr. Morley C. Townsend, immediate past president of the alumni association, received the President's Award from Dr. Robert L. Ketter. Four others — Hon. Earl W. Brydges, Hon. Charles S. Desmond, Dr. Anthony S. Gugino, and Dr. Olive P. Lester — received Distinguished Alumni Awards. • Dr. Gottlieb Honored Dr Future Alumni Receptions Since its inception in July' 1969 as a part of the annual alumni program, 611 alumni have attended cocktail receptions hosted by the Medical Alumni Association. Mr. David Michael, director of medical alumni affairs, said that the following receptions planned for 1973-74 are open to all alumni, faculty and friends of the Medical School. American College of Surgeons October 15-19, 1973 — Chicago, Illinois (Alumni Reception October 16, 1973 at Conrad Hilton) Medical Society of the State of New York February 24-28, 1974 — New York City Americana Hotel American College of Physicians April 1-5, 1974 — New York City American Medical Association June 22-27, 1974 — Chicago, Illinois American College of Surgeons October 21-25, 1974 — Miami, Florida, Fountainbleau Hotel • FALL, 1973 37 C nt+Hoh �JUNIOR MEDICAL STUDENTS are now coming For Steven Yerkovich who visits a patient in the home, "the home setting benefits both patient and physician. At least psychoiogically the patient is much better off." New Experience for Juniors 38 face-to-face with some of the major social prob­ lems that medicine is up against in health care for the poor outside of the hospital setting. As part of their medicine elective, students may now spend a full week getting indepth exposure in the E.J. Meyer Memorial Hospital's alcohol­ ism program, hemophilia or drug addiction cen­ ters (one is at the Sisters Hospital also). Or they may be assigned to either the Lackawanna or Allentown clinics or to the University Health Center. "Some students," pointed out Dr. Leonard Katz who is coordinator of third year medicine and heads this new learning experience for juniors, "are even selecting their own rural prac­ titioners in order to become familiar with a dif­ ferent set of social problems." For students assigned to the Lackawanna Clinic, there is not only an opportunity to help care for patients but to learn something of their socio/economic backgrounds during home vis­ its arranged by a family health worker. Agreed assigned students "the home setting benefits both patient and physician. At least psycho­ logically the patient is better off." But they debated whether better health care can be pro­ vided in the home. One student saw this type of medical experience as the "up and coming form of medi­ cine," and the Lackawanna Clinic as one of the "few places where we as students can get this more personal kind of experience" that he would have liked to last longer than a week. Others felt a week to be sufficient during the junior year. THE BUFFALO PHYSICIAN �Some students enjoyed dealing with the younger population "not sick enough to be in the hospital but too ill to remain in their rooms." At the University Health Service they witness a "real change from the wheelchair or bedridden hospital patient." Pointing to greater student responsibility was Dr. Luther Musselman who heads the Ser­ vice program for "illness here is not so serious." Students often make the decision as to what to prescribe. He felt the experience of all 13 students rotating through the service last year to be satisfactory to all concerned. Starting in the fall, each new week's group of students will hear a seminar arranged by Frank Corbett, Director of Urban Affairs at the University who has helped Dr. Katz plan this learning experience on health care for the poor. • Frank Corbett and Dr. Katz review plans for the fall program. John Pinneila exam­ ines a patient's foot during a home visit with family health worker Rosie Reves watching. FALL, 1973 39 �JUNIORS Dr. Carol Segal who runs Lackawanna Clinic program and Michaei Sdao see patient during ciinic hours. Keith Russell examines a student in the University Health Center as Dr. John B. Benny looks on. 40 THE BUFFALO PHYSICIAN �Continuing Medical Education Nine Continuing Medical Education Programs are scheduled during Fall, 1973, according to Mr. Charles Hall, director of continuing medical education. Dates, titles and chairmen of the programs are: September 6 —Arrhythmias, Dr. Jules Constant, clinical associate professor of medicine. October 2-3 —Human Sexuality, Dr. Norman Courey, clinical assistant professor of Ob/Gyn. October 11-12 —The Future Role of the State Hospital (sponsored by Division of Community Psychiatry, CME assisting), Dr.Jack Zusman, professor of psychiatry. October 25 —Hypertension (with Ciba Pharmaceutical), Dr. Charles M. Elwood, clinical associate profes­ sor of medicine.. October 29-31 —Computers in Clinical Practice (sponsored by Journal of Clinical Computing, CME assist­ ing), Dr. Elemer Gabrieli, clinical assistant professor of pathology. November 15 October 30 November 6 (Evening) December 4-5 —Evolving Patterns in Community Health, Dr. Henry P. Staub, associate professor of pediatrics. — Today's Management in Pulmonary Disease, Dr. John W. Vance, clinical associate professor of medicine. Gynecological Surgical Techniques, Dr. David Nichols, clinical professor of Ob/Gyn and Dr. Vincent J. Capraro, clinical professor of Ob/gyn. • Twenty-three alumni, wives, residents, faculty and guests attended the American College of Physicians alumni reception at the Conrad Hilton Hotel, Chicago, April 10. Mr. David Michaels, director of medical alumni affairs, was the host for the reception. Those attending from Buffalo were: Doctors George and Mrs. Bauemiller, M'59; Ron Boersma, resident; Marshall and Mrs. Clinton, MAO; John McConville, resident; Thomas G. Cummiskey, M'48; Sattar Farzan, faculty; Merrick Fisher, resident; Mahendra Mirani, facul­ ty; James Morris, resident; Bernard Norcross, M'38; Raymond and Mrs. Partridge, faculty; Sheldon Schwartz, resident; Kamal Tourbaf, faculty. Also — Paul A. Burgeons, M'36, Warsaw, New York; D. King, Philadelphia, Pennsylvania, guest; Michael and Mrs. Lippmann, M'70, Morgantown, West Virginia; James F. Stagg, M'47, Tuc­ son, Arizona; Jack and Mrs. Sternberg, M'72, Cleveland, Ohio. • FALL, 1973 41 Chicago Reception �Mothers sign in with their children. West Side Health Center Adequate health care for every person living on Buffalo's West Side. That is the motto of the West Side Health Center at 17 Pennsylvania Street, according to Mr. Ira Stohl, program coordinator. Mothers with their children flock to this outpatient clinic, located in an apartment house development area. It is here that a group of spirited health professionals (physicians, dentists, nurses, medical students and other volunteers) are working to bring better health care to residents of the area. The Center started as the AllentownLakeview Community Health Center on 273 Maryland Street on February 1, 1972. The Center's main source of income is the annual March on Hunger. In 1972 the Center's share was $6,700; in 1973 $5,000 (estimated). There are three free clinics twice a week — well-baby, maternity and dental. There are other programs to combat lead poisoning, pro­ vide immunization and test for tuberculosis. The free dental clinic is available twice a week in the Rath Building. The Erie County Health Department provides the dentists. The children entertain themselves. Rosemary McCarthy, a public health nurse, visits with a mother at the baby clinic. 42 THE BUFFALO PHYSICIAN �Helen Stephenson, a public health nurse, makes a few notes. Dr. J. Bhattacharyya examines a youngster. Perhaps more important, the center is will­ ing to take on any number of problems that con­ front individual residents of the area. If the Center can't provide a certain health service, it has a list of hospitals and clinics that can. This means providing transportation for neigh­ borhood residents who can't get to the hospitals or physicians' offices. Sometimes it means pro­ viding interpreters in Spanish and Italian to go along to hospitals and clinics with people who don't speak English well, to help them fill out forms, to stay with them if necessary until they receive the help they need. It even means deal­ ing with health-related problems — negotiating with the gas company about an unpaid bilhj ^ Dorothy Hodges, R.N. of the Erie County Health Department chats with several youngsters. The West Side Health Center's exhibit won third place at Spring Ciinicai Days. FUTURE FALL, 1973 - — - — Center plans to develop additional programs will provide compre-, hansive health care to 10 of the 25 thousand persons in its target area Community re si -1 d«ntsj^u_controI policies of th^renter I �Ira Stohl In the fall of 1969 a group of medical stu­ dents at the University conceived the health center. The Medical School students were react­ ing to what they felt was a failure on the part of the profession to recognize and respond to the need of the communities for communitybased health services. Now the original Center on Maryland Street is used as an administration office and for referral services. Currently there are about 40 Medical School students involved with the Health Center. There are six regular volunteers and about 15 other University students (not medical students) on the staff. The Pennsylvania Street clinic cost only about $400 to equip. There were many dona­ tions from private physicians and the Medical School, and Buffalo General Hospital. One pediatrician, about to retire from practice, donated all his office equipment to the clinic. There are five examining rooms, a waiting room, a lab and counseling space in the clinic. The Erie County Health Department has assigned one full-time county nurse to the clinic as well as physicians who conduct the wellbaby clinic every Tuesday morning and the maternity clinic on Wednesday mornings. • The reception room. Betty Coggins with mother and baby. "4 \ vs.• s <3 hs;« h1 44 THE BUFFALO PHYSICIAN �141 Residents, Interns Honored Certificates were granted to 141 residents and interns who completed all or part of their specialty training at University participating hospi­ tals — 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. William J. Staubitz; professor of surgery and chairman of urology. ANESTHESIOLOGY Residency — Drs. E. Wan Kyo, Yik-Shyang Liauw, Jacob Remple GYN ECOLOGY-OBSTETRICS Residency — Drs. Elyas Bonrouhi, Norman Kenneth DeFoe, Said Dounel, Louis Hevizy, Eduardo N. Madambo GYN ECOLOGY-OBSTETRICS and MEDICINE Rotating Internship — Dr. Paul S. Kruger GYNECOLOGY-OBSTETRICS and ANESTHESIOLOGY Rotating Internship — Dr. Edwardo Moreno MEDICINE Residency — Drs. Hassan Amjad, Joseph Badros, Vankataraman Balu, Cecelia Bautista, Ronald Boersma, James Brennen, Anthony Buscaglia, Kenneth J. Clark, Mary Clemens, Joann Data, Merrick S. Fisher, Romesh Kohli, Stanley Lewin, Russell Massaro, John McConville, John McDevitt, Stanley Michalski, James B. Morris, Thomas O'Callaghan, Deolindo Ocampos; Kanubhal M. Patel, Jeffery Pine, Sheldon Schwartz, Uma Shukla, Daniel Yellon Cardiology — Drs. Raymond Aronson; Andrew Ang, P.M. Ignatius, Rene Oliveros Gastroenterology — Drs. Luis Maas, David Vastola Immunology — Dr. Michael Liebling Nephrology — Dr. Arshad M. Saeed Pulmonary — Dr. Richard T. Milazzo Rheumatology — Dr. Alberto Gentiletti (continued on page 47) FALL, 1973 45 �Dr. Eugene MindelJ, who heads the library committee at the Meyer Hospital, shows some of the resource material to Dr. Leonard Katz. A learning resources center, to aid students as well as housestaff acquire clinical skills through self learning is now underway in the E.J. Meyer Memorial Hospital's department of medicine. A satellite has opened at the Buffalo General Hospital. And, says Dr. Leonard Katz who coordinates third year medicine, "the centers have proved a stimulus to continuous self learning. They also serve as means of self assessment." Located in the hospitals' medical libraries (at Meyer under Anthony Ciko; at Buffalo General under Rita Winer) they have been open daily from 9 a.m. to 8 p.m. and Saturdays from 1 to 3 p.m. over the past year under National Fund for Medical Education sup­ port and capitation funds. In its study carrels are tape decks, slide projectors, videocassette playback decks, and TV monitors. "One can choose from 80 different multimedia programs with slide tape lectures and slide sets," says Dr. Katz. "And with the aid of our xerox machine, material from a core collection of reference texts or reprint files can be duplicated." But, points out Meyer's GI Unit head, "our materials, carefully selected by faculty and reviewed by students, are also used for group instruction." Dr. Katz looks forward to the broader interdisciplinary look to the program as orthopedic and nursing materials are added to its multimedia collection. • Librarian Nancy Fabrizio reviews some of the audio/visual material with ferry Banks, Class of 1974. Resource Learning Center 46 �(residents, interns — continued from page 45) Internships — Drs. Thomas R. Beam; Leonard Berkowitz, Richard A. Berkson; William J. Bommer, Robert DiBianco, Robert S. Folman, Alan G. Gasner, Richard Goldman, Elbe J. Goldstein, Robert M. Hof­ fman, Ismil Ismael, Leslie R. Jaffe, George Kotlewski, Lester Lifton, Ronald Liteplo, William T. Murray, Arthur E. Orlick, Richard J. Rivers, Paul A. Seligman, Henry T. Shenfield; James A. Singer, Laurie B. Tolin, Richard Tolin, Kenneth J. Tomecki, Steven B. Tucker, Wil­ liam T. Wallens, Robert B. Whitney, John W. Zamarra Rotating Internships — Drs. Mary Clemens, Richard O. Dolinar, Leslie R. Jaffe, Paul Kruger, Thomas J. Lawley, Stephen J. Levine, George Lundgren, Alan Mandelberg, Philip C. Moudy, David Silverstein, Stephen Welk, Bennett G. Zier NUCLEAR MEDICINE Residency — Dr. K. L. Parthosarthy NEUROSURGERY Residency — Dr. Anthony Avellanoso ORTHOPEDICS Residency — Drs. Richard C. Burnside, Joseph G. Cardamone, Jeffrey L. Kahler, Richard M. Stamile OTOLARYNGOLOGY Residency — Drs. Mohamad Amhad Afify, Homer Uy Bunag, George Robert Cohen, Arden Merrill Kane PATHOLOGY Residency — Drs. Saeed Ahmad, Robert Genovese, Mehroojan Kianian PEDIATRICS Residency — Drs. Chiaw-Charn Charavejasarn, Gerald E. Daigler, Francis Jeyaraj, John P. Menchini, John P. Sauer, Arthur W. Simington Internships — Drs. Richard E. Madison, Robert S. Smith Internship-Residency — Drs. Kenneth A. Burling, Seth C. Craig, III, John D. Foley, Roger A. Forden, Theodore J. Hajek, Roswitha Moehring, Carol F. Reddy, John A. Rider, Thomas S. Svensson PSYCHIATRY Residency — Drs. Richard Joseph Fischer, Jong Sung Lee REHABILITATION MEDICINE Residency — Dr. Shash Kala Sethi SURGERY General - Residency — Drs. Boonsong Anantalabhochai, Alan Bul­ lock, Mario Caniza, Victorino Cumagun, Janak Desai, Ernesto Figueroa, Ross Guarino, Shaukat Hayst, Richard Helffrich, Hanley Horwitz, Israel Kue, Jorge Melendez, Robert Milch, Roger W. Seibel, J. Myron Stern, Catherine Vlastou, Tzu-Lang Wu Thoracic and Cardiovascular residency — Dr. Victor N. Ambruso UROLOGY Residency — Drs. Harvey E. Butler, James F. Conway, Jr., Howard A. Rottenberg, Chang-Tsung Tsai • FALL, 1973 47 �Cutaway drawing shows centri/uge with monitoring platform attached (left center), the circular "submergence basin" to study swimmers, and banked track around outside. Windows under the track flower right) permit observation 0/ swimmers, and the control room is to left of the platform on top of the stairs. The Environmental Physiology Laboratory The centri/uge. (The following article was written by Phil Gunby, communi­ cations division, AMA. It appeared in the medical news section 0/ /AMA (p-1341) on June 4, 1973). The world's newest—and perhaps most unusual— centrifuge starts spinning for science this month. Besides being the latest of a handful of bio­ medical centrifuges around the world, it is unique in that it is: • one of the few in a university environment— THE BUFFALO PHYSICIAN �Testing the oxygen consumption, efficiency and proficiency of swimmers on the monitoring platform. A runner is being tested for efficiency, proficiency and oxygen consumption. the Buffalo medical campus of the State University of New York (SUNY); • surrounded by an 0-shaped "submergence basin"—a swimming facility 2.4 meters deep, 2.4 meters wide, and 60.4 meters in circumference; • further encircled by a banked running track just outside the circular pool, and • designed to permit attachment of a platform on which researchers can circle above the water (and along the inside perimeter of the track) to monitor and take measurements on swimmers or runners. The device is a human centrifuge, large enough to accommodate both an experimental subject and an observer—usually a physician—for the sub­ ject's protection. There is room for the subject to work, such as pedaling an ergometer. Additional monitoring of the subject is handled in the control room (which has an unobstructed view of the centrifuge from above) by closedcircuit television and continuous electrocardio- gram recording. The control room also has twoway radio contact with the centrifuge cab. Other safety aspects of the Buffalo centrifuge include rapid emergency stop ability (10 seconds from 30 revolutions per minute to complete halt), a secondary hatch for access to the cab, presence of a safety officer and emergency life support equipment 5 meters from the centrifuge in the center area around which the cab revolves, and crawl space for technicians to reach the two elec­ tric motors while the centrifuge is in operation. Until now, all the new centrifuge's whirling has been in test runs for engineers of Rocker Corp., Oakland, Calif, who designed, built, and have been installing it. This has been literally under the eye of Leon E. Farhi, MD, whose office overlooks the 930-square-meter Department of Physiology addition that houses the centrifuge. Dr. Farhi, professor of physiology at the SUNYBuffalo School of Medicine, is project director for the Environmental Physiology Laboratory, ^aj ^ FALL, 1973 49 �facility for which the total price tag, including centrifuge, building, related laboratories, and com­ puter system is $1.5 million. The physiology department at SUNY-Buffalo has a strong record of scientific study of man and his environment. Hermann Rahn, PhD, pro­ fessor and chairman, was one of the first to study physiological problems of high-altitude flight. Dr. Rahn and Donald W. Rennie, MD, also professor of physiology, also have studied the ama, Korean woman sponge-seekers who regularly dive to con­ siderable depths in icy waters without protective equipment. Other faculty members have carried out a variety of studies on altitude, gravity, temperature, and pressure. Dr. Farhi believes this record may have per­ suaded the Office of Naval Research more than five years ago to choose SUNY-Buffalo as the centrifuge site. Present funding comes from the National Institutes of Health. Although the new centrifuge is designed for people, most of its early riders will be dogs. "We are planning bona fide experiments with these animals," Dr. Farhi says, "but we also want to be thoroughly experienced and have good base­ line data before working with humans." This is part of the centers-of-excellence con­ cept, the Buffalo researchers point out, empha­ sizing: "We are working on valid physiological inquiries, not research dictated by the military." One of the studies under way now deals with locomotion in water—a study that makes full use of the centrifuge as a rotating laboratory/monitoring station. An interesting preliminary find­ ing of this work: Women swimmers have, on the average, higher ratios of efficiency to drag. Thus, while women theoretically should move faster than men for the same energy expenditure, they seldom beat male swimmers in top competition because of the man's ability to generate greater muscular power. What is sought at SUNY-Buffalo, Dr. Farhi says, is not a centrifuge that is "busy a half-hour a day, but a top-notch team working its head off and making maximum and varied use of a unique new device."• The second floor features the compu­ ter center, labs, offices and confer­ ence room and overlooks the sub­ mergence basin. 50 THE BUFFALO PHYSICIAN �President Robert L. Ketter visits with Dr. and Mrs. L. Maxwell Lockie during the first annual 50 year aiumni luncheon. A total of 109 people attended the luncheon that honored the UB graduates of 50 years or more. Dr. Ketter said, "this University is very much a university of the present and the future, but our ties with the past will never be severed." Emergency Medical Communications The Erie County Health Department received a one year grant of $250,000 from the Lakes Area Regional Medical Program for the Emergency Medical Communications Systems Project. Most of the money — $175,000 — is for the purchase of radio equipment. Dr. James Cosgriff Jr. is the project director. The emergency medical services system will provide for a radio communications network linking all police and fire departments, fire base stations, hospitals and transit authorities for emergency services in the county. The project will include a Medical Emergency Technician Training program for 5000 ambulance and rescue squad attendants over a 3-year period. The training includes 36 hours of formal training and an observation session in a hospital emergency room. This training program, for commercial ambulance attendants, is mandated by New York State and strongly recommended for volunteers. Dr. John R.F. Ingall, LARMP director, said "This project in the most elemental way answers the Administration's requirements for community direction, participation and contribution because the operation and maintenance of the system, once installed, becomes the responsibility of hospitals, ambulance operators, county health organizations and volunteer fire companies." • FALL, 1973 51 �i&i r ?h "> Looking across the lake from Millersport Highway. Students will be living on the new North Campus in Amherst in September. The 920-bed Governor's Residence Hall will be occupied. The John Lord O'Brian Law and Jurisprudence Building housing the law school and economics department will also be occupied in September. There will also be student activity rooms, cafe, library and bookstore open in this building, according to Mr. John D. Telfer, vice president for facilities planning at the University. The bus service that now operates between the South Campus (Main StreetJ and the Ridge Lea Campus will be expanded to the new North Campus. Students Living on New Campus In the fall of 1974 the 38-building Joseph Ellicott Complex hous­ ing 3,200 students in a living-learning setting will be ready for full occupancy. This facility has dormitory rooms, classrooms, faculty offices, libraries and bookstores. Five other buildings — education and philosophy, industrial engineering, biology and pharmacy, physics and chilled water plant — will be completed before fall, 1975. The four other Health Sciences Schools — medicine, dentistry, nursing and health related professions — will remain at their present location, but will have additional facilities when other segments of the campus move to the Amherst site. 52 THE BUFFALO PHYSICIAN 1 �The electrical station. �Our First Professor of Medicine Austin Flint (1812-1886) by Oliver P. Jones, Ph.D., M.D. Distinguished Professor of Anatomy JA.USTIN FLINT was born in Petersham, Massachusetts, 20 October 1812. He was descended from Thomas Flint (ca. 1603-1663) who came from Derbyshire, England in 1638 and settled in Concord, Mass. [It was a pleasant surprise to learn that three of my grandchildren, the Bradford S. Browns, also descended from Thomas Flint through his great granddaughter, Eunice Flint (1748-1810).] He was fourth in succession of a medical ancestry. Edwin Flint, his great grand­ father, was a physician in Shrewsbury, Massachusetts. His grand­ father, Austin Flint, was a highly esteemed surgeon in the Army of the Revolution. Joseph Henshaw Flint, the father, was a dis­ tinguished surgeon of Northampton and afterward of Springfield, Massachusetts. The younger Austin, received his general education partly at Amherst and partly at Harvard. He took his degree from Harvard Medical School in 1833 and at once began to practice in Boston. In 1835 he married a daughter of N. W. Skillings, Esq., and the couple had one son, Austin Flint, Jr., born 28 March 1836 at Northampton, Massachusetts. When Dr. Flint came to Buffalo in 1836, the antiphlogistic treat­ ment of most diseases was in its zenith. Inflammation was considered the great pathological element in practical medicine. All the fevers were regarded as either dependent on local inflammation or as deriv­ ing their gravity from inflammatory complications. He was admitted to the Erie County Medical Society in 1841 and was appointed health physician of Buffalo the following year. In the fall of 1843 an epidemic fever occurred at North Boston (eighteen miles from Buffalo) affecting twenty-eight of the forty-three inhabitants which proved fatal in ten instances. Superintendents of the poor were employed by Dr. Flint to investigate the nature and origin of the disease. He subsequently published his article in the American Journal of Medical Sciences and announced his conclusion that typhoid fever is a water-borne Front flow: Norman F. Graser, Joseph A. Syracuse, Edward J. Zimmerman, Harry A. LaBurt. Back Row: Leon A. Chadwick, Henry Galantowicz, W. Herbert Burwig, Caryl A. Koch, Donald W. Cohen. Class of 1923 at Spring Clinical Days 54 THE BUFFALO PHYSICIAN �Class of 1928 at Spring Clinical Days Front Row: Joseph Rosenberg, Thelma Brock, Bruno Shutkeker, Eugenia Fronczak Bukowski, Harry Spiegelman. Back Row: George F. Etling, Raymond J. Rickloff, Howard L. Stoll, Richard M. Gardner, Vincent A. Hawro, Albert J. Voelkle, Clyde W. George, Walter F. King, George N. Guthiel, Floyd C. Bratt. disease and that it had been transported to North Boston by a sick traveller from Warwick, Massachusetts. In general treatises on typhoid fevers, this article is a classic study. He achieved a national reputation and in 1844 he was appointed Professor of the Institutes and Practice of Medicine at Rush Medical College. He delivered a public introductory lecture on The Reciprocal Duties and Obliga­ tions of the Medical Profession and the Public. The occasion was the first annual anniversary of the organization of the Rush Medical College. He outlined how far the public is concerned in and responsi­ ble for the complete accomplishment of the legitimate objects and duties of the medical profession. He spoke about the general public apathy towards the establishment of medical schools and their finan­ cial support. Some remarks were directed to the legislators regarding their indifference to making the study of anatomy a legalized pursuit and the public was told about the value of post mortem examinations. Since two classes of medical students were present, Flint reminded them of the necessity for high scientific attainments, elevated princi­ ples of honor, integrity, uniform courtesy — the qualities of a gentle­ man, philosopher and Christian. Dr. Flint returned to Buffalo in 1845 and founded the Buffalo Medical Journal which he owned and edited for the next eight years. His introductory occupied two and a quarter pages. It was written on 1 June 1845 and a portion of it is quoted here because it so clearly tells us about the true nature of the man who was destined to become our first Professor of Medicine. . . . We would add that the Journal is pledged to no inter­ ests apart from those which relate exclusively to the progress of Medical Science, and the advancement of the Medical Profession. It is not instituted for any sec­ tional objects, or partisan views; but to serve as an organj f FALL, 1973 55 �Class of 1933 at Spring Clinical Days Front Row: Wilfrid M. Anna, Elroy L. Fulsom, Elmer Milch, G. Harold Warnock. Second Row: Louis Kolbrenner, Louis A. Vendetti, Louis A. Scinta, Thomas J. Syracuse, Norbert G. Rausch, George M. Masotti. Rack Row: Henry Haines, W. Donald Leslie, Wilfred H. Ferguson, Reuben H. Hamman, Ernest G. Homokay, J. Curtis HellriegelJEugene W. Wallace. for the impartial and untrammelled utterance of opinion on any matters pertaining directly or indirectly to its professed objects . . . In the fourth number of the B u f f a l o M e d i c a l Journal, Dr. George N. Burwell (1819-1891) published an abstract of Flint's article on typhoid which appeared in the American Journal of Medical Sci­ ences, because most physicians did not subscribe to it. This was Dr. Flint's first conspicuous success, and it is more than probable that it laid the foundation of his future as a clinician. In his obituary for James Piatt White, Austin Flint credited the establishment of the Medical Department of the University of Buffalo largely to White's exertions. At any rate, these two physicians were able to attract five professors from Geneva Medical College to form the first faculty of the University of Buffalo. According to Harvey Cushing (1934), our faculty for the first five years made "as notable a faculty of energetic men as one could hope to find anywhere". Austin Flint served as Professor of Principles and Practice of Medicine and Clinical Medicine. The Annual Circular for 1846 said: The Professor of Practice will hold a Clinique at the College buildings, each day except Sundays, at 4 o'clock, P.M. at which time counsel will be given and medicines administered free of charge to the poor. Special attention will be given to Auscultation and Percussion, and for this purpose cases of supposed disease of the heart, lungs, etc. will be examined carefully before the class. Eruptive diseases will be treated at this Clinique. Dr. Flint, a protestant, was instrumental in persuading the Right Rev. John Timon, first Bishop of Buffalo, to purchase property on Pearl Place (near Virginia Street) to establish a hospital to be managed by the Sisters of Charity. 56 THE BUFFALO PHYSICIAN �In 1852, Austin Flint left Buffalo to accept a corresponding chair in the University of Louisville. While there he travelled abroad to visit hospitals and clinics in Paris during the spring of 1854. Five letters about his experiences and observations were published in the Buffalo Medical Journal. In 1856 he again returned to Buffalo and resumed his connection with the Medical Department of the University of Buffalo as Professor of Pathology and Clinical Medicine. He spent the winters of 1858-59, '59-'60 and '60-'61 in New Orleans where he served as Physician to the Charity Hospital and Professor of Clinical Medicine. It was there that he first heard the presystolic murmur which bears his name today. From 1858 to 1860, his son, Dr. Austin Flint, Jr. was t h e editor a n d proprietor of t h e B u f f a l o Medical Journal. In 1859 he left Buffalo and settled in New York City. To bring an outsider to occupy any position of prominence in a medical com­ munity has always excited jealousy, envy and even enmity. Failure for Flint was freely predicted and active opposition encountered. Some of his junior rival consultants seem never to have forgiven his success. His first appointment was in 1861 as Professor of Path­ ology and Practical Medicine at Long Island College Hospital in Brooklyn, a position which he held for seven years. In 1861 he was also appointed one of the physicians to Bellevue Hospital. He was one of the original members of the Faculty of Bellevue Hospital Medical College and filled the chair of the Principles and Practice of Medicine and Clinical Medicine until the time of his death in 1886. After Flint left Buffalo, the Sisters of Charity recognized the need for a psychiatric hospital and they appealed to him for assistance. Flint sold them his farm and farmhouse then at the junc­ tion of Main Street and Scajaquada Creek. In the administrator's Front Row: Russell J. Catalano, Samuel L. Lieberman, Clarence A. Straubinger, Charles Donatelli, Vincent L. Rutecki, Richard N. Terry. Back Row: Norman J. Foit, Chester J. Kaminski, Eustace G. Phillies, Anthony F. Rizzo, Walter L. Sydoriak, Alfred A. Mitchell, Harry C. Law, Leo J. Doll, Jr. Class of 1938 at Spring Clinical Days FALL, 1973 57 �office of the present hospital is a copy of the deed dated 8 September 1860. Dr. Flint's yellow brick, two-story farmhouse now houses the surgical research laboratory, a medical research unit and the hospital paint shop of The Sisters of Charity Hospital. What kind of a teacher was Dr. Flint? It was while searching all possible sources for the answer to this that several errors in dates regarding his positions and honors were discovered. Who Was Who in America has Flint founding the University of Buffalo one year after the Charter was signed and leaving Buffalo two years after he had already been in New York City. American Medical Bio­ graphies has Flint as Professor of Medical Theory and Practice from 1836-1844 but the Charter for the University was not signed until 1 1 M a y 1 8 4 6 a n d t h e r e w e r e n o t s e v e n e d i t i o n s of h i s P r a c t i c e o f Medicine. Biography of Eminent American Physicians and Surgeons has Flint establishing the Buffalo Medical Journal in 1846 when he wrote and published his first editorial 1 June 1845 and it also has the university being founded one year after the Charter was granted. The most accurate accounts of Flint's life and activities are in two editorials in the Buffalo Medical Journal. Da Costa (1887) used material from these editorials as a basis for his Biographical Sketch of Flint. Austin Flint, Sr. was a great physician and a great teacher who distinctly improved the quality of medical teaching of that era by his oral lectures and his classic text-books. One editorial says: . . This position he achieved, too, without having made any noteworthy discoveries (Like Morton and Sims), it was rather his clear and precise way of dealing with Sitting: Alfred J. Simon, Alexander Slepian, Richard J. Buckley,Kenneth W. Bone, Robert D. Glennie, Jr., Frederick B. Wilkes, John C. Ninfo, Robert J. Collins. Second Row: Gertrude S. Swarthout, Adrian J. Pleskow, Richard S. Fletcher, William H. Georgi, Salvatore J. Brucato, John M. Donohue, Joseph E. Holly, Harold P. Graser. Back Row: Alfred F. Luhr, Jr., Duncan K. MacLeod, Raymond W. Mitchell, Jr., Ralph E. Smith, Jr., L. Walter Fix, Norman Haber, Robert C. McCormick, Eugene T. Donovan, Gustave P. Milkey, Charles C. Richards, George H. Selkirk. Class of 1943 (April) at Spring Clinical Days 58 THE BUFFALO PHYSICIAN �Class of 1943 (December) at Spring Clinical Days Front Row: Kevin M. O'Gorman, Salvatore J. Colangelo, Morris Unher, William C. Niesen, Edmund M. Tederous, Harold J. Feldman, Charles J. Tanner, Jr. Back Row: Paul J. Wolfgruber, Robert D. Kelsey, Anthony J. Mancini, Amos J. Minkel, jr., Payson B. Jacobson, John R. Williams, Marvin L. Bloom, Joseph J. Ricotta. the facts already at command — after all, one of the rarest of faculties — than any tinge given by him to the doctrine of practice of his time that won him his pre-eminence ... Yet it can not be said that he was not an original contributor to our knowledge, for it is difficult to imagine that anything like our present appreciation of cardiac murmurs of differences in pitch in resonance, or of a multitude of facts connected with the diagnosis of thoracic affections, could, but for him, have been reached for many years to come . . ." Flint's most notable text-book was A treatise on the Principles and Practice of Medicine which went through six editions from 1866 to 1886. A seventh edition was anticipated but never published because of Flint's death. Over 40,000 copies had been published before the sixth edition appeared. The London Lancet (12 March 1887) said "Americans may well be proud of having produced a man whose indefatigable industry and gifts of genius have done so much to advance medicine ... It has few equals, either in point of literary excellence, or of scientific learning, and no one can fail to study its pages without being struck by the lucidity and accuracy which characterize them . . The Cincinnati Medical News (Oct. 1886) said, "In every state and territory of this vast country the book that will be most likely to be found in the office of a medical man, whether in city, town, village, or at some cross-roads, is Flint's Practice . . ." When Flint was called to the Chair of Theory and Practice of Medicine at the University of Louisville, Samuel D. Gross was Profes­ sor of Surgery. This was the beginning of a warm friendship between these two eminent men. There they taught each other's son for two lecture terms and both boys, Austin, Jr. and Samuel W., graduated FALL, 1973 59 �Class of 1948 at Spring Clinical Days Front Row: Darwin D. Moore, Warren L. Hollis, Cletus J. Regan, Raphael S. Good, Vernon C. Lubs, Middle Row: Harold L. Graff, Norman Minde, William H. Bloom, Albert P. Sutton, Francis J. Peisel. Back Row: Seymour P. Zola, Paul Weinberg, Myron Gordon, Lester H. Schiff, Warren H. Hanson, Daniel J. Fahey, Robert J. Hall, Ansel R. Martin, James G. Robilotto, B. Edward Heckmann, Richard C. Proplesch. from Jefferson Medical College in 1857. In his Autobiography, Gross speaks of Flint: . . . Tall, handsome, and of many form, with a well mod­ ulated voice of great compass, he is a lecturer at once clear, distinct, and inspiring. During his hour in the class­ room no student ever falls asleep ... I know of no one who is so well entitled as Austin Flint, Sr. to be regarded as the American Laennec. Gross goes on to say that he had the pleasure of seeing Dr. Flint elected president of the American Medical Association (188384) after he had nominated him. "In choosing him the Association honored itself more than it honored the New York veteran physician." He was president of The New York Academy of Medicine in 1872. He was chosen to be president of the International Medical Congress to be held in Washington, D.C. but did not live to do more than to begin some of the organization. He was corresponding member of the Academy of Medical Science in Palermo; an Honorary Member of the Medical Society of London of the British Medical Association; his name is on the role of Foreign Honorary Members of the Clinical Society of London, and the American College of Physicians made him a Fellow in 1868. Yale University made him Doctor of Laws in 1881. 60 THE BUFFALO PHYSICIAN �The extraordinary care and industry with which he collected the facts that were to serve as a basis of his work may be judged by a statement made by Austin Flint, Jr. that his father had begun his record of cases in 1833 and had filled sixteen thousand nine hundred and twenty-two folio pages with them. Da Costa said, "a statement more eloquent in its bare mention than the most elaborate panegyric on his marvellous industry and untiring energy." Austin Flint died of apoplexy, 13 March 1886, as he had wished, rapidly, not lingering or painful. • References 1. Flint, A. The Reciprocal Duties and Obligations of the Medical Profession and the Public. Chicago, Eastman, 1844. 2. Flint, A. Account of an epidemic fever which occurred at North Boston, Erie County, N.Y. during the months of October and November 1843. Am.J.Med. Sci. N.S. 10: 21-35, 1845. 3. Editorial. Austin Flint, M.D., L.L.D. Buffalo Med./. 25: 425-33, 1886. 4. Da Costa, J.M. Biographical Sketch of Dr. Austin Flint. Trans. Coll. Physns. Philad. 3rd Ser., 9: 461-470, 1887. 5. Autobiography of Samuel D. Gross, M.D. Ed. by his sons, Philadelphia, Barrie, 2 Vols., 1887. 6. Potter, W.W., Fifty years of medical journalism in Buffalo. Buffalo Med./., N.S. 35: 65-113, 1895-96. 7. Dictionary of American Biography. New York, Scribners, VI, 471-472, 1931. 8. Genealogy of John Fiske Brown (1901-). Front Row: James M. Orr, Joseph F. Ruh, Donald L. Ehrenreich, Bertram A. Portin, John W. Handel, Donald Rachow. Middle Row: John D. Voltmann, Richard J. Nagel, Thomas G. Goeghegan, Stanley L. Cohen, Michael A. Sullivan, Thomas Comerford, Jr., Marvin Wadler. Back Row: John N. Strachan, Jr., Howard C. Smith Jr., Jerome E. Hurley, James W. Carlin, Thomas W. Atkins, Raymond M. Smith, Jr., Albert G. Bickelmann Jr., Robert S. Sobocinski, Herbert W. Simpkins, Milford C. Maloney, Jack Gold. Class of 1953 at Spring Clinical Days FALL, 1973 61 �Nine Physicians Retire EN MEDICAL FACULTY at the University — nine are physicians, one an attorney — who are age 70 will retire August 31, after collectively serving a total of 346 years. Nine were born in Western New York; eight are Medical School graduates. They are Drs. Marvin A. Block, John Burke, Clyde W. George, Martin L. Gerstner, Ramsdell Gurney, L. Edgar Hummel, Joseph G. Krystaf, L. Maxwell Lockie, Meyer H. Riwchun, and Joseph L. Guariglia (LLB). Five have served in the department of medicine. Dr. Marvin A. Block, born in Buffalo and educated here (M'25) is a clinical assistant professor in medicine who joined the faculty in 1928 as an assistant. He received the American Medical Association's medal of achievement for his 25 years of service in the field of alcoholism and his role in gaining AMA recognition of alcoholism as a disease. Dr. Clyde W. George, a 1929 alumnus, is a clinical associate in medicine who joined the faculty in 1943 as an assistant (medicine/therapeutics). The internist and primary physician to many was always a volunteer teacher. Buffalo-born and educated (M'29) Dr. Ramsdell Gurney is a clinical associate professor in medicine who started in 1932 as an assistant. The Diplomate, Ameri­ can Board of Internal Medicine served as Buffalo General Hospital's first outpatient department director and as one of the founders of the Buffalo Medical Group. Dr. L. Edgar Hummel, born in Darien Center, is a 1931 Harvard graduate. The clinical assistant professor in medicine has been on the faculty since 1938 and has always had a keen interest in research. He retired from the directorship of the Meyer Hospital in January, 1970. Kneeling: John V. Armenia, Richard R. Romanowski, Elroy E. Anderson, Gaspare A. Alfano, Robert J. Perez. Second Row: Lucien A. Potenza, Franklin N. Campagna, William L. Glazier, Reinhardt W. Wende, Gary N. Cohen, Anna A. Tracy, Franklin Zeplowitz, Eugene A. Friedberg. Third Row: Michael T. Genco, Joseph A. Zizzi, Richard A. Rahner, John P. Murphy, Domonic F. Falsetti, Leo A. Kane, Samuel Shatkin, Thomas G. Cummiskey, Gerald T. Guerinot. Back Row: John J. Giardino, John W. Float, James S. Williams, Richard D. Wasson, Michael A. Mazza, Richard C. Boyle, Ronald E. Batt, Marie L. Kunz, Alfred M. Stein, Melvin M. Brothman. Class of 1958 at Spring Clinical Days 62 THE BUFFALO PHYSICIAN �Dr. L. Maxwell Lockie, born and educated (PhG'23 and M'28) in Buffalo, has been a clinical professor in medicine since 1932 when he joined as an assistant. The Associate Fellow of the American College of Physicians has served as professor/head of the division of therapeutics since 1939 and has made significant contributions both locally as well as nationally to the field of rheumatology (ex officio member, Medical/Scientific Committee, Arthritis and Rheumatism Foundation; consultant in rheumatology to HEW; chair­ man, executive committee, American Rheumatism Assn.). Two are Buffalo-born and educated otolaryngologists. Dr. Martin L. Gerstner (M'29), a clinical associate professor, has served since 1938 when he joined as an assistant. Dr. Joseph G. Krystaf (M'27), a clinical assistant professor, came to the faculty in 1944 as clinical associate. Retiring from the department of surgery is Dr. John Burke. The clinical associate professor since 1936 (joined as an instructor) was born in Buffalo and is a Yale alumnus (1928). While serving with the Marine Corps the Lt. Colonel was assistant and chief of the Surgi­ cal Service of the 23rd General Hospital. Dr. Meyer H. Riwchun, clinical professor of ophthalmology, headed the division of ophthalmology at the Children's Hospital (1960) and has served as co-head of the department of ophthalmology. The Buffalo-born and educated (M'27) ophthalmologist joined the faculty in 1934 as an assistant. He is a Diplomate, American Board of Ophthalmology and a Fellow of the American College of Ophthalmology/Otolaryngology and American College of Surgeons. He is a past president of the Buffalo Ophthalmologic Society, Buffalo Eye and Ear Hospital, and Maimonides Medical Society. Mr. Joseph J. Guariglia, born in Buffalo and a 1928 UB law school graduate, has served as a lecturer in the department of legal medicine since 1959 (he joined as an assistant). He has served as counsel to the Erie County Medical Society and as assistant attorney to the Buffalo Legal Aid Bureau. All were honored at the School of Medicine's annual faculty meeting May 24. • A $10,000 gift from the estate of the late Elizabeth Crosby Gardner of Buffalo has been made to the School of Medicine. Mrs. Gardner, who died in July of 1972, was the daughter of William H. Crosby, a former treasurer of the University of Buffalo and a member of its Council. His contributions and those of his family made possible the construction of Crosby Hall on the U/B Main St. campus in 1931. Crosby Hall now houses offices and class­ rooms for the School of Management and several modern language departments. The donor specified that the $10,000 be used at the discretion of the University Council for the benefit of its School of Medicine. The gift was made through the University at Buffalo Foundation, Inc., a private, non-profit corporation chartered by the New York State Board of Regents to act as U/B's agent in the soliciting, collecting and administering of private monies. • FALL, 1973 63 <£ 4 /T QflQ CplU,UUU �Dog Racing Hobby A1925 Medical School graduate has been training racing greyhounds for more than a quarter of a century. Dr. Lucian C. Rutecki usually owns about 20. He became interested in 1936 when there was a dog racetrack in Cheektowaga. He has been training dogs ever since. Dr. Rutecki buys them at the early age of six or eight weeks, when no one can be certain of their speed or eagerness to run. He has discovered a way to stimulate a dog to quicken his pace toward the end of a race. He does not apply any drug or artificial stimulant. "It is accomplished through the spoken word. Although I am absent from most races run by my dogs, they respond to the voice of the crowd urging them on." A racing greyhound can attain a speed of 40 miles per hour, according to the physician. But he can maintain that speed for only about 30 seconds. He is certain that greyhounds love to race. Even if there wasn't an artificial rabbit, they would run purely for the competition with other dogs. A greyhound may begin a racing career at the age of 14 months. At five years the dog is retired. If his record is excellent, he is used for breeding. Dr. Rutecki finds homes for most of his five-year-old greyhounds. They become affectionate pets and excellent watchdogs. During the racing season the physician's dogs are cared for by a handler in Florida. Every spring Dr. Rutecki and his family drive to Florida to watch their dogs race. He also helps train the dogs on his farm in the Town of Pendleton. "The strenuous exercise keeps me fit." • Kneeling: John M. Wadsworth, Lawrence J. Sobocinski, David N. Malinov. Middle Row: Anthony M. Fot, Frank V. DeLaus, Gordon H. Burgess, Stephen T. Joyce, John J. LaMar, Jr., George L. Sterner, Albert J. Maggioli. , , _ Back Row: Richard D. Hasz, John N. Stumpf, Jason E. Rudisill, John A. Repicci, Charles S. Tirone, John F. Bentley, John K. Fanelli, Eugene M. Sullivan, Jr., Richard E. DuBois, Joseph C. Tutton, William C. Heyden. Class of 1963 at Spring Clinical Days 64 THE BUFFALO PHYSICIAN �Dr. Greco, Mrs. Greco and Richard F. Torrey, dinner chairman. A 1941 Medical School graduate, Dr. Pasquale A. Greco, accepted the 1973 Honor Award of the National Jewish Hospital in Denver with a plea to private donors to take up the slack being left by cuts in government support of disease and research. A check for $35,908 was presented to the hospital, a nonsectarian complex specializing in chronic respiratory diseases. "We cannot delegate to another our responsibility for helping our fellow man," said the Buffalo urologist and NJH trustee. Despite scarce government resources, "the National Jewish Hospital is not going to stop moving forward precisely because of people like you." Dr. Greco's citation was presented by a longtime friend and patient, John M. Galvin, former chief executive officer of Marine Midland Bank-Western. Few in the audience have not been touched, Mr. Galvin said, by Dr. Greco's unselfish work as chairman of urology departments of Millard Fillmore, Emergency and Columbus Hospi­ tals. He is also a member of the Buffalo Planning Board and an adviser to area colleges and civic organizations. Dr. Greco is also a clinical assistant professor of surgery (urology) at the Medical School. Dr. Greco was also praised for "his great warmth and profound personal commitment to his patients and to philanthropic work which has made him one of the city's best loved physicians." • FALL, 1973 65 Dr. Greco Honored �This is how the Mil­ lard F i i i m o r e H o s p i t a l at G a t e s Circle w i l l l o o k a f t e r expansion. At the left is the West Building with a s e v e n - s t o r y a d d i t i o n fo r the new coronary and pulmonary care units (estimated completion February, 1974). In the center are elevator towers and at the right is the new four-story Medical Service Building that will be com­ pleted in June, 1975. The surgical space will almost be doubled. Also in this n e w facility will b e a 19b e d r e c o v e r y r o o m , a 10bed surgical intensive care unit, emergency-outpa­ tient departments, radi­ ology department for ad­ vanced X-ray procedures, and a 125-seat lecture hall, plus more warehouse and central supply space. A t t h e e x t r e m e right i s t h e new boiler house with a June 1973 completion date. There will also be extensive remodeling of the present building, scheduled for completion in November, 1976. $59 Million Millard Fillmore Hospital Expansion Gates Circle addition. The new suburban hospital. 66 This is t h e architect's drawing of the Millard Fill­ more Suburban Hospital on Maple Road in Am­ herst. The three floor building will have 150 beds (110 medical, 34 maternity, 6 intensive care). It is being designed for e x p a n s i o n t o 7 0 0 b e d s with all necessary ancil­ lary services. The new hospital will have five operating rooms and a nine-bed recovery room. Other facilities include radiology and laboratory departments. Construc­ tion has started and the estimated completion date is June 1974. THE BUFFALO PHYSICIAN �The Gates Circle expansion as it looked in J u l y . The Amherst hospital near Hopkins a n d Maple. �John L. Lovecchio (left) with Dr. Joseph Krasner, measures the fluorescence of a drug sample in the developmental pharmacology laboratory o/ Children's Hospital. Research Award A sophomore medical student is among the handful to receive a $1,000 Pharmaceutical Manufacturers Association Foundation award for research and training in the field of clinical pharmacology. He is John L. Lovecchio whose keen interest in how infants respond to drugs led to his winning proposal on how drugs and protein interact. His three-month summer traineeship will be in the Children's Hospital's department of clinical pharmacology. Headed by Dr. Sumner J. Yaffe, research focuses on drug metabolism, drug-protein interaction, and its effect on the developmental process and disease states in infants. Under research assistant professor of pediatrics Dr. Joseph Krasner, Mr. Lovecchio will investigate how several drugs "bind" to plasma protein. These are diphenylhydantoin, diazepam, salicylate, Nafcillin and bilirubin. While the latter is not a drug it is important for hyperbilirubinemia occurs almost universally in the premature newborn. From sera obtained from normal and sick infants and children, Mr. Lovecchio will determine the amount of drug- protein interaction at several concentrations through equilibrium dialysis. There will also be participation in daily discussions of problems in clinical pharmacology that appears in the hospital as well as problems of drug metabolism both in vivo and in vitro. Said Dr. Yaffe of this honor, "the clinical significance of Mr. Lovecchio's research program will enable more precise determina­ tion of pharmacological effectiveness of drugs in common clinical usage." • 68 THE BUFFALO PHYSICIAN �The class of 1918 Dr. Everett T. Mercer, M'18, a general prac­ titioner, is now semi-retired. He lives at 4 7 Char­ lotte Avenue, Harrisburg, New York • Dr. Willard G. Fisher, M'36, is the new president of the Foundation of Deaconess Hospital. Other officers elected: Vice president, Clarence J. Ostermeier; secretary, Milton E. Kaeselau, and treasurer, Vernon A. Reed. • The classes of the 1930's The classes of the 1940's Dr. Joseph D. Godfrey, M'31, received a spe­ cial award from D'Youville College in May for his concern with the education of nurses and doctors and his aid to needy patients. • Dr. Francis R. Coyle, M'32, is a School Physician for the Erie County Health Department. • Dr. Matt A. Gajewski, M'39, was elected president of the Buffalo Board of Education in May. He was appointed to the board in 1968 and re-appointed in 1972. • Dr. Victor L. Pellicano, M'36, is the new president of the Heart Association of Western New York. • Dr. John D. Ambrusko, M'37, has been re­ appointed to the Erie County Alcoholic Bever­ age Control Board for a term ending April 30, 1975. • FALL, 1973 Dr. Marshall Clinton, M'40, is president­ elect of the medical staff of the Buffalo General Hospital. He is serving a three-year term on the board of governors, American College of Physi­ cians. Dr. Clinton was also elected governor of the Upstate New York area. He is a clinical associate professor of medicine and clinical assistant professor of pharmacology at the Medi­ cal School. • Dr. Abraham S. Lenzner, M'41, is a clinical associate professor of psychiatry at Cornell University Medical School. He is a Fellow, American Psychiatric Association and treasurer of the Board of Trustees of the Nassau Academy of Medicine. He recently published "Psychiatric Vignettes from a Coronary Care Unit" Psychosomatics, Vol. 13, No. 3, May-June 1972, and "Psychiatry of Aging" Chapter in "A Practical Guide to Long Term Care and Health Services Administration," Panel Publishers, Green vale, N.Y. 1973. He is also in private practice at One Sussex Road, Great Neck, New York. • 69 The Classes �The Classes Dr. Charles Bauda, M'42, has spoken out strongly about the Supreme Court's decision giving women the right to medical abortions during the first six months of pregnancy. Dr. Bauda represents some 6,000 Catholic physi­ cians in the United States. He is president of the National Federation of Catholic Physicians. • Dr. James R. Brill, M'43, retired from fulltime practice (psychiatry and primary medicine) at the Gowanda State Hospital in March, 1972. He now practices part-time and is also with the Erie County Health Department. His home address is Hanford Road, Silver Creek, New York. • Dr. Alfred S. Evans, M'43, is professor of epidemiology at Yale University School of Medicine. He is Director, World Health Organi­ zation's Serum Reference Bank; president, Beau­ mont Medical Club, and president of the Ameri­ can Epidemiological Society. He has published more than 100 papers in various magazines of his specialty. Dr. Evans lives at 38 Dogwood Circle, Woodbridge, Connecticut. • The classes of the 1950's Dr. Joseph F. Dingman, M'50, of Boston is the author of a major feature on management of antidiuresis in the May 28 issue of Modern Medicine, a national medical journal. Dr. Dingman, whose article appears under the heading "Perspectives in Clinical Medicine," is senior associate in medicine at Peter Bent Brigham Hospital and lecturer on medicine at Harvard Medical School. He also has served the Lahey Clinic Foundation, beginning in 1961, as direc­ tor of medical research. A New York native, Dr. Dingman is a specialist in endocrinology, and a member of the American Association for the Advancement of Science, American Federation for Clinical Research, American Diabetes Association, Endocrine Society, American Rheumatism Association, American College of Physicians, and Society of Nuclear Medicine. • Dr. Walter A. Olszewski, M'54, has been appointed head of the department of neurology at the Buffalo General Hospital. He has been acting head since 1968 and on the hospital staff 70 since 1961. Dr. Olszewski is also director of Buffalo General's neuropathology laboratory, multiple sclerosis clinic and assistant direc­ tor of the organic brain syndrome clinic. He is an assistant professor of neurology and clini­ cal associate professor of anatomy at the Medi­ cal School. • Dr. M. David Ben-Asher, M'56, won the Outstanding Physician Award for 1973 for his work with victims of kidney disease and the Arizona Kidney Foundation. He was also influential in helping to establish Tucson's first Artificial Kidney Center and was chairman of the Renal Advisory Program of the Arizona Reg­ ional Medical Program. Dr. Ben-Asher is chief of the medical staff at St. Mary's Hospital in Tucson, Arizona. • Dr. Daniel C. Kozera, M'59, is a clinical instructor in Ob/Gyn at UB Medical School. He is a member of the Biology Council at Canisius College. • The classes of the 1960's Dr. Virginia Verral Weldon, M'62, was recently (July, 1973) promoted to associate pro­ fessor of pediatrics at Washington University School of Medicine, St. Louis. She is codirector, Division of Endocrinology and Metabolism-Pediatrics at the school. She is on the Board of Directors, St. Louis Diabetic Chil­ dren's Welfare Association. Dr. Weldon, her two daughters, ages 8 and 6, and her husband, Dr. Clarence S. Weldon (Professor of Surgery and Head of Cardiothoracic Surgery at Barnes and St. Louis Children's Hospitals) live at 4967 Pershing Place, St. Louis. • Dr. Barton L. Kraff, M'65, is an assistant clinical professor of psychiatry and behavioral sciences at George Washington University, Washington, D.C. He is also Director of Admis­ sions and Intake Services at The Psychiatric Institute of Washington. Dr. Kraff lives at One Old Coach Court, Potomac, Maryland. • Dr. Dean Orman, M'65, began practice in July, 1972 with the Buffalo Medical Group, 85 High Street. His specialty is Internal Medicine and Gastroenterology. He is a Diplomate of the American Board of Internal Medicine. • THE BUFFALO PHYSICIAN �Dr. Marjorie A. Boyd, M'66, completed her fellowship in Hematology at Boston University in January, 1971 and has been in practice in Portland, Maine since that time. She is also a clinical instructor at Tufts University and Maine Medical Center. Her address is Two Lights Road, Cape Elizabeth, Maine. • Dr. Donald M. Pachuta, M'66, is an assistant professor of medicine at the University of Mary­ land School of Medicine, Baltimore. He is chair­ man of the Drug Abuse Committee, Baltimore City Medical Society. • Dr. Cary A. Presant, M'66, was recently appointed assistant professor of medicine at Washington University School of Medicine, St. Louis. He accepted a joint appointment in Hematology and Oncology at the Jewish Hospi­ tal of St. Louis. He is a member of the American Society of Hematology and a Diplomate of the American Board of Internal Medicine in Hematology. • Dr. Robert M. Tabachnikoff, M'66, is now in private practice at the Medical Arts Building, Sarasota, Florida. He is an obstetriciangynecologist. • Dr. Eugene Wolchok, M'66, is an instructor of ophthalmology (part-time) at the University of Florida Medical School, Jacksonville. He is also in private practice at 3604 University Build­ ing, Jacksonville. • Dr. Richard H. Daffner, M'67, recently joined the staff at the University of Louisville (Kentucky) as an instructor in radiology. He completed a residency in diagnostic radiology at Duke University Medical Center in July. He has published in Radiology, American Journal Roentgenology, Radium Therapy and Nuclear Medicine. • Dr. Adele M. Gottschalk, M'67, recently completed her residency in general surgery and will be starting work as a full time general sur­ geon at the Harbor City branch of the Southern California Permanente Medical Group. She lives at 916 Esplanade, Redondo Beach. • FALL, 1973 Dr. George Steven Starr, M'67, passed his pediatric boards in March. He is completing a Fellowship year with the Program of Learning Studies, Children's Hospital of the District of Columbia, working in the area of school and learning problems. In July he will enter in private group practice at 50 Presidential Plaza, Suite 102, Syracuse, New York. • Dr. Cal Treger, M'67, was Board Certified in Internal Medicine in 1972. He is a senior Fellow in Dermatology at the University of Washington, Seattle. • Dr. Timothy Harrington, M'68, is a Lieute­ nant Commander in the United States Navy, stationed at Pensacola Naval Hospital in Florida. He was recently named director of the Family Practice Residency Program. • Dr. Alan H. Peck, M'68, is a staff psychiat­ rist at Lewisburg Penitentiary, USPHS. His paper "An Interim Program for Emergency Psychiatric Evaluation in Baltimore City" appeared in the Maryland State Medical Jour­ nal, Dec., 1972. • Dr. Jonathan Ehrlich, M'69, who recently completed service with the U.S. Army Hospital at Redstone Arsenal, Alabama is now in private practice at Northside Hospital Doctors Building, Atlanta, Georgia. He is an obstetriciangynecologist. • The classes of the 1970's Dr. Ronald H. Blum, M'70, recently com­ pleted his USPHS commitment as special assistant to the associate director for cancer ther­ apy evaluation, National Cancer Institute. He is going to Harvard for his senior medical residency and has a fellowship in medical oncology there. Dr. Blum lives at 248 Summit Avenue, Brookline, Massachusetts. • Dr. Lawrence S. Frankel, M'70 is a pediatric resident at Baylor University Hospital. He lives at 5759 Ludington Drive, Houston, Texas. • 71 The Classes �Mrs. S. Mouchly Small received the Outstanding Volunteer of the Year Award from the Mental Health Association of Erie County in May. She is the wife of the chairman of the psychiatry department at the Medical School. For the last 13 years Mrs. Small has been either a member or chairman of the psychiatric clinic at Jewish Family Services and is founding presi­ dent of the Organization for Rehabilitation through Training. • Dr. Thomas B. Tomasi, professor of medicine, has accepted a position as chairman of the department of immunology at the Mayo Medical School, Rochester, Minnesota. He has been on the UB faculty since 1965. • A second year medical student, AniJ B. Mukerjee (right) was a finalist in a scientific exhibit competition sponsored by the pharmaceutical firm, E.R. Squibb S* Sons, Inc. Dr. Muker/ee won $500 and a gold medal from the Student Medical Association, co-sponsors of the exhibit. Mr. Mukerjee's exhibit, "Induction of Enzyme in Deficient Rats Follow­ ing Grafting of Normal Liver," is viewed by Howard Baldock, Squibb's director of medical relations. The exhibit was also displayed at the AMA's annual meeting in New York City in June. • Dr. K. Nicholas Leibovic, associate profes­ sor of biophysical sciences, is the author of a new book, Nervous System Theory, by Academic Press. • Dr. Howard Pattee, visiting professor of bio­ physical sciences, is the author of a new b o o k , H i e r a r c h y T h e o r y — T h e C h a l l e n g e of Complex Systems, by Doubleday in Canada and George Braziller in New York. • Dr. James C. Upson, clinical associate pro­ fessor of surgery, is the new president of the Buffalo Academy of Medicine. Dr. Charles P. Voltz, M'39, clinical assistant professor of medicine, is secretary-treasurer. Dr. Carl J. Bentzel, associate professor of medicine, and Dr. Jules Constant, clinical associate professor of medicine, are program co-chairmen; and Dr. David B. Harrod, clinical instructor of surgery, is arrangements chairman. • 72 Dr. John C. Dower, professor of community pediatrics in pediatrics and associate professor of social and preventive medicine, is moving to San Francisco where he will be professor of pediatrics at the University of California. Dr. Dower joined the faculty July 1, 1968. He was the first to occupy the Goodyear Chair at the University. • Dr. Uma Meenakshi Viswanathan is a clini­ cal instructor and attending pediatrician at the School of Medicine, University of Rochester, N.Y. and at Strong Memorial Hospital. He is also on the staff of the Northern Livingston Health Center in Geneseo, N.Y. He lives at 2134 North Littleville Road, Avon, N.Y. • Seven medical students are on summer fellowships sponsored by the New York State Division of the American Cancer Society. They are Miss Nina C. Kostraba, Ian S. Brown, Robert M. Weiss, James P. Burdick, Donald E. George, Mrs. Jane T. King and Marshall A. Fogel. • The Board of Trustees of the State Univer­ sity of New York has waived the mandatory retirement age regulation for two faculty mem­ bers. Sir John Eccles, Nobel Laureate and dis­ tinguished professor of physiology and bio­ physics, and Dr. Mitchell Franklin, professor in the Department of Philosophy and the School of Law, have both been granted appointments from September 1, 1973 to August 31, 1974. Dr. Eccles was 70 years old in January; Dr. Franklin is 71. The policies of the Board of Trustees require retirement of faculty members at age 70 unless the special waiver is granted. • THE BUFFALO PHYSICIAN �Two alumni are the new officers of the med­ ical staff at Deaconess Hospital. Dr. George L. Eckhert, M'42, is the new president and Dr. Her­ bert E. Joyce, M'45, is the new treasurer. Dr. Charles D. Bull, clinical associate in medicine, is the new vice president and Dr. Albert E. Menno, secretary. • Dr. Robert Kohn, a cardiologist and associate clinical professor of medicine, is the new president of the New York State Heart Assembly. • Mr. Fraser M. Mooney, assistant admini­ strator at the E.J. Meyer Memorial Hospital, is the new president of the Board of the Psychiatric Clinic, Inc. • Two alumni and two Medical School faculty members have been elected officers of the Erie County Medical Society. Dr. Frank J. Bolgan, M'51, is president elect and Dr. Victor Panaro, M'42, is secretary-treasurer. Dr. James H. Cosgriff Jr. is the new president. He is a clini­ cal assistant professor of medicine. The new vice president and delegate is Dr. Ralph J. Argen, clinical assistant professor of medicine. • Two alumni and two Medical School faculty members are new officers in the Pedi­ atric Society. Dr. Peter Dishek, clinical instruc­ tor in pediatrics, is the new president and Dr. James Markello, assistant professor of pediat­ rics, is vice president. Dr. John Hartman, M'45, is treasurer and Dr. Laurence Nemeth, M'66, is secretary. • President Robert L. Ketter was honored as V.I.P. of the Year by the Amherst Chamber of Commerce at its Seventh Annual V.I.P. Dinner in June. Dr. Ketter, who became president of U/B in 1970, was being cited for furthering good relations between the Town of Amherst and the University. As U/B vice president for facilities planning from 1967 to 1969, Dr. Ketter coordi­ nated the planning of the Amherst campus. • The Buffalo General Hospital has announced three administrative appointments. Mrs. Florence E. King, director of nursing ser­ vice, will also be assistant administrator while Mr. Charles E. Woeppel, administrative assistant will be an assistant administrator. Mr. Neal E. Wixson, administrative trainee, has been promoted to administrative assistant. • Dr. Ronald G. Vincent, chief of chest sur­ gery at Roswell Park Memorial Institute, is the new president of the Cumorah Stake of the Church of Christ of Latter-day Saints. • Dr. J.F. Cunanan, is Teaching Coordinator in Ob/Gyn at Deaconess Hospital, Buffalo. He received his medical degree in 1955 from the University of the Philippines. • Dr. William J. Staubitz, professor and chair­ man of the department of urology, was elected president of the 400-member Canadian Urologic Association. He is the first American to hold this office and will be installed at its annual meeting in Ottawa in 1974. • After 30 years of service Dr. Alfred Lechner, an obstetrical anesthesiologist at Children's Hospital, is retiring. He has instructed thousands of student nurses, attended at more births than any other medical person now at Children's and presided at more than 80,000 anesthesias — some 50,000 of them spinal blocks — a figure some medical personnel con­ sider a national record. • Dr. Edwin Neter, professor of microbiology, has been re-elected president of the Buffalo Chamber Music Society. • FALL, 1973 73 Pp n r » l P cUjJltJ �Dr. Helen M. Ranney, professor of medicine at the Medical School since 1970, was appointed chairman of the department of medicine at the University of California, San Diego on July 1. In May Dr. Ranney was one of 95 American scientists elected to the National Academy of Sciences. Last year she was pre­ sented the Dr. Martin Luther King, Jr. Medical Achievement Award "for outstanding contribu­ tion in the field of sickle cell anemia." Dr. Ran­ ney is president-elect of the American Society of Hematology. • Dr. Om Bahi, p r o f e s s o r o f biochemistry [ l e f t ) i s con­ gratulated by Prime Minister Indira Gandhi on being awarded the Padma Bushan Medal (India's highest award) for contributions to the public good of India. Presentation of the medal was made by President Giri in the Presidential Palace in New Delhi in March. Dr. Bahl was hailed /or his successful isolation and analysis o/ a hormone from human pregnancy urine. • People Two Medical School faculty members are officers in the Lakes Area Regional Medical Pro­ gram, Inc., Dr. Theodore T. Bronk, director of laboratories at Mt. St. Mary's Hospital, Lewiston, is the new vice president. He is also a clini­ cal associate professor of pathology. The new treasurer is Dr. John C. Patterson, clinical associate in ob/gyn and on the staff of Roswell Park Memorial Institute. The new president is the Reverend Cosmas Girard, OFM, Ph.D., a sociologist-anthropologist from St. Bonaventure University in Olean. Dr. Bert Klein, a Jamestown podiatrist, is the new secretary. • • 74 Dr. Charlotte S. Catz, associate professor of pediatrics at the Medical School, received a Fulbright grant to conduct research in developmental pharmacology at the Center of Biological Research on Newborns in Paris in September. She has been named as associate professor at the University of Paris where she will inaugurate a course on the pharmacology of the fetus and newborn. Dr. Catz came to Buffalo in 1966 and has been clinical director of the Birth Defects Center and associate attend­ ing physician at Children's Hospital. • Dr. Anke A. Ehrhardt, a clinical associate professor in pediatrics and psychiatry, is co­ author of a new book, Man &• Woman, Boy fr Girl, published by The Johns Hopkins Univer­ sity Press, Baltimore and London. Dr. John Money, professor of medical psychology and pediatrics at The John Hopkins Hospital, is the co-author. Dr. Ehrhardt heads, in collaboration with her husband (Dr. Heino F.L. MeyerBahlburg) the Psychoendocrinology Program at Children's Hospital. How do men become men, and women become women? How does a child establish gender identity? By what processes is the human being directed toward reproductive maturity as either male or female — are a few questions that are answered. • Dr. Edward J. Marine, clinical associate pro­ fessor of medicine at the Medical School, has been appointed chief of the department of inter­ nal medicine at Deaconess Hospital. From 196971 he served as associate dean and then execu­ tive associate dean and director of academic program at the Medical School. • THE BUFFALO PHYSICIAN �A Letter to Medical World News Birth of Obstetrics Teaching Birth of Obstetric Teaching SIR: In Dr. Fishbein's editorial "From 'Lying-in' to Modern Obstetrics" (MWN, July 14), he stated: "Almost unbelievably, bedside teaching of obstetrics did not begin until 1889; the innovator was Prof. Barton Cooke Hairst of Philadelphia." Not so, say we. For in 1850, Dr. James P. White, a professor of obstetrics and diseases of women and children, introduced "demon­ strative midwifery" for the first time in an American medical school. Dr. James P. White was born in Columbia County, N.Y., in 1811 and settled in Buffalo after graduating in medicine from Jefferson Medical College in Philadelphia in 1834. Twelve years later, in 1846, he and others organized the medical department of the University of Buffalo. He was appointed profes­ sor of obstetrics, a position he held until his retirement in 1881. On January 18, 1850, he introduced an innovation in the teaching of obstetrics — illus­ tration of labor with a living subject — before the graduating class. It was believed to be the first [lessonj of its kind in America. On separate occasions, Dr. White allowed the 20 members of the graduating class to see the woman during the ten days before her expected date of confine­ ment and to auscultate the fetal heart sounds by means of a stethoscope. At time of labor, students — brought into the room one by one — examined the patient under his guidance. At the end of the second stage, the entire class was called in, the patient placed on her left side, bed clothes drawn back to expose genitalia and buttocks, and the child was delivered by Dr. White before the class. So startling was this innovation in teaching that students passed a series of resolutions thanking Dr. White. VINCENT J. CAPRARO, M.D. Clinical Professor of Gynecology-Obstetrics MARION MARIONOWSKY Assistant to the Dean, Medicine State University of New York at Buffalo In Memoriam Dr. Anna P. Walsh, M'17, died June 5 in Buffalo General Hospital after a brief illness. She was 78 years old and had been a Buffalo physician for more than 50 years. Following her internship and residency at Bellevue Hospi­ tal, New York City, she returned to Buffalo to practice medicine and joined her late brother, Dr. Thomas J. Walsh. She was the founder of the American Medical Women's Association and active on the staffs of both Sisters of Charity and the E.J. Meyer Memorial hospitals. She was also a member of the Erie County Medical Soci­ ety and the AMA. • Dr. Theodore E. Goembel, M'30, died April 15 in Buffalo General Hospital. The 68-year-old FALL, 1973 physician received his undergraduate degree from Colgate University. Dr. Goembel, who practiced for 34 years, was on the staff of Deaco­ ness Hospital and served on the faculty of the Medical School 27 years (1933-1960) as assistant in medicine. He was a member of several professional organizations. • Dr. Frank S. Warzeski, M'60, died April 19 in Hartford, Conn, of a heart attack. He was 51 years old. From July 1967 to November 1971 Dr. Warzeski was attending psychiatrist at the E.J. Meyer Memorial Hospital. He was a native of New York City and held a Master's Degree in chemical engineering from M.I.T. • 75 �ACAPULCO VACATION February 23 — March 2, 1974 AIRLINE: Air Canada — charter HOTEL: Marriott — twin beds, air conditioned rooms with balcony and bath. COST: $439.00 per person includes full breakfast and lunch or dinner daily, scientific meetings and more. SCIENTIFIC MEETINGS: Continuing education sessions are being planned which will qualify this trip as TAX DEDUCTIBLE. RESERVATIONS: $100.00 will hold your reservation; the 150 passenger aircraft will be filled on a first-come — first-served basis. Make checks payable to U/B Alumni Association. For further information please contact: MEDICAL ALUMNI AFFAIRS 2211 Main Street — Bldg. E Buffalo, New York 14215 (716) 831-5267 The General Alumni Board — DR. FRANK L. GRAZIANO, D.D.S., '65, President; JAMES J. O'BRIEN, '55, President­ elect; GEORGE VOSKERCHIAN, Vice President for Activities; WILLIAM McGARVA, '58, Vice President for Admin­ istration; MRS. PHYLLIS MATHEIS KELLY, '42, Vice President for Alumnae; DR. GIRARD A. GUGINO, D.D.S., '61, Vice President for Athletics; RICHARD A. RICH, '61, Vice President for Development and Membership; DR. DANIEL T. SZYMONIAK, D.D.S., '47, Vice President for Public Relations; ROBERT E. LIPP, '54, Vice President for Govern­ mental Relations; ERNEST KIEFER, '55, Treasurer; Past Presidents: MORLEY C. TOWNSEND, '45; DR. EDMOND J. GICEWICZ, M'56; ROBERT E. LIPP,'51; M. ROBERT KOREN, '44; WELLS E. KNIBLOE, '47; RICHARD C. SHEPARD,'48. Medical Alumni Association Officers: DRS. LAWRENCE H. GOLDEN, M'46, President; PAUL L. WEINMANN, M'54, Vice President; MILFORD C. MALONEY, M'53, Treasurer; JOHN J. O'BRIEN, M'41, Immediate Past-President; MR. DAVID K. MICHAEL, M.S.'68, Secretary. Annual Participating Fund for Medical Education Executive Board for 1973-74 — DRS. MARVIN L. BLOOM, M'43, President; HARRY G. LaFORGE, M'34, First Vice-President; KENNETH H. ECKHERT, SR., M'35, Second VicePresident; KEVIN M. O'GORMAN, M'43, Treasurer; DONALD HALL, M'41, Secretary; MAX CHEPLOVE, M'26, Immediate Past-President. 76 THE BUFFALO PHYSICIAN �ALUMNI TOUR TO GREECE November 3-11, 1973 $359.00 plus 10% tax and service (per person, double occupancy) — Round trip jet to Athens with stops in Niagara Falls and New York City —Deluxe twin-bedded accommodations at the new Royal Olympic Hotel — Continental breakfast daily (tax and tip included) —Gourmet dinner each evening (your choice of either lunch or dinner — tax and tip included) —Tours to Acropolis and Athens Museum — Other low cost optional tours — All gratuities and transfers First Class Permit No. 5670 Buffalo, N. Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY — Medical Alumni Association 2211 Main Street Buffalo, New York 14214 Att.: David K. Michael �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 Office Address Home Address — - If not UB, MD received from In Private Practice: 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Journals and magazines 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 1973 Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--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 1973-Fall Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. 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Spring Clinical Days Record Keeping Drug Reaction Health Security Nuclear Medicine Intern Matching Outer Space Resources/Executive Officer Commencement Seniors Honored 5,853 Graduates Oncology Unit Summer Fellowships Hospital Head/Dr. Larson Professors Honored Dr. Gottlieb/Alumni Receptions New Experience Medical Education/Chicago Reception West Side Health Center 141 Residents Interns Learning Center Environmental Physiology Lab Alumni Luncheon/Emergency Communications New Campus Our First Professor of Medicine by O. P. Jones, M.D. Physicians Retire $10,000 Gift Dog Racing Dr. Greco Millard Fillmore Hospital Research Award The Classes People In memoriam Alumni Tours Date Created Date of creation of the resource. 2022-09-15 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. v07n03 Extent The size or duration of the resource. 80 p. Spatial Coverage Spatial characteristics of the resource. New York (State)--Buffalo Rights Holder A person or organization owning or managing rights over the resource. Copyright 1973 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/663cda77eb3ba0e8c9defe14381323fb.pdf fd40bc468fa479391da0d5d76cf32679 PDF Text Text IJ Surfactant Therapy Comes of Age �BUFFALO PHYSICIAN Volume 33, Number 4 ASSOCIATE VICE PRESIDENT FOR UNIVERSITY S E R V I C E S Dr. Carole Smith Petro DIRECTOR O F PUBLICATIONS Kathryn A. Sawner EDITOR Stephanie A. Unger ART DIRECTOR/DESIGNER Alan J. Kegler PRODUCTION MANAGER Cindy Todd STATE UNIVERSITY O F NEW YORK AT BUFFALO S C H O O L O F MEDICINE AND BIOMEDICAL SCIENCES Dr. John Wright, Dean EDITORIAL BOARD Dr. Bertram Portin, Chair Dr. Martin Brecher Dr. Harold Brody Dr. Linda J. Corder Dr. Alan J. Drinnan Dr. James Kanski Dr. Barbara Majeroni Dr. Elizabeth Olmsted Dr. Stephen Spaulding Dr. Bradley T. Truax Christopher Adams Dr. Franklin Zeplowitz TEACHING HOSPITALS Erie County Medical Center Kaleida Health— The Buffalo General Hospital The Children'sHospital of Buffalo Millard Fillmore Gates Hospital Millard Fillmore Suburban Hospital Roswell Park Cancer Institute Veterans Affairs Western New York Healthcare System Catholic Health System— Mercy Health System Sisters of Charity Hospital Niagara Falls Memorial Medical Center Dear Alumni and Friends, BY NOW YOU SHOULD HAVE RECOVERED from the pictorial extravaganza, featuring your new dean, in the winter issue of Buffalo Physician. Now, as I travel around the countryside meeting alumni, 1 will perhaps have become a more familiar face. Having just returned from such a trip (Houston, Dallas and San Antonio) it occurred to me that perhaps, as important as these excursions might be for maintaining contact with the school, they also represent marvelous opportunities for connecting alumni with others in the region. For example, in addition to getting together with classmates, more recent UB graduates are able to meet established alumni who just happen to live and work in the same area of the country. In Houston, where Robert Hall, class of 1948, hosted a dinner and reception, the graduation dates of alumnus representation spanned 56 years, including two graduates enrolled in the early years of their respective residency training programs. These residents were able to make contacts with established UB alumni—well placed and highly respected within the local academic and medical community, as well as nationally. In turn, the more "chronologically challenged" alums had opportunities to compare their experiences at UB with those of the more recent graduates. At our Dallas meeting, hosted by Ken Altschuler (Class of 1952), the represented dates of graduation spanned 46 years and provided similar networking opportunities, as did our subsequent meeting in San Antonio, hosted by Bradley Aust (Class of 1949 ), where two alumni were able to join the Dean's Advisory Council for a reception and dinner. Clearly, this kind of local networking is something we should try to encourage and facilitate through these events. Indeed, as we plan to repeat the Texas circuit of visits on a more regular basis, hopefully the word will get out about these affairs yielding even greater turnouts—and consequently, enhanced networking opportunities. Spurred on by the success of these recent meetings, we are planning additional outings to include California and Florida. Please be receptive to any of the forthcoming invitations to participate in one of these gatherings. I look forward to meeting with as many of you as possible.11 is particularlygratifying to meet former students but it is also great fun to trade anecdotes with pre-1963 graduates. Although my chair tenure in Buffalo began in 1974,1 was also at UB and actively teaching, between 1963 and 1967 (in fact, it isa little-known fact that I personally crafted many of the pathology exams during that time). Accordingly, I feel I know at least some of the students from that era as well. If we don't have an opportunity to meet on one of these future trips, I hope to see as many of you as possible at the upcoming Spring Clinical Day, which is scheduled for the first weekend in May. See you there! John R. Wright, MD Dean, School of Medicine and Biomedical Sciences © The State University of New York at Buffalo Buffalo Physician is published quarterly by the State University of New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. It is sent, free of charge, to alumni, faculty, students, residents, and friends. The staff reserves the right to edit all copy and submissions accepted for publication. Letters to the editor, address changes or other correspondence should be addressed to: The Editor, Buffalo Physician, State University of New York at Buffalo, Office of Publications, 136 Crofts Hall, Buffalo, NY Dear Fellow Alumni, 1 KNOW MANY ALUMNI HAVE NO IDEA how the Medical Alumni Association is governed, so this letter is my attempt to change that. The Governing Board oversees the various activities of the association. It consists of three officers,seven to nine active members, the immediate past president, three emeritus members and regional members representing alumni from outside Western New York. The board has several committees that oversee finances, medical student affairs, alumni awards and Spring Clinical Day/reunion activities. The purposes of the Medical Alumni Association (as stated by our Bylaws) is to promote the general welfare of the medical school, to advance the cause of medical education, to instill a fraternal spirit in the student body and to sustain that spirit among its alumni. The Governing Board meets ten times per year, in addition to the annual business meeting during Spring Clinical Day. Dues-paying members are invited to attend meetings and are encouraged to notify board members or the alumni office of their interest in becoming involved. It has been my honor to serve as the president of the Medical Alumni Association this year. 1 would like to acknowledge the support and help received from Mrs. Nancy Druar, the association's administrative assistant. She has had a particularly arduous year with our offices being moved and telephones being changed multiple times, as I am sure anyone who has tried to contact the office knows. Despite these hardships, she has sustained all the good works of our organization with much grace. I will pass the gavel to Richard Collins, '83, on May 1, 1999, at Spring Clinical Day. 1 hope to see many of you there. 14260. We can also be reached by phone at (716) 645-6969; by fax at (716) 645-2313; or Elizabeth L. Maher, MD by e-mail at President, Medical Alumni Association bpnotes@pub.buffalo.edu �II f f » [ 2 The Surfactant Story A SPECIAL REPORT ON 14 V O L U M E 3 3 , N U M B E R 4 S P R I N G Our Duty Toward Children and Family MAXINE HAYES, CLASS 18 1 9 9 9 New Health Care Business Center ORGANIZATION BUFFALO'S HISTORIC OF 1 9 7 3 , ASSISTANT DESIGNED TO SUPPORT ROLE IN DEVELOPING SECRETARY OF COMMUNITY REGIONAL HEALTH-CARE SURFACTANT THERAPY AND FAMILY HEALTH FOR IN BUFFALO, ONTARIO, by S. A. Unger WASHINGTON STATE ROCHESTER photos by Paul Francis by Mary Van Vorst by Ellen Goldbaum CORRIDOR Student Column Medical School News THE ROLE OF THE NEW PLACES, NEW PATIENT IN MEDICINE— FACES—OVERVIEW OF A FIRSTHAND ACCOUNT CHANGES ON SOUTH by James J. Mezhir CAMPUS by Lois Baker Hospital News CATHOLIC HOSPITAL MERGER TAKES SHAPE Development Research News JAMES PLATT WHITE ADVANCES AT UB'S TOSHIBA S ociety — M E D I C A L STROKE RESEARCH CENTER SCHOOL DONORS RECOGNIZED COVER PHOTO BY PAUL FRANCIS PICTURED ON THE COVER is nine-month-old Kristie Ponter, who wos born at 23 weeks andweighed 1.4pounds. She developed respiratory distress syndrome and was given surfactant shortly after her birth, according to her parents, Joelle and Rick Ponter of Gasport, New York, At her last checkup, Kristie weighed over 10 pounds. Classnotes DEBORAH A. WHITE, CLASS OF 1 9 B 7 , MOURNED �Special Report Buffalo's historic role in surfactant therapy, and the man who led the way t hurt me to see that when infants were born too early and had difficulty breathing, really nothing could be done about it. They were just left to die." In one breath, these are the words spoken by Goran Enhorning, obstetrician, as he talks about his motive for beginning his tortuous, but historic, quest to develop exogenous pulmonary surfactant 35 years ago. His hopes then, as they are today, weresimple and straightforward:to alleviate thesuffering and prevent thedeath of premature babies afflicted with respiratory distress syndrome (RDS), a condition that, previous to "the surfactant era," killed 70 percent of its victims. In his next breath, Goran Enhorning, Swedish research physiologist and inventor, moves away from the realm of the heart and into the mind, where, with softly accented words, he struggles to translate into layman's language the scientific insights he has experienced throughout his controversial career, a career he is still fully engaged in at age 75. Leaning forward in his chair in his office at the Children's Hospital of Buffalo, he explains that surfactant is a naturally occurring substance in the lungs that helps make breathing possible by decreasing surface tension at the airway-fluid interface in the alveoli. "Surface tension was described by LaPlace's Law—you know, P equals two times T over R, with P representing the pressure that must be generated to overcome surface tension, T, and R representing the radius of the alveolus ..." o B u f f a l o P h y s i c i a n S p r i n g 1 9 9 9 �UB professor of gynecology and obstetrics, is credited with playing a pivotal role in convincing the international medical community that surfactant-replacement therapy is a valid treatment for premature infants suffering from respiratory distress syndrome (ROS). He is pictured here with Alex Collura, who received surfactant therapy for RDS at Children's Hospital of Buffalo. Alex, who weighed 1 pound, 14 ounces at birth, is the son of Susan and Joseph Collura of Hamburg, New York. �n talking with Enhorning, it becomes clear how his affinity for both basic science and medicine enabled him to make crucial contributions that kept the field of surfactant research alive in years past, when leading experts worldwide dismissed its viability. It also becomes clear that his work contributed to making Buffalo, New York, a hub for surfactant research—a place where world-class scientists converged in free­ wheeling collaboration to help make real the dream Enhorning first envisioned many decades ago. These scientists include Enhorning's long-time colleague and sometime rival Edmund "Ted" Egan II, MD, professor of pediatrics and physiology at the University at Buffalo School of Medicine and Biomedical Sciences. In the early 1980s, Egan and his collaborators—building on Enhorning's seminal work—spurred on a highly contentious international race to develop the first exogenous surfactant product. Today, despite the behind-the-scenes jostling that continues among these competitors, there are several surfactant products on the market and, as a result, the mortality rate for infants born with RDS has dropped to 5 percent. This dramatic, innovative work has not ended in the clinic, however. As the 1990s draw to a close, Buffalo is equally noted for the contributions its scientists are making to basic research in the area of surfactant therapy— contributions that are leading the field into the 21st century, where it promises to impact a wide range of respiratory disorders affecting adults, as well as neonates. Bruce Holm, PhD, associate dean for research and graduate studies at UB's School of Medicine and Bio­ medical Sciences, is one of the preeminent scientists recruited to UB in the late 1980s by Enhorning and Egan. Like many others worldwide, he readily acknowl­ edges the pioneering contributions made by Enhorning, whose fortitude against all odds is now as well honored as his science. "If it weren't for Goran Enhorning, we wouldn't have the low neonatal mortality rates we have today," states Holm, "and we wouldn't have been able to develop our understanding of the science behind pul­ monary surfactant to the extent we have. And, clearly, there's a good deal for the Buffalo medical community to be proud of regarding its contributions to surfactant therapy and research. "But the surfactant story isn't over yet," he adds. "Even though it has already resulted in what would have to be considered one of the most dramatic breakthroughs in the past 50 years in terms of what neonatologists have in their repertoire for treating prematurely born infants, everyone involved believes there's much more to come." first espoused the theory that in order for the lung to function, it needed an agent that would coat the inside of the airway, particularly the tiny air sacs called alveoli (of which an adult human lung has about three million). He surmised that this coating would prevent the alveoli from collapsing during expiration, when they become very small. Working from an understanding of the Law of LaPlace, he deduced correctly that this agent causes surface tension in the lung to change its value and that the agent is composed of a phospholipid or protein. • e became so frustrated trying to get his work published, he gave up," explains E Enhorning. Medical historians often cite || von Neergaard's finding as a classic exampleofa "prematurediscovery," asnothing was done with his promising line of research until the early 1950s, when Richard Pattle in England and John Clements in the U.S. independently rediscovered the concept of an alveolar surface-active material that came to be known as "surfactant." "John Clements was and probably still is the biggest name in surfactant research," explains Egan. Working at the University of California at San Francisco, Clements, in the 1950s, was shoring up his reputation as a giant in his field by focusing on the problem of surface tension in the lung and the role surfactant plays in alveolar stability. His research in those early years was primarily basic, which put his career in perfect synch with the pioneering phase the science of lung physiology was undergoing at that time. "You have to understand that during that era— between 1940 and 1965—scientists were just beginning to gain a sophisticated understanding of how the lungs work and how we control breathing by mixing gas and air," says Egan. "And in the 1950s, these studies were being led by two or three great centers in the United u\ Discovering How the Lungs Work—or Don't To get a sense of the fortitude Enhorning, Egan and others needed to bring exogenous surfactant to where it is today—and to appreciate the promise it holds for tomorrow—it's necessary to go back to 1929, when the "surfactant story" begins. That year, a pulmonologist named Kurt von Neergaard, who was living in Switzerland at the time, o B u f f a l o P h y s i c i a n S p r i n g 1 9 9 9 �The Surfactant Story "If it weren't for Goran Enhorning, we wouldn't have the low neonatal mortality rates we have today, and we wouldn't have been able to develop our understanding of the science behind pulmonary surfactant to the extent we have." — BRUCE HOLM States, one of which was at the University at Buffalo, where key contributions were being made by Hermann Rahn, Leon Farhi and many others in our Physiology Department." A spin-off of the basic research going on at UB and elsewhere during this time was that scientists began to develop a more sophisticated understanding of lung diseases and their etiology, according to Egan. With the stage thus set, a giant leap in surfactant research took place in the late 1950s, when a pediatri­ cian named Mary Ellen Avery was invited to complete a fellowship in the laboratory of Jere Mead, a Harvard University physiologist. "Avery and Mead were think­ ing about the premature babies who had a progressively more difficult time breathing and then died. Their lungs were totally collapsed and looked like livers, and they had the idea that maybe these babies were missing this lung surfactant," explains Egan. Following through on this idea, Avery and Mead completed a complex project in which they studied the lung material of infants who died of RDS (then called hyaline membrane disease), compared with the lung material found in babies with normal respiratory sys­ tems who died of other causes. In a now-famous paper published in 1959, the researchers "showed that surface tension was higher in infants dying from RDS than it was if you got the lung material from infants dying from other causes," says Enhorning. Based on their findings, Avery and Mead put forth the idea that babies who have RDS are surfactant deficient, in the same way somebody with diabetes is insulin deficient. "This idea really sparked enormous interest," Enhorning comments. "This was very esoteric science," Egan emphasizes. "It wasn't anything the great majority of physicians around the country had any training in; they didn't understand it. There simply wasn't a good paradigm for it." Soon after publication of the Avery and Mead paper, the scramble was on to concoct an exogenous surfactant material and get it into the lungs of babies born with RDS. Around the world, research groups moved into action, hoping to be the first to produce a lifesaving substance that would put a stop to a disease that killed approxi­ mately 10,000 babies each year in the U.S. alone. At about this same time, in 1961, Goran Enhorning had just completed a PhD in physiology at Karolinska Institute's Medical School in Stockholm, Sweden, where B u f f a l o P h y s i c i a n S p r Bruce Holm, PhD, associate dean for research and graduate studies at UB's School of Medicine and Biomedical Sciences, came from the University of Rochester in 1988. That year, he teamed up with Sadis Matalon, then a UB physiologist, to show for the first time that high concentrations of oxygen can damage the cells in the lungs that produce surfactant. Today, the innovative studies conducted by Holm and his UB collaborators continue to help define the forward edge of surfactant research worldwide. in 1952 he had earned his medical degree. Upon gradu­ ation he was awarded a Fulbright scholarship to study at the University of Utah, where he began research into surfactant. Normally, Fulbright scholars are limited to a one-year stay, but an exception was made for Enhorning and his visit was extended for another year. During this second year, Forest Adams, a well-known surfactant researcher from the University of California at Los Angeles (UCLA), came to the University of Utah to lecture, at which time he was introduced to Enhorning. As a result of their meeting, Adams i n g 1 9 9 9 o �arranged for yet another year extension for Enhorning and made a place for him in his lab at UCLA. In Adams's lab, Enhorning continued work he had begun in Utah on an ingenious apparatus he called a bubble surfactometer, which he readily admits took him more than 15 years to fully develop. In the decades that followed, however, the bubble surfactometer would greatly enhance scientists' ability to run physical tests on surfactant preparations in order to assess their surface tension-lowering properties prior to in vivo studies. Adams's lab also provided the setting for Enhorning to work alongside another young scholar, Tetsuro Fujiwara of Japan, who, like Enhorning, would go on to devote his career to the elusive goal of developing a surfactant-replacement product. One of the requirements of Fulbright scholars is that they return to their country of origin for a minimum of seven years upon completion of their studies abroad. As a result, in 1964 Enhorning left Los Angeles to return to Sweden, but that was not the last he and Fujiwara would see of one another. D The Rush to Find a Cure uring the years that Enhorning and Fujiwara were studying in the U.S., the race had intensi­ fied amongscientists who hoped to be the first to determine the active components of lung surfac­ tant and to discover a replacement substance. Foremost among the scientists exploring this prob­ lem was Clements in San Francisco, who, in collabora­ tion with M. H. Klaus, was studying the biochemistry of surfactant. Using the limited testing technology they had available to them at the time, they concluded that the surface tension-lowering component of the material resided in its phospholipid, most specifically a biologi­ cally rare molecule called dipalmitoylphosphatidylcholine, or DPPC. Convinced that DPPC was the active surface tensionlowering substance in surfactant, the San Francisco group then decided to take a step that remains contro­ versial to this day. "They took this DPPC material, which they had only tested in physical systems, not biologic systems," says Egan. "It looked like surfactant. Best of all, it was easy to make, easy to work with, and they were really convinced they had the 'guts' of it, so their next thought was, 'Let's test it in babies.'" Additional motivation to push ahead with testing had come in 1964, when a Canadian group, which had rapidly followed up on Clements's findings, published a paper reporting that they had found some improvement in babies with RDS who had been treated with a DPPC mist. In 1965, therefore, with their new DPPC solution in hand, the Clements team boarded a plane for Singapore, where they had access to a large population of babies and could complete their studies quickly. "They took aerosolized forms of DPPC and fogged it into the babies," recounts Holm. "And remember, these are the days before mechanical ventilation. The babies were in these plastic hoods, and they just put this mist of DPPC in the hood and that was the concept of ventilation. Looking back on it, most of the DPPC probably stuck on their hair and face. I'm sure almost none of it got in their lungs. If it had, it probably would have had some positive benefit. But they hadn't done any animal studies so, among other things, they didn't know how to deliver it correctly." Upon returning, the group published a landmark 60-page paper in Pediatrics in 1967, concluding that exogenous surfactant was not efficacious for the treat­ ment of infants with RDS. "So here you have the biggest names in surfactant research saying thatsurfactant therapy doesn't work," says Egan. "And not only that, but concluding that surfactant deficiency was a result of RDS rather than the cause of it." Once the paper was published, interest in surfactantreplacement research for RDS, in large measure, came to a sudden halt. "Clements's conviction alone and his stature in the academic community were such that the publication of this paper turned the entire field of surfac­ tant research in the wrong direction for more than 10 years," Egan explains. Pausing, he adds, . . with the exception of one kind of idiosyncratic, brilliant intellectual who lived in Sweden and was an obstetrician by training." "This Has Been Tried Before and Does Not Work" Back in Sweden, with his bubble surfactometer in tow, Goran Enhorning was running some tests of his own. "DPPC wasinexpensive, it was sterile, it didn't have any antigenic proteins, so it was appealing. If you could use DPPC, it would have been wonderful. But you couldn't. It was hopeless. I found that out with the bubble surfactometer," he recalls. At this point, Enhorning turned to a pathologist named Bengt Robertson for help, and together the scientists experimented with various surfactant prepa­ rations, which they began early testing of on rabbit neonates. "What they found," Egan explains, "is that the rabbits lived longer and breathed better. But because the medical establishment was by now con­ vinced that surfactant deficiency was not the cause of RDS, they had trouble getting their work published. "I think people in the field ignored Goran's early work because he was producing evidence that was contrary to conventional wisdom, because he was up in �The Surfactant Story In the 1950s, these studies great centers in the United States, one of which was at the University at Buffalo, where key contributions were being made by Hermann Rahn, Leon Farhi and many others in our Physiology Department. Edmund "Ted" Egan II, MD, UB professor of pediatrics and physiology and founder, president and CEO of ONY, Inc., holding a vial of the company's exogenous surfactant product, Infasurf. In the early 1980s—building on Goran Enhorning's seminal contributions—Egan worked with Robert Notter at the University of Rochester to develop the drug. Their efforts fueled a race among scientists around the world working toward this same goal. Sweden and because he had very distinguished people openly pooh-poohing his work." After years of having his work essentially blackballed by the scientific community, Enhorning finally met with temporary success in 1972. "The editor of Pediatrics who accepted the paper Robertson and 1 coauthored was an exception," recalls Enhorning, "and he invited me to follow up with an editorial on our work." Despite publi­ cation of this paper, however, Enhorning and Robertson again found their work ignored; between 1972 and 1976, few journals accepted their papers. "Papers we submitted were rejected with one line: This has been tried before and does not work,'" recalls Enhorning. published a paper describing, in depth, his bubble surfactometer, which has since become a staple tool used by scientists studying surfactant. Based on the work Enhorning and Robertson were doing in the 1970s, researchers began revisiting the idea of creating a synthetic surfactant material. Some were once again testing the DPPC substance that Clements had unsuccessfully experimented with in the mid-1960s. For example, in 1976 Fujiwara was back at UCLA and was working with Adams in an attempt to duplicate the Enhorning and Robertson studies by depositing DPPC in the upper airways of sheep. Frustrated with their results, they concluded that surfactant therapy didn't work. "During a trip to Los Angeles that year, Robertson visited Adams's lab and was told about the frustrating results of the experiments. He told them that what they needed to use was natural surfactant from adult animals, not a synthetic mate­ rial like DPPC. So they changed their techniques and then could confirm our studies," explains Enhorning. Shortly thereafter, Robertson returned to Sweden permanently and Enhorning began collaborating with Fred Possmayer, a biochemist who worked in London, Ontario, at the University of Western Ontario. Their A year before publication of the paper in Pediat­ rics, Enhorning had moved to Canada to take a position at the University of Toronto. There, he continued collaborating with Robertson, who still lived in Sweden but made extended visits to Canada. "In 1973 and 1974,1did a study with Robertson I consider very important," says Enhorning. "We depos­ ited surfactant in the pharynx of premature rabbit neo­ nates, who inhaled it with their first breath, and X rays showed how it opened up their lungs. We published this goal was to develop a surfactant material that would be safe to test in babies. "One of the big problems we had was that the raw material—the natural surfactant—was very difficult to get," Enhorning recounts. To overcome this problem, Enhorning paid a visit to a local slaughterhouse in Toronto. "I got really lucky because one of the investigators working in research at the slaughterhouse had just hada baby who developed RDS,so study in 1975, and it was at that point that we started thinking about seriously testing it in babies." Toward this goal—and with publishing no longer an insur­ mountable hurdle—Enhorning and Robertson submit­ ted a steady stream of papers on animal studies they conducted throughout the latter half of the f970s. It was during this time, in 1977, that Enhorning first B u f f a l o P h y s i c i a n S p r l n g 1 9 9 9 o �There's no doubt that Enhorning and Possmayer were much farther down the with our synthetic product. was primarily interested in a synthetic product. Biochemist Fred Possmayer, PhD, of the University of Western Ontario in London, Ontario, collaborated with Goran Enhorning in the late 1970s to prepare a sterile and active exogenous surfactant product using material obtained from the lungs of large calves. It was this product that Ted Egan and Robert Notter used as a basis for developing Infasurf for treatment of neonates with respiratory distress syndrome. he arranged for me to get lung lavage from large calves." The surfactant material that Possmayer made using raw material obtained at the slaughterhouse was ex­ tremely active in terms of its surface tension-lowering properties; however, when they attempted to sterilize it with gamma rays or by autoclaving, this crucial activity was lost. "We felt this was due to its high protein content," says Enhorning, who by this time understood, as did all researchers in the field, that surfactant was a complex mixture composed of 90 percent lipids and 10 percent proteins. "In an attempt to rid the material of these proteins, we extracted the surfactant lipids and resuspended them in saline solution, and the material we obtained could then be autoclaved and sterilized without it losing its surface activity," he explains. However, unbeknownst to Enhorning and Possmayer at the time, a few tiny apoproteins slipped through and made it into their experimental material. It wasn't until the mid-1980s that scientists made the critical discovery that these apoproteins of pulmonary surfactant, which have since been named SP-B and SP-C, are essential for an immediate expression of surface activity. "Possmayer and I extracted the phospholipids from the material. By doing that, we thought we would get rid of the proteins, which we felt might be dangerous and which interfered with our attempts to sterilize the material," says Enhorning. "We thought we had removed all the proteins but, serendipitously, we hadn't. Later we found out that about 2 percent of the extract was made up of proteins that had slipped by when we analyzed its properties." Once Enhorning and Possmayer discovered how to produce their sterile, active substance, they wrote about it extensively in journal publications. o f f Coming Around to Goran Enhorning's Idea "By the late 1970s, everyone had come around to Goran Enhorning's idea of 10 years earlier: that it probably is surfactant deficiency that causes RDS," Egan explains. "The obvious next step, then, was determining what kind of surfactant-replacement therapy you're going to give. Basically, you have two options—synthetic and natural." E gan, himself, entered the field of surfactant research at about this time. In 1977 he moved to Buffalo, where he had accepted a joint appoint­ ment as chief of neonatology at Children's Hospi­ tal of Buffalo and professor of pediatrics and physiology at the University at Buffalo's School of Medi­ cine and Biomedical Sciences. "Ted Egan was a physiologist who had some world renown for his work in lung-water clearance," explains Holm, referring to the process in which, at birth, a baby absorbs the liquid that fills its lungs and establishes breathing. "And as a neonatologist and chief of neona­ tology at Children's, he obviously was interested in developments with surfactant therapy." Once in Buffalo, Egan set up his lab, where he conducted ongoing studies on sheep related to his research. Soon he met Robert Notter, a scientist who earlier in his career had given up a faculty position in chemical engineering at Pennsylvania State University in order to go to medical school, which he felt would better prepare him to pursue a consuming interest he had in lung surfactant. After he completed medical school at the University of Rochester, he stayed on as a faculty member, dedicating himself to his research. �The Surfactant Story what we had used was whole lung surfactant as we had planned," Egan says. "But when it worked so well, I said, 'This whole surfactant is great!'" It was at this point that Notter informed Egan that what they were testing was an extract he had prepared based on the published works of Enhorning and Possmayer, an extract that he had slightly modified to his own specifications. "There's no doubt that Enhorning and Possmayer were much farther down the road with their natural extract in 1981 than we were with our synthetic prod­ uct. Until we ran this test, Bob was primarily interested in a synthetic product. But once this new extract looked so good and once I found out that there was almost no protein in it, I thought, 'We're home,"' Egan recalls. It was from this point onward that Egan and Notter abandoned their quest for a synthetic surfactant and focused their efforts on refining a natural extract. y 1980, Bob Notter had a synthetic mixture of surfactant that we both thought would work, and we decided that the best way to find out was to test it in my sheep," recalls Egan. Egan and Notter were encour­ aged by a paper that had just been published in Cambridge, England, which reported that surfactant had been tested on babies with very good results. Based on the Cam­ bridge study and others, they were acutely aware that groups around the world were hard at work in the ongoing race to develop their own surfactant products. They knew, for example, that Fujiwara had returned to Japan and was working there; that Clements was working in San Francisco; that Robertson had returned to Sweden, where he was continuing his research; that a group in San Diego was approaching the problem by extracting surfac­ tant from amniotic fluids; and that Enhorning and Possmayer continued their work in Toronto. A Which Way to Go? ll the scientists working on surfactant worldwide had come to this difficult junction in their re­ search. Obviously a synthetic product was attrac­ tive: It would be easier to mass-produce, would be available in limitless quantities, could be more easily controlled for quality and could be patentedand sold as a brand-name product, something that was sure to attract the needed support of pharmaceutical companies. Natural products, on the other hand, while holding exceptional promise, posed very formidable challenges. It was with great anticipation, therefore, that Egan and Notter began their experiments in 1981. Notter had exten­ sively tested his surfactant preparation in physical systems and had found it very promising. "We took this synthetic product and put it in preemie lambs that were surfactant deficient, and the results were disastrous," Egan recalls. Frustrated with their lack of progress, Egan andNotter decided they needed to pull back and reassess their methodology because, as Notter pointed out, everything was looking good on his physical systems, so perhaps they needed to look at whether Egan's "experimental setup" was flawed. "In other words, he was saying to me, If we have good stuff, would we even recognize it? " Egan says. Thinking there was only one sure way to determine this, the scientists decided they would put their synthetic mixture aside and instead test a dose of whole surfactant taken directly from the lungs of an animal. "We were simply looking for a positive control," Egan says. However, what occurred that day in March of 1981, when they tested the new surfactant mixture, was something Egan says he will never forget. "It was stunning. It was probably as exciting a lab event as I've ever participated in. Surfactant-deficient sheep are pretty doleful animals, let me tell you. But when we gave them the surfactant Bob provided, they were acting like mature fetal sheep getting ready to be born. It was fantastic." But the biggest surprise was yet to come. "I thought "In 1980 we knew that natural surfactant was about 10 percent proteins and that one of these proteins was very large. Like the proteins in your blood, it clots, coagulates and you can't sterilize it; it has all kinds of problems," Egan explains. "So we were faced with two issues: if we were going to develop a natural replacement product, it had to be one that wouldn't hurt the patient, yet was hardy." In 1983, despite these complications, the BuffaloRochester team of Egan and Notter and the Toronto team of Enhorning and Possmayer had each begun small, prospective placebo-controlled trials of natural surfactant extract to prevent RDS in preemies—at last marking the start of full-fledged efforts on the part of the two groups to test the drug in babies. Two years later, both the Buffalo-Rochester group— now joined by clinicians Melinda Kwong and Donald Shapiro—and the Toronto group had completed larger randomized clinical trials, which they each reported on in the August 1985 issue of Pediatrics. Using what were similar extracts, they demonstrated that calf-lung "We were simply looking for a positive control," Egan says. However, what occurred that day in March of 1981, when they tested the new surfactant mixture, was something Egan says he will never forget. u f f a l o P h y s i c i a n S p r i n g 1 9 9 9 o �surfactant extract did prevent lung disease in premature babies and could significantly reduce the severity of respiratory disease. "After seeing the results of these clinical studies, all of which were so compelling for this particular material, Ted took it on as a crusade to go out and see that it became widely available," recounts Holm. "Early on, he had offered the calf-lung surfactant, pretty much free, to pharmaceutical companies, but they had already com­ deficiency; therefore, the accepted belief was, 'It can't be part of the issue."' B y the late 1980s Holm, who had admired Enhorning for many years, began to collaborate with the senior scientist and others on studies demonstrating a mechanism by which plasma proteins were shown to inhibit surfactant func­ tion. These findings, published in 1988 in the Journal of Applied Physiology, helped introduce the concept that surfactant-replacement therapy could be of benefit to a much wider range of lung conditions than just RDS. "While we were off doing clinical studies, Holm was working with researchers throughout this area—in Buf­ falo, Rochester, Toronto and London, Ontario—to find out that you can inhibit lung surfactant, which was a brand new concept," explains Egan. "They were showing that surfactant plays a role in lung diseases, not just when it is missing, but when it becomes deactivated by things seep­ ing into the lungs that don't belong there and which start tearing up the surfactant, making it terribly difficult for people to breathe. We began to see it as being similar to autoimmune diseases, where the body turns on itself." In 1988 Holm also teamed up with Sadis Matalon, mitted to marketing products developed by other groups. Also, another reason why they weren't interested in the material was that it had been reported on in professional journals to such an extent it was considered to be in the 'public domain,' so it couldn't be patented. "So this really was the genesis of the idea 'Let's go out and make and market our own product.'" In hindsight, Holm adds, "Remember, these were academic physicians with no background in commercializing a drug, and so they were too naive to know that they couldn't go through the FDA process without any financial backing." What they did have, according to Holm, was "the best of intentions and a belief that what they were doing was for the greater good." Determined to provide a parent company for his orphan drug—which has since been dubbed "Infasurf"— Egan founded ONY, Inc. (Ontario New York), in 1985 and set up offices in the Baird Research Center located near the University at Buffalo campus. who was then a physiologist at the University at Buffalo, and others to publish a study that showed for the first time that high concentrations of oxygen can cause changes in Type II pneumocytes, the cells that produce surfactant. A Boost from Basic Research "Obviously, this was really very important because we use oxygen as an essential therapy for treating lung diseases," explains Egan, who notes that, today, the 40-year-old Holm is recognized as "one of the world's leading experts on oxygen toxicity." "Not only did Holm and Matalon document that oxygen can damage cells in the lungs that make surfac­ tant, but they also showed that if you give an animal surfactant, it will speed its recovery, diminish the injury or even prevent it," he adds. While studying oxygen toxicities, Holm also refined a technique for isolating the Type II pneumocytes. This was a very important development, as well, according to Enhorning, because "more and more, physiologists are studying disease at the cellular and molecular level." While surfactant was entering its clinical-trial phase, other equally momentous developments were again tak­ ing place on the basic-science side of surfactant research. Much of it centered onBruce Holm, who in 1981 came to work in Notter's lab at the University of Rochester while pursing a doctorate in toxicology. Over the next seven years, Holm gained considerable recognition for a series of contributions he made to the field of surfactant. In the mid-1980s, it was Holm and Jeffrey Whitsett, a researcher at the University of Cincinnati, who conducted a study that finally identified apoproteins as the mystery component in surfactant that enables it to be efficiently adsorbed by the lungs. In their paper, which was published in Pediatric Research in 1986, they were the first to show the functionality of the apoproteins SP-B and SP-C. From the start, Holm was primarily interested in studying adult respiratory distress syndrome (ARDS) Critical Mass Converges in Buffalo As the years passed, it became increasingly clear that, philosophically, the Buffalo-Rochester group had much in common with the Toronto group and that, together, they stood apart from other groups worldwide. Most important, they shared the philosophy that both lipids and proteins must be included in surfactant prepara­ tions if they were to produce optimal results. Further- and its potential connection to surfactant. "No one had ever really wanted to study surfactant in adults," he explains. "Initial attempts to do so went nowhere because the dogma at the time was that surfactant deficiency was related to a quantitative deficiency—as in the case of premature babies—but not to a qualitative 0 B u f f a l o P h y s i c i a n S p r i n g 1 9 9 9 �The Surfactant Story "It's this cell-biology aspect that will take us to the next level. The philosophy shouldn't just be 'Okay, we can keep them alive.' That, of course, is very important for the physician, but, for a scientist, you always want to go one step farther; you want to see if you can prevent this from happening Robert Notter, MD, gave up a faculty position in chemical engineering at Pennsylvania State University to earn a medical degree, which he felt would better prepare him to pursue a consuming interest he had in lung surfactant. In the 1980s, as a faculty member at the University of Rochester, he collaborated with Ted Egan at the University at Buffalo to develop the surfactant drug Infasurf. more, they felt strongly that both SP-B and SP-C must be present because their research had shown that the two apoproteins work synergistically. In contrast, in the late-1980s Clements's group in San Francisco, which had by then partnered with Burroughs Wellcome, wasdeveloping a synthetic prepa­ ration called Exosurf that was composed primarily of DPPC and contained no protein. In turn, Fujiwara's group in Japan, which had partnered with Abbott Labs, was testing a patented product called Survanta, manu­ factured from a mince of whole cow lung, supplemented with synthetic phospholipids and neutral lipids, but containing only trace amounts of the SP-B apoprotein. G iven the long years of collaboration between the Buffalo-Rochester-Toronto researchers, it came as no surprise when Egan successfully recruited Enhorning to Buffalo in 1986, fol­ lowed in 1988 by Holm, who came from the University of Rochester to complete a postdoctoral fellowship at UB, during which time he worked with Enhorning and others to continue his novel work on surfactant inhibition. There's So Much at Stake Once the randomized clinical trials were completed on Infasurf in 1985, Egan initiated the process whereby he hoped to win Food and Drug Administration (FDA) approval for the drug. Immediately, he was told by the FDA that in order for Infasurf to be considered for approval, controlled studies of it had to be completed. in the first place." — BRUCE HOLM "This meant some of the babies would getsurfactant and some of the babies would get nothing," recalls Egan. "So I said, 'I can't do that.'" Egan's appeals to the FDA to make an exception to their rule did not meet with success. As a result, he decided to delay controlled clinical trials until other surfactant drugs came on the market, at which time he could compare one surfactant to another. In 1990, his wait ended when Exosurf was approved by the FDA and debuted as the first surfactant drug available in the U.S., followed closely by Survanta in 1991. In the intervening years, while waiting for Exosurf to come on the market, Egan made Infasurf available to all babies in Buffalo who needed it, something he was able to do while Infasurf was classified as an "investigational new drug." This strategy was given a boost in 1989, when the FDA gave Egan's company, ONY, Inc., per­ mission to charge for Infasurf so that costs for its development could begin to be recouped. However, the FDA gave the company permission to do this with the stipulation that it upgrade its manufacturing facilities to meet the requirements for a commercial venture. The only way to get the needed equipment in a timely manner was for the owners of the company to guarantee a loan, which Egan did personally after buying out the other owners. "I was placed in a position where I felt we had developed something that was really a super therapy but which, because it wasn't a mainstream commercial venture, was about to be abandoned," Egan says. "I thought about my own motivation up to this point—why I went into this in �the first place—and I felt it really didn't do any good to develop an optimal product and then watch it die." In 1989, therefore, Egan gave up his position as chief of neonatology at Children's Hospital of Buffalo and went to a part-time status at the hospital in order to fully devote his energies to ONY, Inc. present, while Infasurf contains it in quantities normally found in healthy mammals." To demonstrate what he calls "a night-and-day difference" between protein-based surfactant drugs and those containing no proteins, Holm points out that as soon as Survanta became available, "Exosurf rapidly lost its majority share of the market, which tells you what the clinicians using the two drugs are finding. We feel that Infasurfs inclusion of both apoproteins makes it a drug with notable differences when compared with W hen Exosurf came on the market in 1991, Infasurf finally entered the clinical-trial phase for FDA approval, as studies were conducted in which the two drugs were compared. To facilitate this process, ONY, Inc. formed an Survanta and one that defines the 'next generation' in surfactant drugs." alliance with Forrest Labs, which has its headquarters in New York City. With Forrest Labs providing the person­ nel and financial resources needed for this costly process, FDA trials of Infasurf were completed between 1991 and 1994, with all data submitted to the agency by 1995. In 1995, when it looked like Infasurf would finally make it out the other end of the FDA pipeline, Egan's plans hit yet another snag and were ground to a halt. When the FDA approved Survanta in 1991, it designated it an "orphan drug" because it was determined to be the first pharmaceutical of its kind. "Being designated an 'orphan drug' by the FDA puts you in a category that gives you some tax breaks and provides you market exclusivity against similar or same drugs for seven years. It's like having a patent for that period of time. What happened in 1995 was the FDA decided that, under the orphan-drug rules, Infasurf was the same drug as Survanta. That doesn't mean that we are the same drug, like a generic drug, but just that we are a 'similar' drug," Egan explains. The effect of this ruling, therefore, was that Infasurf had to stay off the market until 1998, since Survanta had made its debut in 1991. Despite repeated requests for the FDA to change its ruling, the decision held fast. Today, Egan simply says, "What it came down to with the FDA is that both drugs came from cows." On July 1, 1998, the exclusivity clause for Survanta expired, and Infasurf finally became an FDA-approved drug. What would have otherwise been a banner day in the history of Infasurf, however, was clouded by yet another obstacle. In 1994, Abbott Laboratories claimed Infasurf infringed on Survanta's patent, and hearings on the ensuing case began in June 1998. Despite the ongoing legal battles (see article, page 13) Egan is convinced that as Infasurf becomes widely avail­ able to physicians working on the front line in neonatal intensive care units, it will win a significant share of the market through its own merit. "Physicians are looking for the best product," he says, "and any margin of improve­ ment will be huge because there's so much at stake." The Stage Has Been Set Throughout the 1990s, scientists in the informal Buffalo-Rochester-Toronto research network have con­ tinued to pursue independent interests, as well as to collaborate with each other on groundbreaking studies that have helped define the leading edge of surfactant research worldwide. "We're looking at cell-directed therapies now," Holm says. "We know that surfactant can take care of many of the symptoms of lung disease and that it has reduced infant mortality related to RDS to 5 percent, down from a high of 70 percent in the 1960s. So now what we want to do is take a step back and ask ourselves, Can we stimulate the cells so you can never get the symptoms in the first place? That involves looking at what the mechanisms are for cellular function, and what we've dis­ covered is that you can do pharmacological manipulations, n" Holm is emphatic about the difference between Infasurf and the Survanta and Exosurf products. "In our opinion, and in the opinion of many scientists, the most effective surfactant drugs are those that contain the lipids as well as the two apoproteins B and C. Our studies have shown that these two proteins work synergistically and that, of the two, B is the most important. Exosurf contains no proteins, and in the Survanta preparation only minute amounts of the B protein are particularly with I* oxidant stress, and *» > i T •' L © B u f f a l o P h y s i c i a n S p r i n g 1 9 9 9 �The Surfactant Story you can prevent this damage from occurring in vitro and in vivo." Citing a series of diverse investigations that build on surfactant research, Holm talks about studies ongoing at UB whereby researchers are hoping to find improved ways of treating ARDS, pulmonary dysplasia and hypo­ plastic lung from congenital diaphragmatic hernia. Referring to the latter condition, he says, "For example, we have shown that the blood-flow problem that exists there and the stiffness of the lung can be corrected by giving exogenous surfactant. But the lungs are still small, so we've been doing things directly to the Type II cells in this and other injuries. By tweaking those cells and putting mechanical stressors and growth factors in, lo and behold, we're finding we can grow the lung back to normal size in two weeks in vivo. "So, we're branching out, and it's interesting because it's all growing out of surfactant," he adds. "It's this cellbiology aspect that will take us to the next level. The philosophy shouldn't just be, 'Okay, we can keep them alive.' That, of course, is very important for the physi­ cians, but, for a scientist, you always want to go one level farther; you want to see if you can prevent all of this from ever happening in the first place." Enhorning couldn't agree more and has headed off on his own to again champion a controversial theory in which he contends that surfactant dysfunction The Pro rogress IjT e courts and new clinical trials W hen the Food and Drug Administration (FDA) approved Infasurf in July 1998, ONY, Inc., and Forrest Labs implemented a licensing agreement which stipulated that ONY, Inc., would manufacture Infasurf and Forrest Labs would mar­ ket it under its label. Despite this progress, ONY, Inc., still faced a legal challenge from Abbott Laboratories, which in 1994 claimed Infasurf infringed on the patents of its surfactant drug, Survanta. A trial was held in the summer of 1998 in the District Court in Buffalo. "To be honest, Abbott is a 13-billion-dollar-a-year company and their attitude toward a multimillion dollar lawsuit is very differ­ ent from that of a 20-employee embryonic company," says Edmund "Ted" Egan, MD, ONY's founder, president and chief executive officer, who isalso a professor of pediatrics and physiology at the University at Buffalo School of B u f f contributes to symptoms of asthma. To assist in the elucidation of his new theory, he has again invented an apparatus, which he calls a capillary surfactometer. "I feel the capillary surfactometer is the most important work I have done; I think it has the most promise," he states matter-of-factly. Egan is following Enhorning's new studies with great interest and says, "Goran has this fascinating, very innovative theory about asthma and, again, he's going against the tide, he's way out in left field. He's challeng­ ing conventional wisdom and almost nobody thinks he's right because he's saying that the reason why asthmatics have a tough time getting air is not because there is a spasm of the muscles of the airway and not because the airway is clogged with inflammation, but because they have surfactant dysfunction. And you better watch him, because he may be right again." " Fortunately, history may not repeat itself for Goran Enhorning. "Some people are looking at what Goran is saying and have approached us about doing some studies in asthma and respiratorysyncytial virus," Holm reports. "But, really, the big battle has been won, and that battle was getting enough evidence out there to finally convince the international medical community that surfactant-replacement therapy is a valid treatment for premature infants. That set the stage; now the science will continue to develop." + Medicine and Biomedical Sciences. In September 1998, the jury in the case ruled in favor of Abbott Laboratories, but a final judgment has not been entered and appeals are expected to extend the legal dispute well into 2000. Commercial sales of Infasurf await resolution of the law­ suit, according to Egan. Meanwhile, Infasurf continues to make impressive in­ roads in the scientific arena. In January 1999, Critical Care Medicine (Vol. 27, No. 1) published a study led by Douglas F. Willson, MD, of Children's Medical Center of Charlottesville, Virginia, in which it was shown that pediat­ ric patients who received the drug for a spectrum of respiratory disorders demonstrated rapid improvement in oxygenation and, on average, were extubated 32 percent sooner and spent 30 percent less time in the pediatric intensive care unit than control patients. "The success of surfactant replacement therapy in newborn infants with respiratory problems is well established now, so scientists are looking at its efficacy for children beyond the neonatal period," says Egan, who was a coauthor of the study. "While these findings are very encouraging, a larger, blinded, controlled trial is necessary, and this is something that's being planned before recommendations can be made for use of surfactant in pediatric patients with respiratory failure," he adds. 0 �WHEN PEDIATRICIAN MAXINE HAYES entered medical school at the University at Buffalo in 1969, she was planning on a career in oncologic research. However, after her first year at UB, she decided she could make a greater contribution as a clinician, so for the first time she began to ponder her career options as a physician. "I wasn't going to pursue pediatrics because that was the unspoken gestalt of that time: Women were supposed to become pediatricians," she recalls. During her clinical rota­ tions, she discovered she had promise as a surgeon, but, still, something wasn't quite right. This "something" suddenly began to clarify when she completed her final clinical rotation, which was in pediatrics. Hayes says she found that the people who were drawn to pediatrics were different from those in other medical disciplines. "They were highly sensitive to social issues. They weren't necessarily interested in making a lot of money, and they were very public-health oriented," she explains, adding with a chuckle, "They were a lot like me." ��"EVERY CHILD HAS A RIGHT TO A GOOD AND AFTER THAT A CORE OF GOOD PREVENTIVE HEALTH SERVICES. LI I HESE INTUITIVE PROMPTINGS eventually compelled Hayes to redefine her career goals, and in the two and a half decades since graduating from UB, she has gone on to become not only one of the more prominent pediatricians in the United States, but also a public health advocate widely recognized for her dedication to policies that promote maternal and child health. Today, Hayes is the assistant secretary of community and family health for Washington State's Department of Health, where she oversees a staff >f more than 200 and manages an annual budget of over $300 million (70 percent of the Department of Health's budget). Maxine Hayes's push to succeed can be traced back to her childhood in Jack­ son, Mississippi. Raised in thesegregated South of the 1950s and '60s—where she says there was literally a railroad track separating blacks from whites—she grew up poor, but admits she never knew it. "My family taught me there was nothing 1 couldn't do," she says. In addition to poverty and racism, Hayes remembers battling the specter of sexism in high school, as well, and reflects, "I guess I was always trying to prove girls could do things boys could do, and do them better. It tickled me to death when I was valedictorian of my senior class and a boy came in second." It was during her high school years that Hayes was singled out by an African American women'sservice club, LINKS, Inc., which every year took under its wing one promising African American girl or boy from each of the three public high schools in Jackson. The women in this club introduced their young charges to art, music and literature. Also, to compensate for segregationist practices that banned blacks from fine restau­ rants, the women hosted elaborate social dinners in their homes, taking the opportunity to teach etiquette to Hayes and the others. Among the women in the club was a graduate of Spelman College in Atlanta who, over time, became Hayes's mentor. Convinced Hayes would flourish in the all-girls' setting at Spelman, the woman encour­ aged her to apply. When the college responded with an offer for a scholar­ ship, Hayes was on her way to Atlanta. © While at Spelman, where she ma­ because she wanted to dedicate her jored in biology, Hayes won a Charles career to finding a cure for cancer and Merrill scholarship to study abroad in UB's affiliation with Roswell Park Can­ Vienna for a year, an opportunity whose cer Institute strongly appealed to her. timing would lead to events that would "I felt there was a reason why all of alter her life's path in ways she never that happened, and that attending medi­ could have imagined at the time. By cal school was going to provide me with choosing to go abroad an opportunity to and opting to study do something for outside her major, my community Hayes delayed her and the greater graduation by a year. good. As the say­ And that year— ing goes: 'To 1968—was a momen­ whom much is tous one marked by given, much is also the assassinations of required,"' Hayes both Robert Kennedy says. "I had class­ and Martin Luther mates in my biol­ King, acts of violence ogy classes at that resulted in politi­ Spelman who cal upheaval and calls would have given for change. One fallout from Hayes says she has long had anything to go to medical that tumultuous year was an appreciation for the social school. But they graduated that the country began to context of medicine. "We on time and were not given examine its college and post­ that opportunity. That all physicians need to have a role graduate entrance policies turned around in one year, in impacting policies," she for minorities. As a result, and I have always felt it was contends. "We need to ensure for a reason." the extra year Hayes added that the technical knowledge to her undergraduate stud­ After her first year in medi­ ies put her in the right place brought to healing is such that cal school, Hayes spent a at the right time when medi­ it gets to the root causes of why summer working as a medi­ cal schools began working people are sick in the first cal extern at a family health place, things such as poverty to attract minority students. clinic in Mississippi. It was When she had entered and social disparities." there that she realized her Spelman, Hayes's goal had family had shielded her from been to eventually earn a PhD in biology the stark realities in her home state, as or cytology; however, in 1969, when that summer she not only wrote pre­ recruiters-from UB's medical school of­ scriptions for medicine, she wrote pre­ fered her a scholarship, she accepted it, scriptions for food. "I began to see all the turning down a scholarship to Harvard social ills and to realize that having the f f �wasted S o MUCH OF WHAT WE SPEND IS technical knowledge of medicine was not going to be sufficient," she recalls. Following graduation from UB in 1973, Hayes pursued her postgraduate training in pediatrics at Vanderbilt Uni­ versity Hospital in Nashville and at Children's Hospital Medical Center in Boston, finishing in 1976. In 1977, she went on to earn a master's degree in public health at Harvard University. She then returned to Mississippi, where she established a primary care family health clinic on the outskirts of Jack­ son, becoming the first and only pedia­ trician in Rankin County and serving a population of some 60,000. Word of Hayes's success in her Mis­ sissippi clinic began to circulate among public health professionals and, in 1985, "out of the clear blue," she says, she received an offer from Children's Hospi­ tal and Medical Center in Seattle to serve as medicaldirector for the Odessa Brown Children's Clinic, which delivers primary care to a predominantly lowincome population in central Seattle. Hayes accepted the offer and moved West, leaving her home state but not its problems, which she soon discov­ ered to be much the same in Washing­ ton State, except that instead of poor rural families, there were poor innercity families. Hayes says her move to Seattle was nothing short of culture shock. Though soft-spoken, she acknowledges, "I'm very intense, very competitive—a TypeA personality. "When I arrived in Seattle, the first thing everybody noticed was my inten­ sity, and people in the Northwest are definitely not intense. I was amazed you could be so productive and casual at the same time." Over time, as people got to know her, she says, "They told me, 'Loosen up,' so, now, Birkenstocks are definitely part of my wardrobe, and I carry a backpack at all times, even on the rare occasion when I'm wearing a business suit. I've been won over!" During her three years as medical B u f f a l o P h y s i c i ON TRYING TO CURE THINGS THAT COULD HAVE BEEN PREVENTED." director at the Odessa Brown Children's Clinic, Hayes worked to expand its mis­ sion. In addition to seeing patients her­ self, she set up educational programs for unemployed single mothers, established a sickle-cell screening program and ad­ vocated for policies that ensured better access to health care for foster children. Hayes's dedication and organizational talents caught the attention of Jule Sugarman, one of the founders of Headstart and then-secretary for the Department of Social and Health Ser­ vices for Washington State. Sugarman had a vision for children's health in Washington and needed a pediatrician who had credibility in the private com­ munity to go to work in the public sector. In 1988, hesuccessfully recruited Hayes to come to work with him for the express purpose of getting a bill passed in the legislature that would launch a maternity care access program called First Steps. "I'm not asking for your life, only two years," she recalls him saying in response to her hesitation to leave a job she loved. Sugarman, who had al­ ready gotten Children's Hospital to agree to "loan" Hayes to the state for that period of time, told her: "Go and get this bill implemented, and then you can go back." What really hooked Hayes, she says, was when he asked her, "How long do you want to take care of kids one by one and deny the opportunity to take care of every single one of them?" B ecause her original appoint­ ment was to be temporary, Hayes decided to stay in her home in Bellevue, a suburb east of Seattle, and make the daily threehour round-trip commute by vanpool to the state capital of Olympia. That was 10 years ago, and she's still at it. Hayes, a single mother of two boys, ages 12 and 16, starts each day at 5:30 a.m. Carpooling by van allows her time to work en route and frees her to spend time with her sons after her busy days, which usually include a visit to the gym, a n S p r i n g 1 9 9 9 where she says she follows "a very disci­ plined exercise program." Hayes's initial appointment in 1988 was as director of the Division of ParentChild Health Services, and one of her first accomplishments was to help win passage of the First Steps legislation as Sugarman had hoped she would. In1990, she was promoted to assistant secretary of Parent-Child Health Services, and three years later she moved into her current position as assistant secretary of community and family health. Hayes believes her most important contribution to public health is her abil­ ity to solve problems. "I see opportuni­ ties where others see challenges," she says. Last year she created a new office in her division, called the Office of Com­ munity Wellness and Prevention. By targeting the pediatric population, in particular, this office strives "to approach chronic disease by looking at common risk factors, such as tobacco, physical inactivity and nutrition, especially as it relates to obesity," Hayes explains. An­ other innovative idea she implemented was to position the state's Women, In­ fants and Children (WIC) program as a counterpart to existing chronic disease prevention programs. "When you look at chronic diseases, you realize you can begin to intervene against many risk factors for these diseases in childhood by focusing on good nutrition," Hayes notes. "Our health department is the only one in the country where you'll find this 'upstream' approach to chronic disease prevention." Hayes says she has long had an ap­ preciation for the social context of medi­ cine. "We physicians need to have a role in impacting policies," she contends. "We need to ensure that the technical knowledge brought to healing is such that it gets to the root causes of why people are sick in the first place, things such as poverty and social disparities." She is particularly adamant on the CONTINUED ON PAGE 26 o �MEDICAL New Health Care Business Center Opened — CAPITALIZING ON MARKETABLE PRODUCTS AND PROCESSES THAT DEVELOP FROM RESEARCH I M A G I N E B U F F A L O , Rochester and Ontario as an internationally recog­ nized corridor for innovation in health care, with the University at Buffalo a critical component. That's the vision that led to the formation of the new Health Care Business Center (HCBC), a joint venture between UB and the Health Care Industries Association that will allow the region's health-care industry to capitalize on marketable products and processes that develop from research projects at UB, Roswell Park Cancer Institute, Kaleida Health and the Catholic Hospitals. According to the Health Care Indus­ tries Association, a nonprofit organiza­ tion designed to support and promote the regional health-care industry, this corridor, dubbed the "Lake Affect Region," represents the fourth-largest medical development market in North America, with more than 100 research institutions, 265 medical manufactur­ ers and 95 hospitals. Strategically located in Cary Hall in the School of Medicine and Biomedical Sciences on UB's South Campus, the HCBC serves as a focal point for foster­ ing new opportunities between local companies and UB researchers—whether G O L D they are in medicine, dental medicine, pharmacy, engi­ neering, management or arts and sciences. "Locating the Health Care Busi­ ness Center at the hub of medical research at UB is key," says Luke Rich, vice president for regional development for the Empire State Development Corp. In the past six years, 35 percent of the inventions registered with the UB Office of Technology Transfer have been in the © TORONTO W JPBP o rsi ~r .•if ii ROCHESTER R i o BUFFALO RXL Y <3 V< K. EE W nology Transfer. Also, with state funding obtained through the A C A D E M I C R E S E A R C H I S M O V I N G IT efforts of Assemblyman Robin Schimminger, the HCBC has FROM THE PAPER OR PROJECT STAGE been able to hire Rebecca TO THE PRODUCT STAGE. THAT'S A Weimer, an experienced tech­ COMPLICATED PROCESS AND THAT'S nology-transfer liaison who worked for 10 years at MDS WHERE THE HEALTH CARE BUSINESS Matrx, most recently as director CENTER CAN REALLY HELP." of the international department. "Hiring someone who under­ area of health care. But, stands how to transfer the research and explains Rich, getting to the knowledge gained by the research com­ next step—where an inven­ munity at UB and Roswell to companies B A U M tion is refined, adapted and that can turn them into products, grow marketed—is hardly auto­ new jobs and expand is one of the most matic. "Traditionally, the difficulty with important functions of the new Health academic research is in moving it from Care Business Center," says Rich. the paper or project stage to the product Together with Mary Ellen Rashman, stage. That's a complicated process, and executive director of the Health Care that's where the Health Care Business Industries Association, Weimer will Center can really help," he says. strive to maximize networking between TfieUCBC will work closely with the and among UB health-care researchers UB Business Alliance's new marketing and industry. For both researchers and manager and with the UB Office of Tech- business professionals, she says, the key TRADITIONALLY, THE DIFFICULTY WITH B u f f a l o P h y s i c i a n S p r i n g 1 9 9 9 �MEDICAL to a flourishing health-care sector in Western New York is networking. "The whole foundation of the health-care industry is networking. People like to do business with people they know and like," she emphasizes. To that end, the HCBC is putting out the welcome mat for both local and regional health-care companies and to UB researchers. "The morewe learn about how professors work and develop re­ search, the better we will be at connect­ ing them with business people," she adds. "This is a hotbed of opportunities for collaboration; we've got to make sure that starts happening, with the goal of keeping business in Western New York." The most pressing goal of the HCBC is to start to turn around the venture-capital climate in Buffalo, according to Weimer. To that end, the HCBC, in cooperation with Rand Capital, Inc., sponsored the "First Western New York Venture/ Equity Forum" March 3-4, 1999, at the Hyatt Regency in downtown Buffalo. Efforts now are also under way to bring in venture capitalists from outside Western New York to listen to presenta­ tions on the strength of the local health­ care market in order to convince them to invest in local companies and start-ups. "We are putting together a program that will bring a focus to this area as a health­ care mecca," Weimer says. In addition to presentations by officials from major investment firms, a technology show­ case will demonstrate the great variety of medical products being developed locally and at UB, some of which are available for licensing. In recognition of the fact that most start-ups form with an emphasis on engineering expertise, as opposed to business skills, the HCBC is creating a Business Development Program. Com­ posed of Health Care Industries Associa­ tion members, it will provide a resource for new businesses in the areas of marketing, financial planning, human resources and regulatory issues. With the cooperation of all the major health-care institutions, as well as UB, HCBC has developed an economicdevelopment proposal and submitted it to the office of New York State Governor George Pataki. To date, feedback has been positive, reports Weimer. "There's a really exciting feeling about this. Everybody has signed off on it, including UB, Roswell Park, Kaleida Health and the Catholic Hospi­ tals. Everybody's on the same page." For further information on the Health Care Business Center, contact the center by telephone at (716) 829-3888 or by fax at (716) 829-3885. + IN MEMORIAM EDITH E. SPROUL, 92, PROFESSOR EMERITUS OF PATHOLOGY E dith E. Sproul, 92, professor ot the UB School of Medicine ond Biomedi­ cal Sciences and associate chief cancer research pathologist at Roswell Pork Cancer Institute, died January 19,1999, at Roswell Park after a brief illness. Sproul was renowned for her work with George Papanicolaou of the Cornell University Medical School in New York City, which led to development of the pap smear. Sproul received her medical degree from the Columbia College of Physicians and Surgeons. Before coming to Buffalo, she was a professor of pathology at the Columbia Medical College and later was chief executive officer of the Department of Pathology of the American University in Beirut. While in New York, she was the first to describe the relationship between general thrombophlebitis and pancreatic cancer and the first pathologist to describe the histological characteristics of early prostatic cancer. Along with Charles Gutman of Mt. Sinai Hospital in New York, she discovered the association between prostatic cancer and the prostate specific enzyme acid phosphatase. Sproul was a founding member of the pathology committee for the Eastern Cooperative Oncol­ ogy Group and a member of the American Association for the Advance­ ment of Science. She is survived by her husband, Arnold Mittelman, professor emeritus of surgery at Roswell Park and UB. + B u f f a l o P h y s i c i a n S p r JAEL SABINA SOBEL, 63, PROFESSOR OF ANATOMY AND HISTOLOGY J ael Sabina Sobel, 63, professor of anatomy and histology in University at Buffalo's School of Medicine and Biomedical Sciences, died December 5,1998, of breast cancer. A native of Israel, Sobel came to the U.S. in 1944 and graduated from Cornell University in 1957. She received a master's degree from Columbia University and a doctorate in zoology from the University of Wisconsin at Madison in 1964. She completed a postdoctoral fellowship at the Sloan Kettering Memo­ rial Institute for Cancer Research in New York, where she was one of the first scientists to successfully fuse a cancer and non-cancer cell. In 1970, Sobel returned to Israel to perform research and teach at Tel Aviv University. She returned to the U.S. in 1977, working at the University of California for two years. She came to UB in 1979 as an assistant professor, performing research in embryology. Sobel's teaching duties included medical and dental students, who voted her outstanding teacher in 1983. Survivors include two sons, Daniel and Jeremy, and an extended family in Israel. i n g 1 9 9 9 0 �MEDICAL New Places, New Faces Relocation of Communicative Disorders and Sciences The Department of Communicative Disorders and Sciences (CDS) moved from Park Hall to the South Campus in late December 1998, although it remains aligned academically with the College of Arts and Sciences. The move unites the department's various components on one campus: Its Center for Hearing and Deafness, a UB Center of Excel­ lence, which concentrates on basic research into the neurobiological and environmental causes of deafness, has been located in Parker Hall on theSouth Campus since 1987. CDS faculty offices now are located on the first floor of Cary Hall, in space formerly occupied by the Department of Biophysics, which merged with the Depart­ ment of Physiology in 1997. That combined department is headquartered in Sherman Hall. The Speech, Language and Hearing Clinic now occupies the ground floor of the BEB, which formerly housed the University Physicians Office. The Center for Hearing and Deafness will remain in Parker Hall. —CHANGES COME TO THE SOUTH CAMPUS HOSE WHO THOUGHT they had finally mastered the intricacies and idiosyncrasies of the Cary-Farber-Sherman complex in the School of Medicine and Biomedical Sciences may need yet another new mental map. Michael Bernardino's arrival as vice president for health affairs, with respon­ sibility for overseeing the university's health sciences schools and revamping the medical school's clinical practice plan, has set in motion a series of office and departmental relocations. Also, a new abbreviation—BEB—has been added to the South Campus lexicon; it refers to the Biomedical Edu­ cation Building, known since its con­ struction in 1982 as the CFS addition. The Biomedical Education Building is not to be confused with the Biomedical Research Building (BRB), the campus's newest structure, which was completed in 1996. The following is a summary of sig­ nificant changes on the campus, all of which were completed inJanuary 1999. Vice President's Wing The first floor of the south wing of the Biomedical Education Building, formerly housing Dean John Wright and the medical school support staff, has been transformed into the vice president's wing. This suite of offices now houses Bernardino and his secre­ tary, along with the staff of the newly formed UB Associates, the medical service organization that will provide centralized accounting, management and legal services for the clinical practice plan. 0 The assistant vice president and general counsel, the assistant vice president for resource management (for health affairs), the chief operat­ ing officer for the practice plan and the medical compliance officer for the practice plan are also located here. Dean's Wing Wright and his staff have moved into the first floor of the BEB's north wing, above the atrium, in an area formerly occupied by student study carrels and the medical admissions office. The study area is now located on the third floor of Farber Hall, while medical admissions has moved downstairs to the ground floor, into the former student locker area. Student lockers have been decentralized throughout the building. Bruce Holm, associate dean for research and graduate studies, and his staff have moved into offices across the hall from Wright's suite, in reno­ vated space used formerly for a staff lounge and a small conference room. The Lippshutz Conference Room oc­ cupies the remaining space in this wing. Medical school development and alumni affairs offices, formerly located on the BEB's first floor in what is now the vice president's suite, are now located on the first floor of Cary Hall. B u f f a l o P h y s i c Standardized Patient Center In 1998, UB's School of Medicine and Biomedical Sciences was designated a regional center for testing medical stu­ dents in basic clinical skills, medical history taking and patient interaction, using standardized patients (persons trained to simulate actual patients for use in medical education). To accommodate this new function, the school renovated space on the sec­ ond floor of Cary Hall into a Standard­ ized Patient Center, which contains examination rooms equipped with video cameras to record student performance, as well as observation rooms for faculty monitors. + i a n S p r i n g 1 9 9 9 �M E D I C A L New Faculty and Staff EW FACULTY AND STAFF have arrived on the South Campus in recent months. Several individuals have come on board to staff UB Asso­ ciates, which will administer the clinical practice plan (see winter 1999 issue of Buffalo Physician), while others were hired to fill vacancies at the School of Medicine and Biomedical Sciences. Kathy R. Lamb, assistant vice presi­ dent and general counsel, is a nurse practitioner and holds a law degree from Syracuse University School of Law. She came to UB from the Roches­ ter law firm of Harris, Beach and Wilcox, L.L.P., where she was a part­ ner in the Corporate/Health Care Prac­ tice Group. Prior to working at Harris Beach and Wilcox, Lamb was a part­ ner with Falk and Siemer, L.L.P., of Buffalo, handling corporate health­ care issues. She also has served as a health-care attorney with Hancock and Estabrook in Syracuse and a litigation associate with Jaeckle, Fleischmann and Mugel in Buffalo. Her UB duties include handling legal issues involving the clinical practice plan and administering contracts with the teach­ ing hospitals. Tony Campanelli, formerly assistant vice president for fiscal affairs in the UB School of Medicine and Biomedical Sciences, has joined the staff of the vice president for health affairs as assistant vice president for resource management. Patrick J. Dinicola, chief operating officer of the clinical practice plan, holds an MBA from Cornell University B u f f Graduate School of Business and Public Administration. Most recently, he was senior vice president for finance and administration at Trico Products Oivision in Buffalo; prior to that he spent three years at Trico's Texas Oivision. He also has held financial management positions with Frontier Corporation, Computer Consoles, Inc., and Schlegel Corporation, all of Rochester. Maryann O'Brien, compliance audi­ tor, holds a degree in medical records administration from Daemen College and is in the master'sdegree program in health services administration at D'Youville College. Before coming to UB, she was a full-time instructor in the Health InformationTechnology Program at Trocaire College. Brian W. Murphy, formerly a research physicist in the U B Department of Nuclear Medicine, now directs the Health Profes­ sions Information Technology Partner­ ship. His group manages educational software development for the healthsciences schools and provides information-technology support. Tim Bleiler is an instructional de­ signer and software developer for the Information Technology Partnership. He came to UB from the University of Iowa, where he developed several types of instructional programs, including software to study head and neck anatomy, and simulations of human temperature regulation. He is develop­ ing a program that can be customized to teach histology. Brian Schroeder is a computer artist and multimedia designer for the Infor­ mation Technology Partnership. He is a 1996 graduate of UB's fine arts program. Stockton State College and Saginaw Valley State University in Michigan. Hamilton graduated from SUNY at Oneonta and holds a master's degree from Atlanta University and a doctorate from the University at Albany. Sandra Drabeck, formerly assis­ tant dean for resource management for the School of Health Related Professions and the School of Nursing, has moved to the School of Medicine and Biomedical Sciences to become its assistant dean for resource management. A UB economics graduate, Drabeck has been at UB for nine years. She also has served as assistant to the provost for budget and personnel administration. Thomas Martin has been appointed director of Laboratory Animal Research Facilities. An Australian, Martin formerly was director of the animal-care program and a senior lecturer at the University of South Wales, the most senior position in Australia in laboratory animal medi­ Carolyn Hamilton, assistant dean for cine. He has extensive experience minority affairs, fills the vacancy cre­ with a range of species and has ated by Maggie Wright's retirement. practiced as a veterinarian in She will help recruit and retain minor­ several countries, including England ity medical and graduate students and and Iran. He holds a doctorate in secure funds to support these efforts. veterinary pathology from the Hamilton was assistant director of ad­ University of Sydney and an MBA missions at the University at Albany from New York University. He is a before coming to UB; prior to that she research professor in the UB held thesame position atSUNYat Delhi. Department of Pathology, working She also spent nine years as Educa­ in the areas of serological diagnosis, tional Opportunity Fund advisor at neurological effects of bacterial Stockton State College in Pomona, New endotoxin, and orthopedic repair us­ Jersey, and has taught Afro-American ing biocompatible and bioabsorbhistory and culture courses at both able collagen. Kimberly Krzemien, who is legal assistant to Kathy Lamb, formerly was with the firm of Cooper and Coo­ per in Hamburg. �HOSPITAL HI N E W S Area Catholic Hospitals Merge and Restructure —PRESERVING AND FOSTERING A MISSION O F COMPASSIONATE CARE C onsider the situation of Western New York's Catholic hospitals the fact it involved 10,000 employees, 7,000jobs and 1,700 physicians. "Ocean liners don't make sharp turns," notes St. Arnold. The creation of CHS, along with that of Kaleida Health, has reverberated throughout Western New York, chal­ lenging the community's capacity for change. But St. Arnold emphasizes there really has been no other alternative for the region's hospitals, given the local, state and national health-care climate. "I don't think there was any question of what we should do. Otherwise, it would have been a case of waiting to see which institution was the last standing, based on financial depth, and nobody had a lot of financial depth. Everybody kept their head above water, but never very far above water. There is still a fair amount of unsettledness, but at least we can control the changes so they match the needs of the community," he says. John Wright, MD, dean of University at Buffalo School of Medicine and Bio­ medical Sciences, lauds the merger, say­ ing anything that stabilizes the regional health-care environment is good for the medical school and the region at large. "Their moving together to act more as a unit will help avoid duplication and will presumably strengthen each individual unit. It gives us the opportunity to bet­ ter coordinate our efforts, which is a positive step." three years ago: They and their sister secular hospitals could be likened to cardiac patients living with multiple risk factors while fearing the occurrence of a major life-threatening event at any time. Their risks were empty beds, rising costs, an aging and declining population and the mandating of shorter inpatient stays and more outpatient treatments by managed care. The "event" came in 1997 in the form of a one-two punch: passage oi the Health Care Reform Act of New York State followed by passage of the Bal­ anced Budget Act by Congress. Under the Health Care Reform Act, hospitals in the state lost their guaranteed payments from health insurers and moved into a free-market environment virtually overnight. The Balanced Budget Act introduced sweeping changes in the Medicare and Medicaid programs, in­ cluding a reduction of $258 million in payments to Western New York health­ care providers through the year 2002. Without dramatic intervention, the prog­ nosis for Catholic hospitals, like many other hospitals, was a sure,slow decline. Merger was the treatment of choice and the process, which was formalized in February 1998, appears to be a lifesaver. Today, the Catholic Health System (CHS) is on the road to recovery. The merger that created the new system is described as a "virtual merger" in that member institutions will share revenues, and all CHS services and func­ tions are combined under a central administration, much the same as a fullasset merger. However, the system's religious sponsors—the Sisters of Mercy, © Daughters of Charity, Franciscan Sisters of St. Joseph and the Diocese of Buffalo—retain their assets. The 18-member, systemwide board of directors in­ cludes representation by organizational entities that govern the hospitals: Catholic Health East (formerly Eastern Mercy Health System), Daughters of Charity National Health System, and the Diocese of Buffalo. A key remaining question, however, is, How long will the process take to transform CHS into a fully integrated health-care delivery system? "Five to seven years, if everything goes well," predicts Dale St. Arnold, president and chief executive officer of CHS. "Do 1 think we can do it? Yes. It's been done other places. The challenge here is the pace of change in the health-care envi­ ronment; it's very, very fast. We're try­ ing to accomplish in a few years what other communities have been working toward for 10 or 15 years," he adds. Plans for merging Western New York's Catholic-affiliated hospitals and their multitude of outpatient services began in 1996. Common roots and mis­ sions made theirs a natural coalescing, but not necessarily an easy one, given B u f f a l o P h y s i c W right says he expects the school's current medicine and family medi­ cine residencies to remain in the Catholic system, but notes that some changes could occur. "We know we will be required to reduce the size of our residency program. How it will affect the Catholic system and our other i a n S p r i n g 1 9 9 9 �HOSPITAL N E W S partners, however, is not entirely maternity and pediatric services at clear at this time," he says. Mercy, while transforming OLV "Perhaps more noteworthy into a center of excellence for is the fact that we have many ambulatory, clinical and reha­ volunteer faculty within the bilitation hospital services, Catholic system who are partnering with Baker very important to us," he Victory Services. OLV adds. "The new configu­ already was a major com­ ration of the system will ponent of the region's determine how that comprehensive head works out, as well." trauma system, serving St. Arnold also em­ as the primary inphasizes the importance hospital rehabilitation of maintaining an edu­ unit. A similar assessment cational function in the will be completed at Sister's system. "Physicians like to Hospital in North Buffalo, teach," he says. "They like Kenmore Mercy Hospital in to demonstrate their abili­ Kenmore and St. Joseph Hos­ ties, and it helps to keep them pital in Cheektowaga. sharp. Our challenge is to deter­ In Batavia, St. Jerome mine how to serve that function in a Hospital and Genesee Memorial period of diminishing Hospital, which were affiliated with CHS resources. through Genesee As initially struc­ T H E C R E A T I O N O F C H S . A L O N G WITH T H A T O F KALEIDA Mercy Healthcare, tured, the CHS com­ spun off from the prised six hospitals HEALTH, HAS REVERBERATED THROUGHOUT WESTERN original group of and nearly 100 health N E W Y O R K , C H A L L E N G I N G T H E COMMUNITY'S CAPACITY hospitals and had and health-related been negotiating its services, including FOR CHANGE. BUT ST. ARNOLD EMPHASIZES THERE own merger for the family health centers, past three years. In diagnostic facilities, REALLY H A S B E E N N O O T H E R ALTERNATIVE F O R T H E February 1999, CHS home care services, R E G I O N ' S H O S P I T A L S , GIVEN T H E LOCAL, S T A T E A N D announced thatspon­ nursing homes, adult sorship of St. Jerome residences and be­ NATIONAL HEALTH-CARE CLIMATE. havioral health pro­ Hospital will be trans­ ferred to the Genesee grams. In 1998, the system served an Memorial Hospital One of the first mandates was to de­ Group, ending the 82-year sponsorship estimated 1.1 million outpatients and fine and correct redundancies in the of the hospital by theSisters of Mercyand 44,780 inpatients. While the hospitals continue to carry system. This effort began with an assess- removing the Batavia hospitals from CHS. out their mission, St. Arnold and his ment of facilities and services in Also, a tentative contractual rela­ board have set to work securing the Lackawanna and South Buffalo. The tionship has been dissolved between system's financial stability. "We've fin­ analysis lead to the decision to redefine CHS and the Health System of Niagara, ished a very thorough analysis of what the roles of that area's two Catholic which was comprised of Mount we have in this organization," he says of hospitals—Mercy Hospital and Our Lady Saint Mary's Hospital in Lewiston and the first year's accomplishments. "It was of Victory (OLV) Hospital—both Niagara Falls Memorial Medical Center. like pulling together several households full-service institutions located two This development, which came about into one. In addition to that, we are miles apart. due to the breakup of the Health System The plan calls for concentrating addressing the question of where we C O N T I N U E D O N P A G E 2 5 medical and surgical acute care and want to take the organization." B u f f a l o P h y s i c i a n S p r i n g 1 9 9 9 © �"Helping Hands" lor Young Cancer Patients I ver rhe past 30 years, there has been a dramatic increase in the number of childhood cancer patients experiencing long-term remission and cure. Through research and new clinical breakthroughs, almost three-quarters of today's newly diagnosed children will be treated successfully and resume their everyday lives. Left behind by these many lifesaving advancements is a lengthy trail of research data and study results—informa­ tion easily accessed and understood by health-care profession­ als, scientists, medical-scientific writers and others "in the know." But what if the information seeker is a 10-year-old leukemia patient, or her parents, siblings, teachers or friends? "The information is available to can­ cer patients and their families, provided they know how to properly access, correctly interpret and effectively personalize it," says Michael A. Zevon, PhD, chair of psy­ chosocial oncology at Roswell Park Cancer Institute (RPCI). "Indeed, the first battle in a family's war with cancer—and cancer is a family's war—begins with the search for helpful, if not definitive, answers on all aspects of the disease." Traditionally, patient information takes the form of written materials and face-to-face meetings with health-care professionals and families. An innova­ tive technology that is moving beyond this framework to help meet the infor­ mation needs of patients and their families is multimedia-based computer-assisted learning. Multimedia programs are being used more often in settings that require rapid, efficient transfer and learning of complex information. In an active dialogue with the computer, a variety of audio, text, video, graphics and animation components are inte­ grated to provide the individualized, on-demand information needed to engage and enlighten the user. Zevon and RPCI psychologist James P. Donnelly, PhD, have developed the "Helping Hands" project, a program that harnesses the educational poten­ tial of computer technology, enabling young patients, their families, peers and teachers to gain the information and skills needed to help the patient return to the routines of daily life. "Helping Hands" provides cancer facts at an age-appropriate level and coping models designed to help man­ age the potentially devastating emotional aspects of the disease. A fam­ ily with a newly diagnosed child, for i MUty Pediatric oncology patients and their families can access patient information via a new multimedia, computer-assisted learniny program at Roswell Park Cancer Institute. © B u f f a l o P h y s i c i a n S p r i n g 1 9 9 9 �HOSPITAL N E W S example, will be able to look up other families whose child is receiving treat­ ment at RPCI. The family can watch and listen as others describe and share their thoughts on effective coping. Selecting from a menu of specific topics, the fam­ ily can view a presentation of the same family discussing the selected topic. The family will have the option of making personal contact with the computer family. Thissupport can be important to the newly diagnosed patient and family. What if the family wants specific infor­ mation on blood counts? The program will illustrate the various blood components, explain their functions, define terms and provide a printed guide to understanding the importance of the child's hematologic status during treatment. "Helping Hands" comprises three specific modules: the Pediatric Patient Module, the Parent Module and the School Module. The Pediatric Patient Module has programs for children both over and under age 12. In the first interaction with the program, the child is asked his C O N T I N U E D F R O M P A G E 2 3 of Niagara, has resulted in Mt. Saint Mary's continuing as a contractual part­ ner with CHS, while Niagara Falls Me­ morial Medical Center is pursuing an alternate affiliation. The result is a leaner system composed of five hospitals and further consolidation of services is sure to follow. "We want to continue to organize our services around specific disease entities," explains St. Arnold. "For example, we are going to be look­ ing at where the best places are for cardiac diseases. We may have one loca­ tion doing knee replacements, while concentrating neurosciences in one or two hospitals," he says. "Our decisions will be based on where B u f f a l o P h y s i c i or her name and age. This information is used to respond to requests in an ageappropriate manner; that is, the computer will only access displays written at the child's reading and comprehension levels. "Today's young person has a comfort level with comput­ ers that makes this technology particu­ larly appealing to them," says Zevon. A menu of choices is then presented. Topics are available that will guide the child through the hospital experience, and provide medical information, coping strategies and the chance to meet other kids who have "been there," and answer the top 10 most frequently asked questions. The Parent Module is an adult version of the Pediatric Patient Module, with two additional topics: Managing Your Life from the Hospital and Talking with Your Children. The School Mod­ ule instructs teachers and classmates about cancer in the context of the psy­ chosocial aspects of growing up. This project would not have come this far, explains Donnelly, without the help of many individuals, most notably students from UB's Department of Art. "In 1995, Professor Anthony Rozak pro­ vided the initial technical assistance on the program's conceptual design and helped make critical hardware and soft­ ware decisions." Since the inception of the project, Robin Sullivan, also of UB's Department of Art, has coordinated the continuing recruitment and involvement of UB art students. Using Macintosh computers, the students have translated the ideals of pediatric patient and family education conceived by the Psychology Department into a prototype that is currently being evaluated. The psychologists have also recruited consultants from RPCI's pediatric and adolescent families, making the effort a true collaboration. Rounding out the team are the Roswell Park Alliance and the many donors whose generosity provided fundamental support for the project. For more information on the "Help­ ing Hands" project, contact Dr. Zevon at (716) 845-3052. + the specialists are and how to align equipment, people and buildings to get our inpatients and outpatients back to health and to keep them well," he adds. The net effect, St. Arnold says, should be a streamlined system with enhanced quality of care and cutting-edge com­ puter technology that will free staff to spend more time with patients and less time on record keeping. "The goal is to create enough surplus so we can make reinvestments," hesays. "The challenge is the pace of change in this environment. We are going at warp speed into the future without the neces­ sary tools to deal with this pace." How has the merger been received? St. Arnold says the answer depends on whom you ask. "I think the business community wonders if this merger will actually lead to cutting costs. We've tried to demonstrate that we're moving in that direction." With that said, St. Arnold notes that health costs in West­ ern New York are already among the lowest in the nation. The community in general is sup­ portive, he feels. "The merger helps pre­ serve and foster Catholic health care in this region. People are very strongly behind that. If there are fears, they are of getting lost in a large system and of losing track of our mission to provide compassionate care. "However, I think people are begin­ ning to realize that by Catholic hospitals coming together, we can reduce over­ head costs and redundancies and free up resources so we can do an even better job of fulfilling that mission." + a n S p r i n g 1 9 9 9 © �CGF Health System Renamed Kaleida Health J 20, 1999, N ANUARY Western New York's largest health-care system announced a new corporate identity. Known by the in­ terim name of CGF Health System for the past two years, the merged entity created from the union of the Children's Hospital of Buffalo, Buffalo General Health System, Millard Fillmore Health System and DeGraff Memorial Hospital, is now Kaleida (pronounced Ka-ly-dah) Health. The name is derived from the word kaleidoscope. Kaleida— from the Greek words "kalos," which means "beautiful," and "eido," which means "shape"—suggests the system's spectrum of health-care professionals, facilities and services, according to John E. Friedlander, Kaleida Health's president and chief executive officer. "Like a kaleidoscope itself, the strength and promise of C O N T I N U E D FROM PAGE 1 7 subject of children. "Every child has a right to a good birth, and after that a core of good preventive health services. So much of what we spend is wasted on trying to cure things that could have been prevented." In particular, Hayes has a strong personal commitment to reducing unintended pregnancies "be­ cause 1 think child-health battles begin with whether or not a child is wanted." Hayes has been widely recognized for her vision for public health and, in 1995, she was elected to a two-year term as president of the National Asso­ ciation of Maternal and Child Health Programs, a honor of which she is especially proud. "Having had an opportunity to take that organization into a period of leadership for kids at a federal level was one of the most satisfying things I've done," she says. Presently, Hayes serves on the Ameri­ 0 KALEIDA A H f f a l o T H Kaleida Health comes not from a single color or pattern, but from the ideal combination of skills and services by the thoughtful union of diverse parts." Kaleida Health and its various entities include five hospitals, four long-term-care facilities, the region's largest home health­ care service and numerous primary-care and outpatient facilities. The organization employs more than 12,500 people, and its medical/dental staff includes nearly 2,000 practitioners. international cooperation in advancing women's health issues. In further testimony to the impact she has made in her field, Hayes was notified in 1995 that she was on the short list for the post of Surgeon Gen­ eral in the Clinton Administration. She has also been offered a number of other federal positions, all of which she has so far declined. "I feel Seattle is a great place to raise kids, and because I'm a single parent, I'm more inclined to stay put. Once my boys are out of high school, 1 feel I will be more inclined to pursue some of the more global, international interests I have," she says. Considering Hayes's uncompromis­ ing belief in putting children first—at home, in her city, state and nation— one senses that the larger, "more global" issues she chooses to turn her attention to in the future will benefit in no small part from her compassion and dedication. can Public Health Association's Children's Health Task Force and has been appointed to the National Research Council and the Institute of Medicine's Board on Children, Youth and Families. In July 1998, she was named acting health officer for the Washington State Department of Health. "I'm humbled by the fact that people tell me I have the ability to talk about the duty we all have toward children and family in a language that others can understand," she says. In 1997, Hayes's ability to clearly set forth her vision won her an invitation to be a featured speaker at Harvard University's celebration of the 75th anniversary of its School of Public Health. This past December—at the invitation of Donna Shalala, secretary of Health and Human Services—she joined a 3CP person delegation representing the U.S. at a binational conference in Jerusalem, Israel, held to promote u L P h y s i c i a n S p r i n g 1 9 9 9 �MEDICAL Alumni Scholarship Makes a Difference F Several UB medical students have received financial support through the Medical Alumni Association Scholarship, which, in recent years, has not had a high level of visibility. This year, however, Medical Alumni Association president Elizabeth Maher, MD, reinvigorated the program. "The reality is that students are begging for loans, and the obligation to pay those loans back often keeps young physicians from doing the kind of work they really want to do since it may not offer them the reimbursement they need," says Maher. "There has been a signifi­ cant decline in state support for medical education, and we as fel­ low physicians and graduates of UB need to take some responsibility for making medical education more affordable." Copley, now an emeritus member of the Medical Alumni Association, is impressed by the determined effort Maher has made to strengthen the scholarship program he first envisioned. "I couldn't agree more with Dr. Maher that we should be doing more for the young students. We need to recognize the impact we can have on the overall life of a future physician." The decline in state support for medical education has only empha­ sized the need for such a scholarship, adds Copley. Mary Glenn, development officer in the medical school, says steps are being taken to ensure that the scholarship program continues in future years. "We are raising awareness about the scholarship fund by increasing its visibility to alumni and making it easier for those who would like to designate funds toward it," explains Glenn. "Beginning in 1999, we also hope to start publishing an annual report of the fund that also would highlight each year's scholarship recipient." Cone appreciates the generosity of the alumni and says he would like to thonk them and make them aware of what an incredible difference it makes. "Realistically, from a financial perspective, the scholarship allows me to be in medical school." He also feels the scholarship program helps to preserve a sense of tradition at UB. "It has influenced and encouraged me to carry on that tradition by giving back to UB when I become a physician." or Jesse Cone, a first-year student at the University at Buffalo School of Medicine and Biomedical Sciences, the Medical Alumni Association Scholarship is making "all the difference in the world" to his education. The scholarship, made possible by the generosity of alumni through their reunion class gifts, is providing Cone with $16,000 over four years for his medical school education. Recipients are selected by the admissions committee accord­ ing to considerations of financial need and academic merit based on the incoming students' applications. Originally from Pavilion, New York, Cone has been interested in medicine since high school. As an undergraduate at UB, he became in­ trigued by the connection between biology and English as studies of life and graduated in 1998 with a bachelor's degree in English. "I was very pleased to receive the scholarship," says Cone, who is the oldest of six children. He explains that since he comes from such a large family, his parents are unable to support his educa­ tion financially. "I was accepted to other medical schools but this scholarship made it possible for me to go to UB with the least financial difficulty later on in my career." By alleviating some of the financial pressures of school, he says the scholarship is allowing him to work less and spend more time on his studies. Donald Copley, MD, past president of the Medical Alumni Associa­ tion, founded the scholarship program in 1993 with the help of John Naughton, MD, former dean of the medical school. "Dean Naughton and I were aware that first-year students were struggling financially, and so we decided to coordinate class reunion gifts for a scholarship," recalls Copley. "There was—and still is—a great degree of enthusi­ asm among the UB medical school community about the program. "We as alumni share a universal feeling of concern for the firstyear medical students. The sentiment is amplified when we come back [to the school] and think about how they are just beginning to face the challenges that we have already conquered." B u f f a l o P h y s i c i a n S p r i n g 1 9 9 9 © I �A STUDENT'S The Role of the Patient in Medicine A unknown. The patient was then taken to the operating room where he under­ went Whipple procedure for his pancreatic mass and a repeat right thoracotomy for excision of his medias­ tinal mass. Of significance is the fact that there was question oi injury to the phrenic nerves which did compromise his postoperative course." At first when I read this, I had diffi­ culty comprehending that these masses had been mine. I wasn't sure who they belonged to, but they certainly weren't mine. However, 1 did comprehend the reference to my postoperative course be­ ing "compromised" since I do remember spending the next two weeks intubated. This was necessary because I couldn't breathe on my own due to the fact that my mediastinal mass had attached to my phrenic nerves. (I have since learned that the phrenic nerves innervate the dia­ phragm. If injured, they tend to leave "the patient" with an elevated diaphragm, which I have to this day.) After about a month or so of recovery, I had to begin the real battle: chemo­ therapy. One day prior to beginning this phase of my treatment, I was finally given my diagnosis of non-Hodgkin's lymphoma after an ensemble of patholo­ gists finally figured out what my cancer was. It was a huge shock that day to also learn that I would have towear a Hickman catheter for a year in order to undergo 12 months of chemotherapy. Being that it was the middle of June and my parents had just put in a pool, having a tube coming out of my chest was not my idea of appropriate summer attire. I thought the surgery was bad, but it pales in comparison to what chemotherapy feels like. I remember my first treatment well. My oncologists, who are all dear to me, entered the room with a tray of enormous syringes filled with colorful medications. They did their best to list the possible side effects of the medications to my family and me: "Well, this medication has been known to cause stomatitis, —A PERSONAL PERSPECTIVE track team and an avid athlete. As my second season progressed, 1 was T AGE 15,1 WAS ON THE GRAND ISLAND HIGH SCHOOL periodically awakened in the night by a crushing pain in my chest, which 1 disregarded, attributing it to weight lifting. Over time, however, I also began having a hard time breath­ ing whenever I exerted myself. I felt like something was restricting my heart from beating, and eventually I had to quit track practice and rest. After a few weeks, the pain in my chest worsened and I found myself being rushed to the Children's Hospital of Buffalo. By the time I arrived at Children's, I I asked, "Where did they come from?" was doubled over from the pain in my The surgeon's response was one I stomach and chest. After receiving a will never forget: "I am the best at what physical exam from the emergency room I do. I have written books and trained at resident, I was immedi­ the Mayo Clinic. All I ately introduced to the can tell you is that you concept of a nasogastric have had a run of bad J A M E S tube. The nurse pumped luck, Jimmy." out of my stomach what And my luck didn't J . M E z H I R seemed like gallons of necessarily improve. dark red blood. I recall a After starting my sec­ sense of relief that the hospital staff had ond year of medical school this fall, I found the problem and that I would be sent for my medical records. When I sat able to return to practice soon. But that down to read all about the 17 hours of wasn't the case. surgery I underwent and the treatment I was admitted to the hospital, began that followed, I felt a mixture of emo­ vomiting blood every few hours, and tions. One moment, it was almost as if I over the course of the next two days were outside looking in—reading the underwent a barrage of tests. I remem­ chart of a hospital patient that my pre­ ber very clearly the day the chief of ceptor wanted me to see; yet, the next pediatric surgery and a group of short- moment, it was as if I were viewing and long-coated doctors entered my things from the inside looking out— room to tell me my diagnosis. understanding, perhaps for the first time, "You have tumors in your chest and whatthe words "the patient" reallymean. stomach, Jimmy," 1 was told. I elect to provide here a few details "Are they malignant or benign?" I about my treatment based on what I remember asking. learned from my medical records. In "I am afraid they are malignant, and reference to a biopsy of a 10 by 20 cm we have to go in and take them out." mass in my chest,*! found the following Curious to know what any human description: "Pathology came back as a being in my situation would want to know, malignant process. Exact tissue type 0 u f f a l o P h y s i c i a n S p r i n g 1 9 9 9 �A STUDENT'S INCREDIBLE LIFE EXPE­ RIENCES IMAGINABLE. AMONG OTHER THINGS, IT SEEMS TO FINALLY LEND MEANING TO WHAT HAPPENED TO ME AS A TEENAGER. cardiotoxicity, seizures, leukopenia, alopecia, nausea/vomiting. . Hearing this, I began to wonder what the hell I was thinking when I signed the consent form! Many people have asked me what chemotherapy feels like. Depending on who's asking—a patient about to begin treatment, or a curious classmate—my answer varies. Basically, the feeling you have when you're undergoing chemo­ therapy can be conveyed by asking a person to imagine how he feels when he has a bad case of the flu. Then, ask him to magnify that feeling by five while simultaneously coming to the realiza­ tion that it's not going to subside for 12 months. Finally, add to this the fact that there are no guarantees the drugs will work (about a 60 percent chance), and if they don't, you may have to start another regimen all over again after that. B u f f a l o P h y s i c Having the opportunity to be a medi­ am also aware of and have respect for cal student after being a cancer patient is the fact that every patient's experience one of the most incredible life experi­ is unique in many ways. Therefore, one ences imaginable. Among other things, thing I have worked to do is silence the it seems to finally lend meaning to what thought "I know" that goes off in my happened to me as a teenager. It also mind when a patient remarks about helps me realize that there's a big differ­ postoperative pain, persistent nausea, ence between reading in a journal about or what it is like being intubated. While survival rates for a disease and having to there is always the sense that I truly do face the statistic yourself. Although I understand more of what they are talk­ had to wait until my second year of ing about, I also know it's important for medical school, I have finally begun to me to learn how to listen because being see my cancer experience through the a good listener, 1 feel, is one of the best eyes of medicine. I understand the mean­ skills a doctor can have. ing of terms like "elevated LFTs," Thank you for allowing me to share "invading mediastinal mass" and with you this medical student's perspective "jaundice" as a medical professional, on the role of the patient in medicine. + and also as a patient. Now, as I begin to work with patients James J. Mezhir is a second-year student at the as a medical student, I find that I am University at Buffalo School of Medicine and using what I learned as a patient. Yet I Biomedical Sciences. i a n S p r i n g 1 9 9 9 © �Prototype Camera Views Brain Stents B esearchers at the University at Buffalo's Toshiba Stroke Re­ search Center have developed a prototype camera that can turn blurred X-ray images of brain stents made of thin wire into images clear enough to detect the con­ dition of wire as fine as a hair. The development marks the first use of this technology, called a highresolution region-of-interest microangiographic digital detector, for viewing stents placed inside blood ves­ sels in the brain. The stents can pre­ vent stroke by shoring up weak spots in arteries or blocking off aneurysms. The UB prototype provides images that are significantly clearer than can be produced by any current system, and may allow the viewing of even the tiniest blood vessels in the circulation system, according to Stephen Rudin, PhD, principal investigator and UB professor of radiology, neurosurgery and physics. Rudin heads a radiation physics group within the center whose efforts to develop a clinical prototype of the device are being funded by a three-year, $1.2 million grant from the National Institute of Neurological Disorders and Stroke. Intravascular interventions use the body's circulation system as a tunnel to the brain. To complete these procedures, neuro­ surgeons or neuro­ radiologists thread micro-thin instru­ ments through the large artery in the groin until they reach the damaged area, an approach that avoids the need to open Blurry image of stents on the right was taken using conventional X-ray image the skull. intensifier technology; clear image on the left was taken using the high-resolution Having clear X-ray region-of-interest microangiographic digital detector being developed at UB. Each images of the vessels photograph shows two stents separated by a 26-gauge needle. The stent above the and instruments is needle is a self-expanding Wallslent with 80 micron stainless steel wire; the stent critical to reaching below the needle is a balloon expandable MultiLink stent with 50 micron wire. the repair site with­ out damaging vessels along the way. "Even with the most capability should allow viewing of advanced imaging equipment avail­ vessels as small as 50 to 200 microns, able at present, we weren't seeing including those called perforators, features we knew existed," Rudin which are located at the very end of the says. "We expect this detector proto­ circulation system of the brain and type to help us locate the stent cannot be seen at all with conventional optimally in the vessel, visualize its imaging equipment. integrity in place and reposition it if "Without this new capability, we necessary. If you can't see exactly would have difficulty treating aneu­ what condition the stent is in when rysms that are near these vessels it's deployed, it's not possible to because we cannot see well enough to change the deployment. avoid damaging the very small "The detector technology is simi­ healthy perforators." lar to that being introduced now in Additional members of the research mammography," he says. "In mam­ team are Ajay Wakhloo, MD, and mography, the site being viewed is Daniel Bednarek, PhD, both associate static. We are developing the tech­ professors in the UB School of Medi­ nology so it can be used in rapidcine and Biomedical Sciences, and sequence imaging at that very Chang-Ying J. Yang and William E. high resolution." Granger, doctoral candidates. Rudin says this enhanced imaging L o i s B A K E R �New Technique to Treat AVMs More Effectively normal path, full oxygenation of the brain is restored and the threat of bleed­ ing or stroke is eliminated. For this technique to work maxi­ mally, neurosurgeons must be able to gauge the exact rate of blood flow through the AVM so they can determine the transit time of the glue from the injection point to the site to be blocked. They then can formulate the gluing agent so it hardens at the proper point as it is carried along by the blood flow.This ensures that blood flow is blocked to the AVM without occluding the main artery or vein. Current techniques for determin­ ing rate of blood flow use two approaches, both involving injecting a contrast medium into the AVM through a tiny catheter threaded through the large artery in the groin until it reaches the damaged area. The contrast medium is tracked via digital X-ray imaging. droplets of a poppy seed oil-based agent containing radioactive iodine. These droplets provide the necessary leading edge to provide precise infor­ mation on speed of the flow. But new technique for determining because the contrast medium doesn't the rate of blood flow, developed dissolve and fill the vessel, tracking by researchers at the University the oil droplets alone provides no at Buffalo Toshiba Stroke information on the path, or distance, Research Center, will enable the drop has traveled, which is neces­ neurosurgeons, using digital sary for determining the rate of flow. radiographic imaging, to characterize Granger's idea was toadminister both and treat arteriovenous malformations contrast media simultaneously. Dual(AVMs) more effectively. contrastinjection allows neurosurgeons The technique—which has not been or neuroradiologists to gauge both used elsewhere for this condition—is distance and time with one interven­ called dual contrast injection and has tion. He says the technique never has been used on 21 patients at the center been used elsewhere for determining with no complications, according to the rate of blood flow in AVMs. lead researcher William Granger, a "The two methods together allow UB physiology and biophysics more exact means of determining rate of doctoral candidate. flow," Granger says. "We can determine An AVM is a tangle of fragile vessels in. the exact time for the glue to reach the the brain or spinal chord that forms arteriovenous junc­ between an artery, which tion. Our method is carries oxygen-rich blood GRANGER'S IDEA WAS TO ADMINISTER BOTH more accurate in de­ to the brain, and a vein, termining flowvelocwhich drains oxygenCONTRAST MEDIA SIMULTANEOUSLY. DUALity than either single depleted blood back to the CONTRAST INJECTION ALLOWS NEUROSURGEONS soluble or nonsoluble lungs for replenishment. It OR NEURORADIOLOGISTS TO GAUGE BOTH DIS­ injections alone." creates a short circuit be­ Additional mem­ tween the two circulation TANCE AND TIME WITH ONE INTERVENTION. bers of the research systems, shunting blood di­ group are Afshin A. rectly from the artery into One approach involves injecting a Divani, doctoral candidate in mechani­ the vein, effectively bypassing the brain. soluble contrast medium, which is cal and aerospace engineering; Stephen An AVM can leak or rupture if it isn't effective in showing the internal con­ Rudin, PhD, professor of radiology and treated. The condition, thought to be tours of the vessel and its twists and physics; Ajay K. Wakhloo, MD, associ­ congenital, is diagnosed most frequently turns, enabling neurosurgeons to de­ ate professor of neurosurgery; Baruch in young adults, Granger says. termine distance through the AVM. B. Lieber, PhD, associate professor of One way of treating AVMs—and the But because the contrast medium mechanical and aerospace engineer­ method of choice of neurosurgeons at dissolves and diffuses into the blood ing; Daniel R. Bednarek, PhD, associate the UB Toshiba Stroke Research Cen­ stream, it does not produce a clear, professor of radiology and physics; and ter—is to seal off the entrances to the leading edge necessary to track how Lee R. Guterman, PhD, MD, all of UB. blood vessels nourishing the AVM, called fast the flow is moving. Their work was funded by a grant from feeding pedicules, with a glue-like An alternate approach uses a Toshiba American Medical Systems. + substance. With the feeding pedicules nonsoluble contrast medium: small sealed off, circulation resumes its — L o i s B A K E R i B u f f a l o P h y s i c i a n S p r i n g 1 9 9 9 C 3 1 �News "•T DEVELOPMENT B Y L I N D A J . C O R D E R . P H D , C F R E A Word from the Director of Development C memorial gift to our school, rather than her college. We ONGRATULATIONS AND THANKS to those who never know where our influences will fall. The endowment supported the School of Medicine and Biomedical Sci­ will provide scholarships to young women studying to ences at such an outstanding level last year. In so doing, become physicians, and the first award will be given in the they became members of the "Class of 1998" James 1999-2000 academic year. Piatt White Society. Several individuals and couples are in the society for the Since its founding in 1986, the society has grown first time. Those marked with an asterisk (*) are Gold from a small group of dedicated medical school alumni to an organization of over 200 alumni and friends who are members, "graduates of the last decade," whose gifts during generous investors in the future of medical education, resi­ 1998 totaled between $500 and $999. The lower "entry level" dency training and biomedical research and graduate studies. for younger graduates was instituted in 1996 to encourage A volunteer executive committee (comprised of active soci­ newer alumni to take their place in this society. ety members) works with the development staff to increase Most individual contributions were designated for the philanthropy to the school and to plan recognition events for school's general fund, disbursed at the dean's discretion. A few members. Publishing this annual list of the school's most gifts were designated to special projects, such as the Neu­ generous philanthropists gives Dr. Wright, the executive roanatomy Museum, or to departmental funds, which are committee, and those of us who work daily on behalf of the disbursed at the discretion of the school, an opportunity to show our appreciation. department chair for such uses as The James Piatt White Society provides two types of research seed money or student recognition—annual and lifetime. A gift within any year medical association activities. confers an annual membership for the following year. When The donors listed in this Honor cumulative contributions reach $50,000, honorary lifetime Roll collectively contributed membership is granted. There are also a few "special" mem­ approximately $340,000 to the bers who received "term memberships" for a specified time School of Medicine and Bio­ frame. Although no new "special memberships" have been medical Sciences. We are deeply granted since 1992, we honor those earlier commitments. appreciative of all gifts to the Most "special memberships" will expire at the close of 1999. school, especially those that have A year ago, the society made the transition to a calendar the potential to make a trans­ year-recognition cycle. During the "14-month year" of 1997, forming difference in the quality membership passed the 200 mark. Another increase was of medical education, residency shown in 1998, as the "Honor Roll" list grew to 216 training and research contributing members. in the basic sciences. Individuals and couples who support the school I invite you to read Publishing this annual list gives us an at an outstanding level are seen as its closest through the roster of friends. They receive additional information, invi­ members, and to opportunity to show our appreciation. tations to certain school and university events, as thank your friends well as special recognition in the society. Best of and colleague for their all, this group keeps expanding. It is a welcoming outstanding support. and inclusive organization, since the more "best friends" the If you are not yet in this group, please consider increasing school has, the more outstanding it becomes. your contributions to the school. The executive committee The society welcomed one new founder this year, Mr. John would like to see this honorary group continue to expand, Goodwin Jr, who established a scholarship in memory of multiplying its significant and positive impact on the his wife, Mrs. Irene Pinney Goodwin. Mr. Goodwin gradu­ academic environment of the UB School of Medicine and ated from Harvard, Class of 1927, and was a businessman Biomedical Sciences. in Western New York. His family's physician was a gradu­ ate of UB's school of medicine, and Mr. Goodwin told me Linda J. Corder (Lyn) is the associate dean and director of how impressed he was with this young person, especially development. She may be reached by phone at (716) 829-2773 during his wife's last two illnesses. Irene, he said, placed or our toll-free number 1 (877)826-3246. Her E-mail address is high value on both education for women and healthy ljcorder@.buffalo.edu. living. As a result, Mr. Goodwin decided to make her 0 U f f �Richard J. Nagel, MD, and Mrs. Florence Nagel Orchard Park, NY Dr. Richard B. and Mrs. Ellen Narins East Aurora, NY Dr. Albert C. and Mrs. Linda Rekate January 1 , 1 9 9 8—D e c e m b e r 3 1 , Hilton Head Island, SC 1 9 9 8 Dr. Elizabeth P. Olmsted Ross Buffalo, NY Miss Thelma Sanes L I F E T I M E Williamsville, NY M E M B E R S f hen cumulative contributions reach $50,000 or an irrevocable deferred gift is completed for $100,000 or more, a couple or individual is granted lifetime mem­ bership in the Society. Combinations of outright and deferred gifts in appropriate proportions can also be the basis of lifetime membership. Names of Founders are repeated in an annual category in any year that they make a new gift to the School. Mrs. Grant (Evelyn) Fisher FOUNDERS' CIRCLE UB's founders, primarily physi­ cians and attorneys, envisioned a school to train students for service to the community. The Society's Founders help to actu­ alize that vision by providing a generous base of support for pro­ grams and activities that enrich the academic environment and enhance medical training. Lakeview, NY Buffalo, NY ANNUAL MEMBERS DEAN'S CIRCLE Individuals or couples qualify as members in the Dean's Circle with generous gifts of $25,000 or more. Dr. George M. Ellis Jr. and Mrs. Kelly Ellis Mrs. Catherine Fix Connersville, IN Martinsburg, WV Dr. Thomas Frawley and Mrs. Marigrace Frawley Dr. Thomas F. Frawley and Mrs. Marigrace Frawley Chesterfield, MO Chesterfield, MO Mr. John H. Goodwin, Jr. Mrs. Christina Gretschel Genner Williamsville, NY Potomac, MD Mr. John Goodwin CHAIR'S CIRCLE Williamsville, NY Dr. Kenneth M. and Mrs. Joan Alford Philip B. Wels, MD, and Mrs. Elayne Wels Just as a department chair leads a program, donors of leadership gifts in the range of $10,000 to $24,999 are given special recog­ nition. Dr. and Mrs. Pasquale A. Greco Buffalo, NY Buffalo, NY Mrs. June M. Alker Dr. Glen E. and Mrs. Phyllis K. Gresham Williamsville, NY Snyder, NY Dr. Charles D. Bauer and Mrs. Mary A. Bauer Dr. Thomas J. and Mrs. Barbara L. Guttuso Williamsville, NY East Amherst, NY Dr. Willard and Mrs. Clarite Bernhoft Dr. Eugene J. Hanavan Jr. Snyder, NY Buffalo, NY Dr. Harold Brody and Anne Brody Amherst, NY Dr. and Mrs. Daniel Miller Scarsdale, NY Dr. and Mrs. Philip Morey Dr. Joseph and Mrs. Helene Chazan Mrs. Morris Lamer Providence, RI New York, NY Dr. Kenneth H. Eckhert Sr. and Mrs. Marjorie Eckhert Mrs. Grace S. Mabie Williamsville, NY Mrs. Sophie Small Brockton, MA Orlando, FL Buffalo, NY Dr. Eugene R. and Mrs. June A. Mindell Dr. George M. Ellis Jr. and Mrs. Kelly Ellis Buffalo, NY Connersville, IN B u f f a l o P h y s i c i a n S p r i n g 1 9 9 9 �P R O F E S S O R S ' CIRCLE A strong faculty is central to a great university. Likewise, central to the future of our School is the dedication of a cadre of supporters whose annual gifts range from $5,000-$9,999. Dr. Joseph G. Cardamone Mrs. Susan G. Cardamone and Eden, NY Dr. Claudia D. Fosket and Dr. Robert Smolinski Dr. Richard A. Berkson Dr. and Mrs. Mark R. Comaratta Rancho Palos Verdes, CA East Amherst, NY Orchard Park, NY Dr. Michael E. Bernardino and Mrs. Joan W. Bernardino Dr. Bernice S Comfort-Tyran Buffalo, NY Buffalo, NY Dr. linda J. Corder Dr. Charles McAllister Dr. Willard H. Bernhoft and Mrs. Clarice L. Bernhoft Buffalo, NY Dr. Robert J. Gillespie Clearwater, FL Dr. Daniel E. Curtin Snyder, NY Dr. Nancy H. Nielsen Orchard Park, NY Dr. Joel M. Bernstein Orchard Park, NY Dr. David R. Dantzkerand Mrs. Sherrye Dantzker Williamsville, NY Dr. Max Doubrava Jr. Dr. John S. Parker and Mrs. Doris M. Parker Las Vegas, NV La t robe, PA Buffalo, NY Dr. Robert Hall and Mrs. Dorothy N. Hall Dr. Richard R. Romanowski Dr. Theodore S. Bistany Houston, TX Williamsville, NY Buffalo, NY Dr. John C. Newman Dr. James White Dr. Willard H. Boardman Lewiston, NY Buffalo, NY Dr. Melvin J. Steinhart and Mrs. Susan S. Steinhart Delmar, NY Dr. Charles S. Tirone and Mrs. Anne R. Tirone Williamsville, NY Dr. and Mrs. Harold M. Vandersea New Bern, NC Dr. Syeda Fazila Zafar and Ms. Mona S. Zafar East Amherst, NY F E L L O W S ' CIRCLE Fellows within the School are recognized for added depth they bring to postgraduate study. Within the Society, Fellows are honored for gifts that total $2,500 to $4,999. Dr. William H. Bloom Bay Shore, NY Dr. Melvin M. Brothman Snyder, NY Dr. Yung C. Chan Draper, VA Drs. Charlearmsee and Charoen Chotigavanich Thailand Dr. and Mrs. Jack C. Fisher La Jolla, CA Los Altos, CA Dr. David L. Berens Roslyn, NY Drs. Roger and Roberta Dayer Buffalo,NY Dr. and Mrs. David E. Denzel Lockport, NY Winter Park, FL Dr. Gerard J. Diesfeld Dr. and Mrs. Dennis L. Bordan Arcade, NY Port Washington, NY S C H O L A R S ' C I R C L E One strength of an outstanding institution is the caliber of those who study there. Scholars within the James Piatt White Society have made gifts to the School totaling $1000 to $2,499 during the past year. Those marked with asterick (*) are young scholars, graduate of the last decade who qualify with gifts of $500 to $999. Ronald I. Dozoretz, MD Dr. Suzanne F. Bradley Norfolk, VA Whitmore Lake, MI Dr. Melvin B. Dyster Dr. Martin Brecher Niagara Falls, NY Amherst, NY Dr. Robert Einhorn Dr. James B. Bronk and Mrs. Suzanne Bronk North Brunswick, NJ Dr. and Mrs. Domonic F. Falsetti Napa, CA Lewiston, NY Dr. August A. Bruno, Sr. Dr. and Mrs. John A. Feldenzer Buffalo, NY Roanoke, VA Dr. Alan H. Bullock Dr. Helen Marie Findlay and Dr. Albert Schlisserman Longmeadow, MA Dr. Kenneth M. Alford and Mrs. Joan W. Alford Dr. William M. Burleigh Eggertsville, NY Buffalo, NY Rancho Mirage, CA Dr. Kenneth Z. Altshuler Dr. Jennifer L. Cadiz Dallas, TX Mechanicsburg, PA Dr. William S. Andaloro Drs. Evan and Virginia Calkins Caledonia, NY Hamburg,NY Dr. J. Bradley Aust Jr. Dr. David T. Carboy and Mrs. Jacqueline G. Carboy San Antonio, TX Dr. Susan Fischbeck and Dr. Patrick Hurley East Concord, NY Dr. and Mrs. Thomas D. Flanagan Williamsville, NY Dr. Neal W. Fuhr Williamsville, NY Lincroft, NJ Dr. George Bancroft and Mrs. Susan K. Bancroft Dr. Penny A. Gardner Dr. Nicholas C. Carosella Los Altos, CA Hamburg, NY Appleton, NY Dr. Jared C. Barlow, Sr. and Mrs. Barbara A. Barlow Dr. Norman Chassin and Mrs. Charlotte S. Chassin Grand Island, NY Kenmore, NY Dr. Paul D. Barry Dr. Charles Kwok-Chi Chow and Mrs. Patricia Chow Bethesda, MD Dr. Ralph T. Behling and Mrs. Rita Behling San Mateo, CA Dr. Ronald Garvey Dallas, TX Dr. Kenneth L. Gayles Amherst, NY Dr. and Mrs. Lawrence H. Golden Hong Kong Eggertsville, NY Dr. Michael E. Cohen and Mrs. Joan Cohen San Diego, CA Dr. Michael Goldhamer Williamsville, NY 0 B U F F A L O P H Y S I C I A N S P R I N G 1 9 9 9 �ALUMNI Dr. Myron Gordon Dr. Masao Nakandakari Dr. Albert G. Rowe Honolulu, HI Tonawanda, NY Albany, NY Dr. Robert A. Klockeand Mrs. Barbara Klocke Dr. Jonathan A. Graff Williamsville, NY Dr. Richard and Mrs. Ellen Narins Dr. Eric J. Russell Williamsville, NY Dr. Jacob S. Kriteman Orchard Park, NY Chicago, IL Dr. Peter H. Greenman Danvers, MA Fairfax Station, VA Dr. Ivan W. Kuhl Dr. Kathleen O'Leary and Mr. Michael J. Collins* Dr. Arthur J. Schuefer and Mrs. Elizabeth Ann Scbaefer Dr. Glen E. Gresham and Mrs. Phyllis Gresham Wimberley, TX Buffalo, NY Snyder, NY Drs. Marie Leyden and Joseph Kunz Dr. Thomas P. O'Connor Dr. Adolphe and Mrs. Nancy Schoepflin Williamsville, NY Lockport, NY East Amherst, NY Tucson, AZ Dr. Robert T. Guelcher Dr. Gordon R. Lang Mrs. Marguerite T. O'Gorman Dr. James N. Schmitt Erie, PA Chicago, IL Eden, NY Kenmore, NY Dr. Ralph R. Hallac Dr. Andre D. Lascari Dr. Joseph J. Oliver Dr. David S. Schreiber Englewood, NJ Poestenkill, NY Rock Springs, WY Westwood, MA Mrs. Gilda L. Hansen Dr. Phyllis Leppert Drs. Donna and Dean E. Orman Dr. Joseph I. Schullz Williamsville, NY Buffalo, NY East Amherst, NY San Pedro, CA Dr. Reid R. Heffner, Jr. and Mrs. Elenora Heffner Dr. Harold J. Levy and Mrs. Arlyne Levy Dr. James M. Orr Dr. Fred S. Scbwarz Amherst, NY Gallipolis, OH Buffalo, NY Dr. Marshall A. Lichtman and Mrs. Alice Jo M. Lichtman Dr. Victor A. Panaro Mr. Mark R. Schufman Dr. Anita J. Herbert Snyder, NY Woodside, NY Bradford, PA Rochester, NY Dr. Margaret W. Paroski Dr. Orvan W. Hess Dr. Hing-Har Lo Buffalo, NY Dr. Edward Shanbrom and Mrs. Helen Shanbrom North Haven, CT Blacksburg, VA Dr. William J. Hewett West Hartford, CT Dr. Thomas A. Lombardo Jr. and Mrs. Donna M. Lombardo Dr. Robert J. Patterson and Mrs. Patricia M. Patterson Dr. Fredric M. Hirsh Buffalo, NY Santa Ana, CA Dr. Roy E. Seibel Sr. and Mrs. Ruth Seibel Snyder, NY Eggertsville, NY East Aurora, NY Dr. Norman L. Paul Williamsville, NY Dr. Susan V. McLeer Lexington, MA Dr. Arthur M. Seigel and Mrs. Ellen M. Seigel Dr. John M. Hodson Buffalo, NY Guilford, CT Rochester, NY Williamsville, NY Drs. Harry L. and Kaaren J. Metcalf Dr. Clayton A. Peimer and Mrs. Susan Peimer Dr. Walter D. Hoffman Williamsville, NY Eggertsville, NY Williamsville, NY Dr. Merrill L. Miller Dr. and Mrs. James F. Phillips Dr. Elizabeth G. Serrage Dr. Robert H. Huddle, Jr. Hamilton, NY Buffalo, NY Portland, ME Dr. Molly R. Seidenberg Elmira, NY Dr. and Mrs. Howard Mindell Dr. Charles W. Pruet Dr. John B. Sheffer Dr. Herbert E. Joyce and Mrs. Mary Joyce Shelbourne, VT Williamsville, NY Williamsville, NY Dr. Timothy S. Sievenpiper and Mrs. Karen S. Sievenpiper Lockport, NY Dr. Maynard H. Mires Jr. Dr. John V. Ranchoff Dr. Robert M. Jaeger Georgetown, DE Fairview Park, OH Allentown, PA Dr. Joseph F. Monte Dr. Bert W. Rappole East Aurora, NY Drs. James R. and Genevieve Kanski Dr. Roger M. Simon Buffalo, NY Jamestown, NY Eggertsville, NY Mr. and Mrs. Robert Montgomery Dr. Frederic D. Regan Las Vegas, NV Drs. Julian R. and Mayenne A. Karelitz Lake View, NY Boca Raton, FL Dr. Edward H. Simmons Beverly Hills, CA Dr. Frank T. Riforgiato and Mrs. Mary-Cecina Riforgiato Williamsville, NY Dr. James J. Kelly Dr. Philip D. Morey and Mrs. Colleen C. Morey Buffalo, NY Williamsville, NY Buffalo, NY Carbondale, IL Dr. Albert Somit Dr. Kenneth K. Kim and Mrs. Susan Kim Dr. John D. Mountain Dr. Bruce H. Robson Dr. John J. Squadrito Clinton, NY Manhasset, NY Geneva, OH Sarasota, FL Dr. and Mrs. Arthur C. Klein Dr. Arthur W. Mruczek Sr. Dr. Jeffrey S. Ross Dr. William C. Sternfeld Los Angeles, CA Medina, NY Lebanon Springs, NY Sylvania, OH Dr. Richard L. Munk Mr. and Mrs. James Rosso Dr. Burton Stulberg Sylvania, OH Buffalo, NY Buffalo, NY f f 0 , �A I U M N I Dr. Michael A. Sullivan Dr. Harold J. Weinstein Dr. Michael S. Taxier • Van Nuys, CA Worthington, OH Drs. Charlotte and Hyman Weiss Dr. Wayne C. Templer • Highland Park, NJ Corning, NY Dr. and Mrs. James Tibbetts Dr. Paul H. Wierzbieniec Sturgeon Bay, WI Amherst, NY . Clearfield, PA Lancaster, NY Williamsville, NY Dr. Barbara Von Schmidt Mr. and Mrs. Gilbert J. Yager Oakland, CA Dr. Charles E. Wiles Dr. and Mrs. Gregory Young . Holland, NY Dr. Richard D. Wasson and Mrs. Janet Wasson After Six Custom O R IA M The following individuals left generous bequests or made arrangements for gifts from testamentary trusts. Mrs. Virginia Barnes Dr. David W. Butsch Dr. Mark W. Welch Montpelier, VT Sherman Hanson Ms. Janet Butsch Anonymous Dr. John L. Butsch We have made every effort to ensure Buffalo, NY accuracy in these lists. If you have any questions or corrections, please Dr. and Mrs. Marvin Z. Kurlan Dr. Lynda M. Young-Sorrenti call Mrs. Mary Glenn tollfree at Williamsville, NY • Worcester, MA Holiday, FL Walnut Creek, CA Aurora, CO Durham, NC Grand Island, NY Sarasota, FL Dr. Clara A. March Dr. John R. Wright and Mrs. Deanna Wright Mr. James J. Trzaska Mrs. Marvin (Helen) Winer Dr. David C. Ziegler and Mrs. Susan D. Ziegler A few individuals and couples were granted multi-year mem­ berships based on generous gifts made betweeen 1989 and 1993. Dr. Richard G. Williams Lewiston, NY Buffalo, NY SPECIAL MEMBERS Carlsbad, CA Dr. Bradley T. Truax Buffalo, NY M EM • Dr. Gary J. Wilcox Dr. George Toufexis Williamsville, NY Dr. John Naughton Dr. Franklin Zeplowitz and Mrs. Piera Zeplowitz Dr. Arnold Wax . Henderson, NV Williamsville, NY 1 (877)826-3246. 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Fax: (716) 743.0198 �CLASSNOTES egy development and other is­ EDWARD HOHENSEE, MD '54, sues affecting local physicians. writes: Thank you for printing Major has 25 years of experience my note in the winter issue of as a practicing physician and Buffalo Physician. However, you medical administrator. He is a printed my email address incor­ board-certified cardio-thoracic rectly! The correct address is: surgeon and formerly was direc­ tor of Cardio-Thoracic Associ­ edhohensee@aol.com ates of WNY, P.C. He has also WILLIAM J . SULLIVAN, MD '55, been an associate clinical profes­ writes from Los Angeles, CA: sor at UB's school of medicine "Recently, I changed my medi­ since 1981. Pictured above are the children of Matthew J. Phillips, MD '91, and his wife, Toula. From left to right are James, Michael, newborn daughter Markella Aretee, and Matthew, Jr. THOMAS G. DISESSA, MD ' 7 t , anchors Jack Ford and Jodi cal practice from a solo forensic psychiatric one to a partnership structure with other forensic psychiatrists. This will permit more time off, longer vacations and greater flexibility in my working schedule. I now func­ tion as the medical director of NBC Weekend Today Show with writes: I recently accompanied Applegate. Applegate has inter­ the surgical team of the Interna­ viewed Moore on diverse women's tional Children's Heart Founda­ health issues, including compli­ tion to Zagreb, Croatia. While cations of pregnancy, menopause, 1 9 9 0 S MATTHEW J . PHILLIPS, MD '91, writes: My wife, Toula, and I joyfully announce the birth of our daughter, Markella Aretee, born December 21, there, I performed ten inter­ hormone replacement therapy, ventional catheterization proce­ aging, contraception and mi­ dures on children two months graines. Moore has also recently old to 14 years. I dilated six been awarded the Woman of the K. patients with coarctation, two Year Award in Health/Medicine MAJOR jr., patients with aortic stenosis and from New Jersey's Somerset has coil closed two ductus. In Janu­ FAITH E.GRIETZER-FRANKEL, MD MD '69, County Commission on the Sta­ been named ary, I went to Peru for the sec­ '91, is a pediatrician in private tus of Women for her role in new execu­ ond time and may return to practice in Fairfax, VA. She re­ women's health research, advo­ tive director of Croatia in the future. cently contributed to a video on cacy, education and leadership. SIDS prevention, which is avail­ the group." Wi l l i a m the Individual Practice Asso­ NIRANJAN M. KUMAR, PHD '88, ciation of Western New York (IPA/WNY), the physician orga­ nization of Independent Health, Buffalo's largest health mainte­ nance organization. In this posi­ tion Major is responsible for the day-to-day business of the IPA/WNY, including D O N N I C A L . M O O R E , M D ' 8 6 . If writes: I have joined Wyeth- the Lederle Vaccines and Pediatrics trio in the photograph below look Pharmaceutical Company in familiar, it's because you mayhave Pearl River, NY. I was a visiting seen them while channel surfing scientist at Merck and Company, Saturday or Sunday morning. Inc., prior to this appointment. In the center is Donnica L. Moore, a regular guest on the San Diego, CA. ependent Health's able nationwide through the One Step catalogue. Her husband DOUGLAS FRANKEL, MD '91, is in private practice in trauma/ internal medicine in Maryland. He is also a physician for profes­ sional boxing. They have three sons: Maxie, Aidan and Riley, utes outside ofWashington, DC. wife and two daughters in closely with Ind­ pictured above. fered a stroke due to an AVM. tice medicine. He lives with his cians and working four; and Matthew, Jr, two; and live in Maryland, 15 min­ MD '89, He is currently unable to prac­ budsman for physi­ ers: James, age five; Michael, suf­ HOWARD CHANG, serving as an om­ 1998. She joins her three broth­ HOWARD S . PODOLSKY, MD ' 91, writes: Following completion of my residencyin internal medi­ cine at The Christ Hospital/ senior management University of Cincinnati, my on health-care poli­ wife, Rabbi Elizabeth B. Hersh, cies, programs, strat­ and I have settled in St. Louis, e u f f a l o P h y s i c i a n S p r i n g 1 9 9 9 ^37^ �MO. In 1994,1 joined the staff of KETAN DAVAE, MD ' 9 6 , writes: "I he published in 1960 and revised Buffalo General Hospital for a Southwest Medical Center as an completed a surgical internship in 1981. Bergman moved to year prior to serving in the mili­ attending physician. Since that at Michigan, radiology residency Florida from New York when he tary for two years. From 19481951, he was a resident in psy­ chiatry at Buffalo State Hospital. time, I have cultivated a largely at Tufts, vascular interventional semi-retired in 1978. He was geriatric practice in a multi- radiology at Harvard, and mus­ a professor of urology at the specialty group environment. I culoskeletal, Cornell." university of Miami's School of In 1955, he moved to Madison, Medicine and worked as a clini­ WI, toserve as clinicaldirector at cal professor at Jackson Memo­ Mendota State Hospital, a posi­ sur­ rial Hospital in Miamifor lOyears. tion he held until 1962, at which geon and cancer researcher, died At age 21, Bergman graduated at time he went into private prac­ of heart failure on December 14, the head of his class tice with the newly at UB and, at the time, formed Madison Psy­ continue to function as a resi­ dent instructor as well as a men­ tor to medical students who are interested in pursuing a career in internal medicine. My IN MEMORIAM HARRY BERGMAN, MD '34, wife is now the associate rabbi of 1998, in Hollywood, FL, at age the United Hebrew Congrega­ 87. Lastspring, Bergman received was the university's chiatric Associates. an Award of Special Recognition youngest medical He was a staff psy­ In the fall of 1998, fulfilling my from the Dean's Advisory Coun­ school graduate. A chiatrist at the Dane quest to remain a perpetual cil of UB's School of Medicine successful practice as County student, I was accepted, as a tion located in Chesterfield, MO. Mental and Biomedical Sciences for his a urologist and sur­ Health Center dur­ Dean's Scholar, into theSt. Louis life's work in urology. The award geon in Manhattan ing the 1970s and an University School of Law. After recognized that, in 1947, and Bronx, NY, fol­ associate clinical pro­ one semester of evening classes Bergman devised an instrument lowed. As his prac­ fessor of psychiatry and early morning rounds, 1 capable of obtaining an early tice grew, so did Gilbert "Ben" Tybring, MD '45 at the University of neoplastic degeneration inside Bergman's reputation have come to long for the days of merely being a resident. While an apparent benign tumor, an 1960s and early 1970s. Follow­ accomplish­ a person who had a tremendous ing his retirement in 1984, he ment for love of people," said Albert Sirota, established and edited a state he a friend. "Henever hada negative newsletter, The Wisconsin Psy­ received an word to say about anybody. He chiatrist. In 1993, the newsletter award from believed if you didn't have any­ won the Newsletter of the Year I encounter the law school expe rience, I continue to draw on the many skills E-mail school career. As 1 look to the future, I hope to become involved which the Ameri­ thing good to say about some­ award from the American Psy­ can Cancer body, don't say anything.He was chiatric Association. In addition in a practitioner who really cared." to hiswife,Jane, he is survived by 1948. It also Bergman is survived by his wife, the children of his first marriage submitted by E-mail at: acknowledges Mollie Holtzman Bergman, and (his first wife, Jean Agnes Smith Bergman's dis­ daughter Ann Sue Matasar of of North Tonawanda, NY, died bpnoles@pub.buffalo.edu covery of a ra­ Chicago, IL. in 1970), Gilbert Benson IV of I acquired dur­ ing my medical Wisconsin in the for doing pro bono work. "He was Classnotes can also be in Society diological sign health-care for cancerof the policy while ureter, named continuing my work in primary "Bergman's Sign" in his honor by care. Rofay@aol.com John Emmett, professor of urol­ E L I Z A B E T H C O N R O Y , M D ' 9 2 , and husband, Jeff, proudly announce the birth of their third child on February4,1999, a daughterJulia Grace, 8 pounds, 3 ounces. Eliza­ beth is a practicing dermatologist with Buffalo Medical Group. ogy at the Mayo Clinic, and first catalogued in Dorland's Medical Dictionary in 1981. Also noted in the award wasBergman's work as a writer and editor of many pub­ lications, including his highly respected text, The Ureter, which Lakeland, FL, Nancy MorningGILBERT"BEN"TYBRING, MD'45, died on February 1,1999, of heart star ofPalomar, CA, and William Mark of West Bend, WI. failure at age 79, in Madison, WI. According to his wife, Jane, he H A R O L D P E S C O V I T Z , M D ' 4 7 , died also had been diagnosed with in March 1999 at his winter home Alzheimer's disease. Originally in Amberley Village, FL, at age from Endicott, NY, Tybring 74. A native of New York City, graduated from the New York Pescovitz moved to Cincinnati, State College for Teachers— OH, after he earned his medical Albany in 1942 (now SUNY at degree at UB. In Ohio, he com­ Albany). After earning his medi­ pleted his residency and prac­ cal degree at UB, he interned at ticed general surgery at Jewish �ClASSNOTES Hospital, after which he entered Support Appreciated for Summer Exterastiip Program private practice in Avondale, Fairfield and North Bend. T Pescovitz, whose first wife, Anita, he Primary Care Summer Externship is preparing for its seventh summer and would preceded him in death, is sur­ vived by his wife of seven years, like to thank the institutions who have pledged their generous support for 1999. Shirley; sons Mart of Carmel, IN; These include a renewed commitment from the Charles E. Culpeper Foundation, the Robert of Los Angeles, CA; Michael of Evendale; Charles Independent Health Foundation, and the Lake Plains Community Care Network, as of Symmes Township; Rick of well as new support from the New York State Department of Health Minority Hyde Park; David of San Fran­ Participation in Medical Education Initiative. Each of these institutions has demonstrated a cisco, CA; and daughters Pam Tiemeyer of Farmington Hills, long- term commitment to primary-care education. Their support will have a direct impact on MI, and Maxa Pescovitz-Gider of the development of physicians educated in Western New York, many of whom will be the Pembroke Pines, FL. future health-care providers for our community. + FERDINAND A . PAOLINI, MD '47, died on February 16,1999, in Erie County Medical Center after a of California, John of Chicago, Crandall Jackson, Charlene would come from programs help­ IL, James, Alan and Joseph; and Crandall and Dr. Melanie ing "people who can't take care of six grandchildren. long illness. He was 74. Paolini, savings from a private program who was born in L'Aquila, Italy, came to Buffalo when he was two years old. Following graduation themselves." In his teaching ca­ from Canisius College and UB's reer at the medicalschool and as a Crandall McMahon; son Dr. Blane Crandall,brothers, Vernon CLARENCE CRANDALL, MD '50, and Rodney; sister, Carol Everett; and eightgrandchildren. medical school, he served a resi­ longtime member of the school's died on November 12, 1998, at dency in internal medicine at the Admissions Committee, he influ­ his home in Melbourne, FL. He former Edward J. Meyer Memo­ enced the lives of many dentists was 77. Crandall was born in HERSHEL rial Hospital, now Erie County and was Kennedy, NY. In 1942, he en­ Sanford Ullman, MD '38, writes: known as a gifted teacher, with a listed in the Army Air Force "My brother, Hershel, died Feb­ ruary 2, 1999, at the age of 76. Medical Center (ECMC). He re­ physicians. Paolini ULLMAN, MD 'SO. turned to the hospital after flair for quoting maxims in Latin and served as an armament in­ completion of service with the and Greek during his lectures to structor for three years. Upon He was an internist/cardiologist Army Medical Corps. Later, dur­ students, as well as passages from leaving the service, he enrolled in Los Angeles, CA. ing the Korean War, he served as his favorite authors and poets— in UB's medical school. Follow­ a captain at theSecond Army Hos­ Shakespeare, and ing graduation, he practiced pital in Fort Campbell, KY. After Housman. He retired from the medicine in Holt, MI, for four his Army service, Paolini began a medical school as emeritus clini­ years. In 1954, he moved to the lifelong association with the cal professor of medicine in 1979. old ECMC and the UB school of medi­ He then was appointed medical Melbourne, FL, where he cine. He was director of clinics director of Brothersof Mercy Nurs­ worked until he retired in 1987. and ambulatory care as well as ing Home in Clarence and was A friend of Crandall's in president of the medical-dental instrumental in establishing the Melbourne said she wanted him staff at the hospital. He was acting facility as a major rehabilitation to be remembered for what a medical director during the center. Survivors include his wife former patient had once said of hospital's transition to a medical of 48 years, the former Emily him: "He treated me when I was center and expressed concern that Diakun; three daughters, Anne dirt poor as though I had all the care for needy patients would suf­ Shaw of Minneapolis, MN, Susan money in the world." Survivors fer at the hands of a private insti­ Quek of New York City, NY, and include his wife, Jean, of 56 tution. Paolini argued in 1978 that Judith Walton; five sons, Michael years, daughters n 1 B u f f a l o P h y s i c i a Dickens n S p r i g Eau Gallie 9 9 9 area of Valerie J O H N S . C A R L E T O N , M D ' 5 9 , died of heart failure on June 3, 1998, following a long illness. He was 70. After graduation from Harding University in 1944, Carleton entered the Navy. Fol­ lowing World War II,heentered the Air Force Aviation cadet pro­ gram, where he trained as a pi­ lot, later becoming a decorated fighter pilot during the Korean War. In 1952, Carleton chose to leave the Air Force and pursue a career in medicine. He entered UB, where his father, William { 3 9 ^ �CLASSNOTES Deborah A. White, MD, Physician, Wife and Mother, 1961-1999 S he was a physician who listened compassionately to her patients. She was a partner in a solid marriage. She and her husband, Christopher, were devoted to the three children who formed the center of their lives. How do we make sense of the tragic car accident on February 21, 1999, that claimed the lives of Oeb, Chris and their youngest son, Adam? I can't make sense of it, but I know the tragedy has affected many of us, particularly those in the Medina area, where Deb practiced. Her death has given me an opportunity to examine who she was and what her accom­ plishments were.She grew up on a dairy farm in Eden, NY, one of four children, two of whom still live in Eden, near her parents. She was a diligent student who worked hard to get into UB's school of medicine, graduating in 1987. She did her residency in internal medicine at Buffalo General Hospital while her husband, a cellular and molecular biologist, worked at Roswell Park Cancer Institute. In 1990, at the end of her residency and upon the birth of their first child, Andrew, Deb and Chris's lives took an unusual turn. Chris quit his job at Roswell to become the at-home parent and Deb joined a busy internal medicine practice with David Stahl, MD '79, in Middleport, New York. She went on to have two more children: Elizabeth, born in 1993, and Adam, in 1995. After each birth, Deb took off just a few weeks because of her commitment to her partner and practice. It was because of the support she received from her husband that she was able to "not miss a beat" with the birth of each of her children. Being a doctor in a small community, it was only natural that her practice extended beyond internal medicine. She was in much demand for the services she could provide not only to women in the community, but to children and adolescents, as well. Whenever I called her from the Emergency Department at Medina Memorial Hospital regarding one of her patients, she was always responsive and respectful, despite the frenzy in her office. At noon, I could always find her at home with the frenzy of the family in the background. "Frenzy," though, is not a word that relates to Deb at all. She had a way of listening and being there that made you feel like you were the only thing on her mind. I know her patients felt this way because they tell me so when I talk with them in the Emergency Department. I have searched for meaning in this tragedy but have found little. I am, however, comforted knowing that the surviving children, Andrew, age nine, and Elizabeth, age six, have been embraced by the wonderful extended families of both Deb and Chris. I am inspired by Mr. Preischel, Deb's father. He was able to articulate, while in the Emergency Department on the afternoon of February 21, that his daughter lived a full life. She wanted to be a doctor more than anything, and she became a remarkable physician. She wanted a family life, and she became a loving wife and attentive mother. — E l i z a b e t h M a h e r , M D ' 8 5 . Dr. Maher is director of Emergency Services at Medina Memorial Hospital, where Dr. White was a member of the medical staff. Wallace Carleton, and hisgrand­ hospital owned by theSaudi gov­ and later was promoted tration. He was widely father, John Falloon Carleton, ernment in Saudi Arabia from to chief of psychiatry published and pre­ had also attended medical 1981 to 1984. He is survived by services for the VA sented papers at con­ school. Following graduation, his wife, Alice (Sid) Carleton. Healthcare System of ferences worldwide. Western New York, as Morphy was a senior well as senior medical examiner for officer for the agency's American Board of he received his specialist train­ ing in otolaryngology (ENT) in MURRAY A. MORPHY, MD '72, pro­ Houston. He then practiced fessor and vice chair of the UB medicine in affiliation with Department of Psychiatry and se­ Baylor University in Texas nior medical officer for the Veter­ from 1962 to 1966 and in the entire health-care sys­ Psychiatry and Neuro­ ans Administration Western New tem of Western New York. Involved in the Murray A. Morphy, MD '72 logy and president of Arizona. Throughout his career, York Healthcare System, died training of hundredsof November 30, 1998, at his home tion of Carleton performed much vol­ young physicians studying to be­ in Snyder, NY, at age 51. Follow­ trists. He also served as president, unteer work, especially with come psychiatrists, he is credited children. He was invited to ing UB, secretary and treasurer of the West­ by his peers with the ability to ern New York Psychiatric Society. establish an ENT program and Morphy served as chief of combine scholarship with excel­ physical ward at an Air Force psychiatry at Veterans Hospital lence in clinical care and adminis­ 0 graduation B u from f f a l o P h y s i c i a n S p r the National Associa­ i n g VA Psychia­ 1 9 9 9 �The Pulmonary Rehabilitation Center Garden Gate Health Care Facility is pleased to offer a rehabilitation program specializing in the care of individuals with pulmonary and respiratory disorders. \ Our Unit is coordinated under the guidance of Dr. Robert McDonald, Board Certified in Pulmonary and Critical Care. The unit is staffed by Respiratory, Physical and Occupational therapists and a team of professional support staff educated on the specifics of caring for and treating pulmonary disorders. In addition, Dr. McDonald is a Fellow in the American College of Chest Physicians, President of the WNY Pulmonary and Critical Care Society and partner with Buffalo Cardiology & Pulmonary Associates, P.C. Our team will develop an interdisciplinary care plan and provide a comprehensive education program, tailored specifically to your patient's needs during treatment at our center and after discharge. In addition, a summary of your patient's progress will be forwarded upon discharge or as requested. L Pulmonary Rehabilitation Services • Asthma & Asthmatic Bronchitis • Bronchiectasis • Chronic Obstructive Lung Disease (COPD) • Emphysema • Neurological Disorders • Non-invasive Ventilation (CPAP and BiPAP) • Pneumonia • Post ARDS • Post-Ventilator Therapy • Tracheostomy Care & Management Additional Services: • Educational Training • Support Groups (Smoking Cessation Programs) • Post-Discharge Exercise Regimens • In-Home Assessments Five Star Care Our facilities were rated outstanding in the community with five stars out of five, according to the Inside Guide to America's Nursing Homes. THE cMcGUIRE REHABILITATION ^ CENTER at Garden Gate Heath Care Facility 2365 Union Road • Cheektowaga, New York, 14227 • (716) 929-1715 or 1-888-POSTACUTE �Non Profit Org. BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO y j pos|age 3435 MAIN ST. p^iy BLDG' 2 2 Buffalo, NY BUFFALO NEW YORK 14214-3013 Permit No. 311 ADDRESS SERVICE REQUESTED Your stock may pay more dividends than you thought possible You dabbled in the market long before It became a fad and your hunches paid off. But now you need income, and your shares are only producing low annual dividends. So how can you make the most of your securities and still achieve your personal and financial goals? Give your stock to the university at Buffalo. With careful planning, your gift may provide you with income for life, a charitable deduc­ tion and reduce or eliminate taxes. And for UB it can mean more scholarships, research funds or the realization of your own personal vision and goal for the University. To learn how your gifts of stock can benefit you and the University at Buffalo, please call the Office of Gift Planning at (716) 645-3312. University at Buffalo State University of New York University at Buffalo • Office of Cift Planning • 103 Center for Tomorrow • Buffalo, New York 14260-7400 • 716-645-3312 � 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. 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The Surfactant Story Our Duty Toward Children and Family New Health Care Business Center Medical School News Hospital News Research News Student Column Development Classnotes Date Created Date of creation of the resource. 2022-09-15 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. v33n04 Extent The size or duration of the resource. 44 p. Spatial Coverage Spatial characteristics of the resource. New York (State)--Buffalo Rights Holder A person or organization owning or managing rights over the resource. Copyright 1999 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/86d2f4dbf7b45b0ca01007a52121f3f9.pdf e83c7e8f50f6b1507d9057cfd3f5e149 PDF Text Text the Buffalo Physician ^ SUMMER 1971 VOLUME 5, NO. 2, SCHOOL OF MEDICINE STATE UNIVERSITY OF NEW YORK AT BUFFALO I �Learning By Closed Circuit TV The pharmacology class quickly filled the auditorium on the third floor of Veterans Hospital located across Bailey Avenue from the Medical School. They were the first medical class to utilize the new closed circuit TV system that will soon link the hospital to the Medical School. Had there been more laboratory time available to them, they would have performed the experi­ ment which they were about to view. Through the Starling Heart/ Lung operation being performed on a dog, this teaching film would illustrate many of the important fundamental features of cardiac action. Not only would they review the physiology but the sophomores would obtain a concept and understanding of glycoside effects. Video tape can be made in the control room at the hospital in mobile color and in black and white. In the fall when two coaxial cables connect the hospital and the Medical School two captive channels — 9 and 11 — both audio and video can be tuned in. Through its ITFS selection zoom lens, the camera is able to focus onto a specific spot, making it ideal for surgery. But the connecting coaxial cable TV hookup has reciprocal merits. Not only can medical students now see heart operations and other procedures performed at the hospital, but house staff can tune into lectures, seminars or discussions at the medical school. An additional new service, Dial Across Medical Lectures, will fill in the gap where a consultant is not readily available. Spon­ sored by the VA and Wisconsin Regional Medical Program, the recorded service is available on a 24 hour basis. By dialing a federal telecommunications service number, a doctor or student at the hospital has instant access to a short five or six minute lecture on a large number of medical subjects — from blood transfusions to suicide.• The pharmacology class learns via closed circuit TV. Mr. Richard S. Levy and Mr. William H. Maier Audio-visual Company explain the closed circuit William Chardack, associate professor of surgery, Richert, assistant to the Dean and Registrar. responsible for the VA part of the program. from the Seneca equipment to Dr. and Dr. John A. Dr. Chardack is �SUMMER, 1971 Volume 5, Number 2 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo IN THIS ISSUE EDITORIAL B O A R D Closed Circuit TV Editor inside front cover ROBERT S . MCGRANAHAN 2 The Prescription Team MARION MARIONOWSKY 5 A Presidential Inauguration Dean, School of Medicine 7 Repression by Default Managing Editor DR. LEROY A . PESCH by President Robert L. Ketter Photography HUGO H . UNGER EDWARD NOWAK Medical Illustrator 11 The Chronically 111 12 A Summer in England by Ira Mintzer, Class of 1972 MELFORD J . DIEDRICK Graphic Artists 14 Witebsky Memorial Lecture RICHARD MACAKANJA DONALD E. WATKINS 15 Better Health Care Secretary 16 Summer Fellowships 18 Intern Matching 21 Human Sexual Response CONSULTANTS 25 Cassettes Aid Teaching President, Medical Alumni Association 26 Computer Mapping 27 APFME Scholarships FLORENCE MEYER DR. ROLAND ANTHONE President, Alumni Participating Fund for Medical Education DR. MARVIN BLOOM 28 Laboratory Advisory Board Vice President, Faculty of Health Sciences 29 Ending Pregnancy 30 Living Cell JOHN C . CARTER 32 Heart Repairing Director of Public Information 33 3-D Process DR. CLYDE L. RANDALL Vice President, University Foundation JAMES DESANTIS 34 Alumni Reception/Muscular Dystrophy DR. ROBERT D. LOKEN 35 RMP/Furnas Scholarship Director of Medical Alumni Affairs 36 Family Planning 37 VA Programs 38 Dr. Sanes Honored 39-43 The Classes/People 44 In Memoriam 45 Alumni Tour President, University Foundation DAVID K. MICHAEL Director of University Publications THEODORE V . PALERMO Vice President for University Relations DR. A . WESTLEY ROWLAND the Buffalo Physician The cover design by Richard Macakanja focuses upon learning by closed circuit TV. Please see the opposite page for details. THE BUFFALO PHYSICIAN, Summer, 1971 — Volume 5, 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 1971 by the Buffalo Physician. �The Prescription Team Physician, Pharmacist, Manufacturer By David F. Burkholder, Pharm.D. From January 1, 1967 to June30, 1970 Dr. Burkholder was Associate Profes­ sor and Director, Center for Pharma­ ceutical Practice, School of Pharmacy, State University of New York at Buf­ falo, and Director, Pharmaceutical Ser­ vices, Buffalo General and Children 's Hospitals. He is now Associate Profes­ sor, Hospital Pharmacy at the Univer­ sity of Missouri, Kansas City.• (reprinted from M O D E R N M E D I C I N E , December 29, 1969) IN THE WORLD OF HEALTH CARE there are many teams, At almost any meeting of health professionals during this decade one could surely expect some discussion of the team concept as it applies to health care planning and organization. Curiously, there has been a great deal said about the team concept but very little done in the way of its actual implementation. Everybody pays lip service to the idea, particularly within individual disciplinary circles, but this in itself is a contradiction to the team approach and suggests a clinging to the old provincial roles with only gradual change through unilateral planning. Historically, the physician was often his own dispenser and the pharmacist was his own producer and sometimes even prescriber for the common complaints and ailments he encountered among his clientele. Early in this century, a pharmaceutical indus­ try began to emerge which was capable of producing high-quality products of more specific pharmacological action. The efficient mass production of convenient dosage forms of consistent quality has now all but completely replaced the pharmacist's role as a producer of his own prescription drugs in their finished forms. By our present-day standards, we identify the physician as the prescriber, the pharmacist as the dispenser, and the manufacturer as the producer. This is the pattern of things as learned by most of us in our professional education and training. Within each of these areas, however, many changes are taking place with a new level of sophistication in the services being provided. This "new look" in drug utilization, especially within major teaching hospitals, is reflected in such specialties as clinical pharmacology in medicine, clinical pharmacy in pharmacy, and clinical coordina­ tion by manufacturers in pharmaceutical research. Notice the "clinical" modification common to all the older disciplines: pharmacology, pharmacy, and pharmaceutical research. Implicit in this clinical orientation is the desire to direct all effort toward the improvement of patient care. The literal meaning of clinical is the laying of hands on the patient, and yet no one of these disciplines touches the patient more than the nurse. The meaning of the word clinical here refers to the ultimate benefit derived from the optimal use of drugs, with the desire to reach the patient's objectives rather than to reach for the patient per se. Such clinical coordination among physicians, pharmacists, and pharmaceutical manufacturers in deriving greater knowledge and experience will require a concerted effort to function as a team. Let's look very briefly at the whole contemporary pattern of drug utilization in this country. On the one hand, hundreds of drug manufacturers produce thousands of drug products under rigid standards of quality control with rather specific accounta­ bility required for the disposition of these products. On the other hand, there are tens of thousands of physicians prescribing drugs for millions of patients amounting to billions of doses, each pro­ ducing multiple pharmacological effects. In the latter situation, there are few standards and essentially no control in drug utiliza­ tion except in certain hospitals where institutional policy generally allows for it or clinical research efforts are directed specifically to study some aspect of drug utilization. The pharmacist is the 2 THE BUFFALO PHYSICIAN �middleman, and although he controls the prescription, his prescrip­ tion records, a tangible source of information, are seldom utilized for study purposes, and the final control in drug utilization is lost the moment he dispenses the drug to the patient. Because the loss of control in drug utilization is so general and so diverse, it is necessary to set up study groups, research teams, and drug review committees, mostly in hospitals and out-patient clinics where a structured environment lends itself to more closely following the care and treatment of a given population of patients. It is within this more academic setting, rather than in private practice, that we see the emergence of a prescription team to study the patterns and precise character of drug utiliza­ tion. This is where we find the specialized professionals with the clinical orientation mentioned earlier. When a new drug first undergoes clinical investigation, as phase II and III studies, a great deal of careful attention is paid to the control factors associated with the study according to a predesigned protocol. This is carried out through the combined efforts of the drug manufacturer (sponsor) and clinical (principal) investigator, a team of two. Unfortunately, the pharmacist is not usually brought into this team effort, and as a result, the com­ plete and detailed records of their ultimate disposition within the hospital or clinic are left to a clerk or secretary of the investi­ gator which can later lead to problems for the sponsor. The moment a New Drug Application has been approved by the Food and Drug Administration for production and marketing of a new drug product, the manufacturer becomes less involved in the actual utilization of the new product and the pharmacist suddenly becomes deeply involved. Now we againhavea team of two working together, but the manufacturer's interest in the new product has tended to shift administratively from its medical de­ partment to its departments of production and sales. At this point, the amount of control and interest in studying the most effective utilization of a new drug is greatly decreased. There seems to be a false assumption that just because a new drug product has been approved by the FDA there is no further requirement to study its continued use to determine the limits of its efficacy and safety in a variety of patients. This shift in emphasis of interest ironical­ ly occurs at a time when the greatest amount of information and benefit could be derived from the much larger experience gained through its intended use in tens of thousands of patients under a variety of conditions. I would like to propose the establishment of so-called "phase IV studies" by the prescription team: physician (or clinical phar­ macologist), pharmacist (or clinical pharmacist), and manufacturer (or clinical coordinator). These studies, although not required by law, would serve the purpose of adding to our present drug knowledge more precise information based on actual experience with these drugs as they are used in practice. Within the many hospitals and clinics of our country lies a wealth of information which is based on the factual experience of drug use and therefore is self-generating. Undoubtedly, the pro­ grammed collection and organization of this information would provide the strongest evidence in determining the character of SUMMER, 1971 3 Dr. Burkholder �drug selection, drug utilization, and even drug performance for many newer drug products now in use. The value of this informa­ tion has been demonstrated thus far in only a few widely scat­ tered teaching hospitals. But even with this limited experience, it is quite clear that programs of this type, now being coordinated between the hospital's pharmacy and medical staffs, have taken a major step in providing a more rational basis for the selection and use of drugs in patient care. Through the coordination of effort by a prescription team, a continuous monitoring program could be established for each manufacturer to determine: 1] Choice of drug product and frequency of choice for a given clinical condition 2] Size and frequency of dosage used 3] Duration of drug use 4] Drugs given in combination 5] Other treatments (non-drug) given concurrently 6] Pattern of pertinent laboratory values or other parameters used to determine the patient's progress 7] Relationship of patient's progress to specific drug therapy employed in a time-dose relationship 8] Frequency of adverse reactions and side effects under a var­ iety of clinical conditions. The collection of such data would enable the manufacturer and others to better assess optimal drug use—efficacy as well as safety—in specific types of patients; provide more detailed in­ formation on drugs used in combination, drug interactions, and drug interference with special diets and diagnostic tests; and determine physiological availability of the drug under different pathological conditions. In addition to aiding the teaching mission of our health practitioners concerned with drug therapy, this information would be useful to the drug manufacturer in devel­ oping improved drug products and new dosage forms. The value of such information in marketing research would be far superior to a mere analysis of sales figures in assessing the acceptance of a new product. Undoubtedly, the drug manufacturer could initiate this team effort and organize a type of phase IV study program for moni­ toring the use of selected drug products. Provided the con­ fidentiality of the hospital or clinic, physician, and patient could be assured by the appropriate use of codes, such a team effort would not only seem feasible but would be very desirable in providing a much needed body of useful information for the clin­ ical pharmacologist, the clinical pharmacist, and the clinical co­ ordination program of the manufacturer. By a contractual ar­ rangement with the hospital, the hospital pharmacist, again the middleman on the team, could be responsible for all data col­ lection. This is easily facilitated by the fact that the pharmacy is the one place in the hospital where all the drug orders are received for all the patients undergoing treatment and care. Because the medical departments of most pharmaceutical man­ ufacturers have concerned themselves primarily with new drugs undergoing initial clinical evaluation (prior to marketing), it would be necessary for them to extend their interest to the continued use of marketed products through phase IV studies as proposed.• 4 THE BUFFALO PHYSICIAN �A Presidential Inauguration D p ROBERT L. KETTERwas inaugurated as the University's third 'R. president and 11th chief administrator February 15 by Dr. Ernest L. Boyer, State University Chancellor at Kleinhans Music Hall. Approximately 1,800 people gave Dr. Ketter a standing ovation following the installation. Prayers were offered by clergymen of three faiths - Msgr. Joseph E. Schieder, Pastor of St. Andrews Church; The Reverend Ralph W. Loew, Pastor of Holy Trinity Lutheran Church; and Rabbi Martin Goldberg of Temple Beth Zion. Representatives of 180 universities and professional societies marched in the aca­ demic procession led by Dr. John T. Horton, University Marshall, and professor of history. Speaking on behalf of the Undergraduate Students Associa­ tion Mark Huddleston said, "will you have the vision to restore the sense of unity and excitement that marked the administration of Martin Meyerson?" "We can look forward to many years of positive leadership," responded William C. Baird, chairman of University Council. He cited Dr. Ketter's achievements as a scholar and successful ad­ ministrator. "You were chosen for your ability to interpret a large, growing facility to its many publics. We have total con­ fidence in your ability to lead the University to even higher rank." Speaking for the academic community, Dr. John S. Toll, pres­ ident of the State University at Stony Brook, pointed out that a university president has only a "razor edge of maneuverabil­ ity" in dealing with current problems. "The academic community rejoices on this occasion, but can you?" Other speakers on the 90-minute program were Michael Rosen, president of the Graduate Student Association; Dr. William H. Baumer, chairman of the Faculty Senate and associate professor of philosophy; and Robert E. Lipp, president of the General Alumni Association. Mr. Rosen asked the new president to promote personal dig­ nity and to realize that the "dignity of one person is no higher than the rest of humanity." Representing the faculty, Dr. Baumer described Dr. Ketter's presidency as "characteristic of beginnings — times of hopes and dreams, fears and uncertainties." He proposed an effort on the part of the University community to develop "a community of scholars in every best sense of that phrase." Alumni President Lipp praised the new president's actions during the first seven months of his term. "You have led capably and we are most pleased." In inaugurating Dr. Ketter, Chancellor Boyer presented him a silver medallion which is the emblem of the president's office. It incorporates the UB seal, a cluster of books radiating from a central core and represents the unity of knowledge gained through the university's diverse faculties. SUMMER, 1971 5 Drs. Boyer, Ketter Dr. Ketter, a 42-year-old eng­ ineer, was named president in June, 1970 by the State Univer­ sity Board of Trustees. He had been a member of the faculty for 12 years. �The University Brass Ensemble, under the direction of Frank J. Cipolla, played the National Anthem and accompanied the Uni­ versity Chorus in Tomas Luis de Victoria's "O Magnum Mysterium". Mrs. Sylvia Dimiziani directed the Chorus. After the ceremony there was a special luncheon at the Ridge Lea Campus dining room. The group also heard messages from the community and central SUNY administration. Chancellor Boyer gave greetings not only to the new president but also to his family, speaking of the "family commitment" that must be made as well as the presidential one. Buffalo City Comptroller George O'Connell brought the "feli­ citations of the City of Buffalo" to "President Bob" on behalf of Mayor Sedita. President Ketter was given a "gold plated letter opener" with the seal of the County of Erie in its handle by B. John Tutuska, Erie County Executive. Tutuska said the seal represented the "appreciation and gratitude" the County has for the new president. Greetings to Dr. Ketter were also extended by Dr. Albert Berrian, associate commissioner for higher education, State of New York, the Very Reverend James M. Demske, S.J., president of Canisius College, and Allen Dekdebrun, supervisor of the Town of Amherst.• Dr. John T. Horton The luncheon THE BUFFALO PHYSICIAN �Chancellor Boyer, Mr. Baird, members of the Council of State University of New York at Buffalo, members of the Board of Trustees of State University of New York, Distinguished Visitors, Delegates, members of the University faculty and student body, Reverend Clergy, Alumni, Ladies and Gentlemen. This moment revives for me a feeling I experienced when I was first appointed to office and which I am sure all of my pre­ decessors shared, for I am standing now, as they did, at the crossroads between tradition and innovation, between the impera­ tive to preserve an inheritance from the past and the sense of the opportunity to give a shape to the future. For each of my predecessors the interplay between tradition and innovation has had a unique meaning, since the point at which they meet shifts from generation to generation. In my opin­ ion, the area of crucial concern here and now is the relation between academic freedom and academic responsibility. Therefore, on this occasion, I want to make that relationship the focus of my remarks. I In an article which appeared last August in one of the national dailies, it was reported that thirty-two states had enacted legisla­ tion designed specifically to control campus disorders. There has not yet been sufficient time to analyze fully the implications of these measures; nevertheless, I would submit that such laws are repressive at worst and at best, they are regressive, for they are certain to erode the institutional autonomy which is a prerequisite for true academic freedom. Traditionally, universities have opposed any attempts to cir­ cumscribe their autonomy, reasoning that an attack against the conditions under which academic freedom exists is in fact an attack against academic freedom itself. In general, their opposi­ tion has not been misplaced; for the privilege of autonomy has rarely been granted without a struggle, and even then, society has demonstrated a reluctant acquiescence rather than a positive commitment to the concept. Unfortunately, our concentration on preventing external inter­ ference has deflected our attention away from internal responsi­ bilities. We have looked outward at the expense of looking in­ ward, and now find ourselves faced with an uncomfortable para­ dox: our very preoccupation with external threat has helped to bring it about. Nor has the internal neglect resulted only from our struggle for autonomy and academic freedom. It also has come out of arrogance and fear, an arrogance which has placed us above responsibility, and a fear which has paralyzed our will to adhere to the demands of responsibility even when we have perceived them. Lewis Mayhew and numerous other educators have warned us of the gravity of the crisis that these attitudes have created. If the university does not put its own house in order, the political SUMMER, 1971 7 Repression by Default Robert L. Ketter President State University of New York at Buffalo �establishment, in response to public pressure, will attempt to do so. We will have squandered our inheritance of both autonomy and freedom. We cannot continue to invite repression by default. It is im­ perative that we, ourselves, define our responsibilities and de­ termine to meet them. This is one of the primary opportunities the future holds for each of us. II Drs. Strauss, Mohn, Brody The mission of a university is to contribute to the welfare of society — through education. This contribution has traditionally been made in the areas of teaching, research and public service. To properly serve in these areas the university has required that it be given the autonomy which insures free inquiry into the truth of all phenomena, and the free dispensation of the results of that inquiry. Samuel Capen, Chancellor of this University from 1922 to 1950, wrote that what we have asked is "to be protected against every form of reprisal" that the truth might provoke. This is to be given a uniquely privileged status, one which almost implies ab­ solute freedom. Judge Learned Hand pointed to the danger in this extreme interpretation: "A society in which men recognize no check upon their freedom," he said, "soon becomes a society where freedom is the possession of only a savage few . . . ." The academic profession has recognized the validity of this warning and has sought to avoid the abuse of its freedom by selfimposed precepts: a reliance on scholarship rather than opinion, reason rather than power, intellectual exchange rather than dogma, and above all humanity in its relations to others. But academic freedom is now threatened. It is true that the university is one of many social institutions confronted today by a loss of confidence. It is also true that dissatisfaction with the university has been heightened by changes in other sectors of society. But we are still faced ultimately with the realization that the atmosphere of freedom on campus has been invaded. It has been invaded by those whose impatience and ill-conceived goals demand the destruction of the university, as the only solution to the problems of an institution which reflects many of society's deficiences and injustices. It has been invaded, too, by those who wish to suppress expression of unpopular views, who do not distinguish between violent revolt and peaceful dissent. The university has been peculiarly vulnerable to these invasions be­ cause its commitment to freedom and to the complexities of truth has often paralyzed its ability to act. In reviewing recent educational history, it must be concluded that while less visible, no doubt because it was less volatile, serious abuses of academic freedom began to afflict universities in their early years of burgeoning affluence following World War II. These abuses were caused by arrogance, an arrogance which has done much to provoke the disorder which many have cited as the justification for the present threats to our autonomy. This arrogance has been manifested in the imposition of an auto­ cratic lecture system which too frequently has denied students 8 THE BUFFALO PHYSICIAN �the freedom of inquiry which we have claimed for ourselves. We have expected our own conclusions, expounded at length, to be returned dutifully at the end of the term. We have thus displayed in ourselves the closed minds which we have been so quick to condemn in others. Our research, and sometimes our pretensions to research, have interfered with our teaching. Light course loads have been used as opportunities not to devote more time to individual stu­ dents, but to pursue our own interests, whether or not these interests are of benefit to those whom we teach. Our offices are more often closed than open to students and much of our teaching has been left to the least experienced. Our research in­ terests have too often been dictated by available funds which have led to an eager relinquishing of autonomy and self-direction. The excess of wealth that has mushroomed our research has been matched by our hubristic claims that have created unrealistic expectations among the students and in the community. To whatever extent these charges are applicable to institutions and individuals, then to that extent the institutions and the indi­ viduals have abrogated their responsibility to the purpose of higher education. This denial, this arrogance of self-interest, must be accorded its own proper role as a factor in the erosion of con­ fidence in the academic profession. For it is a pervasive sense of disenchantment, not alone a reactionto campus disorder, which has created the current threat to autonomy and academic freedom. Ill There are many who now recommend that research institutes, separate from the universities, be created; that universities no longer act as certification boards for employers in business and in the professions; and that the public demand for the services of higher education be limited. These recommendations — which come from within the university as well as from without — sug­ gest that there is a widespread belief that the university has over-extended itself, has attempted to fill too many roles. These proposals may have some merit, but I do not believe that we are going to restore the trust we have lost simply by proposing remedies dependent upon elements outside the univer­ sity. The teaching, research and service functions have been part of the role of universities since their creation in medieval times, and I do not foresee a time when one or another of them will be abandoned: they are too interrelated. I believe first we must recognize that teaching is primary, and that research and service are valuable to the university in the degree to which they facilitate the former. It is through teaching that the university and the individual in the university will make their broadest contribution to the welfare of society. The teacher must never allow the pursuit of his own interests to lead to neglect of the intellectual growth of his students. As the largest graduate center in the State University of New York, this institution at Buffalo has a particular obligation to re­ search. But, if we insist that our activities in both the pure and applied fields are to be carefully selected to enhance the teaching SUMMER, 1971 Dr. Randall, Dean Pesch �Chancellors, Presidents 1. Millard Fillmore 1846-1874. 2. Orsamus H. Marshall 1882-1884. 3. E. Carleton Sprague, 1885-1895. 4. James 0. Putnam 1895-1902. 5. Wilson S. Bissell 1902-1903. 6. Charles P. Norton 1905-1920. 7. Samuel P. Capen 1922-1950. 8. T. Raymond McConnell 1950-1954. 9. Clifford C. Furnas 1954-1966 10. Martin Meyerson 1966-1970. 11. Robert L. Ketter 1970Including acting chancellors and presidents, Ketter would be 16th: 1. Fillmore; 2. Marshall (there was no acting chancellor between Marshall and Fillmore); 3. Sprague; 4. Putnam; 5. Bis­ sell; 6. George Gorham, "acting" between Bissell and Norton; 7. Norton; 8. Walter P. Cooke, "act­ ing" between Norton and Capen; 9. Capen; 10. McConnell; 11. Seymour H. Knox, "acting" between McConnell and Furnas; 12. Furnas; 13. Claude E. Puf­ fer, "acting" while Furnas was on leave as assistant secretary of defense; 14. Meyerson; 15. Peter F. Regan, "acting" while Meyer­ son was on leave during 196970, and 16. Ketter. As for the presidential num­ ber, Furnas was the first presi­ dent; the title was changed from chancellor after the merger with State University. That would make Ketter the third president. process, then we will maintain our integrity as a true institution of learning. Realistically, this selection will have to be made among interests which individuals, businesses, foundations, and governments are willing to finance. It would be foolish to argue that social utility is not a powerful institutional influence. Never­ theless, careful selection among our options can preserve our right to define our own priorities while simultaneously serving societal advancement. Public service, apart from the service inherent in teaching and research, has occupied during the last several years an increasing amount of time and resources within the university. It is obvious by now, however, that the university cannot be honed into a cut­ ting edge for social change. That role would require attributes that are antithetical to the objectivity demanded by scholarship. Therefore, in exercising this function we must make sure that our programs of service have a broad educational value, and that an advocacy of special interests does not usurp the critical stance that the university at all times must maintain. IV Can the responsibilities of the university community be ob­ served without a formal and enforceable code of ethics? It is true that our universities have become more legalistic in nature as a result of campus disorders. Nevertheless, the disciplinary codes and due process measures that have been drawn up to deal with these problems have not stilled the public outcry for yet more stringent regulations. Reacting to this external pressure and out of a genuine concern for the viability of freedom on the campus, many educators have suggested the need for a well-defined code which includes an en­ forcement mechanism. The Association of American University Professors recently released a statement on freedom and respon­ sibility; the American Association of State Colleges and Univer­ sities has issued its own statement on "academic freedom, re­ sponsibility, and tenure"; and at both Berkeley and Stanford the faculties have been considering the strong enforcement of "codes.'' I feel very strongly that this concern for professional ethics is healthy, for all too often in the past we have emphasized freedom without sufficient regard for responsibility. It is my personal hope, however, that California is not, as it has been labeled, "the nation's weather vane." I do not share the view of those persons who feel that the consensual and uncodified guidelines for academic freedom and academic responsibility are too illdefined to be useful; and I do not want the University placed in the position of having to create a formal code and enforcement procedures as a means of avoiding that creation by others. If this possibility can be averted, it will be done so through institutional and individual commitment to self-discipline. It is this quality which enables us to sublimate our self-interests to the advancement of the human good and to thereby fulfill the purpose of higher education and of this University. The quality is intrinsic to scholarship; it is both our defense and our freedom. The time has now come to reclaim it.D 10 THE BUFFALO PHYSICIAN �Help for the Chronically 111 If you had any preconceived notions that health personnel in Buffalo work together to benefit the chronically ill and their families, you were quickly disillusioned. Invited members of the community, attending the conference, asked the same question many times: WHERE DO I GO FOR HELP? WHO DO I SEE? Attempting to answer the questions were the 500 physicians, allied health professionals and social workers attending the Family Management of the Chronically 111 Conference. From the man whose homelife had turned into a kind of "hell" because of lack of help for a daughter born with a severe birth defect thus precipitating a disintegration of relationships with his wife and three other children — to the health guide who was continuously rebuffed in her attempts to gain help for a World War I paralyzed veteran and his partially paralyzed wife, the evidence remains that "you can dial a phone number and try to get an answer. And if you are lucky you may get another number to call." But at least two seekers of help left the conference with some sort of hope for a beginning at solving some of their prob­ lems. Moderator Dr. Samuel Sanes called upon the professionals in the audience to supply a list of names and numbers to call. What was so glaringly evident to all was WHY DON'T WE KNOW ABOUT AGENCIES IN THE COMMUNITY? There still remains a paucity of information on overall services offered that makes it difficult for the professionals to direct a patient to resources that exist. Agreement was reached that evaluation is the key to a pro­ gram developed for a chronically ill patient. And that rehabili­ tation must start for the patient the day that he enters the hospital and not wait until after his operation. And if the indi­ vidual cannot adapt to his environment, the environment must adapt to him. But a computerized health care system for Western New York, now in its first phase, Dr. fames R. Nunn pointed out, will match hospital patients who are ready for nursing home care with existent vacancies. What of the future? If medical students are not taught to work as members of a community-wide health team, the group were cautioned, the future will be no better than the past. There are many resources, many private agencies who stand ready to help those in need. HOW TO RESPOND TO THESE PROBLEMS? There is a need for a central referral system, to dial a number and get the as­ sistance you need. But it has to be an excellent system to work properly, it was pointed out. It is not because of professional failure, the conferees were reminded, that is at fault, but because of human failure. An impassioned plea from a physician to "stay with a call for help until you get the answer" ended the conference.• SUMMER, 1971 11 �A Summer in Socialized Medicine By Ira Mintzer, Class of 1972 Ira Mintzer My eight week clinical fellowship at Addenbrooke's Hospital in Cambridge, England presented a view into a somewhat dif­ ferent system of medical care than is practiced in our country. Cambridge is a city with a small population. Therefore Addenbrooke serves as a referral center for much of the East Anglia area. The Hospital has two sites. The older and more centrally located building is used for general medical care and emergencies while the newer site is devoted to outpatient clinics, accident emergencies, and to surgical care. I was attached to a general medicine firm at the hospital. This hospital unit consisted of consultant, senior registrar, registrar, and houseman. All patients referred to the consultant by a gen­ eral practitioner are cared for at Addenbrooke by this firm. My particiular firm was headed by Drs. T. M. Chalmers and P. Adams, medical consultants interested in endocrine physiology, notably abnormalities of calcium metabolism. Besides patient workups, presenting cases during rounds, I attended teaching rounds and outpatient clinics. My firm conducted a special bone clinic, emphasizing calcium metabolism, stone formation, and diagnostic problems involved in parathyroid dis­ ease. And there were visits to Fulbourne Mental Hospital and the Ida Darwin Center for Mental Retardation with Dr. Adams, a consultant to these smaller community hospitals. Attachment to this firm certainly was a rewarding introduction into clinical medicine. To broaden my view of the British National Health Service and clinical sciences, my Cambridge fellowship sonsor, Dr. Chalmers, arranged a number of medical subspecialty sessions. The first centered around neurology under consultant neurologist Yearland. There were outpatient and Parkinsonian clinics, and ward rounds that were especially instructive, because of the question/answer type of dialogue between physician and stu­ dent. It enabled me to think in terms of differential diagnoses about various disease states. The MRCP rounds also utilized this Socratic type of examination. Students, along with candidates for Royal College of Physician examinations, were taken to the bedside and asked to elicit physical signs. The cases presented often demonstrated rare or classic entities — Wilson's disease with Kayser-Fleischer rings, Sjogrens disease or various metabolic disturbances such as acromegaly or Paget's disease. The second special session featured the radiotherapy unit at Addenbrooke. Here I observed radiotherapy techniques of both diagnosis and treatment — radio-isotope scanning, x-irradiation, radium implantation, and lymphangiography. I learned histories of various malignant diseases such as mycosis fungoides, its diagnosis, treatment, and outcome. 12 THE BUFFALO PHYSICIAN �At Chesterton Hospital, devoted to the subspecialty of geria­ trics, I participated in ward rounds with occupational and physio­ therapists, medical and surgical personnel. And I was introduced to the problems of diagnoses, care, rehabilitation (prostheses, etc.) and social work when joining the latter on home visits to geriatric patients. Additional time in the hematology department involved anti­ coagulant clinics serving to follow patients during their course of anticoagulation. Laboratory visits covered testing procedures, prothrombin and partial thromoplastin times, techniques of blood sample examination with the Coulter Counter for RBC, WBC, and hematocrits. I followed various diagnostic procedures, sternal punctures, and subsequent marrow examinations, and was able to correlate clinical problems with hematological investigations. On visits to the blood bank I learned about the National Donor Center which supplies needed blood to the hospital where it is subsequently crossmatched and made available preoperatively. Final sessions were spent with a general practitioner, the foundation of medical practice in England. All treatment in Eng­ land is initiated at the GP level and through him referrals are made to the consultant and firms described. The GP is family counselor, obstetrician, pediatrician, and provider of general medical care. Mornings in his office were followed by afternoons making house calls, a regular part of the English practitioner's day. The doctor/patient relationship is reinforced in this non-hospital setting. We also visited the public health laboratory, a unit of the National Health System which provides to the community bacter­ iological and virological studies. Diagnostic tests are performed for both hospital and general practitioner as are routine checks on milk, water, etc. In addition epidemiological studies are made to prevent outbreaks of salmonella, brucella, etc. CRITIQUE OF THE SYSTEM Health care in the British medical system is provided to all in need. Care is not dependent on the wealth of the individual but on facilities available and seriousness of disease state. A young patient in renal failure will more easily obtain the use of limited renal dialysis units than will an elderly patient with congestive heart failure, dia­ betes, and renal shutdown. The British medical system is pyramidical; the general practitioner forms the base and the consultant the apex. While about 15 percent of all medical graduates obtain hospital positions, the majority enter general practice with limited or no hospital privileges. All referrals and initial diagnosis stem from the GP, the foundation of the system. The quality of this key physician may vary, thus forming at times a weak link in the system. Perhaps great­ er hospital responsibility to the local physician would assure higher standards. In this rigidized system of hospital medicine, only the most qualified reach the highly regarded consultantship position. Careful modification of this sys­ tem may be needed. SUMMER, 1971 13 The next issue of the Buffalo Physician will feature a picture story of the 34th annual Spring Clinical Days.• �National Health Service, overseer of medical care in England, regulates professional salaries, a factor influencing the "brain drain" to the U.S. However, high standards of care are maintained. An important area that is controlled are drug prices and standards. All drugs under this service are free except for a 2 and 6 fee, equivalent to 30 cents. The patient bene­ fits from prescribing of generic names of drugs. Despite the rigid control of medicine in England, the system works and it works well. There is much to be learned from it. Doctors, nurses, occupational and physio­ therapists are dedicated to the care of the patient. Often facilities are inadequate and more physicians are needed. But the basic plan of the system — medical care for all who are in need — is one which serves as a foundation for growth and improved medical care.D Dr. Witebsky Memorial Lecture There is considerable circumstantial evidence that a virus may cause cancer. That is what Dr. Werner Henle, professor of virology at the University of Pennsylvania, said at the first Dr. Ernest Witebsky Memorial Lecture February 8. Dr. Henle cited an impressive list of findings that pinpoint a virus of the herpes family — a family known to cause shingles, cold sores and chickenpox. It is known as the Epstein-Barr virus, named for the sci­ entist who first saw it in cultures of cells from patients with a malignant disease known as Burkitt's lymphoma. Dr. Henle and his wife Gertrude [also a virology professor) are in the forefront of those studying the virus. They and other scientists have found the virus in all patients with Burkitt's lym­ phoma, and in all patients with another type of cancer found in Hong Kong, cancer of the postnasal space. They also learned that the virus is present in 100 per cent of the patients who have, or have had, infectious mononucleosis. It may be simply a "passenger" virus. Why should a virus found so commonly throughout the world cause cancer in some instances but not in others? Dr. Henle sug­ gests this is because the virus does not work alone, but with accomplices such as diet, chemicals, heredity, and other factors. The nature of the cancer depends upon the accomplice chosen. Both Dr. and Mrs. Henle were students at the University of Heidelberg where the late Dr. Witebsky taught before coming to America. Dr. Witebsky died Dec. 7, 1969. He was a distinguished professor of microbiology and the first director of the Center for Immunology at the University. An Ernest Witebsky award for proficiency in microbiology during the past year was presented to four students: Miss Doris V. Goldchain, a graduate student; Michael Gordon and Stanton R. Schiller, junior medical students, and Stanley Shainbrown, a junior dental student.• 14 THE BUFFALO PHYSICIAN �Better Health Care I\ EEPING PEOPLE HEALTHY rather than stressing treatment only in times of severe illness is the goal of the Nixon administration's health plan, according to Dean LeRoy A. Pesch. He also serves as health manpower consultant to the United States Department of Health, Education and Welfare. The basic idea of the new plan is to build on the present system as opposed to tearing down the old and substituting something for it. Dr. Pesch mentioned six specifics: (1) Fill the need for an increased supply of health profes­ sions by aiding and improving education. (2) Provide better facilities by promoting construction and efficient utilization of existing facilities. (3) Insure that people will be able to have the kind of medical care they need when they need it—not just when they are sick, but before they are so ill that they require hospitalization. (4) The number of physicians trained in medical schools would be increased by expanding opportunities for graduates to pay off federal loans by working in ghettos or rural areas where the supply of doctors is too low to meet needs. (5) A larger loan fund for low-income medical and dental students. (6) Granting $93 million to medical schools to encourage expansion. The main initiative of the new health plan is the so-called Health Maintenance Organization (HMO). These groups include the Health Insurance Plan of New York, the Kaiser Plans of the Middle West and California and the Puget Sound Health Plan in Washington state. About eight million Americans are now en­ rolled in these plans which emphasize preventive medicine. Ac­ cording to Dr. Pesch HMO would be private groups of physicians, who could be attached to a corporation, a hospital, or any other existing organization. They would provide regular medical care for a person whenever the individual felt it was needed. "The intent is to provide health service to a group of people in a way that shifts the emphasis to maintenance of health, rather than just illness. This would control some of the high costs of treating illness. Many kinds of people could qualify. To help new HMO's to get started $23-million has been allocated for planning grants to aid potential sponsors in both the private and public sector. The Nixon administration also proposes a series of new area health education centers in places which are medically under-served.• SUMMER, 197) 15 There are several other na­ tional health plans being dis­ cussed. Most evolve around whether the mechanism of the restructuring should be public, in the form of a compulsory national health plan, or private, with the government role limited to health insurance subsidies and financial incentives. Some of the other proposals: Senator Kennedy plan; AMA Medicredit; Aetna Life & Casualty Co.; Senator Javits plan; AFL-CIO plan; Sen­ ator Claiborne Pell plan; and American Hospital Association (Ameriplan). �New Twist to Summer Fellowships "We were hoping that all 71 medical students who were awarded summer fellowships this year could receive a stipend of $1,000 rather than the traditional $600 sum. But," said Dr. Carl Bentzel who heads the fellowships committee, "limited funds prevented us from doing so. We had to look for a new approach in allo­ cating available committee support funds on a competitive basis." This led to an additional option to the traditional educational experience one finds in medical school. For those freshmen, sophomores and juniors who could, with excellence, imagination and initiative, present a problem and outline ways in which they hoped to solve it, there would be the reward of a higher stipend for the summer. Some of the applications that the fellowship committee re­ ceived were as good as many senior investigator grant proposals. The fellowship committee, composed of basic science and clinical faculty plus two student appointees, awarded the higher stipend to eight applicants (see table) whose proposals were judged to be outstanding. What will the 71 medical students do? Fifty-six will remain in Buffalo to work in the areas of clinical, research or family practice over an eight week period. Nine will obtain a different type of medical experience in five other American cities while four will spend the summer in England and two others in Israel. RESEARCH Local Project Site, Faculty Brown, Ian S. '74 Rosenberg, Jan '74 Szymula, Norbert J. '73 Weiss, Robert M. '74 Inhibition of synoptic transmission in autonomic ganglia Tolerance to lysergic acid diethylamide Work in pathology laboratory Research in cancer immunology Pharmacology, SUNYAB—Dr, R. Mclsaac Pharmacology, SUNYAB—Dr. J. Winter Sister's Hospital—Dr. P. Milley Roswell Park—Dr. J. Bekesi CLINICAL RESEARCH Local HIS bundle recordings with particular reference to heart block and WPW Anderson, Timothy, W., Jr. '74 Drug abuse and addiction Changes in limb lead qrs voltage as indication of Barnett, Paul H. '74 immediate prognosis in myocardial infarction Clinical immunology, immune response of patients Budny, James '74 with bacterial and viral infections Sex education for inner city adolescents Floyd, Rita D. '73 Abramowitz, Bruce '73 Hakel, Susan J. '73 Sex education for inner city adolescents Hallac, Ralph '73 Haberman, Michael A. '73 Hammond, Susan P. '74 Hart, Benjamin A. '74 Evaluation of immune response to milk proteins Neutrophil alkaiine phosphatose in Hodgkin's disease Search for helper viruses to Yaba virus Thyroidal I; specific peroxidase as aid in diagnosis of critinism, hypothyroidism Immune response of patients with bacterial infections Spinal cord compression in lymphomas Studies in cryosurgery for tumors Hypoxia in pneumonia Pediatric surgery Studies of radiation-induced nephritis in mice Antenatal detection of genetic disorders Public health and community medicine Developmental assessment of infants, children Cardiology Dermatology Heller, Marc E. '74 Hrushesky, Donna M. '73 Huddle, Robert H. Jr. '73 Klaw, Robert '72 Kruger, Paul S. '72 Manzella, John P. '74 Marks, James S. '73 McAllister, Charles J. '73 Palma, Paul A. '73 Pores, Ira H. '73 Poretta, Jerome C. '72 16 Veterans Hospital—Dr. I. Besseghini Meyer Hospital—Dr. C. D'Amanda Buffalo General Hospital—Dr. J. Wanka Children's Hospital—Dr. M. MacGillivray Westminister and St. Augustine Centers— Dr. J. Dower Westminister and St. Augustine Centers— Dr. H. Sultz Meyer Hospital—Dr. A. Yurchak Veterans Hospital—Dr. B. Fisher Roswell Park Institute—Dr. J. Ambrus Children's Hospital—Dr. R. Slaunwhite Children's Hospital—Dr. I. Neter Roswell Park Institute—Dr. L. Stutzman Veteran's Hospital—Dr. A. Gage Buffalo General Hospital—Dr. O. Bossman Children's Hospital—Dr. J. Allen Buffalo General Hospital—Dr. A. Prezyna Children's Hospital—Dr. R. Davidson Erie County Health Dept—Dr. M. Ibrahim Children's Hospital—Dr. Kerr-Grant Veteran's Hospital—Dr. D. Dean Roswell Park—Dr. E. Klein THE BUFFALO PHYSICIAN �Riozzi, Michael A. Jr. '73 Sanders, Barry '73 Sansome, Michael A. '73 Schulman, Elliott A. '74 Scherz, Arnold W. '73 Severin, Hayden D. '74 Stern, Lewis J. '72 Sybert, Virginia P. '74 Whelan, Kathleen M. '74 Wymbs, Henry '73 Aspects of leukemia virus and erythropoietin Melabolism of INH in patients undergoing chronic dialysis E v a l u a t i o n o f response of hepatic and pancreatic t i s s u e t o heterologous antisera and globulins Investigation of myocardial state in acutely ill man Cardio-respiratory failure following operation Liver and gastrointestinal diseases E f f e c t o f drugs on bilirubin binding capacity in n e w b o r n Induction of crossing-over and recombination in human somatic ceils B leomycin therapy fo r a d vanced squamous cell carinoma Clinical approach to diagnostic chest disease Roswell Park Institute—Dr. E. Mirand Meyer Hospital—Dr. A. Tannenberg Roswell Park Institute—Dr. E. Holyoke Meyer Hospital—Dr. H. Falsetti Veteran's Hospital—Dr. K. Olson Buffalo General Hospital—Drs, Ali, Nolan Children's Hospital—Dr. S. Yaffe Children's Hospital—Dr. M. Cohen Veteran's Hospital—Dr. A. Gage Meyer Hospital—Dr. C. Pietraszek CLINICAL Local Ackerman, William J. '73 DiBianca, Robert '72 Launer, Dana P. '73 Levin, William D. '72 Leiberman, Nancy '73 Russell, Keith F. '74 M e d i c i n e w i t h special emphasis on evaluation Cardiology Pediatric surgery Surgery Pediatric oncology Introduction and guidance to orthopedic surgery Veteran's Hospital—Dr. J. Acquilina Buffalo General—Dr. J. Constant Children's Hospital—Dr. T. Jewett Buffalo General—Dr. R. Adler Roswell Park—Dr. L. Sinks 1008 Humboldt Pkwy., Dr. R. Worrell Role of state health dept in chronic disease control and its relationship t o medical care delivery system General Practice Anesthesiology Pediatrics Pediatrics Clinical cardiology General Practice R o l e o f s t a t e health d e p t . in chronic disease control and its relationship t o medical care s y s t e m Family practice in rural setting Health Dept., Providence, Rhode Island National Alpert, Bernard '74 Camacho, Fernando J. '73 Gershbein, Bart '74 Goodman, Marianne '74 Napolitano, Guido J. '74 Natali, Vincent G. '73 Pietro, Daniel A, '73 Thaler, Paul '74 Thorington, Darlene '73 Staten Island Hospital, New York Veteran's Hospital, Boston, Mass. Albert Einstein School of Medicine Montefiore Hospital, New York City Tucson Medical Center, Tucson, Ariz. Staten Island Hospital, New York Providence, Rhode Island MK&T Hospital, Parsons, Kansas Foreign Gordon, Michael Hematology Jacobowitz, Israel '73 Leitner, March '72 Mintzer, Ira '72 Microbiology, Hadassah Hospital Evaluation of Israel's health care system Clinical medicine in Great Britain Newman, Stephen '72 Hematology Pohl, Lawrence S. '72 Hematology Addenbrooke Hospital, Cambridge, England arranged by Dr. J. Mohn Jerusalum, Israel-arranged by Dr. A. Barroi Israel-arranged by Dr. C. D'Amanda Addenbrooke Hospital, Cambridge, Englant arranged by Dr. J. Mohn Addenbrooke Hospital, Cambridge, England arranged by Dr. J. Mohn Addenbrooke Hospital, Cambridge, England arranged by Dr. J. Mohn FAMILY PRACTICE Anderson, Charles L. '73 Gayles, Kenneth '73 Herman, Jeffrey P. '73 Jones, Leeland A. '73 Kuretzky, Sharon '73 McMahon, Daniel J, '73 Schuster, Dennis I. '73 Dr. Frank G. Evans, 1453 Jefferson Avenue, Buffalo Dr. David Bull, Veterans and Deaconess Hospitals, Buffalo Clinical experience in inner city, Erie County Health Dept., Dr. P. Isaacson Dr. David Bull, Veterans and Deaconess Hospitals, Buffalo Dr. James Nunn, 350 Alberta Drive, Buffalo Dr. James Nunn, 350 Alberta Drive, Buffalo Dr. Charles Massaro, 509 Cleveland Drive, Buffalo SPECIAL $1,000 FELLOWSHIP Culmer, Viola L. '74 Hrushesky, William J. '73 Hust, Frederick S. '72 Traugott, Craig A. '74 Trumbull, Robin L. '74 Young, Lynda M. '73 Visco, John P. '73 Reader, G. Scott '73 SUMMER, 1971 Description of world of black child through fingerpainting Meyer Hospital, C. P. O'Kane Ethyl methyl suiphonate induction of renal adeno carcin­ Roswell Park Institute—Dr. G. Murphy oma in five groups of Sprague Dauley rats Evaluation of radiothaiamate determined extramoiecular Buffalo General Hospital—Dr. C. Elwood space in anuric and hemodialysis patients B iochemical characterization of minimal deo ration Biochemistry, SUNYAB—Dr. E. Massaro heparoma cultured in vivo and in vitro Mechanism of R factor induced tetracycline resistance Pharmacology, SUNYAB—Dr. A. Reynard in E. Coli E f f e c t s o f drugs on preimplantation in mouse embryo Children's Hospital—Dr. S. Yaffe grown i n vitro Quantitation of intrapuimonary shunts Meyer Hospital—Dr. F. Klocke Quantitative correlation of eiectrocardiogy and Veteran's Hospital—Dr. D. Dean cineangiography 17 �Dr. Thomas G. Commiskey, assistant dean, congratulates Lawrence D. Lubow (Mil­ lard Fillmore Hospital) as Henry Milgrom (Mount Sinai Hospital) waits his turn. Almost half (46] of the class of 111 senior medical students who will graduate from the School of Medicine this spring will remain in Buffalo to do their internships. Last year the figure was just a bit over one third of the class. Results of the National Intern Matching Program, which at­ tempts to match the preferences of the students with those of the hospitals throughout the country were announced March 29. Ten of the seniors have been "matched" for university pedi­ atrics internships at the Children's Hospital; 18 for medical intern­ ships at Buffalo General/Meyer Hospitals; nine for rotating gen­ eral internships at Deaconess Hospital; one each for straight surgery at Buffalo General and Meyer Hospitals; and six for the Millard Fillmore Hospital—two in rotating medicine and six for National Infprn ± ^ctLiwiicti u n c i ii , 1 • ^ Matcnmg Straight surgery. Twenty-one other members of the class will do internships in New York State—20 in the New York City area and one in Albany. Seventy-five seniors received their first choice of intern­ ships while 11 received second choice and 10 their third choice. Of the eighteen states in which graduating seniors will intern, California received the second largest share — 7. With north, south, east and west represented, five will intern in Ohio and a like number in Washington, D.C., while one will intern in Ha­ waii. Two will serve in the U.S. Air Force at Travis, California while three others will join the Public Health Service (two at Staten Island and one in California], Two of the internship programs at the University were com­ pletely filled. They are medicine at the Buffalo General/Meyer Hospitals and pediatrics at the Children's Hospital. Of the thirty requested in the Medicine Internship at the Buffalo General/Meyer Hospitals, 18 were matched from the UB Medical School and the remaining 12 from other medical schools. Children's Hos­ pital, which asked for 13, received 10 UB graduating seniors and three from other medical schools. One, in the entire medical class that was "matched," will intern in the prestigious Massachusetts General Hospital while two others will go to Johns Hopkins University. 18 THE BUFFALO PHYSICIAN �MLCHA ABELES, Buffalo General/Meyer Hospitals, Buffalo, Rotating Medicine/Surgery RICHARD M. ANSCHER, Meadowbrook Hospital, Meadowbrook, N.Y. Rotating Med J Psychiatry JOHN M. ANTKOWIAIC, Children's Hospital Buffalo, Rotating Medicine/ Ob/ Gyn MICHAEL A. ARCURI, Buffalo General/Meyer Hospitals, Buffalo Rotating Medicine/Surgery MICHAEL H. ARMANI, Deaconess Hospital, Buffalo, Rotating Medicine/Surgery MICHAEL B. BARON George Washington Center, Washington, D.C. Straight Medicine PAUL D. BARRY, Queens Hospital, Honolulu, Hawaii, Rotating Medicine/Surgery MICHAEL G, BAXT, University of Colorado Affiliated Hospitals, Denver, Straight Medicine BARBARA A. BENNETT, Children'S Hospital, Buffalo, Straight Pediatrics GERALD M. BERESNY, St. Barnabas, Livingston, New Jersey, Rotating Medicine ALLEN I. BERLINER, Meadowbrook Hospital, Meadowbrook, N.Y. Straight Medicine DAVID A. BLOOM, University of California Hospital, Los Angeles, Straight Medicine JERRALD A. BOVINO, Mount Sinai Hospital, New York City, Straight Medicine BARRY G. BROTMAN, Washington Hospital Center, D.C., Rotating Medicine ALAN H. BULLOCK, Medical College of Virginia, Richmond, Virginia, Rotating Medicine KENNETH A. BURLING, Children's Hospital, Buffalo, Straight Pediatrics NICHOLAS J. CAPUANA, Deaconess Hospital, Buffalo, Rotating Medicine/Surgery MANNY E. CHRISTAKOS, Edward J. Meyer Memorial Hospital, Buffalo, Straight Surgery KENNETH J. CLARK, JR., Buffalo General/Meyer Hospitals. Buffalo, Straight Medicine TERENCE M. CLARK, Mary Imogene Bassett Hospital, New York City, Rotating Medicine CARL I. COHEN, Medical College of Pennsylvania, Philadelphia, Rotating Medicine/Psychiatry ARTHUR C. CRONEN, Public Health Service, Staten Island, N. Y., Rotating Medicine/Surgery ERIC M. DAIL, U.S. Air Force, Fairfield, California, Straight pediatrics JOHN C. DAIMLER, Buffalo General/Meyer Hospitals, Buffalo, Straight Medicine BARBARA I. DATTWYLER, Children's Hospital, Buffalo. Straight Pediatrics SANFORD S. DAVIDSON, Public Health Service, San Francisco, California, Straight Surgery LAWRENCE J. DEANGELIS, Buffalo General/Meyer Hospitals, Buffalo, Straight Medicine RICHARD J. DIGENNARO, Deaconess Hospital, Buffalo, Rotating Medicine/Surgery THOMAS G. DISESSA, University of California Hospital, Los Angeles, Straight Pediatrics NORMAN S. ELLERSTEIN, Children's Hospital, Buffalo, Straight Pediatrics JEFFREY D. FLEIGEL, The New York Hospital, New York City, Straight Surgery HENRY GEWIRTZ, University Hospital, Boston, Massachusetts, Straight Medicine CHARLES GOLDSTEIN, Good Samaritan Hospital, Phoenix, Rotating SIGMUND S. GOULD, Deaconess Hospital, Buffalo, Rotating Medicine/Surgery COLLEEN GRATTO, Johns Hopkins Hospital, Baltimore, Psychiatry HARVEY GREENBERG, New York Medical College-Metropolitan, N.Y. City, Rotating Med/Surg. JOHN C. GUEDALIA, UCLA Affiliated Hospitals, Los Angeles, Rotating Medicine BARRY W. HAIGHT, Cincinnati General Hospital,Ohio, Rotating Med/Surg/Ob/Gyn JOHN M. HALL, Cincinnati General Hospital, Ohio, Psychiatry MARK S. HANDLER, Albert Einstein Medical Center, Philadelphia, Rotating JAY A. HAROLDS, Georgetown University, Washington, D.C., Straight Medicine DAVID E. HOFFMAN, Buffalo General/Meyer Hospitals, Buffalo, Rotating Medicine JOHN R. HUNTER, University of Kentucky Medical Center, Lexington, Rotating The senior class is "uptight" awaiting intern matching announcements. �Louis G. IANNONE, Good Samaritan Hospital, Phoenix, Rotating ANNIE B. JACKSON, Vanderbilt University Affiliated Hospitals, Nashville, Straight Pediatrics CHARLES G. JACKSON, Vanderbilt University Affiliated Hospitals, Nashville, Straight Pediatrics ROBERT B. KAUFMAN, University of Pennsylvania Hospital, Philadelphia, Straight Medicine SCOTT D. KIRSCH, Evanston Hospital, Illinois, Straight Surgery DOUGLAS W. KLOTCH, North Shore Memorial Hospital, Manhasset, N.Y., Straight Surgery LEONARD W. KRAM, University of Miami Affiliated Hospital, Fla., Rotating Medicine/Psychiatry , JONATHAN W. LEHRMAN, Cambridge City Hospital, Cambridge, Mass., Rotating Medicine JONATHAN S. LEVY, San Francisco General Hospital, California, Rotating Medicine/Psychiatry STANLEY B. LEWIN, Buffalo General/Meyer Hospitals, Buffalo, Straight Medicine JEFFREY B. LICHTMAN, Deaconess Hospital, Buffalo, Rotating Medicine/Surgery JERALD J. LITTLEFIELD, Deaconess Hospital, Buffalo, Rotating Medicine/Surgery LAWRENCE B. LUBOW, Millard Fillmore Hospital, Buffalo, Rotating Medicine Michael G. Ball (Colorado Uni­ versity Hospital, Denver) con­ gratulates Francis J. Ttvarog (left) on his "match" to Massachusetts General Hospital. RICHARD A. MANCH, Buffalo General/Meyer Hospitals, Buffalo, Rotating Medicine MARTIN N. MANGO, Buffalo General/Meyer Hospitals, Buffalo, Rotating Medicine DONALD H. MARCUS, Meadowbrook Hospital, Meadowbrook, New York, Straight Medicine STEPHEN R. MARDER, Denver General Hospital, Colorado, Rotating Medicine/Psychiatry ROBERT S. MARKMAN, Meadowbrook Hospital, Meadowbrook, New York, Straight Medicine THOMAS K. MAYEDA, Buffalo General/Meyer Hospitals, Buffalo, Rotating Medicine DENIS G. MAZEIKA, Cleveland Clinic Hospital, Ohio, Rotating Medicine JAMES J. MCCOY, Millard Fillmore Hospital, Buffalo, Straight Surgery HENRY MILGROM, Mount Sinai Hospital, New York City, Straight Pediatrics MERRILL L. MILLER, Children's Hospital, Buffalo, Straight Pediatrics MARVIN S. MORDKOFF, New York Medical College-Metropolitan, Straight Medicine ASKOLD D. MOSIJCZUK, Children's Hospital, Buffalo, Straight Pediatrics RICHARD L. MUNK, Millard Fillmore Hospital, Buffalo, Straight Surgery DENNIS A. NADLER, Children's Hospital, Buffalo, Straight Pediatrics PAUL M. NESS, Buffalo General/Meyer Hospitals, Buffalo, Straight Medicine LAWRENCE H. OLIVER, Long Island Jewish, Med. Ctr., New Hyde Park, Rotating Medicine LAWRENCE D. OSTROW, St. Elizabeths Hospital, Washington, D.C., Psychiatry ROY M. OSWAKS, Millard Fillmore Hospital, Buffalo, Straight Surgery ROBERT W. PALMER, Millard Fillmore Hospital, Buffalo, Rotating Medicine JOEL H. PAULL, Buffalo General Hospital, Buffalo, Straight Surgery KENNETH M. PIAZZA, Buffalo General/Meyer Hospitals, Buffalo, Rotating Medicine VALENTINE P. PIEROTTI, Deaconess Hospital, Buffalo, Rotating Medicine/Surgery DAVID W. POTTS, Cincinnati General Hospital, Ohio, Straight Medicine ELIAS PUROW, Meadowbrook Hospital, Meadowbrook, New York, Straight Medicine D. S. RICHARDSON, Georgetown University, Washington, D. C., Straight Medicine DENNIS J. ROSEN, Boston University, Massachusetts, Straight Pediatrics WARREN M. ROSS, Buffalo General/Meyer Hospitals, Buffalo, Rotating Medicine/Surgery DAVID M. ROWLAND, Deaconess Hospital, Buffalo, Rotating Medicine/Surgery RICHARD S. ROWLEY, Deaconess Hospital, Buffalo, Rotating Medicine/Surgery WILLIAM F. RYCKMAN, U.S. Air Force, Fairfield, California, Straight Pediatrics The Dennis Nadlers (Children's Hospital. Buffalo) The Kenneth Solomons (Albany Hospital) NEIL J. SAPIN, Meadowbrook Hospital, Meadowbrook, New York, Straight Medicine SAM SEIDMAN, Public Health Service, Staten Island, New York, Rotating Medicine/Surgery NEIL M. SENZER, Johns Hopkins Hospital, Baltimore, Straight Pediatrics ANDREW Y. SILVERMAN, University of Michigan Affiliated Hosp., Ann Arbor, Straight Ob/Gyn. KENNETH SOLOMON, Albany Hospital, Albany, New York, Rotating Medicine/Psychiatry RICHARD I. STAIMAN, Yale-New Haven Medical Center, New Haven, Conn. Straight Pathology MARVIN L. STEIN, Mount Sinai Hospital, New York City, Straight Surgery WILLIAM STERNFELD, University Hospitals, Cleveland, Ohio, Straight Surgery ALLEN STONE, Meadowbrook Hospital, Meadowbrook, New York, Straight Pediatrics DONALD F. STORM, Children's Hospital, Buffalo, Straight Pediatrics CHARLES A. STUART, Buffalo General/Meyer Hospitals, Buffalo, Straight medicine THOMAS S. SVENSSON, Children's Hospital, Buffalo, Straight Pediatrics HAROLD TRIEF, Buffalo General/Meyer Hospitals, Straight Medicine FRANCIS J. TWAROG, Massachusetts General Hospital, Boston, Straight Pediatrics WILLARD VAN NOSTRAND, III, Santa Barbara Cottage Hospital. California. Rotating General DALE A. VANSLOOTEN. Monmouth Medical Center, Long Branch, New Jersey, Straight Surge: STEPHEN N. VOGEL, Millard Fillmore Hospital, Buffalo, Straight Surgery THOMAS C. WAITZ, Maricopa County General Hospital, Phoenix, Straight Surgery ILJA J. WEINRIEB, Buffalo General/Meyer Hospitals, Buffalo, Straight Medicine ROBERT C. WEISS, Buffalo General/Meyer Hospitals, Buffalo, Straight Medicine JOHN M. WENDELL, JR., Riverside Hospital, Newport News, Virginia, Rotating TERRY WILLIAMS, Mount Sinai Hospital, New York City, Straight Surgery CHARLES F. YEAGLE, III, Edward J. Meyer Memorial Hospital, Buffalo, Straight Surgery BENNETT G. ZIER, Buffalo General/Meyer Hospitals, Buffalo, Rotating Medicine/Surgery JOHN J. ZYGMUNT, C. S. Wilson Mem. Hospital,Johnson City, N.Y., Rotat. Med/Surg/Ob/Gy* THE BUFFALO PHYSICIAN r �T, .HERE WAS STANDING ROOM only for the medical community and laity overflowing three auditoriums and Capen Hall corridors. They came to listen to the leading expert in the study of human sexuality who immediately established rapport by his opening remark "there appears to be a certain interest in the subject." Dr. William Masters reminded the audience that it took two years back in the 50's to obtain permission to do research on sex at Washington University in St. Louis. From the dean to the chancellor to the trustees was the route before he was assured in 1954 that "the university supports the concept of sex research on campus." "What are you going to do now that you have permission?" asked the chancellor of Dr. Masters. With not the vaguest idea he haunted the library. But there was only one book, Dickinson's Atlas on Human Sexuality that had been sketched for obstetrics. And it was on the reserve shelf, restricted for use of full pro­ fessors and above. The associate professor had to appeal to a chairman before the book could be removed from the reserve shelf. He soon turned to the professionals in the field. For the next two years he literally lived with the prostitute population — there was so much to learn. Realizing that "a man is never going to know anything about female functioning" he needed an inter­ preter. Jinny Johnson, the female member of the team, now his wife, joined him. There was no question but that the dual sex team led to its objectivity and survival. But what are the facts and fallacies on sexual functioning and dysfunctioning, the topic of Dr. Masters' talk? Communica­ tion or lack of it, misinformation, taboos, etc., are at the root of sexual hangups, he quickly explained. "What people need more than anything else is some basic information. For the couple who want a child, there are questions about when and how frequently they should have intercourse." And an exclama­ tion that it takes 30 to 40 hours to replace the sperm count after every ejaculation. They are then sent home to try for three months. One out of eight will conceive during that time. He found misinformation and misconception on every edu­ cated level in our society. To the question "does any form of masturbation lead to psychoses" that up to a few years ago was always asked of him by a member of the medical community, he responded — No! "If we can talk about sex as a natural subject then masturbation is natural. It is universal and practiced by both males and females." The amount of masturbation? Kinsey's sta­ tistics, the only information available, are a quarter of a cen­ tury old. It was difficult to find any among the hundreds interviewed by Dr. Masters who could state how much masturbation was too much. What he did find to be the case was that much misinforma­ tion was accredited to the subject. Discussion of human func­ tion has just not been allowed. It was not until 1960 that the first course in human sexual functioning was taught in our medical schools. Few physicians practicing today have had any formal education in this field, he said, and they are basing their teaching on their own personal experiences. SUMMER, 1971 21 Human Sexual Response Dr. William H. Masters pre­ sented the annual Harrington Lecture March 19 to an overflow crowd in Butler Auditorium and two adjoining lecture rooms (139 and G-22) on closed circuit tele­ vision. The student - sponsored lecture also was beamed to 17 hospitals on the Telephone Lec­ ture Network of the Regional Medical Program. Dr. Masters is professor of clinical obstetrics and gynecology at Washington University, and director, Repro­ ductive Biology Research Founda­ tion, both in St. Louis. He is co-author with his wife (Mrs. Virginia Johnson Masters) of the best selling "Human Sexual Re­ sponse" in 1966 and "Human Sexual Inadequacy" published in 1970. The Harrington Lectures were created in 1896 by the will of the late Dr. Devillo W. Harring­ ton, professor of genital and urin­ ary diseases, at the Medical School.• �The student-sponsored Harrington Lecturer quickly established his theme that "sex is a perfectly natural function." People are not taught to breathe or eat. These things are natural. So is sex. There is no way to teach them. But if sex is a perfectly natural function, why then do we have so much trouble with it? Sex­ ual function is so unique in our culture that it can be pulled out of context and delayed indefinitely. "You will recall in the history of our civilization that many people dedicated sexual function to the gods, thus resulting in many of the taboos and miscon­ ceptions that we have today." But let us clear up the misconception about the female orgasm, he said. From a physiological point of view the female goes through the same changes in her body regardless of the area of stimulation, be it clitoral, vaginal, etc. "The same thing happens regardless of the cause of stimulation." From an anatomical point of view, he explained to the laity, there is no physical possibility of the female having intercourse without direct clitoral stimulation. And he explained the wonder- �ful degree of accommodation of the vagina that will expand to al­ low a baby's shoulders and head to pass through, and accept any size penis. What about the potential sexual response of males/females? The female, he assured the audience, has the greater potential response from a sexual point of view than the male ever dreamed of having. Naturally multiorgasmic, if she is so in her younger years she will continue to be so into her eighties. In our culture, he said, the male is supposed to be the sex expert. While anatomically the clitorus has the same tissue as the penis, manipulation of the clitorus may be irritating rather than stimulating to the female. But rarely does she have the courage to say, "look, let me show you how." There is so little communication between the male and female —and he specifically pointed to the marital state — in the area of sexual responsibility. It is very difficult if the female does not tell the male what pleases her. For the female who does not respond and let the male know is inevitably the one who asks "what is wrong with him?" SUMMER, 1971 23 The Harrington Lecture Student Committee: Richard Berk son, David Breen, David Buscher, Robert Penn, Andre Raszynski, James Singer, and Thomas Wasser.• �"How simple a thing if we could take sex and make it a natural thing again." But he explained that it takes a lot more courage than most of us have. "If things get going and going well, it is in spite of ourselves." What about the male? Most males are concerned about the size of their penis. Dr. Masters receives at least two letters a week from Vietnam expressing this concern. What most people do not realize, he said, is that when measured the penis is usually in a flaccid state. The size changes tremendously during an erection and we are just not well informed about the ability of the vagina to accept any size penis. "This simple misinforma­ tion has made men miserable for the rest of their lives," he pointed out. As the male ages certain things happen. While sex is just as natural in his fifties he may find it a bit slower to achieve an erection. But so are his other reflexes a bit slower. He may also notice a reduction in volume and pressure. But he emphasized that no matter how old, if the male is in reasonably good health and has an interesting partner he will not lose his ability to ach­ ieve an erection. What about the aging female? What happens to her? If she is not having regular intercourse following menopause, her vaginal barrel shrinks in size, and the lining of the vagina becomes thin and atrophic. She may not lubricate well but this can be re­ stored with hormones, regularity of intercourse, and clitorus exposure. While her sexual interest is maintained, it may be more diffi­ cult for the aging female to find partners, so a return to mas­ turbation increases. The fantasy and dream world do not stop and she will continue to have these dreams in the eighty year group. He reasserted - SEXUAL FUNCTION IS PERFECTLY POSSIBLE AT ANY AGE. There is no uninvolved partner where there is sexual dys­ function. That is why the Masters team treats the problem through the relationship and not by separating partners. In the past, medicine has treated the impotent man and the nonorgasmic woman as separate entities and the therapy has been less than effective. How about the homosexual? He does not consider homo­ sexuality anything but a perfectly natural activity. The homo­ sexual is a man and the lesbian is a woman. Most have had a mutuality of sexual experience — heterosexual and homosexual. Historically, it is a perfectly natural function. If a male has trouble with his potency, he changes his role. During 1965, over 60,000 men were booked into the New York City Police Bureau for homosexual activity. ANY FORM OF PHYSICAL EXPRES­ SION CONDUCTED BETWEEN CONSENTING ADULTS IN PRIVATE IS ACCEPTABLE. This was stated and restated by Dr. Masters throughout his lecture. What he is dedicated to is an adequate postgraduate medical training program. And over the next decade, he hopes to bring premature ejaculation, the easiest of male dysfunctions to treat effectively, under control. Currently being trained are teams of three members each (a physician and two other professionals] to carry on this teaching role at Yale, Columbia, Duke and Wis­ consin.• THE BUFFALO PHYSICIAN �Junior medical student Joseph A. Matino III takes notes from an audio-visual cassette projector. Computers, Cassettes Supplement leaching at Children's Hospital c CHILDREN'S HOSPITAL is using audio-visual cassettes, computers and cameras to instruct medical students in caring for patients. Dr. Ronald G. Davidson, professor of pediatrics, doesn't expect the machines to take over. They are just "extra hands" for the physician. The machines free the physician from routine tasks that are often repetitive and boring and enable him to devote more time to what he is best equipped to do — instructing and supervising students at the bedside. The machines are available at all hours of the day and night so individual students can learn at his own rate. Each audio­ visual cassette, for example, consists of a 20-minute taped lecture with slide illustrations. If a student wants to learn more about a given subject, he can select the cassette lecture and listen as the tape unwinds and the slides appear on a screen. If he doesn't understand the first time, he can listen again, and again. And if he still has questions he can call the lecturer who taped the program. The computer can actually assist in the diagnosis of specific problems in child patients. The machine's memory has been pro­ grammed with details of several hundred "syndromes" — specific combinations of defects and symptoms. No human mind could have so much information at its command. After a student, or a member of the house staff, has examined a patient, he "feeds" the pertinent historical, physical and laboratory findings into the computer according to their numbers in a program book. The computer takes all the findings and gives back a list of the most likely syndromes. For each syndrome it lists the percentage of the findings that are compatible with that diagnosis, the findings that are usually present for that syndrome, and those that are missing. And it cites a reference to which the student can go for further information. With this help, the student can return to the patient, or the laboratory, to get whatever information he needs to firm up his diagnosis. Dr. Davidson predicts that audio-visual devices and the com­ puter are destined to play an increasingly important role in teaching medicine at all levels and in the evaluation of teaching programs.• SUMMER, 1971 25 Two junior medical students, Robert H. Levitt and Lawrence Zerolnick, are using the computer to assist in the diagnosis of a specific problem. �Computer Mapping for Better Health Dr. Sultz, Mr. Donald Brothers, cartographer (COMPUTER MAPPING, a new dimension in studying populations, will lead to sounder health care planning decisions for the eight counties of Western New York. It is a three-dimensional approach to epidemiological studies by the department of social and pre­ ventive medicine that combines computer technology, geography, and graphics. How does it work? Maps of the eight counties have been enlarged. An 18-member team under Dr. Harry Sultz, asso­ ciate professor of social and preventive medicine, have identified every street intersection, railroad crossing, etc. This information — or nodes as they are termed—have been processed into the computer as have the 1970 census tapes covering the eight counties of Western New York. To this information will hope­ fully be added the geographic portion of the enormous amount of health services data elaborately collected and stored in file cab­ inets of health care agencies throughout the city. Computer mapping is really building a file of information on block levels, explained Dr. Sultz. "It will enable us to produce health care delivery maps of the entire eight county region that will show the number of patients living on each block, their medical conditions, and sources of health care." At any given time the team will be able to determine the number of elderly persons, for example, who live on "A" street and have been treated for chronic diseases. Or the number of children who live on "B" block. They will have the ability to pinpoint the largest incidence of infectious diseases as well as have at their fingertips a host of additional information that this plotting technique will reveal. The team is currently mapping the ambulatory service areas of the seven major hospitals that serve the inner city to determine the population that is being treated. This "marketing research data" will enable each hospital to make a more valid decision regarding expansion, modes of treatment, etc. Said Dr. Sultz, "what makes this service unique is its ability to graphically illustrate three variables at the same time. For example if we are talking about emergency rooms, not only can we find out the use of each hospital's facilities, but the number and kinds of patients (emergencies, etc.) that use these facilities at both peak and slow hours during the day." Summing it up, Dr. Sultz said that just as good medical therapy begins with an accurate diagnosis, "sound planning depends on a valid com­ munity diagnosis. " • 26 THE BUFFALO PHYSICIAN �1970-71 APFME Scholarship Winners John Antkowiak, '71 Cheektowaga, N.Y. Canisius College James Budny, '74 Buffalo, N.Y. Canisius College Yung-Cheung Chan, '73 Kowloon, Hong Kong Hobart College Thomas Lawley, '72 Buffalo, N.Y. Canisius College Diane Matuszak, '74 Buffalo, N.Y. Canisius College Sarah Moore, '73 Auburn, N.Y. Douglass College William Murray, '72 Eggertsville, N.Y. SUNYAB Ten Students Receive $8,600 from Annual Participating Fund for Medical Education Guido Napolitano, '74 Mt. Vernon, N.Y. Fordham University SUMMER, 1971 Timothy Nostrant, '73 West Seneca, N.Y. University of Rochester 27 Donald Storm, '71 Cheektowaga, N.Y. SUNYAB �Mr. Miller shows a powered hand-splint to Dr. Walsh, Congressman Jack Kemp, and Mr. Steffan. Laboratory Advisory Board An 18-man advisory board of civic, educational, business and medical leaders was named in January to guide the Rehabilita­ tion Medicine Engineering Laboratory at the School of Medicine. The announcement was made by Mr. J. Sam Miller and Dr. Wil­ liam P. Walsh, director and medical director, respectively, of the new laboratory. The purpose of the new laboratory, according to Mr. Miller, is to apply modern research technology in the development and production of new instruments for rehabilitation medicine. The engineering activities are conducted at the Bell Plant, a campus annex located at 2050 Elmwood Avenue. The clinical evaluations are performed at the Rehabilitation Medicine Department of the E.J. Meyer Memorial Hospital. As the laboratory develops it will provide employment for the handicapped and disadvantaged in the area's sheltered workshops. It will also be a practical setting for training students in the various rehabilitation fields. Since June 1, the laboratory has been operating with local grant funds from the University of Buffalo Foundation, Inc., and Federal Grant funds through the rehabilitation medicine division of the Medical School. The chairman of the new advisory board, elected at a recent meeting, is Mr. Walter J. Steffan, a leader in area charitable and higher education groups. All members serve on a volunteer basis. They are: James G. Dyett, Chairman of the Hard Company; Har­ old Farber, Chairman and President of the International Life In­ surance Company; Robert B. Fleming, State University at Buffalo Advocate; Charles F. Light, Executive Vice President, Buffalo Area Chamber of Commerce; William Moog, President, Moog, Inc.; Joseph R. O'Connor, M.D., Acting Director, Department of Rehabilitation Medicine, E.J. Meyer Memorial Hospital; Albert C. Rekate,M.D., Director, E.J. Meyer MemorialHospital; Ira G. Ross, Erie County Economic Coordinator; Cora G. Saltarelli, Ph.D., Director, Bioengineering Department, Roswell Park Memorial Institute; Edgar J. Schiller, Executive Director, Niagara Frontier Vocational Rehabilitation Center, Inc.; Paul A. Schoellkopf, Jr., Chairman of the Board, Niagara Share Corporation; Mayor Frank A. Sedita; Mrs. Walter J. Steffan, a leader in area charitable and civic groups; Charles E. Stewart, Executive Director, The Buffalo Foundation; James Sweet, Executive Director, Buffalo Goodwill Industries, Inc.; Nicholas D. Trbovich, Chairman and President, Servotronics, Inc.; County Executive B. John Tutuska.D 28 THE BUFFALO PHYSICIAN �Chemical Solution to End Pregnancies One of the leading researchers in chemical methods of popu­ lation control is Dr. Om P. Bahl, associate professor of bio­ chemistry at the University. His research, if successful, will enable a woman to end an unwanted pregnancy by drinking a solution containing a nontoxic chemical. Dr. Bahl is a native of India. After receiving his doctorate at the University of Minnesota and doing post-graduate work at the University of California at Los Angeles, he began doing research on the hormone Human Chorionic Gonadotropin or "HCG." Dr. Bahl came to the University in December 1, 1965. HCG is found in the urine of pregnant women, and also persons having a type of stomach cancer that can resemble pregnancy. After three years as a Dernham Fellow of the American Cancer Society, Dr. Bahl shifted his emphasis to HCG's actions during pregnancy. "I was interested in human beings, and it came down to deciding whether to work among them on social problems directly affecting them, or working on problems such as disease or population control which affect a great many of them," Dr. Bahl said. His first $50,000 three-year grant from the United States Public Health Service was given "rather reluctantly, I think, because the project was so complex. But we made unusually rapid progress, so the next grant was given more readily." The first grant covered only equipment, materials and salary of one post-doctoral fellow, so Dr. Bahl did most of the technician's duties himself. The second grant is much larger and provides for the salaries of one technician and two post-doctoral fellows, Dr. N. Swaminathon and Dr. K. L. Matta. Dr. Bahl spends about 12 hours a day at the University, and when he isn't teaching his graduate course in the Medical School, he is in his lab. "College teaching may be thought of as glamorous, but in the sciences it definitely is not. A scientist doesn't want to see his life wasted. He wants to leave behind something that will benefit mankind. Even if we never do isolate the agent that will chemically terminate pregnancy, our contribution to the under­ standing of reproduction still will be of value," Dr. Bahl said. The scientist-researcher-teacher will speak at several symposia during the year including an international meeting in Belgium in September.• SUMMER, 1971 29 Alumni Association Cocktail Party for Alumni, Faculty, Friends during the AMERICAN MEDICAL ASSOCIATION CONVENTION Monday, June 21, 1971 5:30 to 7 p.m. at the Chalfonte-Haddon Hall Atlantic City Host: Mr. David Michael, Director of Medical Alumni Affairs �Research Team Creates Synthesis of Living Cell A RESEARCH TEAM at the University has RESEARCH TEAM -Dr. James F. Danielli, left, poses with members of the research team who successfully syn­ thesized living cells from components. With Danielli, left to right, are Dr. Charles R. Ault. Dr. I. Joan Lorch, Mrs. Eleanor Sattler and Mrs. Lor­ raine Powers. Not shown are Dr. Kwang J eon. and technicians Mrs. Kathy Col­ lins and Mrs. Eu nice Mashimo. successfully reassembled a living and reproducing one-celled organism from isolated com­ ponents, but described a stumbling block in assumbling such or­ ganisms from unrelated species. Dr. James F. Danielli, director of the Center for Theoretical Biology at the University, Dr. I. Joan Lorch, Dr. Kwang W. Jeon, and Dr. Charles R. Ault, de­ scribed at a news conference December 7 how the team used microsurgery to dismantle amoebae and then reconstitute the or­ ganisms. First the nucleus was removed by means of a microprobe. Sec­ ondly the cytoplasm was withdrawn with a tiny pipette or by centrifuge. Finally the cell membrane was refilled with cyto­ plasm and a nucleus inserted, the cytoplasm and nucleus being from one or more different cells. In experiments with more than 700 such syntheses, the scientists found that while 85 per cent of the amoebae lived normally when the same strain or the or­ ganism was involved, components from unrelated strains contained a "lethal factor" which allowed only about 35 per cent of such reassembled cells to divide and less than one per cent continue to reproduce indefinitely. The "lethal factors" discovered by Drs. Kwang Jeon and Joan Lorch "are present in many strains," explained Dr. Danielli, and have the peculiarity of being quite harmless to the cells in which they are synthesized or to closely related cells. But when they are injected into dissimilar cells, cell death results. "To get a higher proportion of successful reassemblies using distantlyrelated components, we must know how much 'lethal factor' is in a cytoplasm, and then find out how it can be 'outwitted' ", he continued. The scientists here found that the amount of "le­ thal factor" is roughly ten lethal doses in the average cytoplasm. In a paper presented at the news conference, Drs. Lorch and Jeon (who is presently at the University of Tennessee, Knoxville), said "the results of our studies so far show that the lethal factor from one strain inhibits the synthesis of ribonucleic acids in the other strains of amoebae, and this results in the failure of these cells to divide and eventual cell death." When the lethal factor is active, they indicated, its action is to prevent formation of RNA. "One remarkable finding," they continued, "is that the le­ thal factor of amoeba is active not only against other strains of amoebae but also against two strains of mouse cells cultured in the laboratory. Thus it appears that the lethal factor has a further significance. It seems essential," they said, "for us to remove the lethal factors or overcome their actions before we can bring together components of different amoebae into a living cell. Our preliminary results show that this can be done." 30 THE BUFFALO PHYSICIAN �Dr. Danielli said the team is encouraged by the results ob­ tained by other scientists using cell fusion techniques, when the cells from higher animals and plants have been brought together and fuse to give new cells having characteristics of both species. "It is our present belief that, within limits, cell components from widely different sources are compatible," he concluded, "and when marked incompatibility is observed, it is usually due to a special mechanism, which has evolved to prevent genes on one species (from) setting up home in a second species and thereby threatening the integrity and success of the second species." What do the successful experiments with cell reassembly mean? Dr. Danielli thinks that now "new cells canbe built containing a variety of components." For example, a defective component might be built into a new cell to find out why the damaged component is unsatisfactory. Or, scientists can now study the assembly of cells which would be theoretically capable of living on Mars, where the environment for life is considerably different from Earth's. Furthermore, the question of what is essential for life — a question which must be answered if we are to conduct a search for life on other planets — can now be studied outside the realm of theory, and explains the great interest the National Aeronautics and Space Administration (NASA) has had in the research. Dr. Danielli predicted that over the next five years man can expect to see the artificial assembly of cells "from the most varied sources, including plant-animal mixes; the artificial as­ sembly of egg cells; the synthesis of new organisms by cell fusion; and of course a continuation of the formation of new organisms by the classical techniques of breeding and genetics." He also expects to see "a considerable effort to synthesize new genes, and to incorporate these genes into chromosomes or other cellular organelles." The Welsh-born biologist did talk about some of the possi­ bilities cell synthesis has for the betterment of mankind. He said that improvement of nitrogen-fixing plants, and the transfer of nitrogen fixation to food plants "should have high priority." Other possibilities being considered at the Center for Theoretical Biology are: —The development of new crops for semi-arid areas. —The development of special organisms for environmental control, e.g. for desalination of water (converting ocean water to drinking water), and for more efficient treatment of sewage. —Partial replacement of present methods of chemical engi­ neering with biological synthesis using tailor-made organisms. Biological synthesis has the advantage of being seldom toxic which can be contrasted with present-day chemical plants. Also, biological synthesis is usually much more efficient than standard industrial chemistry. —The transfer of the capacity to synthesize human antibody and human hormones to microorganisms. Synthesizing hormones and antibodies in such a way would be inexpensive, and thus "immensely extend the resources of clinical medicine," ex­ plained Dr. Danielli. SUMMER, 1971 31 Dr. Danielli says: "The age of biological synthesis is upon us. "Within a century we will probably be able to synthesize artificially any biological system or entity. These could range from viruses and bacteria to entire social systems. Some of these achievements could come within a few years. "I have been working on the problem (synthesis of a living cell) for at least 25 years. Four years ago, I had come 80percent of the way. No one seems to realize how fast we are moving. We've seen the first synthesis of a gene, the first synthesis of a virus, and recently the first reassembly of a living cell. In biology, we are moving from an age of analysis into an age of synthesis. "Our efforts must now be turned to the synthesis of a chro­ mosome and creation of actual egg cells among other things. "We owe a particular debt to Dr. Ernest Pollard of the Biophysics Department at Penn­ sylvania State University (and chairman of the External Advi­ sory Committee of the Center for Theoretical Biology) whose en­ ergetic exploration of the field ov­ er the last eight years has been an inspiration."• �—The development of new life forms for other plants, which "may vastly extend the value of these planets," in Dr. Danielli's view. NASA has a keen interest in such work. "Thus one can say without hesitation that immense benefits will ensue from the artificial synthesis of new life forms," Dr. Danielli remarked. What about ethical implications? Dr. Danielli and Dr. Robert Rosen, assistant director of the Center for Theoretical Biology, view the synthesis of new organisms in the same context as "older methods of hybridization and selective breeding," in­ volving "no really new ethical principles." They said that "care must be taken to discover any undesirable or harmful new pro­ perties" in synthesized organisms, and the effect on existing ecological conditions must be assessed before introducing these organisms into the environment at large. These considerations are essentially of a technical nature." While both scientists agreed that "with appropriate care," there is no reason why new species should not be of scientific and material benefit to the world, they did see the possibility of the development of "bad things," and the possibility that pathogenic (bad) organisms "may arise by accident." They sug­ gested a special group be established by an organization such as the National Academy of Sciences or the National Science Foundation, which would "keep watch on this situation" and "be able to advise research workers in this field of the steps that should be taken to protect the community against risk." The project is funded through the National Aeronautics and Space Administration and the State University of New York.D \T TT . l>eW LlQoXV T) • • . Jxepairing i-Tp i . lccnnicjlic A new surgical technique has enabled 34 infants to undergo operations at Children's Hospital to correct congenital heart defects during the last year. That is what Dr. S. Subramanian, the hospital's chief of surgery, told the Heart Association of Western New York recently. He is also a clinical associate professor of surgery at the Medical School. The technique, pioneered in Japan, involves cooling the body with ice to 68 degrees to halt circulation for an hour to surgically correct transposition of the two great arteries of the heart, ac­ cording to Dr. Subramanian. Among the infants operated on was a two-month-old, the youngest to undergo the operation on this continent. The operation will be performed on even younger babies, he said. "The results will be better because as babies with this defect get older, they get sicker. Buffalo and Seattle are the two places in America where this procedure is being used in numbers," he said. Heart fund contributions for research are greatly needed to counterbalance a reduction in federal funds, Dr. Subramanian said. "This past year it was a tragedy that we didn't have the funds to finance all the worthwhile programs. Perhaps in the next 10 years we will have the answer to rejection in heart transplants. "• 32 THE BUFFALO PHYSICIAN �Physicians May Benefit from 3-D Process Techniques for determining the three-dimensional structure of an object from a number of different two-dimensional views have been developed at the Center for Theoretical Biology at the Uni­ versity. This will enable a physician or surgeon to obtain threedimensional or stereoscopic view of the interior of a patient — views which could prove much more helpful than the usual flat views in diagnosing illness. This new method is called ART, for "Algebraic Reconstruc­ tion Techniques." ART is a method by which the three-dimen­ sional structure of an object is determined by applying a system of equations to a small number of flat views (approximately 10] of the object. The various views are photographed from several known angles by tilting the specimen carrier in the microscope. The scientists — Dr. Richard Gordon, Dr. Gabor T. Herman and Robert Bender — said they are now able to "obtain threedimensional views of any object which may be resolved by whatever imaging system is appropriate, in the case of biological ultrastructure, the electron microscope." Dr. James F. Danielli, director of the center said, "the struc­ ture of many minute parts of cells whose structure cannot be readily determined by previous techniques of electromicroscopy, can now be discerned with some accuracy, so that accurate three-dimensional models of these components can be obtained." The techniques may also give scientists a better picture of what viruses look like and the points at which antibodies manu­ factured to fight them hook onto them. This will facilitate classi­ fication and identification of viruses, Dr. Danielli predicted, and open up a new area of study which may be called "immunomorphology." The Center is the only institution of its kind in the world. It got its start in 1962 when Dr. Daniel H. Murray — then head of the School of Pharmacy, now acting vice president for academic affairs — persuaded Dr. Danielli to leave England and come to the University. He came to Buffalo from King's College, London where he was professor of zoology and chairman of the department. The basic aim of the Center in Dr. Danielli's words, "is to reach a thorough understanding of the nature of living systems. As this understanding develops it becomes possible to relate hitherto isolated facts, to make predictions, and to de­ velop applications in specific fields of social interest." A 20-member team headed by Dr. Danielli may team up with NASA to seed new life forms transforming lifeless and hostile planets into places useful to man. NASA announced in November that it is considering "planetary or cellular" engineering, the tailor-made creation of new life forms to be placed on Mars and other planets provided it can be established that more good than harm would result. Before Mars would be seeded with arti­ ficial life, it must first be explored to rule out the possibility that life already exists.• SUMMER, 1971 33 NEW ART — Robert Bender, Dr. Richard Gordon and Dr. Gabor Her­ man (left to right) pose near some of the equipment used in their art — " 'Algebraic Reconstruction Techniques of determining the three-dimensional structure of objects. An Optronics In­ ternational high-speed scanning microdensitometer is in foreground. In the background is a contoured computer printout of some electron photomicro­ graphs of ribosomes, a printout of data produced from the densitrometer. �|- \ | ^ / • \. i ^ limn] / | LIU New York Lllv p . " Keception , r ^ ' t a i l Ol Mu^cu lar Dv^trOjlllV A total of 45 alumni, faculty, wives and guests attended the Medical Society of the State of New York cocktail party on February 15, in New York City. Mr. David K. Michael, Director of Medical Alumni Affairs, hosted the cocktail party. Attending the party at the Americana Hotel that evening were: Doctors Jack Milowsky, M'39, Buffalo; Louis Cloutier, M'54, Buffalo; William Staubitz, M'42, Buffalo; Walter Walls, M'31, Buffalo; Theodore and Mrs. Jewett, M'45, Buffalo; Thomas Cot­ ton, M'39, Buffalo; Paul A. and Mrs. Burgeson, M'36, Warsaw, New York; Donald and Mrs. Hall, M'41, Buffalo; George and Mrs. Collins, M'48, Buffalo; Garra Lester, M'29, Chautauqua; Benjamin and Mrs. Gilson, M'38, Brooklyn; Edward Rozek, M'41, Buffalo; Irwin Felsen, M'39, Allegany; Charles and Mrs. Bauda, M'42, Buffalo; John N. Constantine, M'34, Oneonta, New York; Ken­ neth H. Eckhert, M'35, Buffalo; Max and Mrs. Cheplove, M'26, Buffalo; James and Mrs. Nunn, M'55, Buffalo; William Stein, M'50, Lockport, New York; Jane Wiles, M'45, Buffalo; Charles Wiles, M'45, Buffalo; Arthur and Mrs. DeAngelis, M'69, Buffalo; Rose Lenahan, M'37, Buffalo; Daniel Fisher, M'24, Clarence Center, New York; Alfred George, M'34, Batavia, New York; Anthony J. and Mrs. Federico (faculty], Buffalo; Andrew and Mrs. Gage, M'44, Buffalo; Mitchell and Mrs. Oestreich (faculty), Buffalo; John A. Winter (faculty), Buffalo; James and Mrs. Phil­ lips, M'47, Buffalo; and Mr. Joseph Manno, (student '70), Buf­ falo.• The nickels, dimes and dollars which thousands of Western New York children and adults have contributed to the Niagara Frontier Chapter of the Muscular Dystrophy Association of America through Kiddy Carnivals, telethons, and house-to-house marches has been channeled into needed research into the muscle disease which afflicts children. A grant of $12,000 was presented by chapter President Edward R. Leiser to Dr. Morris Reichlin, associate professor of medicine and research, associate professor of biochemistry at the medical school. Dr. Reichlin will use the funds for equipment and per­ sonnel to evaluate the quality of myoglobin in diseased and nor­ mal muscles and also to study the rate of muscle destruction. Myoglobin, a protein, binds oxygen to muscle tissue in much the same manner that hemoglobin carries oxygen in the blood. In 1970 and 1971, the Niagara Frontier Chapter of the Mus­ cular Dystrophy Association of America gave $20,000 to Dr. E. A. Barnard, professor and chairman of biochemistry. Dr. Barnard used these funds to study the presence of enzymes known as the cholinesterases in the dystrophic muscles of chickens. Buffalo thus has become one of seven cities of the world where medical research is making progress against the dread child killer, muscular dystrophy. Other research centers are in New York, London, Tokyo, Padua, Italy, Paris and Los Angeles.• 34 THE BUFFALO PHYSICIAN �J. HE REGIONAL MEDICAL PROGRAM may soon move into new fields. That was the prediction of Dr. Harold Margulies, director of the Regional Medical Programs in the department of Health, Ed­ ucation & Welfare. He envisions the Regional Medical Programs of the future as being more concerned with the over-all quality of health care in their respective areas. He does not see them ren­ dering such care but working with consumers and providers of care to assure the best possible allocation of limited numbers of professionals and tight dollars. "Regional Medical Programs are a new kind of social insti­ tution. They provide technical and financial support to private agencies and are in a unique position to serve as a bargainer in improving health care delivery," Dr. Margulies said. "Heart, Cancer and Stroke are major killers, but the individual whose life is threatened by some other disease is just as entitled to con­ cern." When Dr. Margulies visited the Western New York oper­ ation last fall he said, "Regional Medical Programs are a sort of political-social instrument in which there is a working rela­ tionship between the Federal structure and a private system that permits the latter to work comfortably in producing progressive changes in the health care system of which it is a part, and to do it entirely on an autonomous self-directed basis with Federal funds and Federal cooperation. The concept of Regional Medical Programs is being looked at as a possible pattern for accom­ plishing decentralization at both the Federal and state levels. My thesis has been that the concept of a community trusteeship is the most viable element in our society, and Government must be willing to deal on a local basis with issues that can be iden­ tified and corrected locally. My responsibility is to make it possible for that to happen. I believe we should move away from Federally directed activities and towards really autonomous re­ sponsibilities on the part of the Regional Medical Programs."• wLJm i Dr. Margulies RMP Plots New Course C.C. Furnas Scholarship Mr. James Webber, a medical student, is one of six seniors to receive the C.C. Furnas Scholarship for the 1971-72 academic year. Webber, the first Furnas Scholar in 1968, received a $3,000 stipend for medical studies at the University. He holds a masters in physiology from the University. As an undergrad­ uate Webber was a member of the intercollegiate football and track teams for two years. In his senior year he received three awards for his athletic and academic accomplishments. The Furnas Scholarships were established by the late chancel­ lor and president in 1965. Dr. Furnas' original gift for the fund was augmented by $100,000 subscribed by alumni and friends in a special campaign at the time of his retirement. The fund, ad­ ministered by the University at the Buffalo Foundation, Inc., honors Furnas' "long and devoted service" to the University.• SUMMER, 1971 35 Mr. Webber �Family Planning J <£> DID WE INITIATE MALTHUS Students for Population Study, ^HY last summer s at the Medical School? "We, as medical students, believe that family planning must be an integral part of our future medical practice," Lester Lifton, society president and a junior medical student, replied. "No matter what each of us specializes in, we must be able to provide information and advice to our patients as well as to the community on family planning." As a national trustee for SAMA, the student AMA group, he has also been active in its subcommittee on population explosion. With the impetus of an enthusiastic freshmen class, an active group of 20 medical students plus one student nurse, Lifton stood ready to personally "do something," that was not political­ ly motivated. A survey of obstetric and gynecology departments at medical schools revealed that while many did offer a course on family planning as part of their curriculum, there was little if any student activity. "Why should more care be given the 70-year-old cor­ onary patient than the 17-year-old-girl who wants contraceptives?" Incorporation, the group found, would permit them to file federal grant applications on several projects they had planned and needed funding. Under their corporate name, Center for Advancement of Population Studies in Medicine, they applied for funds to cover an eight-week summer program. In cooperation with Planned Parenthood World Population, 30 medical students will work in planned parenthood clinics across the country. Also a survey of physicians and medical students in Erie County was made to determine their attitudes on the role of physicians in handling problems on family planning and population. An in­ formation service specifically geared to medical students to furnish them with the latest information on contraceptives and family was collected by the summer program participatees. Counseling" at a hospital are Bruce and Wayne Middendorf, Jockular Ford, Guido Napolitano and Wayne Glazier. �Now in the working stage of the society is a pamphlet on the various aspects of conception, contraception, and abortion, community facilities available to them, names, clinics, hours, etc. It will be distributed this spring to all university under­ graduate students and to all freshmen in the fall. "We are trying to get the University to do more," Liftonsaid. "We feel students should have information available to them." There is but one course on population and family planning at the University and that is limited to 40. It is taught by Dr. Jack Lippes, associate professor of gynecology and obstetrics, medical director of Planned Parenthood and who, as advisor to Mathus and the center, has been so enthusiastic and of great help to them. But the society feels that one course is just not enough. They are working on a course to be included this fall as part of the medical curriculum. And an eight-week extra curricular sex education course that they offered on Wednesday evenings last fall has ended. They hope to repeat this course, that attracted over 60 medical students, this spring. And there is also a seminar on population growth at the national SAMA meeting schedule in May in St. Louis which they will offer. The Center, student organized and administered, has a nation­ wide Advisory Committee of experts in the field of family plan­ ning and population growth. Its national offices in Buffalo, are adjacent to the medical school. But they strongly feel that information must also filter out into the community as well. Another program on which they are working calls for medical students to counsel mothers in hos­ pitals following delivery on the availability of birth control information. "Although there seems to be much literature around, it is not getting to every woman who should have an opportunity to know what is available so that she can make up her own mind about how many children she wants and when she wants them," Lifton said. Other officers — Treasurer Craig Traugott, Vice presidents Daniel Botsford, Marianne Goodman, Bruce and Wayne Middendorf, James Pietraszek, Michael Sdao, and Sandra Schneider, a nursing student.• The Buffalo Veterans Administration Hospital has a $17 million budget approved for fiscal 1972 which begins July 1. This is an increase of more than $500,000 in operating funds for new programs (intensive care, drug abuse treatment, hemodialysis center) for patients, according to Mr. Eugene E. Speer Jr., hos­ pital director. This hospital is one of five affiliated with the Medical School. It has 951 beds, 25 full-time physicians, 35 part-timers, 37 medi­ cal residents, 162 full-time nurses and 59 on part-time, and more than 200 consultants. Buffalo, like most, if not all of the 166 VA hospitals throughout the country still has to cope with a chronic shortage of staff members, particularly full-time physicians.• SUMMER, 1971 37 New Programs at VA Hospital �Dr. Samuel Sanes, seated, receives congratulations from Louis N. Bunis, center, past president of the United Jewish Federation, and Dr. Max Cheplove, M'26, chairman of the dinner honoring Dr. Sanes. Buffalo Evening News Dr. Sanes Honored A. pathology professor, who has been on the faculty for 35 years was honored in March by the United Jewish Fund. For Dr. Samuel Sanes it was his "second" retirement, 10 years after the first. He first retired in 1961 when he gave up his every­ day practice to devote full time to teaching. Dr. Sanes has been teaching medical students ever since his graduation from the UB Medical School in 1930. He will retire June 30. From 1954 to 1966 he was also professor and head of the Department of Legal Medicine. Dr. Sanes was founder and president of the Erie County Chapter, American Cancer Society, and served as president of the state society. From 1956-58 he was president of the Jewish Center of Buffalo, a member of the National Jewish Welfare Board, the United Jewish Fund Board of Governors, and the Anti-Defamation League Executive Committee. In 1953 Dr. Sanes was named an outstanding citizen by The Buffalo Evening News.n 38 THE BUFFALO PHYSICIAN �The Classes of the 1920's Dr. Julian F. Johnston, M'21, of 21 Van Doren Avenue, Chatham, New Jersey, is a general practitioner and has an emergency room position at Overlook Hospital, Summit, New Jersey.• Dr. Caryl A. Koch, M'23, is the school physician of Orchard Park Central School. He was also past president of the Lions Club, named legionaire "Citizen of the Year" in 1970, and is president of the Ismailia Temple Medical Unit. His address is 6435 W. Quaker Street, Orchard Park, New York.D Dr. Daniel C. Fisher, M'24, was honored March 5 by the Clarence Rotary Club and the Clarence Citizens Council. The 74-yearold physician has been a life-time resident of this Western New York town. For 12 years he was president of the Erie County Health Advisory Board, and from 1928 to 1950 Dr. Fisher was town health officer. He was health officer of the Clarence Central School District for 40 years, and chaired the Clarence Planning Board for 20 years. He was the first president of the Clarence Historical So­ ciety. Dr. Fisher is immediate past president of the New York State Association of School physicians and past president of the Medical History Society of Western New York. He was president of the Board of Directors of Clarence's Sesquicentennial in 1958 and a member of the Board of Directors of the Amherst-Clarence Hospital Association.• Dr. Raymond J. Rickloff, M'28, lives at 2534 South Tracy Drive, Erie, Pennsylvania and specializes in dermatology. A captain in the Medical Corps of the Army from 194244, he was past president of the Erie County Medical Society, consultant for the Erie Vet­ erans Administration Hospital, past president of Hamat Hospital, and St. Vincent and Zem Zem Hospitals.• SUMMER, 1971 Dr. Walter Scott Walls, M'31, outgoing President of the 27,000-member Medical So­ ciety of the State of New York addresses policy-making House of Delegates of this So­ ciety at its 165th annual convention, Ameri­ cana Hotel, New York City, February 14-18. The Classes of the 1930's Dr. Ronald W. Steube, M'32, of Fond du Lac, Wisconsin, is Director of the Pathology Department of the Nursing School at St. Agnes Hospital. He retired April 1, and will move to 540 Port Side Drive, Naples, Florida.• The Classes of the 1940's Dr. Peter G. Brandetsas, M'43, a general surgeon, is at regional office, Veterans Ad­ ministration, Roanoke, Virginia. A Fellow of the American College of Surgeons, and Diplomate, American Board of Surgery, he ap­ peared in Who's Who in America (1960). He has published extensively and was a Lt. Colonel, M.C. and former director of medical services, U.S.A.R.D Dr. Frank L. Tabrah, M'43, a pediatrician, is associate professor in clinical pharmacology at the University of Hawaii. The co-author of numerous publications, he lives in Kapaau, Hawaii (P.O. Box 308).• Dr. M. E. Hodes, M'47, of 648 Edgemere Drive, Indianapolis, Indiana, is a professor of medicine and biochemistry at Indiana Uni­ versity.• 39 �The Classes of the 1950's Dr. Eugene M. Teich, M'51, a cardiologist, lives at 275 Southdown Road, Huntington, New York. He is a Fellow, American Col­ lege of Physicians; and Associate Fellow of American College of Cardiology. He is author of "Afebrile Bacterial Endocarditis" which appeared in the JOURNAL, Mt. Sinai Hos­ pital [November, 1969).• Dr. Herbert W. Simpkins, M'53, is a gen­ eral practitioner in Irvington, New Jersey. His home is at 380 Elmwood Avenue, Maplewood, New Jersey.• Dr. Ernest H. Meese, M'54, a thoracic and cardiovascular surgeon, lives at 174 Pedrett Road in Cincinnati, Ohio. He is cur­ rently Head of Open Heart Surgery Team at Good Samaritan Hospital, Cincinnati. As Com­ mander and Chief of thoracic surgery at Naval Hospital in Portsmouth, Virginia, he completed six years in 1965. He is secretary of board, and chairman of the service com­ mittee of Cincinnati-Hamilton County Unit, American Cancer Society. He is a Fellow of American College of Surgeons; Fellow of American College of Cardiology; Fellow of American College of Chest Physicians; Fellow of American College of Angiology.D Dr. Leonard R. Schaer, M'55, is chief of nuclear medicine at Kaiser Foundation Hos­ pital, Walnut Creek, California. He participated in the clinical development of the Scintillation Camera (Anger Camera) while a full time re­ search associate at University of California at Berkeley's Donner Laboratory. He is a Fellow of American College of Physicians, a member of the Society of Nuclear Medicine and the American Society of Hematology. Dr. Schaer lives at 107 Post Road, Walnut Creek, California.• Dr. Bernard S. Shapiro, M'57, was Chief Surgical Service at Station Hospital, Quonset Point, Rhode Island from 1962-64. He was discharged as Lieutenant Commander, USNR. He is at present attending surgeon at Griffin Hospital in Derby, Connecticut, a physicianin Yale-New Haven Hospital's out patient de­ partment and consultant in general surgery at Laurel Heights Hospital in Shelton, Connecti­ cut. He is a Fellow, American College of Surgeons and has published extensively.• 40 Dr. Herbert Silver, M'57, is an assistant professor of pathology at the University of Connecticut School of Medicine, Hartford. He has been Director of the Blood Bank and Immunohematology at Hartford Hospital since July 1970. He has published extensively — TRANSFUSION (Nov.-Dec. 1970); AMERI­ CAN JOURNAL OF CLINICAL PATHOLOGY (April 1971); BRITISH JOURNAL OF MEDI­ CAL TECHNOLOGY (April 1971) being the most recent. Dr. Silver lives at 32 Beacon Hill Drive, West Hartford, Connecticut.• Dr. Ronald W. Byledbal, M'58, is a psy­ chiatrist in Santa Rosa, California. His home is at 3031 Terra Linda Drive, Santa Rosa.D Dr. Morton Spivack, M'58, a hematologist, is assistant professor in Medicine at the Albert Einstein College of Medicine. He is also a member of the Board of Examiners, New York City Department of Health since 1968. Co-author of numerous publications, he lives at 620 West 239th Street, Bronx, New York.D Dr. Richard H. Musgnug, M'59, a derma­ tologist, is on the staff at Thomas Jefferson Medical College and Temple University Sci­ ences Center in New Jersey. He is Chief of the department of dermatology at The Cooper Hospital, Camden, New Jersey and chairman of the hospital's medical division. His address is 65 Onondago Trail, Medford Lakes, New Jersey.• Dr. Robert H. Wilbee, M'59, who was associate director at E.J. Meyer Memorial Hos­ pital, resigned that position in February. He announced that he will return to private prac­ tice in surgery. He has left Buffalo for a "strictly non-administrative position" with a small community hospital opening in Las Cruces, New Mexico in June, 1971. Dr. Wilbee was formerly assistant dean at the UB School of Medicine in the area of student and aca­ demic affairs. He is a Fellow of the American College of Surgeons and a Diplomate of the American Board of Surgery.• THE BUFFALO PHYSICIAN �The Classes of the 1960's Dr. Edwin R. Lamm, M'60, a general surg­ eon, is clinical instructor in surgery at George Washington University. He lives at 2702 Largo Place, Bowie, Maryland and is a Diplomate of the American Board of Surgery. He is President of the Belair at Bowie Medical/ Dental Association and alternate delegate to the Medical-Chirurgical Society of Maryland.• of Missouri and published numerous papers on the intrarenal regulation of sodium execretion while there. He is a member of the American and International Societies of Neph­ rology, the American Physiological Society, the American Association for the Advance­ ment of Science and the American Federation of Clinical Research. Dr. Knox lives at 2249 Nordic Court, Rochester, Minnesota. • Dr. Martin S. Wayne, M'60, a psychia­ trist who lives at 814 Sleepy Hollow Road in Briarcliff, New York gave up his fulltime position as clinical director at Mount Vernon Mental Health Clinic in March 1970 to head a center in Yonkers, New York for adoles­ cents unable to learn in normal schools. Dr. Wayne has spoken on drug addiction in adol­ escents and psychiatry in Vietnam to the Tarrytown area residents. He became board certified in psychiatry in 1969.• Dr. Michael I. Weintraub, M'66, a neuro­ logist, is on the staff at Boston University School of Medicine, and recently entered the U.S. Navy as staff neurologist at Boston Naval Hospital, Chelsea, Massachusetts. In 1969-70, Dr. Weintraub completed his neuro­ logy residency training at Yale, New Haven Medical Center and was appointed chief resident in neurology at Yale University. He has published extensively and lives at 31 Risley Road, Chestnut Hill, Massachusetts.• Dr. Rae R. Jacobs, M'62, is chief residentorthopedics, at the Medical College of Georg­ ia. A member of the Association for Advance­ ment of Medical Instrumentation, she has published numerous articles and has several in press. Dr. Jacobs lives at 3208 Sylvan Court, Augusta, Georgia.• Dr. Jacob S. Kriteman, M'67, is in the U.S. Air Force at the USAF Hospital Griffiss, Griffiss AFB, New York. He is a candi­ date for the American Academy of Pediatrics and lives at 2412-B Snark Street at Griffiss AFB.G Dr. Robert A. Klocke, M'62, is an as­ sistant professor of Medicine at UB. He lives at 190 Cottonwood Drive in Williamsville.D Dr. Albert J. Maggioli, M'63, left the U.S. Army in September, 1970. He is now associated in pediatric practice with Dr. Sher­ man Woldman, M'57, in Buffalo. Dr. Mag­ gioli lives at 288 Robinhill Drive in Williamsville.D Dr. Arthur C. Sosis, M'67, is a first year resident in dermatology at the Skin and Cancer Hospital of Philadelphia, Temple Uni­ versity Health Sciences Center in Philadel­ phia. He served two years in the U.S. Air Force as a general medical officer, before starting a three-year residence in dermatology at Temple University. Dr. Sosis lives at 7901 Henry Avenue, Apartment B-110, Philadel­ phia, Pennsylvania.• Dr. Paul Sussman, M'64, an internist specializing in rheumatology lives at 14033 Sherman Way, Van Nuys, California. He recently qualified by American Board of Internal Medicine.• Dr. Barry S. Shultz, M'68, who lives at 5385 Wyngate Drive, Norfolk, Virginia, will begin his urology residency in July, 1972.• Dr. Franklyn G. Knox, M'65, is a renal physiologist, and associate professor at the Mayo Graduate School of the University of Minnesota. He had previously been in the Department of Physiology at the University Dr. David H. Atkin, M'69, a resident in anesthesiology at Albert Einstein College of Medicine, lives at 99 Shore View Drive, Yonkers, N.Y.D SUMMER, 1971 41 �ople Two faculty members are on standing committees of the American College of Sur­ geons. Dr. J. Edwin Alford, clinical associate professor of surgery, is chairman of the proctology committee, and Dr. Richard H. Adler, professor of surgery, is a member of the New York (Upstate) advisory committee.• Dr. John H. Talbott is the author of "A Biographical History of Medicine." In re­ viewing the book Dr. Morris Fishbein said, "it is different from any of the other works in this field. It is not a book of reference and it is far more than a textbook in the history of medicine. It is a book for ex­ ploratory browsing, and for the enjoyment of those readers who particularly enjoy bio­ graphical works." From 1946-59, Dr. Talbott was professor of medicine at the Medical School and chief of medicine at the Buffalo General Hospital. He is now editor emeritus of the Journal of the American Medical As­ sociation. Dr. Talbott gave the Stockton Kim­ ball Lecture in 1965 at Spring Clinical Days.D Three alumni are new officers in the Western New York Heart Association. Dr. Joseph Zizzi, M'58, is the new president, and Dr. Victor L. Pellicano, M'36, of Niagara Falls is the new vice president. Dr. Francis J. Klocke, M'60, is secretary. The immediate past president is Dr. Andrew Gage, M'44.D Dr. Theodore C. Krauss, clinical assistant professor of medicine, is chairman of the committee on aging, research and planning for community services. He is also chairman of the Erie County White House Conference on Aging.• An assistant clinical professor of medicine, Dr. John K. Dustin, was re-elected President of the Millard Fillmore Hospital medical staff. Five alumni were elected to other positions. They are: Drs. Donato Carbone, M'46, secre­ tary; Paul M. Walczak, M'46, treasurer; An­ thony Postoloff, M'39, Paul Stoesser, M'35, and William Kinkel, M'54, all officers-atlarge.D 42 5t;e diversity. ..Our Ciuii^ futur^ 125th ANNIVERSARY 1846-1971 State diversity of ffeuj V6r^at Buffalo A design by John O'Reilly, 30, of Cheektowaga has been selected as the official symbol of the 125th Anniversary of the University. O'Reilly's design was selected from a field of 55 entries from both the University and the community in a contest sponsored by the Policy Committee for the 125th Anniversary. The amateur artist, employed by Printing Prep of Buffalo, received a $50 prize for his entry, which he said was inspired by the theme of the celebration, "The University - Our Living Future." O'Reilly said that the symbol reflects his view of U/B as an institution whose grad­ uates are to him the "key to world improve­ ment." The University, he said, does not just "push out students," but is educating individuals with a deep concern for human problems. The Policy Committee said the symbol was selected because it incorporated not only the required Anniversary information, but also the present University seal and the concept of U/B's wide-ranging contributions to society.• THE BUFFALO PHYSICIAN �Seven members of the Department of Bio­ physical Sciences faculty presented papers at several professional meetings recently. They are assistant professors Dr. M. T. Hays, Dr. C. Y. Jung, Dr. S. Szuchet, Dr. D. C. Wobschall, Dr. C. R. Zobel, Dr. K. N. Leibovic, an associate professor, Dr. H. A. Hauptman, research professor, and Dr. }. T. Hoogeveen, assistant research professor.• Nine members of the Department of Bio­ chemistry faculty presented papers at dif­ ferent professional meetings recently. They are research associate professors Dr. David A. Cadenhead, Dr. Wells A. Farnsworth, Dr. Demetrios Papahadjopoulos, Dr. Morris Reichlin, Dr. George L. Tritsch, Dr. Herbert Weinfeld, Dr. Charles E. Wenner, Dr. Eric A. Barnard, professor and chairman, and Dr. Om P. Bahl, associate professor.• Dr. Pierluigi E. Bigazzi, research assistant professor, Center for Immunology at UB School of Medicine, received his medical degree in 1959 from the University of Florence Medical School in Italy. He lives at 1525 Millersport Highway in Williamsville.D Dr. Arnold A. Abramo, a pediatrics in­ structor at UB School of Medicine, is a 1954 alumnus of Loyola University Stritch School of Medicine. Among his memberships are American Academy of Pediatrics, Military Section of American Academy of Pediatrics, and Senior Member of Air Force Internists and Allied Specialists. Dr. Abramo lives at 18 Boxwood Circle in Hamburg, New York.D President Robert L. Ketter was one of five men to receive the 1971 Missouri Honor Award for Distinguished Service in Engineer­ ing. Dr. Ketter graduated from the University of Missouri in 1950 with a bachelor's degree in civil engineering, before going to Lehigh University where he received his master and doctorate degrees. The award is symbolic of a person's contribution to society through engineering education or practice of profes­ sional engineering.• SUMMER, 1971 President Robert L. Ketter resigned as chairman of the Comprehensive Health Plan­ ning Council of Western New York in March. Dr. Ketter won the election in June, 1970 before he was named President of the Univer­ sity. Dr. Kenneth H. Eckhert, M'35, vice chairman, moved into the chairmanship.• Two alumni have been elected officers to the Buffalo Sisters Hospital medical staff. Dr. William Bukowski, M'47, is the new presi­ dent, and Dr. Charles E. Wiles, M'45, is the new treasurer. Dr. Conrad G. May was named vice president, and Dr. Ambrose A. Macie, secretary.• Dr. Jean A. Cortner, professor of pedia­ trics, has been appointed to the New York State Committee for Children. The75-member committee will make recommendations on child care to the Joint Commission on Mental Health of Children, a federal agency. Dr. Cortner is also chairman of the Department of Pediatrics at Children's Hospital.• Dr. J. Edwin Alford is chairman of the Advisory Council for Proctology of the Amer­ ican College of Surgeons. He has also been elected international vice president of the In­ ternational Society of University Colon and Rectal Surgeons. Sao Paulo, Brazil. Recently he was elected to an additional four-year term to the American Board of Colon and Rectal Surgery. Dr. Alford, clinical associate professor of surgery and acting head of the Division of Proctology at the Medical School, is on the advisory staff, Niagara Frontier Ileostomy and Colostomy Society.• Dr. Bertram A. Portin, clinical assistant professor of surgery (proctology], is secretary, Section on Gastroenterology and Proctology, Medical Society of the State of New York.D Dr. Douglas Holyoke, research instructor in surgery, has been named chief of the de­ partment of general surgery at the Roswell Park Memorial Institute.• 43 People �In Memoriam Dr. Julius Y. Cohen, M'09, died March 28 in Miami Beach, Florida where he was vaca­ tioning. The 83-year-old general surgeon was on the "emeritus" staff of Millard Fillmore Hospital. In 1951-52 he was president of this hospital staff, one that he had been affiliated with since 1912. In 1939, Dr. Cohen was one of the founders of Blue Shield of Western New York. He was honored by this organiza­ tion in 1969. He was on the governing board from 1939 to 1947. Dr. Cohen studied surgery in Vienna, Austria, and completed his resi­ dency at Sisters Hospital. He served as a First Lieutenant in the Army Medical Corps during World War I. He was past president of the Maimonides Medical Society, a founder of the Planned Parenthood organization of Buffalo, a Fellow in the American College of Surgeons, and active in several professional organizations.• Dr. Glee W. Chessman, M'18, died Feb­ ruary 23, one month after retiring. The 76year-old eye-ear-nose and throat specialist practiced in North Hornell and Canisteo for 45 years. Dr. Chessman did graduate work at George Washington University's Medical School, after graduating from UB. In 1968 he was honored by the State Medical Asso­ ciation for 50 years of service. He was on the staffs of Bethesda and St. James Hos­ pitals.• Dr. Raymond C. Fess, M'09, died March 17 in the Jamestown General Hospital (NYJ. He had been a general practitioner in Jamestown for more than 50 years. Dr. Fess was a native of Bowmansville, N.Y. He was a First Lieuten­ ant in the Army Medical Corps in World War I. He was active in civic affairs. • The General Alumni Board Executive Committee — ROBERT E. LIPP, '51, President; DR. EDMOND GICEWICZ, M'56, President-elect; JOHN J. STARR, JR., '50, Vice-President for Administration; JEROME A. CONNOLLY, '63, Vice-Presi­ dent for Development; G. WILLIAM ROSE, '57, Vice-President for Associations; JOHN G. ROMBOUGH, '41, VicePresident for Activities; MORLEY TOWNSEND, '45, Vice-President for Athletics; G. HENRY OWEN, '59, Vice-Presi­ dent for Public Relations; MRS. ESTHER KRATZER EVERETT, '52, Vice-President for Alumnae; DR. HAROLD J, LEVY, M'46, Treasurer; M. ROBERT KOREN, '44, Immediate Past-President, Past Presidents; WELLS E. KNIBLOE, '47; DR. STUART L. VAUGHAN, M'24; RICHARD C. SHEPARD, '48; HOWARD H. KOHLER, '22; DR. JAMES J AILINGER, '25; DR. WALTER S. WALLS, M'31. Annual Participating Fund for Medical Education Executive Board for 1970-71 — DRS. MARVIN L. BLOOM, M'43, President; HARRY G. LaFORQE, M'34, First Vice-President; KENNETH H. ECKHERT, SR., M'35, Second Vice-Presi­ dent; KEVEN M. O'GORMAN, M'43, Treasurer; DONALD HALL, M'41, Secretary; MAX CHEPLOVE, M'26, Immediate Past-President. Medical Alumni Association Officers; DRS. ROLAND ANTHONE, M'50, President; LOUIS C. CLOUTIER, M'54, VicePresident; JOHN J. O'BRIEN, M'41, Secretary-Treasurer; SIDNEY ANTHONE, M'50, Immediate Past President. 44 THE BUFFALO PHYSICIAN �Alumni Association Tour EUROPE — AUGUST 3-24, 1971 $890.00 per person plus $17.50 tax and services • Visit Amsterdam, Cologne, Heidelberg, Munich, Innsbruck, Venice, Florence, Rome, Lucerne, Paris and London • Round-trip jet from Buffalo • Land transportation via deluxe Motorcoach • All hotels personally selected • All meals with 8 exceptions in order to allow free time to enjoy European cuisine on your own • Multilingual guide for the 22 days • Special guides in Venice, Florence, Rome, Paris and London • Tips and gratuities • Sightseeing tours, excursions and transfers • Personally escorted For details write or call: Alumni Office, 250 Winspear Avenue State University of New York at Buffalo Buffalo, New York 14214 (716) 831-4121 First Class Permit No. 5670 Buffalo, N. Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY — Medical Alumni Association 2211 Main Street Buffalo, New York 14214 Att.: David K. Michael �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 Address Correction Requested YOU'VE GOT WHAT IT TAKES! . . . we know you like to keep your records current. So do we. Please complete this card, detach it and mail. No postage is required. (Please print or type all entries.) Name Year MD Received Office Address Home Address If not UB, MD received from In Private Practice: 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. Partners' Press, Inc. Abgott t Smith Printing � 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Journals and magazines 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 1971 Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--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 1971-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_v05n02-1971-Summer Table Of Contents A list of subunits of the resource. Closed Circuit TV The Prescription Team A Presidential Inauguration Repression by Default by President Robert L. Ketter The Chronically Ill A Summer in England by Ira Mintzer, Class of 1972 Witebsky Memorial Lecture Better Health Care Summer Fellowships Intern Marketing Human Sexual Response Cassettes Aid Teaching Computer Mapping APFME Scholarships Laboratory Advisory Board Ending Pregnancy Living Cell Heart Repairing 3-D Process Alumni Reception/Muscular Dystrophy RMP/Furnas Scholarship Family Planning VA Programs Dr. Sanes Honored The Classes/People In Memoriam Alumni Tour Date Created Date of creation of the resource. 2022-09-15 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. v05n02 Extent The size or duration of the resource. 48 p. Spatial Coverage Spatial characteristics of the resource. New York (State)--Buffalo Rights Holder A person or organization owning or managing rights over the resource. Copyright1971 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/39fa076c82fb4ea293b5bdb3f0964231.pdf 52b5c8fa09fd89e2201347f8ef4423b3 PDF Text Text �Dr. Shefier, Donald Greene Michael Adao congratulates Dr. Lee. Bruce Middendorf, Daniel Botsford, )ohn Clark and Tone Johnson give their approval. Sophomores Honor Faculty Five faculty at the Medical School, who have not only offered good teaching but have unselfishly responded to the needs of the stu­ dents, were awarded plaques by the sophomore class. They are Dr. Harold Brody, professor and chairman of the department of anatomy; Dr. Alexander C. Brownie, research associ­ ate professor of pathology and professor of biochemistry; Dr. Peter K. Gessner, associate professor of pharmacology; Dr. Joseph C. Lee, professor of anatomy and research associate professor of surgery (neurosurgery); Dr. John B. Sheffer, clinical associate professor and acting chairman of pathology. Inscribed on the plaques presented to the five whose outstand­ ing efforts may have gone unrecognized is "for insight and dedica­ tion to teaching, from the Medical Class 1974." Dr. Brownie, Thomas Varecka Dr. Brody Congratulations," said class president Bruce Middendorf, "for not only excelling in your specialty but for effectively communicat­ ing that knowledge to us as students. Your teaching has not only been good but it has been excellent." The unanimity of agreement among his classmates was obvious. Expressed by the recipients was the hope that this kind of recognition by students for good teaching would become a tradition here at the Medical School.• �Winter 1972 Volume 6, Number 4 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo IN THIS ISSUE Faculty Honored EDITORIAL BOARD Editor ROBERT S. McGRANAHAN Managing Editor MARION MARIONOWSKY Photography HUGO H. UNGER (inside front cover) 2 5 6 7 8 by President Robert L. Ketter EDWARD NOWAK Medical Illustrator MELFORD J. DIEDRICK Graphic Artists RICHARD MACAKANJA DONALD E. WATKINS Secretary FLORENCE MEYER CONSULTANTS President, Medical Alumni Association DR. JOHN J. O'BRIEN President, Alumni Participating Fund for Medical Education DR. MARVIN BLOOM Vice President, Faculty of Health Sciences DR. CLYDE L. RANDALL Vice President, University Foundation JOHN C. CARTER Director of Public Information JAMES DeSANTIS Director of Medical Alumni Affairs DAVID K. MICHAEL Director of University Publications PAUL L. KANE Vice President for University Relations DR. A. WESTLEY ROWLAND Pacemakers Alumni Receptions SLE Test Children's Hospital University/Hospital Partnership 12 13 15 17 18 19 20 22 23 24 25 26 28 29 30 33 34 35 37 39 40 41 42 43 44 45 46 48 49 50 52 53 54 55 56 60 62 63 66 70 Drug Abuse Roswell Park/Psychiatry Director Rural Health Care Prenatals Gonorrhea Test Gyn/Ob Head/Chinese Student Teaching Techniques Continuing Medical Education Community-University Day Polluted Waters New Journal/Psychiatry Grant Dr. George Thorn Moral Issue BGH Expansion Allergic Disease Center LARMP/Microbiology Grants Hallucinogens Dermatology Chairman The 1976 Class Family Practice/Dr. Murphy Surgery Chairman Dr. Regan/Scholarships First Complex Hormone Dr. Vaughan Lab/Health Center Infectious Diseases VA Hospital Director Lackawanna Health Center Health Resources/Dr. LaPaglia Surgery VA Drug Treatment Mental Health 10,000 Mile Cruise Medical Van New North Campus Heart/Lung Studies Swimming Analysis Faculty Promotions The Classes People In Memoriam The graphic cover design by Richard Macakanja symbolizes the holiday season. THE BUFFALO PHYSICIAN, Winter 1972 — Volume 6, 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, New York. Please notify us of change of address. Copyright 1972 by The Buffalo Physician. �Over 200 investigators from around the world attended a postgraduate symposium on cardiac pacing held in the Medi­ cal School in 7965. Dr. Chardack "demonstrates" in the laboratory. Pioneers in PACEMAKERS One of the first devices developed by the team. T w o PIONEERS IN the development of battery-powered pace­ makers made history again by implanting the first nuclear-powered device in this country last July. They are Drs. William M. Chardack, chief of thoracic surgery, and Andrew A. Gage, chief of surgery at the Veterans Administration Hospital, who also are associate pro­ fessor and professor of surgery respectively at the Medical School. The hospital was the first in the nation to be granted a license by the U. S. Atomic Energy Commission to use the radioisotope pace­ maker. Four patients, who have now been operated on, have made uneventful recoveries. The history of the Veterans Administration Hospital's surgical service and its research laboratory lists many "surgical firsts." In 1950, the initial year of hospital operation, Drs. Chardack and James D. MacCallum performed the first successful resection of a "Pancoast Tumor followed by radiation therapy. This rapidly fatal type of cancer of the apex of the lung until then was thought to be incurable and inoperable. The patient, who lived for over five years, died from an unrelated disease. Following reports by the two surgeons in 1953 and 1955, the combination of surgery/radiotherapy, was accepted as the standard treatment for this condition. It has yielded a significant number of cures. In 1953 a resection of the bifurcation of the lower aorta was performed at the hospital. The resected segment of the large vessel was replaced by a homograft. It was the first operation of this type to be performed in this part of the country. THE BUFFALO PHYSICIAN �When the hospital opened in 1950 there was no space pro­ vided for a surgical research laboratory. Dr. Chardack accepted an invitation from the late Dr. John R. Paine to start experimental work in the old "firehouse laboratory" at the Buffalo General Hos­ pital. Three years later, in 1953, Drs. Chardack and Gage established the first surgical laboratory at the VA Hospital. Recalled Dr. Char­ dack, "it was located in small, improvised quarters that were orig­ inally part of the hospital laundry." Since that time the hospital's surgical laboratory and general research facilities have greatly ex­ panded and now serve an increasing number of investigators based there and at the Medical School. Early experimental work at the hospital was concerned with the measurement of coronary flow, a standardized experimental model of coronary obstruction, and an experimental evaluation of surgical procedures for the relief of coronary arterial disease. They were forerunners of the now widely-practiced modern operations for this disorder. Experimental work on a self-contained and implantable pace­ maker to correct complete heart block began in 1958 by the two investigators in cooperation with Wilson Greatbatch, an electronics engineer and assistant professor of electrical engineering at the Uni­ versity of Buffalo. Its clinical implantation was performed and reported by the team two years later, in 1960. The first longterm success with this operation led to its immediate acceptance throughout the world as Dr. Chardack CONNECTORS FUEL CAPSULE THERMOPILE DC/DC C0NVERT0R CIRCUITRY HERMETICALLY SEALED CASE PULSE GENERATOR DEMAND CIRCUITRY I S 0 T 0 P I C POWER SUPPLY Cross-sectional diagram ol the nuclear-powered unit. �One of the most recent electric pulse generators with conventional batteries. The first two patients, Anthony /. Tasca and Robert L. Peck, to receive nuclear pace­ makers in this country. the treatment of choice for this condition, which carried a 50 per cent mortality within a year after diagnosis and until then was un­ beatable by other means. Well over 100,000 patients have now been treated by such devices as well as pacemaker systems of increasing sophistication. And the surgical group at the VA Hospital have been prominently associated with many of the new techniques developed over the sixties. The latest, the plutonium-fueled pulse generator perfected by a French engineer/physician team and an American pacemaker manufacturer, uses circuitry and electrodes developed from the original design concepts of the Buffalo team. There are a number of related fields also covered by the VA Hospital's surgical service investigators. They are paired pulse stimulation of the heart and studies on ventricular fibrillation re­ ported on in cooperation with the hospital's chief of cardiology Dr. David C. Dean and Japan's Dr. Hiroshi Ishikawa. But, said Dr. Chardack, the laboratory has also made contribu­ tions to other fields. "Experimental and clinical applications of synthetic substitutes for skin used in treating third-degree burns were reported on in the sixties. And the introduction of cryosurgery by Dr. Maurice J. Gonder for treatment of prostatic obstruction and of cryosurgery for cancer in general by Dr. Gage have also received international attention and recognition."• 4 THE BUFFALO PHYSICIAN �A total of 22 alumni, wives, and guests attended the American Medical Association Convention alumni reception at the St. Francis Hotel, San Francisco on June 19. Mr. David Michael, director of medical alumni affairs, hosted the reception. Two Alumni Receptions Those attending were: Doctors Richard and Mrs. Ament, M'42, Buffalo; E. R. and Mrs. Auden, Minnesota, guests; William and Mrs. Ball, M'37, Warren, Pennsylvania; Charles Bauda, M'42, Buffalo; Philomena Bauda, M'42, Buffalo; Ron Friedman, M'68, Santa Monica, California; Fred and Mrs. Goldstein, M'56, 1000 Oaks, California; H. W. Hale, Jr., Phoenix, guest; Annabel Miller Irons, M'46, La Can­ ada, California; Don LaPlatner, M'60, St. Petersburg, Florida; William P. and Mrs. Magenheimer, M'44, Waterloo, New York; Joel and Mrs. Paull, M'71, Buffalo; Sam Sanes, M'30, Buffalo; Miss Mildred Spencer, Buffalo, guest; Barry and Mrs. Weinstein, M'69, Rochester, New York. Mr. Michael also hosted the American College of Surgeons alumni reception held in October in San Francisco at the Hotel St. Francis. There were 72 alumni, faculty, wives and guests attend­ ing. Doctors Richard Albert, Los Angeles (guest); Roland and Mrs. Anthone, M'50, Buffalo; John and Mrs. Ambrusko, M'37, Buffalo; Joseph G. Antkowiak, M'60, Pittsburgh; Robert M. Barone, M'66, Buffalo; Delmer E. Batcheller III, M'51, Canandaigua, New York; Charles and Mrs. Becker, M'38, Buffalo; Willard and Mrs. Bernhoft, M'35, Buffalo; Herbert Berwald, M'27, Napa, California; William and Mrs. BlaisdelI, M'59, Albuquerque; David A. Bloom, M'71, Los Angeles; Mr. Ronald Brown, Los Angeles (guest); Richard J. Buckley, M'43, Buffalo; Joseph S. Calabrese, Buffalo (faculty); Thomas Cummiskey, M'58, Buffalo; Donald DeLeutis, M'59, San Francisco; Joseph M. Dziob, Buffalo (faculty); Jack C. Fisher, M'62, Charlottesville, Virginia; Vincent P. Frantz, M'64, Houston, Texas; Ronald F. Garvey, M'53, Dallas, Texas; Michael and Mrs. Gianturco, M'55, Buffalo; John G. Gleichauf, M'62, Sante Fe, N.M.; Francis Hammond, Los Angeles (guest); Glenn C. and Mrs. Hatch, M'28, Penn Yan, New York; Robert C. and Mrs. Hatch, M'61, Modesta, California; David B. and Emma Harrod (both faculty), Buffalo; William C. Hernquist, M'44, Wichita Falls, Texas; John and Mrs. Ingall, Buffalo (faculty); Wendy Jacobson, San Francisco (guest); Byron H. Johnson, M'45, Fresno, California; Harris H. Kanel, M'57, Riverside, California; Marvin and Mrs. Kurlan, M'64, Allentown, Pa.; Charles and Mrs. Leone, M'29, Erie, Pa.; Karl Manders, M'50, Indianapolis, Ind.; Randolph J. and Mrs. McConnie, M'43, Santurce, P. R.; J. P. and Mrs. Nesselrop, San Francisco (guests); Eustace Phillies, M'38, Buffalo; E. and Mrs. Pollack, California (for­ mer E. J. Meyer resident); Albertus W. Rappole, M'37, Virgin Islands; Bert W. and Mrs. Rappole, M'66, Tucson, Arizona; Vea J. and Henry Riegler, Temple, Texas (guests); Bernard and Mrs. Shapiro, M'57, Ansonia, Conn.; Carrol J. Shaver, M'44, Elma, New York; Russell C. Spoto, M'59, Thousand Oaks, Calif.; William J. Staubitz, M'42, Buffalo; Mr. James Stephens, University of Western Ontario (guest); Samuel A. Weissman, M'69, Rochester, New York; Robert H. Wilbee, M'59, Las Cruces, New Mexico; Charles Wiles and Jane Wiles (both M'45), Buffalo; Jean D. Williams, M'68, Buffalo; Richard W. Williams, M'64, Buffalo; Donald Yacht, M'59, Palo Alto, Cali­ fornia.• WINTER, 1972 5 Dr. M. Luther Musselman is the new chairman of the admissions committee at the Medical School. The 1937 Medical School graduate has been on the faculty since' 1947. He was in military service in 1943-44. He is a clinical asso­ ciate professor of medicine and assistant director of the University Health Service. �Prognosis from New SLE Test Drs. Reichlin, Mattioli Predicting which patients with systemic lupus erythematosis (SLE) will have a low probability of developing renal complications is now underway at the Veteran's Hospital. It is through a test involving a precipitin reaction in gel with serum from the patient (Ouchterlony Test) by Drs. Morris Reichlin (professor of medicine and research professor of biochemistry) and Martha Mattioli (research instructor in medicine) to identify an antibody to a nuclear RNA protein. Said Dr. Reichlin, "if precipitating antibodies to RNA protein antigen are present, it is a good prognostic sign. For the patient will rarely develop kidney disease." He pointed out that response to treatment for this group of patients is very good. "Many will improve spontaneously without specific medication," he said. "Therefore unless indications are strong, treatment should not be aggressive." Other correlations made by the investigators reveal that patients who make anti-RNA protein antibodies rarely possessed antibodies to DNA (complement-fixing antibodies to ssDNA). "The presence of the latter correlates well with the presence of renal disease," Dr. Mattioli said. This test has important predictive significance for in large groups of lupus patients a little more than half (60%) will get kidney disease, a leading cause of death. Said Dr. Reichlin, "the symptoms may disappear but the blood test remains the same. Antibodies to the RNA protein tend not to fluctuate and are present whether the patient is ill or well. While the cause of this disease is unknown or why patients make either antibodies to DNA or antiRNAprotein, we have accomplished something empirical which is useful." In the past, the only specific laboratory test for the diagnosis of SLE has been antibodies to DNA, long known to be quite specific for SLE patients. Antibodies to RNA protein seem also to be quite specific for these patients while patients with other connective tissue disease (such as rheumatoid arthritis) do not make antibodies to the RNA protein. "Our test," Dr. Reichlin said, "represents a further refinement in establishing prognosis and diagnosis in SLE." Over a five-year period the investigators have been performing this test and have found 39 positive cases (for antiRNAprotein) out of a total 130 SLE cases. While patients with this anti-RNA protein do have a more favorable prognosis, the answers to why there are so many immunologic reactions or the pathogenic mechanism of many of the clinical findings remain obscure. Concluded Dr. Reichlin "it is hoped that the correlation of specific immunologic reactions to specific clinical events will lead to a greater understanding of the disease."• 6 THE BUFFALO PHYSICIAN �Dr. Ehsan Afshani, assistant professor of pediatrics and radiology, with his new equipment. Dr. fames R. Markello, assistant pro­ fessor of pediatrics, with a young patient. The basement and the first two floors of the new Children's Hospital $15 million out-patient and research building are functioning. This part of the building includes a new emergency-room, acute disease clinics and an observation unit on the first floor. And eventually all 34 of the out-patient clinics will be located in the new building. The radiology department is occupying more than two-thirds of the second floor and the intensive care unit has been expanded from 12 to 18 beds. Three other clinics — surgery, eye and orthoptics — have been completed. Also in operation is an expanded X-ray department, pharmacy, administrative offices, admissions, chapel, gift shop and front lobby. The other four floors will be completed during the next several months. The bright, cheerful building is decorated with great splashes of red, yellow, blue with purple and orange accents.Q WINTER, 1972 7 �Thank you, Mrs. Lyle; ladies and gentlemen. I am here today as a surrogate for many persons: —for the two women of this community who in 1892 founded The Children's Hospital; —for all those women who in subsequent years have demon­ strated the continuity of concern that has provided basic support for the progress of this hospital; —for the physicians who have practiced here and have been primary shapers, not just of the hospital, but of the whole field of pediatric medicine; -for those nurses and other health specialists whose care and commitment have characterized and been essential to the hospital's development; President Ketter speaking at the dedication -for the administrators and their staffs whose first allegiance has not been to bureaucracy but to a vision of expanded achieve­ ment; —for the many women who have been patients in this the only children's hospital in the United States and Canada which has an obstetrical division; —for the infants and children whose fear and pain have been alleviated here, or who have been helped to cope with what they do not comprehend; and finally, I stand here as a surrogate A Hospital University Partnership by President Robert L. Ketter -for the University faculty and students in the Health Sciences who have been an integral part of the hospital since 1926, when pediatric instruction was first offered here to students in our School of Medicine. From this tentative beginning forty-six years ago, the relation­ ship between the University and The Children's Hospital has emerged as one which strengthens both institutions. Today, as we dedicate this new out-patient and research building, the prospects are favorable for a continued strengthening of the partnership. For some years, the University has shared in the compensation of the hospital-based faculty member; never before has it assumed any responsibility for monetary compensation to the hospital for space that is utilized for academic purposes. This aspect of the partnership has changed. In his address at the Children's Hospital dedication ceremonies President Ketter announced that he had signed a letter of intent to lease 45,000 square feet of space from the hospital. The annual rent­ al would amount to approximately $500,000. Each of the five schools in the Health Sciences — dentistry, health related professions, medi­ cine, nursing, pharmacy — will be using some of the new classroom and research space, Dr. Ketter said. I have today signed and officially transmitted a Letter of Intent for the University to lease space over and above what it now uses in its academic programs at the hospital. Although the letter is addressed to Mrs. Lyle, the President of the Board of Directors of the Hospital, I do not believe it is inappropriate to read to you one sentence of its contents on such an auspicious occasion: "It is the purpose of this letter to indicate the intention of the State University of New York at Buffalo to enter into further agreements with The Children's Hospital of Buffalo to lease approximately 45,000 net square feet of University dedicated space within the Hospital specifically designed and con­ structed to meet the unique educational requirements of the University which, because of its proximity and access to the clinical programs of Children's Hospital, has particular educa­ tional and teaching significance." 8 THE BUFFALO PHYSICIAN �I should note that the contractual arrangement in question should result in the realization by the Hospital of approximately $500,000 per year. This letter adds a new dimension to the legal relationship of affiliation between The Children's Hospital and the University. The hospital undoubtedly will experience some degree of budgetary relief. The University's Faculty of Health Sciences, with each of its schools using hospital facilities, will benefit greatly from the availa­ bility of new classroom and research space. This is especially true in view of the University's decision not to build a teaching hospital on its Amherst or Main Street Campuses. In the years ahead, the strengthened relationship between the University and the hospital should generate even more of the medical advances which have brought both national and interna­ tional attention to this community institution. Highlights of this progress include the unique development of a total program of "maternal and child health" — a program which now seems likely to undergo additional growth with the appointment of our new Chairman in the Department of Gynecology-Obstetrics. The first open heart surgery in the United States for the trans­ position of the great vessels on infants was performed here in this hospital. The hospital continues to be noted for its achievements in cardiovascular surgery; and its treatment of heart ailments has attracted children from great distances, even from foreign countrres. Significant contributions have been made here to the work that has been done in polio and epilepsy. Research conducted at Children's has uncovered new knowl­ edge for the improved treatment of kidney ailments in children. The "Guthrie Test" for the detection of PKU was developed here. And the list could continue. Research activity such as this is essential to providing im­ proved health care. So is the teaching function which the hospital An interested audience �fulfills for our students in the Health Sciences. Together they con­ tribute to the quality of care available to the persons who use this hospital; and it is the provision of this care which constitutes the hospital's third function. Not one of these purposes could be adequately served without proper facilities. The dedication of this new building and the impending contractual arrangement between the hospital and the University go far toward assuring the continued availability of the resources necessary for the hospital to fulfill its mission. Fifty years ago, in 1922, the first out-patient department at The Children s Hospital was established. The enormous increase in this type of care is well known; and the demand seems likely to g r o w , e s p e c i a l l y if w e a d o p t s o m e f o r m o f n a t i o n a l h e a l t h i n s u r a n c e . Nowadays, more than 75,000 visits are made annually to the out­ patient units in this hospital, and the new building we dedicate today provides the most modern facilities for these persons. The primary beneficiaries of this accomplishment will be the citizens of Buffalo and Western New York, who constitute the bulk of the hospital's out-patients. Therefore, the building symbolizes for me the community service which has been a hallmark of the hospital since its founding. Yet the hospital has been more than a community servant. In many respects, it has been a community venture. For instance, the importance of community-based volunteer groups to the hospital is well documented. The Tanner Building at the east end of this new construction was the result of a community financed effort. But perhaps the most dramatic illustration of the hospitalcommunity interdependence occurred in 1944, when Western New York experienced a devastating polio epidemic. More than fourfifths of the hospital's existing beds for children were given over to polio victims. For other illnesses, only patients in need of emergency treatment were admitted. �The main lobby Eventually, 706 positive diagnoses of polio were made and the patients hospitalized at Children's. Hundreds of others were exam­ ined and released. Every available space in the hospital was filled, including living rooms and conference and classrooms. The problems of what to do with the many children who needed extended care was solved when a prominent family made available a large indoor tennis court which was transformed into a temporary hospital annex. This was typical of the community sup­ port during those months of crisis. Volunteers came to serve meals and wash dishes; business executives came nightly to clean; entertainers came to perform. The Department of Education brought school to the annex; the Fire Department brought hospital-prepared meals through the snow on fire trucks; the scouts brought scouting. The community and hospital response to the crisis was total; and I believe the spirit still exists for such cooperation and service. This building certainly is an affirmation of it. Therefore, the dedication we make today should be to the continuation of the service The Children's Hospital has long pro­ vided to this community; t o the service it has rendered through its provision of health care and its teaching and research. Most im­ portant, we should make our dedication to the children who will benefit from this new building and the activities which will occur here. Isadora Duncan once wrote that "so long as little children are allowed to suffer, there is no true love in this world." Today, the University at Buffalo looks forward to a long relationship with The Children's Hospital and its efforts to show that such love can indeed exist.D WINTER, 1972 11 �Drug Abuse Plateau i One of the nation's leading drug experts warned physicians to be on the lookout for some of the "bizarre complications" that are being reported as a result of use of inadequately sterilized needles of heroin addicts. "One of these is the fatal invasion of the valves of the heart by an organism known as pseudomonas and another is meningitis caused by fungi," Dr. Donald B. Louria said. He is pro­ fessor and chairman of the department of preventive medicine and community health, College of Medicine and Dentistry of New Jersey, Newark. Dr. Louria spoke at the 52nd annual Trends in Internal Medicine program of Continuing Medical Education. The author of "The Drug Scene" and "Overcoming Drugs" also predicted much more malaria among drug users in the next several months. But he believes drug abuse has reached a plateau in America and is on the wane. This is what most of the current studies tell us. The physician believes such programs as "TIP—Turn in a Pusher" is wrong. "It is absolute disaster to have 100 or so 'square type kids' spying on one another in our schools. Introducing this hate technique is bad. You can't introduce hate and keep it only to the pusher." Dr. Louria went on to say that it is important to control the supplies that come into this country. "This is a societal problem and society must do something to make young people feel happy and wanted. Such unhappy and alienated students will only become more alienated by such programs as 'TIP'. Statistics show that the more alienated the student, the more apt he is to smoke marijuana frequently and to seek greater relief from more powerful agents. The pusher who sells him the marijuana may introduce him to other drugs or his companion may do so." "We must offer young people alternatives — playgrounds, athletics, work—to drugs. We must motivate people to get off drugs and be productive, successful citizens. Leisure time and boredom play right into the hands of the pushers." Dr. Louria told the symposium that studies indicate that the more frequently a student uses marijuana, the more likely he is to use other drugs. "If he smokes marijuana only occasionally his chances of going on to other drugs is only one out of five. If he uses marijuana more than twice a week, this increases to one out of two, and if he smokes it at least once a day, his chances of becom­ ing involved with other drugs rises to three out of four." Studies of 20,000 reasonably affluent high school and junior high school students in Northern New Jersey indicate that approxi­ mately 35 per cent used marijuana at least once, but only 15 per cent use it regularly, the physician said. "Five to eight per cent of the students use LSD and about the same number take speed and heroin intravenously. One of the alarming factors is that four to five per cent of the students in ninth grade are already on heroin or cocaine. Use of cocaine, which can be taken by mouth, injection or snuff, is increasing while the others have slowed down." Dr. Louria believes that methadone is the best program to combat heroin addiction but called for stronger controls to prevent it from getting on the street. 12 THE BUFFALO PHYSICIAN �D r . L a w r e n c e J. N e m e t h , c l i n i c a l i n s t r u c t o r i n p e d i a t r i c s a n d director of the adolescent drug program at Children's Hospital, spoke about the Erie County program. " W e have treated about 200 patients in the inpatient and outpatient program last year, and 40 per cent were over 21 years of age. We had some problems with the under 18-year-olds who didn't want their parents to know they were on hard drugs. But generally our problems are not as great as those of the New York City area." Dr. Nemeth hopes there can be better co-ordination among the 80 Erie County agencies dealing in drug a b u s e . • $5.5 Million to Roswell Park Roswell Park Memorial Institute received the largest federal grant ($5,523,822) in its 75-year history to build a cancer cell center in the block bounded by Ellicott, Carlton, Oak and Virginia streets. The grant amounts to almost one-third of the total construction funds set aside by the National Cancer Institute for the entire country. The cell center will probably be completed in 1975, according to Dr. Gerald P. Murphy, director of the institute. He is also a research associate professor of surgery (urology) at the Medical School. Dr. Murphy also received a one-year federal grant of $108,703 to help develop a national prostatic cancer project.• Child Psychiatry Director D r . T h o m a s F. A n d e r s i s t h e n e w d i r e c t o r o f t h e d e p a r t m e n t o f child psychiatry at Children's Hospital. He is also an associate pro­ fessor of psychiatry and pediatrics at the Medical School. Dr. Anders has been at the Albert Einstein College of Medicine since 1967. He has also been on the faculty of Columbia Psychoanalytic Clinic and the Columbia University Nursing School. Dr.. Anders received both his A.B. and M.D. degrees from Stan­ ford University in 1956 and 1960. He interned at Mount Sinai Hos­ pital, New York City. He was an assistant resident in pediatrics at the Children's Hospital Medical Center, Boston (1961-62) and senior resident in psychiatry, Columbia University College of Physicians and Surgeons and the New York State Psychiatric Institute, New York City. The new director has been an assistant visiting physician at Morrisania Hospital; an assistant and adjunct attending psychiatrist at Montefiore Hospital and Medical Center; and senior investigator a t t h e R o s e F. K e n n e d y C e n t e r f o r M e n t a l R e t a r d a t i o n a n d H u m a n Development, Albert Einstein College of Medicine. He holds a cer­ tificate in psychoanalysis from Columbia and was certified by the American Board of Psychiatry and Neurology in 1970. He has written several papers on the newborn.• WINTER, 1972 13 �Lawrence Millhofer, a second-year medical student, visits with head nurse (2nd floor) Mrs. Antoinette McCuire and Mrs. Dorothy Fuller, LMP, at the Wyoming County Hospital, Warsaw. An Upstate (Syracuse) Medical student, Leo Scarpino (white jacket) and a fourth-year UB physical therapy stu­ dent, Philip Morris, visit with a patient at the Jamestown W.C.A. Hospital. Miss Judith Stoyell, a fourth-year nurs­ ing student, and Mrs. Patricia Stopen, director of public health nursing, Wy­ oming County. Judith hopes to go into Public Health Nursing after graduation. THE BUFFALO PHYSICIAN �Rural Health Care "It was a fantastic summer experience in rural health care." That was the consensus of 34 Health Sciences students who participated in the third annual eight-week summer externship program in Western New York. The students in the Schools of Medicine, Den­ tistry, Pharmacy, Nursing, and Health Related Professions partici­ pated in the program. They were almost unanimous in their praise for their preceptors and how they went out of their way to help them get involved in community activities and affairs. The students liked the direct patient contact and they loved the rural living and the friendly environment. They were well accepted by the health professionals and the patients in the communities where they worked and lived for two months. One future physician said, "almost all the patients accepted me as a doctor and discussed their problems and ailments quite frankly. I was accepted well by the doctors, nurses, and other hospital per­ sonnel. In fact, any limitations placed on my activities were selfimposed. Areas where I lacked knowledge, I would let the doctor take over." Mark Twichell, a dental student said, "I got a better idea of rural health care and the local people liked the idea of a student being in the dental office." Lynn Piersall, a medical technology student said, "It was an invaluable experience. I learned many skills that I could only learn through a concentrated clinical practice." John Frischholz, a pharmacy student said, "It was a stimulating experience for me. Many of my unanswered questions were an­ swered." Richard Walcott, a medical student said, "I only wish the ex­ perience could have been 12 weeks or longer." Linda Fremming, a nursing student said, "I had the opportunity to observe, participate and learn about medicine and to see the patient and his problems." Other general student comments: "Most people as patients seemed happy to help 'young doctors' by reviewing their signs and symptoms; the people of both the hospital and town accepted me and it resulted in several new friendships; medical practice was quite sophisticated and very excellent; initially I held a stereotyped view of rural medicine as being inferior to or behind that of larger city hospitals. I have found this to be completely false. I discovered that small doesn't necessarily mean inferior, and rural should not be equated with behind the times." Robert Mohr, a medical student, outlined his experiences as follows: the first week was an orientation of the W.C.A. Hospital (Jamestown), its services and personnel; the second and third weeks were in the office of Dr. Carl F. Hammerstrom where I received an overview of the practice of an internist—helping with physical exam­ inations, blood tests, and taking histories; the fourth and fifth weeks WINTER, 1972 15 Joe Dolce, fourth-year pharmacy stu­ dent, and Ray Hunt, chief pharmacist, Brook Memorial Hospital, Dunkirk, check an order. Mark Twichell, a second-year dental student observes as Dr. Robert Watson of Gowanda examines Randy Agle's teeth. �we observed surgery; the sixth week we viewed pediatrics with Dr. Woodward; the seventh week was in maternity with Dr. Messinger; and the eighth week with Dr. Sinatra in family practice. "I spent my evenings in the emergency room where the phy­ sicians were extremely helpful. It was here that I had a chance to try out my diagnostic skills. I also spent time in physical therapy, speech and hearing, social service, with visiting nurses, dietary, coun­ ty health services and inhalation therapy. I saw all facets of medical and health professions. All areas of the hospital were open to us and we were able to communicate with the other students and medical and hospital staff," Mohr said. Listed below are the host preceptors, participating hospitals, the 34 health sciences students (college listed if other than UB), and their disciplines: Marge Wilhelm, fourth-year physical therapy student, and Dr. Wesley Sly, head of the department of physical therapy at Brook Memorial Hospital, Dunkirk, adjusting the head traction machine. Jamestown, N. Y. - H. Gregory Thorsell, MD'57; George Lawn, PhT, DM; Bert Klein, DPM (W.C.A. Hospital). Students — Robert Mohr, medicine; Philip Morris, physical therapy; Leo Scarpino (Upstate Medical Center-Syracuse) medicine; Steven Weinberg (N. Y. College of Podiatric Medicine), podiatry. Dunkirk, N. Y. — Ray Hunt, R.Ph; Edmund Tederous, MD'43; Ronald Passaforo, MD; Wes Sly, PhT, DM (Brooks Memorial Hospital). Students—Joseph Dolce, pharmacy; Nicholas Fuerst, medicine; Margaret Wilhelm, physical therapy. Olean, N. Y. — Rena Houghton, RN; Arthur L. Beck, MD'57; Anthony Torre, PhT; Sister Mary Josephine, medical technologist; Donald Jones, R.Ph (St. Francis Hospital). Students—Dorothy Ackerman, nursing; Dave Lillie, medicine; Mary Opalinski, physical ther­ apy; Lynn Piersall, medical technology; Patti Witt, pharmacy (University of Texas-Austin). Two students, Bob Mohr, second year UB medical student, and Steve Wein­ berg, New York College of Podiatry, observe as a nurse takes a patient's blood pressure at the Jamestown W.C.A. Hospital. Wellsville, N. Y. — Richard Green, R.Ph; Thomas Wick, PhT (Jones Memorial Hospital). Students — Michael Kellick, pharmacy; Deirdre Robinson, physical therapy. Portville, N. Y. — Duncan Wormer, MD. Student — John Marra, medicine. Dansville, N. Y. — Victor Breen, MD'40; Calvin Waterbury, R.Ph; Jean Goings, RN (Dansville Memorial Hospital). Students — David Breen, medicine; Albert Campagna, pharmacy; Richard Ferreras, medicine; Linda Fremming, nursing. Salamanca, N. Y. — David Widger, MD (Salamanca District Hospital). Student—Charles Natalizio, medicine. Gowanda, N. Y. — Fred Occhino, DO; Robert Watson, DDS. Students —Anibal Rivera (University of Puerto Rico), medicine; Mark Twichell, dentistry. Warsaw, N. Y. — Fred Heller, PhT; James MacCallum, MD'37; Patricia Stopen, RN (Wyoming County Hospital). Students — Richard Baumgardner, physical therapy; Lawrence Millhofer, medicine; Judith Stoyell, nursing; Richard Wolcott, medicine. Bradford, Pa. - Dorothy Ekas, RN; Lloyd Cannedy, PhD; Dorothy Blacklock, social worker (Bradford Hospital). Students — Amy Colella (University of Pittsburgh), nursing; David Klein (Mt. Sinai Program Hospital Administration), hospital administration; Bridget Robinson (Mt. Holyoke College), social work. 16 THE BUFFALO PHYSICIAN �Newfane, N. Y. — Lee Vermeulin, R.Ph; John Argue, MD'35 (Newfane-lnterCommunity Hospital). Students — John Frischholz, pharmacy; B. Dale Magee (Upstate Medical Center-Syracuse), medicine. Lockport, N. Y. — Christine Dini, LPT (Mount View Hospital). Stu­ dents — Kurt Elander, physical therapy; Steve Cash, physical therapy. Rotating Dental Project - Donald Bissell, DDS. Student - Carol Herzlinger, dentistry.D Children's Hospital and the School of Medicine will co-operate in a multi-faceted investigation of hereditary and environmental factors that affect a baby in its mother's womb. The three-year study is being done under a $500,000 grant from the National Institute for Child Health and Human Development. The principal investigator is Dr. Ronald G. Davidson, professor of pediatrics and director of the Division of Human Genetics at Children's Hospital. The goal of the project is to develop better techniques for prenatal detection of defective infants in time to treat them before birth, if possible, or to give a mother the option of having an abortion and trying again for a normal baby. Two research assistant professors of pediatrics, Drs. Mario Rattazzi and Patrick Carmody, are providing biochemical data for other researchers as well as information on a large group of in­ herited diseases which lead to degeneration of the nervous system resulting in severe mental retardation and early death. Seven other Medical School faculty members associated with Children's Hospital are participating in the project and their areas of research are: —The effect of environmental factors that may cause birth de­ fects by altering heredity-controlling genes, Dr. Judith A. Brown, re­ search instructor in pediatrics and Dr. Anil B. Muhkerjee, research assistant professor of pediatrics. —Possible effects of drugs taken by women who may be preg­ nant but are still unaware of the pregnancy, Dr. Sumner Yaffe, pro­ fessor of pediatrics and co-investigators. They are working with laboratory animal embryos and with volunteer human mothers. —The potential role of viruses and other infectious agents for the developing baby and ways to detect before birth the baby that is damaged by such infection, a team headed by Dr. Pearay L. Ogra, associate professor of pediatrics. —The role of immunoglobulins and white blood cells in the de­ velopment of mechanisms for resistance to infections, Dr. Margaret H. MacGillivray, associate professor of pediatrics. —The ability of the developing embryo to produce hemo­ globin, Dr. Robin Bannerman, professor of medicine, and Dr. Martha Kreimer-Birnbaum, research assistant professor of medicine and biochemistry. They hope to learn more about the mechanisms of normal blood development and abnormal development in diseases such as sickle cell disease.D WINTER, 1972 17 Detecting Defective Prenatals �A Better Test Gonorrhea Dr. Apicella in his lab at the Meyer Hospital A better serologic test for gonorrhea may stem from the research work of Dr. Michael A. Apicella in the unit of infectious disease, Department of Medicine. Studies in this laboratory have resulted in the isolation of the beta antigen of Neisseria gonorrhoeae from the crude alkaline extracted endotoxin of this organism. Says Dr. Apicella "studies of purified constituents from the cell wall of this organism might help to eliminate cross reactivity with other bacterial antigens, a major problem in serologic tests proposed for use in detection of acute gonococcal infection today." When the SUNY at Downstate graduate (1963) arrived in Buffalo two years ago, he had already studied the isolation and physicochemical properties of the capsular antigens in several sero­ types of Neisseria Meningitidis (while serving in the U. S. Air Force as director of the infectious disease research laboratory at Lackland Air Force Base). But, with the rise in venereal diseases and an urgency for the practical application o^ research to medicine, his laboratory added the study of gonococcal cell wall antigens for ultimate use in serologic testing systems to its continuing work on meningoccal antigens. A Buswell Fellow, Dr. Apicella began to experiment with an extract of the gonococcus previously described by Dr. Johann Maeland, a former Buswell Fellow in the Center for Immunology. From this crude preparation, Dr. Apicella was able to isolate purified beta antigen. The yield, extremely low, required approximately five grams of dry organisms to produce eight to ten milligrams of anti­ gen. Immunochemical analysis indicated the antigen to be an acidic glycoprotein free of gonococcal alpha antigen and common entero­ bacterial antigens. Explained Dr. Apicella, "recent epidemiological studies indicate that a large reservoir of asymptomatic individuals with acute gono­ coccal infection exist in our population. But, unlike Syphilis, little is known about the effect of long-term gonococcal infection in these individuals. However, they serve as a source for acute debilitating infection in others, necessitating therapy with potentially allergenic drugs and resulting in considerable loss of man and woman power. In addition, the gonococcus potentially can invade the blood stream of some infected individuals usually causing arthritis and, more rare­ ly and ominously, endocarditis. A serologic test, which could detect acute gonococcal infection, is the only way to eliminate the asymp­ tomatic carrier and halt the recent spiral in gonococcal infection, which has made this organism the causative agent in America's No. 1 reportable bacterial infection."• 18 THE BUFFALO PHYSICIAN �D r . W a y n e L. J o h n s o n h a s b e e n n a m e d p r o f e s s o r a n d c h a i r m a n o f the department of gynecology-obstetrics at the Medical School. He will also be chief of the gyn-ob service at Children's Hospital. He comes to Buffalo from the Indiana University School of Medicine where he has been a professor since 1969. He was also on the attending staff of Coleman Hospital, Indiana University Medical Center, and chairman of gyn-ob at Marion County General Hospital. Dr. Johnson received his medical degree from the University of Virginia School of Medicine in 1954. He interned at Cleveland Metropolitan Hospital and took his residency at the University of Virginia Hospital. He was a medical officer in the United States Army for two years (1955-57), and was on the faculty at the Univer­ sity of Virginia and the University of Washington Medical Schools after returning from the service. In 1967 Dr. Johnson was a special consultant for Project Hope in Peru and at Madigan Army Hospital, Tacoma, Wash, in 1968-69. He has authored or co-authored 40 papers. He is a Fellow in the American College of Obstetricians and Gynecologists and a Diplomate in the American Board of Obstetrics and Gynecologists. Dr. Johnson will assume his new duties in January.D Dr. Johnson Named Gyn/Ob Chairman mJi Dr. Johnson Chinese Medical Student Hing Har Lo, a Chinese born American citizen, is a third year student in the School of Medicine. She is o n e of approximately 400 Chinese students at the University. Before coming to Buffalo she worked for five years as a radiation physicist at the Massachusetts General Hospital. In May Hing Har Lo was awarded the Grace Le Gendre Fellow­ ship of $1,000 given by the New York State Federation of Business Professional Women's Clubs. The Amherst BPW sponsored her. Hing Har Lo received her bachelor's degree from Adelphi University, Garden City, N. Y. and her master's from Cornell University, Ithaca. She completed high school in Hong Kong. Her father was a repre­ sentative of General Electric in China. The family left for Hong Kong on the last commercial flight out of Chung King several years ago. She has two brothers and a sister in North America (California, Florida, Vancouver, B.C., Canada). Last summer Hing worked in research in immunology at the University. She hopes to specialize in nuclear medicine. She is proud of her U. S. citizenship and deems it a privilege to work and study in this country. "I am glad President Nixon visited China and I hope the two countries are drawn closer together. Although I am opposed to Communism, I always will have a feeling of love for the country of my birth," she said.D WINTER, 1972 19 Hing Har Lo �Students and faculty participate in a give-and-take session. Two second-year medical students, Donna Hanlon and Patricia Hart, are awed by the new revised manual. This manual is the "core" of the material that stu­ dents should know and be able to use. New Teaching Techniques in Pharmacology 20 THE BUFFALO PHYSICIAN �Students will list their top three choices and most are matched with their first choice. T H E PHARMACOLOGY DEPARTMENT h a s developed a new look based on variety, flexi­ bility, self-instruction and responsiveness to student needs. New teaching techniques and a newly revised manual are features of the basic medical course to start in January for 130 sec­ ond-year students. There will still be class lectures, but they constitute only about one-half of the scheduled class hours. Other learning opportunities in­ clude panel discussions, clinical conferences, demonstrations, seminars, films, tapes, and spe­ cial topic sessions, said Dr. Cedric Smith, pro­ fessor and chairman of the pharmacology de­ partment. All lectures and panel discussions will be taped and available for review by the students. "We will use problem and case-centered learning more extensively. This will encourage the utilization of knowledge as opposed to memorization for facts only," Dr. Smith said. " O u r basic goal will still be teaching stu­ dents the way drugs act and their rational use in therapy." "We will continue to prepare examinations to assist students in their own assessment and to help them identify areas of weakness. Stu­ dent input and discussion following each exam­ ination permits reinforcement of the material as well as improvement in the quality of the scoring. The examination, as well as student evaluations, makes it possible for the staff to continually improve the quality and effective­ ness of their instruction." Of perhaps most significance is an informal student group of 6-12 members chosen by the student class to meet periodically with no more than two staff members to discuss informally any problems that either students or staff have. These discussions have proven most fruitful to both groups last year and serve, in large part, to identify problems and to prevent bigger dif­ ficulties from arising. "These innovations clearly indicate the dedi­ cation of the staff for the teaching process," commented Dr. Smith. "We all look to con- Dr. Edson X. Albuquerque, professor of pharmacology, demons strates the new tape recorder to second year medical students, Jan Schwartz and William Hall, who is president of his class. One of the new learning tools will be a newly revised manual which will be a "core" of substantive material that all students of medicine should know and be able to use. This includes an outline of essential material as well as reference material and recommended reading. There are also problems and questions usually taken from medical case histories. Students will also have special topic sessions of two to three hours per week for five to eight weeks in groups of 5 to 12. In this period the students will have more than 14 options that include laboratory demonstrations, clini­ cal rounds, seminars by the students, inde­ pendent library work, formal classes and clinics. In these the students choose from a variety of topics — such as neurochemical aspects of p s y c h o t r o p i c d r u g a c t i o n , al c o h o l i s m , p h a r m a ­ cology in anesthesia, cancer chemotherapy, drug regulations, pediatric or neo-natal phar­ macology, clinical pharmacology, digitalis and heart function and behavioral pharmacology. WINTER, 1972 21 �Dr. Robert I. Mclsaac, professor of pharmacology, uses charts in his seminar sessions. tinued improvements." He sees the most press­ ing challenges as: (1) More flexibility in scheduling and greater utilization of self-instructional and selfpaced programs for both "core" ma­ terial and special topic activities, with the focus on problem and case-centered learning. (2) The introduction of rational drug man­ agement and clinical pharmacology so that eventually two courses, one pri­ marily basic and one primarily clinical, would be available. (3) Facilities and services that respond rap­ idly and efficiently to faculty needs in developing new educational programs.n Continuing Medical Education Eight Continuing Medical Education Conferences are tentatively scheduled beginning in January and ending in June. For further information contact Mr. Charles Hall, director of continuing medical education, at 2211 Main Street or call (716) 831-5526. Other pro­ grams will probably be added. January 4-May 31, Clinics in Physical Examination of the Heart Patient and Arrhythmia Workshops (20 Thursday evenings); Feb­ ruary, Modern Concepts of Coronary Care; April 4-6, Pediatric Endocrinology; April 6-7, Spring Clinical Days (sponsored by Medi­ cal Alumni Association); April 14-15, Anesthesiology; May 3, Post Operative Infections (with WNY Chapter, American College of Surgeons); May 16-18, Fetal and Neonatal Monitoring; June, Pedi­ atric Refresher Seminar.D 22 THE BUFFALO PHYSICIAN �Many people visited the basic science departments. Dr. Om P. Bahl, professor of biochemistry, explains some of his research. Dr. lack Lippes, associate professor of Cyn/ob, talks about family planning. Community-University Day It was a rainy Sunday afternoon, but 5,000 people came to the campus for the 2nd annual Community-University Day (open house). The Medical School did its share of "selling" the University to the community. The Medical School tested for Sickle Cell Anemia and had an exhibit on the "Physiological Effects of Transcendental Meditation." There were tours of the Amherst Campus and some 80 displays and exhibits (including moon rocks, movie­ making and computers). There were concerts by several musical groups, art exhibits and theater, as well as athletic events and demon­ strations. Others visited with President Ketter, faculty members and students. WINTER, 1972 23 �Polluted Waters Threaten World's Protein Supply Waters polluted by methyl mercury threaten the use of protein for human and animal consumption. That's what a biochemical in­ vestigator and expert on water pollution at the University found following a 290-day study on rainbow trout. Fed but a single dose of methyl mercury, Dr. Edward Massaro calculated that it would take the rainbow trout more than 1000 days to lose half of the pol­ lutant from their bodies. But, he warned, this would be true only if they were never again placed in a mercury-polluted environment. About half of the total original mercury dose is stored in the skeletal muscles (the edible portion) of the fish (55 percent of its weight). Seventy percent of the total mercury in the fish was found in its muscle tissue at 100 days. Only nine percent of the initial dose was lost by the fish during the last 190 days of the experiment. Through isotopic labeling, the associate professor of bio­ chemistry determined to what tissues mercury is distributed in the fish as well as how long it is retained. The blood, gills, spleen and liver took up high concentrations of methyl mercury at the fastest rate, one hour after feeding, reaching its maximum at seven days and dropping by day 100 to a third of its original value. However, uptake of mercury in the muscle, brain, and lens of the eye proceeded at a much slower rate and these organs held the pollutant the longest. While it took 60 days for muscle and 34 for the brain to reach maximum levels, the lens continued to take up mercury after 250 days. Perhaps, said Dr. Massaro, methyl mercury is a precipitating factor for the cataracts found by Japanese investi­ gators in some fishes. Dr. Massaro What are the implications for man? With a greater demand for protein as the population increases, an efficient way of removing mercury from lake waters may have to be found. Levels were very low in the brain of the fish — high concentrations would be lethal. Underway is a project by Dr. Massaro on the effect of mercury on the mammalian brain — learning and behavior. By introducing low levels of mercury intraperitoneally, the investigators — a team of biochemists and psychologists — observed rapid changes in brain metabolism and behavior of the mouse as well as prolonged mercury uptake in the brain. What are the implications for learning and of behavior in humans? Explained Dr. Massaro, "no one has looked at what effects very low levels of different toxic elements have on living systems, on behavior, etc. How much does it take to disrupt brain metab­ olism? What are the mechanisms that determine toxic material storage in the human?" Investigation currently underway on children intoxicated with lead are encouraging but until sufficient experimentation with ex­ perimental animals is concluded we cannot have all of the answers, he said. "Another area we would like to explore are the synergistic effects of a variety of different toxic materials on the human." Concluded Dr. Massaro, "pretty much the same kinds of things are going on in other species of fish as well. We must get going on the problem of water pollution and start working, in a serious way, on its many ramifications/'D 24 THE BUFFALO PHYSICIAN �New International Journal T h e first i s s u e o f a n e w i n t e r n a t i o n a l j o u r n a l d e v o t e d t o p r o m o t i n g , on a worldwide basis, the rapid dissemination of original work on all aspects of immunology, has just been published. It is immuno­ logical Communications, founded by The Center for Immunology of the School of Medicine. The six issues to be published each year are of eminent value to immunologists, biochemists, microbiologists, virologists, cell biologists, molecular biologists, pediatricians, sur­ geons, and those involved in internal medicine and cancer research. Its e d i t o r i a l c o m m i t t e e o f f i v e f r o m t h e U n i v e r s i t y u n d e r c h a i r ­ m a n D r . N o e l R. R o s e ( p r o f e s s o r o f m i c r o b i o l o g y , a s s i s t a n t p r o f e s s o r of medicine, and head, The Center for Immunology) are Dr. Pier L. B i g a z z i , r e s e a r c h a s s o c i a t e p r o f e s s o r o f m i c r o b i o l o g y ; D r . S t a n l e y Cohen, professor of pathology and acting head, The Center for Immunology; Dr. Allan Grossberg, research professor of micro­ biology; Dr. Morris Reichlin, professor of medicine and research p r o f e s s o r o f b i o c h e m i s t r y ; D r . C a r e l J. v a n O s s , p r o f e s s o r o f m i c r o ­ biology. A n d its 2 9 - m e m b e r e d i t o r i a l a d v i s o r y b o a r d i n c l u d e s m o s t o f the internationally renowned researchers in the field of immunology f r o m t h e U . S., C a n a d a , E n g l a n d , F i n l a n d , A u s t r a l i a , T h e N e t h e r l a n d s , Israel, Czechoslovakia and Japan.• Community Psychiatry Grant The Division of Community Psychiatry at the University has been awarded a $148,000 grant from the National Institute of Mental Health to measure the quality of mental health services. The threeyear project, headed by Dr. Jack Zusman, director of the Division and professor of psychiatry, has been supported for the past two years through funds from the United Health Foundation of Western New York, a United Fund agency. According to Dr. Zusman, "millions of public and voluntary dollars are spent annually in this community without any scien­ tifically v a l i d m e a n s o f a s s e s s i n g t h e q u a l i t y o r e f f e c t i v e n e s s o f t h e (mental health) services supported by these funds. Spending mil­ lions of dollars on services and only pennies to evaluate these s e r v i c e s is a f a l s e e c o n o m y a t b e s t . " T h e u l t i m a t e p u r p o s e o f t h e r e s e a r c h is t o d e v e l o p t h e s c i e n t i f i c t o o l s t o e n a b l e a n a g e n c y t o d e t e r m i n e t h e a d e q u a c y o f its s e r v i c e s a n d p i n p o i n t a r e a s w h i c h need improvement^ WINTER, 1972 25 �Dr. George Thorn, Emeritus Professor A. N INTERNATIONALLY respected endocrinologist, Dr. George Widmer Thorn is far more than a recognized expert on disturbances of t h e adrenal gland. He is the e p i t o m e of t h e medical triad; a teacher, clinician and researcher. Born in Buffalo, New York, in 1906, he attended the College of Wooster for two years and then entered the University of Buffalo School of Medicine, receiving the M.D. degree in 1929. Lor six years he remained at Buffalo, first as a house officer (1929-30) at the Mil­ lard Lillmore Hospital and then as an assistant in the dfepartment of physiology and medicine. It was during this time that he collabor­ ated with Dr. frank A. Hartman in preparing a crude form of adrenal-cortical extract used in the treatment of Addison's disease. These compounds compensated for the body's lack of cortisone and restored the natural sodium-potassium balance. Although "cortin" did not cure Addison's disease, it arrested its progress so that patients could again lead useful lives. In 1934 Dr. Thorn came to Harvard Medical School as a Rocke­ feller fellow in Medicine. Shortly thereafter (1936) he accepted an associate professorship of medicine at Johns Hopkins School of Medicine. He returned to Harvard in 1942 when he was appointed to the oldest and most distinguished chair in American medicine as Hersey Professor of the Theory and Practice of Physic. Simul­ taneously he became Physician-in-Chief at the Peter Bent Brigham Hospital, positions he now holds. In 1968 Dr. Thorn, with his ap­ pointment as Samuel A. Levine Professor of Medicine, became the occupant of two endowed chairs. Dr. Thorn's research has concentrated on endocrinology and metabolism. He pioneered in studies of salt and water metabolism, the effects of high altitude on adrenal function, the myopathy of thyroid disease, and he has made significant contributions in further­ ing medical knowledge of diabetes mellitus. George Widmer Thorn, M.D. Hersey Professor of the Theory and Prac­ tice of Physic, and Sam­ uel A. Levine Professor of Medicine, Harvard Medical School and Head of the Depart­ ment of Medicine at the Peter Bent Brigham Hospital; Physician-inChief, Peter Bent Brigham Hospital. On June 30, 1972 Dr. Thorn be­ came Emeritus Professor.• But perhaps his greatest contribution is his research on corti­ sone and ACTH (adreno-corticotropic hormone) and the develop­ ment of its use in the treatment of numerous diseases. He was among the first to show that complete adrenalectomy could be performed in man, and he initiated the earliest work in human kidney transplantation at the Peter Bent Brigham Hospital. In 1946, Dr. Thorn was attracted to the possibility of making an artificial kidney along the lines of that originally designed by Dr. Kolff, who, shortly after the War, told o n e or two American scientists about this development. Dr. Thorn immediately gathered around him an able team to construct this kidney and by 1948 and 1949, Dr. Thorn's Department was the first in the United States to have an active dialysis program for the treatment of renal failure. Dr. Thorn used this not only to treat renal failure, but as a basis for his later interest adrenalectomy for hypertension, in the patho­ physiology for advanced renal disease, and for his collaborative work with the Department of Surgery in the initial trial of kidney transplantation. This was done in 1951, and could not have occurred without Dr. Thorn's interest in dialysis and his original and pioneer­ ing work in the use and construction of an artificial kidney. 26 THE BUFFALO PHYSICIAN �More recently Dr. Thorn has devoted a substantial portion of his research and teaching interests to cardiovascular diseases. A major aspect of his endeavors has been in the diagnosis and treat­ ment of patients with hypertension. Through his efforts, stand­ ardized procedures have been developed, particularly for those patients with remediable hypertension due to adrenal gland overfunction and to kidney disease. Dr. Thorn is a highly respected teacher, known for his lucid presentations. His skill in the design, execution and interpretation of clinical experiments has been transmitted to many generations of Harvard Medical students who have gone throughout the world to extend his teachings in diverse fields of scientific investigation and clinical practice. His laboratory at the Brigham often has been called "a medical U.N." Dr. Thorn is one of the founding Editors of the medical text­ book "Principles of Internal Medicine" which has pioneered in new technics of presenting medical material to students as well as to practitioners. This textbook is now distributed on a world-wide basis and regularly translated into several languages. He is also the author of a monograph on Addison's Disease. He presently is on the Advisory Board of the "American Journal of Medicine". National and international awards bestowed upon Dr. Thorn are numerous. He holds eight honorary degrees: Harvard (1942); Dalhousie (1950); Temple (1951); Queens University, Ontario (1954); Over 700 physicians trom Canada and the states attended a two-day immunodermatology Workshop in june. During the conference, directed by professor of microbiology Ernst H. Beutner and his microbiology associates, clinical assistant professors Clark Triftshauser and William Hale, and assistant professor Russell Nisengard, the regis­ trants — practicing dermatologists and internists — were exposed to reviews and demonstrations of current meth­ ods for immunopathologic studies of skin diseases and its relation to other diseases involving auto-aggression. There were demonstrations of procedures for available diagnostic methods and a review of basic concepts to laboratory findings. Among the teaching faculty — all experts in the field — were microbiology chairman Felix Milgrom, Mayo Clin­ ic's Robert Jordon and Warsaw Academy of Medicine's Tadeusz Chorzelski. Co-sponsors of the two day con­ ference were the microbiology department, the Rochester Dermatology Society and the Eastwood Pharmacology Company of Buffalo.O �Medical Society of the State of New York Cocktail Party Hosted by: SUNY at Buffalo Medical Alumni Association David K. Michael Open to: All Alumni and Friends Monday, February 12, 1973 Royal Ballroom, B Americana Hotel New York City Medical Alumni Association 1973 Spring Clinical Days Statler Hilton Hotel April 6 & 7 Guest Speaker: Leonard Wood­ cock, President UAW, speak­ ing on Universal Health In­ surance Program will feature: Clinical Pharmacology with emphasis on drug reactions and inter­ actions as applied to all areas of clinical practice. 1973 REUNION CLASSES April 6-1923 April 7-1928, 1933, 1938, 1943, 1948, 1953, 1958, 1963. (details later) Louvain University of Belgium (1960); Suffolk (1961); College of Wooster (1963); and the University of Geneva, Switzerland (1965). Among his honors are: the American Medical Association's Gold Medal; Alvarenga Award; Gordon Wilson Medal of the American Clinical and Climatological Association; John Philips Memorial Award of the American College of Physicians; Modern Medicine Award; the George Minot Award of the American Medical Associa­ tion; and the Julius Adams Stratton Prize for Cultural Achievement from the Friends of Switzerland. Dr. Thorn is a fellow of the American Academy of Arts and Sciences, a member of the Executive Committee of the Corporation, Massachusetts Institute of Technology, a member of the Association of American Physicians (president, 1969-70), and a member of the American Clinical and Climatological Association (president, 195859), American Physiological Society, American Society for Clinical Investigation, Endocrine Society (president, 1963), Society for Ex­ perimental Biology and Medicine, Federation of American Societies for Experimental Biology, the Royal College of Physicians (Great Britain), the Royal Society of Medicine, the Royal Academy of Medicine of Belgium, Commander in the Order of Hipolito of Unanue, Peru, the Norwegian Medical Society and honorary mem­ ber of the Indian Society of Endocrinology. He is a Master of the American College of Physicians, Consultant to National Medical Care, Incorporated and Chairman of the Editorial Board of Medical Communications, Incorporated. Dr. Thorn is also a member of the Swedish Medical Society. Dr. Thorn will continue his activities as Director of Medical Re­ search of the Howard Hughes Medical Institute; as an editor of the PRINCIPLES OF INTERNAL MEDICINE; as a member of the Executive Committee of the Corporation, Massachusetts Institute of Tech­ nology; and effective last July 1 he began his duties as Editor-inChief of the MEDCOM Faculty of Medicine.• A Moral Issue A 20-minute film—"Witch Hunt of a Doctor" — that deals with a controversy over a moral issue at the Medical School in the 1850's has been produced by the Lakes Area Regional Medical Program. Co-operating in the venture was the Erie County Medical Society, the Medical Society of Western New York and the Health Sciences Faculty at the University. The film tells the story of Dr. James Piatt White, professor of obstetrics at the Medical School, bringing 22 medical students to a basement to witness a birth by an unwed mother. This was the first clinical observation by students in the United States. One member of the community wrote some letters to a Buffalo newspaper noting this practice by Dr. White as immoral and indecent. A court case ensued. The film describes the court trial and the birth of the baby.Q 28 THE BUFFALO PHYSICIAN �Artist's drawing of planned expansion at The Buffalo General Hospital. New build­ ing, at left, would be 73 sto­ ries high instead of the 76 as shown, but could be ex­ panded to 76 stories at some future date. Construction is expected to start in the spring of 1974 for the $75,800,000 expansion and modernization of the Buffalo General Hospital. Hospital officials are seeking agency approval and funding. A major feature of the building program will be incorporation of the hospital's emergency and outpatient clinics into an ambulatory services program that will provide continuous care for residents of the neighborhood as well as others in the hospital referral area. This will be in the basement of the new building. The project includes: —Expansion of the present Rudolf G. Hils Building from the cor­ ner of Ellicott and Goodrich Streets, horizontally to High Street and vertically to 13 stories over-all. The existing building is just four stories above ground. —An increase of the hospital's inpatient bed capacity to 704 from 689. A total of 589 of the 704 beds would be located in the Hils Building and the other 115 in the adjacent West Building, opened in 1951. —Demolition of the East Building, constructed in 1896, and elimination of the large patient wards located there, one of which has 27 beds. —Modernization of the West Building, Clifton Memorial, the first part of which was opened in 1917, and the South Building, opened in 1933. Non-conforming operating rooms will be eliminated and a new suite of operating rooms opened on the second floor. New diag­ nostic X-ray facilities will be on the third floor. Outdated electrical and ventilation systems will be revised. Office and laboratory space will be expanded for related teaching, research and development programs. Rogers, Butler, Burgun and Bradbury of New York City, who developed the hospital's long-range building program in 1964, are the architects. Phase I was completed and put into operation in November of 1969.• WINTER, 1972 29 $75.8 Million Expansion For BGH �Allergic Disease Center A husband and wife M.D. team, Atsuko and Tadao Okazaki, are working on histamine estima­ tion with Dr. Arbesman. BUFFALO has been added to the National Institute of Allergy and Infectious Disease network of nine allergic disease centers. One of only two to be funded this year, it will be directed by Dr. Carl E. Arbesman, clinical professor of medicine and microbiology who heads the allergy research laboratory at both the Buffalo General and Children's Hospitals. Under a $57,470 grant (it will cover the first year of a three-year The seven original Centers, estab­ lished in June 7977, are located at: Robert B. Brigham Hospital, Bos­ ton; Johns Hopkins University, Bal­ timore; Washington University, St. Louis; University of Wisconsin, Madison; Scripps Clinic and Re­ search Foundation, La Jolla, Calif.; and Children's Asthma Research Institute and Hospital and National Jewish Hospital and Research Cen­ ter, both in Denver, Colorado. In July of J972 two new centers were established at the University of Michigan and Buffalo General Hospital.• program) he will work with entomologists, biochemists and others in the field to find better methods of protection for the vulnerable from serious insect stings. From the venom of bees, wasps, hornets, and yellow jackets — more deaths in this country due from these than from poisonous snakes — the multidisciplinary team will try to develop more specific and effective extracts for use in immuniza­ tion against such stings. Said Dr. Arbesman who has contributed over 300 publications to the literature as well as a new tool to study various immunological factors involved in allergy — the anti E globulin, "reactions to sting­ ing insects may range from local swelling, disability for several days, hives, difficulty in breathing, to serious anaphylactic shock and death. It is this type of patient that we are most concerned about." 30 THE BUFFALO PHYSICIAN �Migration inhibition factor studies occupy the time of Drs. Lynne Burek and Konrad Wicher. Drs. tynne Burek and Robert E. Reisman do cell sensitization. Dr. Dorland Davis, director, National Institute of Allergy and Infectious Disease; Dr. Luz Froehlich, assistant for clinical programs; Dr. Arbesman, Dr. Reisman, and Dr. William Cay, associate director of extra-mural program for NIAID. �Allergic diseases, which affect over 31 million, take their toll in disability rather than in deaths. And they are the principal cause of disability for the "under 17" age group while the second or third major cause for the "under 45" category. Three National Institute of Allergy and Infectious Disease officials toured the unique research and clinical allergic disease facilities in Buffalo following award of the grant. Said its director Dr. Dorland Davis, "there are tremendous components in Buffalo for the new allergic disease center. The University itself is well staffed with highly-trained immunologists, the hospitals have ex­ cellent clinicians with great skills and interests, and Roswell Park is one of the leading institutions in medical science. We believe that through this concentration of resources—both in terms of pro­ fessional effort and funds—we can accelerate the process by which recent advances in immunology can be more effectively applied to the care of the allergic patient." Dr. Davis pointed to only four projects and $80,000 in grants in 1955 as compared to 280 projects and $15 million in grants today. In establishing these centers for allergy research he pointed to the Institute goal of better diagnosis, prevention and treatment of allergic diseases. "We hope that knowledge gained through these centers will result in better care for those who suffer the debilitating effects of allergy."D Dr. John Wypych and Peggy Kayne examine the fraction collector. Dr. Arbesman's multidisciplinary team: Dr. Robert E. Reisman, clini­ cal associate professor in medicine, pediatrics; Dr. Konrad Wicher, as­ sociate professor in microbiology and research assistant professor in medicine; Dr. John Wypych, re­ search instructor in microbiology and research assistant instructor in medicine; Dr. Willard K. Elliott, professor in biochemistry; Dr. Anthony Yurchak, research assis­ tant professor in medicine; Dr. Tadao Okazaki, research assistant instructor in medicine; Dr. Yosuke Fujita, research assistant professor in medicine; Dr. Allen Benton, as­ sociate professor in entomology; and consultant Dr. Noel Rose, pro­ fessor of microbiology, assistant professor of medicine and director of The Center for Immunology_• �A $630,000 federal grant has been awarded the Lakes Area Regional Medical Program by HEW to underwrite an emergency medical s e r v i c e s s y s t e m i n Erie C o u n t y a n d a H e a l t h E d u c a t i o n C e n t e r i n Erie, P e n n s y l v a n i a . D r . J o h n R. F. I n g a l l , d i r e c t o r o f L A R M P , s a i d t h e s e f u n d s w i l l b e u s e d t h r o u g h A p r i l 3 0 , 1 9 7 3 . T h e Erie C o u n t y Health Department will receive $250,000 and the Pennsylvania center $325,000. The remaining $55,000 will underwrite administra­ tion of the two projects. Both grants may be renewed in subsequent y e a r s if t h e p r o j e c t s p r o v e e f f e c t i v e . The development of the Lakes Area Health Education Center i n Erie, P e n n s y l v a n i a c a m e i n t o b e i n g a s a r e s u l t o f t h e 1 9 7 1 C a r n e g i e Commission Report on Higher Education and the Nation's Health, which proposed the establishment of 126 such centers in the United S t a t e s . T h e p u r p o s e o f t h e s e c e n t e r s is t o p r o v i d e b a s i c a n d c o n ­ tinuing education programs locally for health care professionals, which ultimately will improve the quality of health care delivered in and around the surrounding areas of the center. The LAHEC project has received some previous funding from the Veteran's Administration in Washington and St. Vincent Hospital and Hamot M e d i c a l C e n t e r o f Erie, P a . M i c h a e l C . J. C a r e y o f Erie is d i r e c t o r o f t h e LAHEC p r o j e c t . D r . R o b e r t T. R e n z , o f Erie, s e r v e s a s p r e s i d e n t o f LAHEC. D r . I n g all a l s o a n n o u n c e d t h a t a n e m e r g e n c y m e d i c a l s e r v i c e s system, designed to improve health care by establishing a functional e m e r g e n c y m e d i c a l s e r v i c e s s y s t e m i n Erie C o u n t y a n d e v e n t u a l l y to surrounding communities, will receive $250,000 from the new grant to establish this service. The project was developed by the Erie County Emergency Medical Care "Blue Ribbon" Committee, w h i c h s e r v e s in a n a d v i s o r y c a p a c i t y t o Erie C o u n t y H e a l t h C o m ­ missioner Dr. William Mosher, and the Lakes Area Regional Medical P r o g r a m . T h e s y s t e m is a r a d i o c o m m u n i c a t i o n s n e t w o r k w h i c h will link persons concerned with emergency medical needs such as individual crises to community-wide disasters. Radio equipment will be phased in over a three-year period to hospitals, ambulances, police and fire departments, fire base stations, transit authority, etc., for this use. The project also has an educational component where­ by over the next three years, some 5,000 ambulance and rescue squad attendants will receive special training. The program, Medical E m e r g e n c y T e c h n i c i a n (MET) is m a n d a t e d f o r c o m m e r c i a l a m b u l a n c e attendants and strongly recommended for volunteers by New York State.D S630 000 Gf3.nt ' Two grants have been awarded to a Buffalo microbiologist, Dr. Carel J. v a n O s s . U n d e r t h e f i r s t , a $ 3 2 , 8 0 0 t h r e e y e a r N a t i o n a l I n s t i t u t e s of Allergy and Infectious Diseases grant, the professor of microbi­ ology at the Medical School will continue studies on bacterial sur­ faces, virulence and complement sub-factors responsible for phago­ cytosis. In the second grant, a three year $100,227 National Institute of General Medicine grant, he will continue studies on separating blood serum proteins by ultra-filtration.• Microbiology Grants WINTER, 1972 33 tO LARMP �New Approach to Understanding Hallucinogens There is a new approach to understanding hallucinogens. It grew out of an idea of Dr. Jerrold C. Winter's, an associate professor of pharmacology, who felt that investigating stimulus properties of these drugs might prove informative. "As is true of many of my ideas," Dr. Winter said, "nothing came of it until I was able to convince a graduate student that it might be an interesting topic for a dissertation." The student, Dr. Ira Hirschhorn (he is now at the Medical College of Virginia) ex­ amined the stimulus properties of Mescaline and LSD in rats for two years, finished his thesis and, in Dr. Winter's words, "left me with the sure knowledge that the major emphasis of my personal research program would soon shift to the study of hallucinogens as discriminative stimuli." Explained Dr. Winter, "a traffic light may be thought of as a discriminative stimulus. A feature of our environment, it has come to control a part of our behavior as a result of our prior history of training. If a color-blind investigator had to determine whether a light was red or green he might put the problem to a number of motorists in the guise of a traffic signal and observe their behavior. "If a majority stopped upon encountering it he would conclude that the light was red. But if most drove on by it the color had to be green. Our investigator would thus obtain a nonverbal answer to an unspoken question." Similarly, continued the pharmacologist, by applying well-es­ tablished principles of behavior, communication can be established with nonverbal species or, he explained, "we can in a limited but very well-defined sense talk with the animals and they talk back." Dr. Winter In an experiment with rats, the stimuli are two colorless liquids — one a salt solution and the other containing a hallucinogen such as Mescaline — not red or green lights. Following injection of the drug, some of the lever-press responses made by the animal are reinforced by delivery of food. However, following treatment with saline, no responses are reinforced. They may be punished by de­ livery of a mild electric shock. A pattern of responding soon emerges. On days when mesca­ line is given, bar presses occur at a high rate. When saline is the treatment, response is almost nil. Said Dr. Winter "if we have been careful to rule out all other features of the animal's environment as possible cues, even in this simple experiment we have established a discrimination. Without words we have been told by the rat that it can tell the difference between saline and mescaline." In actual practice while many animals are used in precisely de­ fined experimental designs the principles remain the same. Not only can questions be asked about hallucinogens (as well as closelyrelated nonhallucinogenic drugs) but, as Dr. Winter said, "we can also begin to apply the techniques of neurochemistry and neuro­ pharmacology to the analysis of a behavioral phenomenon. Whether we will learn more about behavior or about hallucinogens is a moot question." A practical application of this investigator's work is the evalu­ ation of new drugs for hallucinogenic activity before they are used in man by comparison with known hallucinogens. Whatever im34 THE BUFFALO PHYSICIAN �portance the abuse of hallucinogens may have, Dr. Winter believes that "it is insignificant when compared with the potential good to be derived from an understanding on the mechanism of action of hallucinogens and the light such understanding may shed on the biological bases of mental illness." Following training as an organic chemist at the University of Rochester Dr. Winter served in the U. S. Navy for three years (he now spends one night a week teaching oceanography to fellow Naval officers). Upon release from active duty in 1962 he came to the University to earn a PhD in pharmacology (1966) and after post­ doctoral training at the University of Rochester Medical School, was invited to return to the University as a faculty member.D New Dermatology Chairman Dr. Richard L. Dobson has been named professor and chairman of the department of dermatology at the School of Medicine at Buf­ falo. He assumed his new duties June 1. He comes to Buffalo from the University of Oregon Medical School, Portland, where he has been an associate professor and professor of dermatology since 1961. He was also a senior scientist at the Oregon Regional Primate Research Center from 1964 to 1968. Dr. Dobson served on the University of North Carolina Medical School faculty from 1957 to 1961. During the 1969-70 year he was on sabbatical as a visiting pro­ fessor of physiology, Catholic University, Nijmegen, The Nether­ lands. Dr. Dobson was born in Boston, did his undergraduate work at the University of New Hampshire in Durham, and received his M.D. in 1953 from the University of Chicago School of Medicine. He interned at the Cincinnati General Hospital (Ohio) in 1953-54. He was a Fellow in dermatology at the Dartmouth Medical School, Hanover, New Hampshire from 1954 to 1956. Dr. Dobson was a Public Health Service Research Fellow of the National Institutes of Health in 1956 and an assistant in dermatology at the Hitchcock Clinic, Hanover, N. H. in 1957. Dr. Dobson has been active in several national and international professional organizations in dermatology and physiology. He has addressed international groups in Japan, Switzerland and Washing­ ton, D. C. Dr. Dobson has authored or co-authored 100 articles for professional publications. He is a Fellow of the American Associa­ tion for the Advancement of Science, the American College of Clinical Pharmacology and Chemotherapy and the American College of Physicians. He is listed in Who's Who and American Men of Science.O WINTER, 1972 35 Dr. Dobson ��' -9 The 1976 Class at Orientation It was a new world for the 135 new medical students (15 more than last year) who arrived on campus early for two days of orientation. There were many "welcomes" — one by Dr. Albert Somit, executive vice president of the University who promised "some significant changes here in the four years before you." As the Main Street campus is vacated he expects to see Health Sciences expand until "about the time you graduate most of this campus as you now see it will be a Health Sciences campus." He also pointed to an entirely different educational program four years hence that is as yet undefinable and perhaps a profound change in the medical profession where "in the doctor's role house calls may be reinstituted." WINTER 1972 �From Vice President of Health Sciences and acting dean of medicine Dr. Clyde Randall, a tribute for the promise shown by each one who sits in this freshman class as well as a reminder of the 30 who apparently did not make it for your place. There was also an assurance that a new vice president for health sciences and a dean of medicine is expected within the next year. "You are a unique class," he continued. "For you reflect the new role of the female in medicine as well as in all aspects of our lives (about one fourth of this class are women)." But he admonished that the variety of possibilities offered by medicine leave no reason to feel stifled or handicapped at any time. And there were rap sessions with sophomores about what courses to take, how to study, etc., a picnic supper and reception to meet faculty. There were also registration, pictures, tours, ad­ vanced placement tests for some and finding a place to live for others. It was a busy, frustrating experience, but everyone adjusted. Dr. M. Luther Musselman, chairman of admissions, said his com­ mittee conducted over 600 personal interviews. "These were se­ lected from the 4,244 applications. There are 36 women in the class and several more minority students than last year. They all come from New York State except 14. Eight of the 14 come from seven states — California, Florida, Mississippi, North Carolina, Ohio, Penn­ sylvania, and Washington, while six others come from the West Indies and Africa. Most of the new students are science majors, but a few majored in German, History, Philosophy, English, French, Anthropology, Engineering, Political Economics and American Studies. The students come from 68 undergraduate colleges and universities." The Class of 1976 did some diagnosing during orientation. Pa­ tient A, a 39-year old former construction worker, was a heavy drinker. He exhibited nausea, vomited, had diarrhea as well as four major epileptic episodes. Could they, as freshmen on their second day of orientation, make a diagnosis? They did. It was acute alcoholism, the greatest drug abuse of our times. It had completely disrupted Patient A's life, now di­ vorced, unable to continue in construction work, self-employed when possible. Program moderator Dr. Joseph Aquilina told the freshmen that the patient who started to drink as a teenager slowly built up a tolerance to alcohol. When the second patient, a master electrician by trade, com­ plained of weight loss, bloody stools and anemia, the question was raised as to whether he drank or smoked. No, his last drink was taken two years ago. Yes, he did smoke a pack a day. A bleeding peptic ulcer was diagnosed for Patient B whose history of ulcers started back in 1949.• 38 THE BUFFALO PHYSICIAN �The Family Practice Center at Deaconess Hospital received a $108,000 federal grant to triple its program. There are 12 residents in training to become family practitioners. This will be expanded to 36 with the admission of 12 new graduates for two years. This center is o n e of 52 in the nation to share a total of $5 million allocated by the Division of Physician and Health Professions Education of the Bureau of Health Manpower Education, U. S. Department of Health, Education and Welfare. Dr. Ernest R. Haynes is director of the Family Practice Center which opened in October, 1970. The residents, who train here, spend their first year in the nearby hospital, coming to the center periodically for conferences and to see patients. The second and third years are spent at the center treating their own patients. There is a volunteer faculty of 12 family practitioners and more than 40 others, including other medical specialists, nurses, clergymen and social workers. There are 800 families consisting of more than 3,000 individuals enrolled in the program. Dr. Haynes said he plans to add a full time internist and a full time psychiatrist to his staff. The physical facilities of the center will also be expanded. A second grant of $50,000 a year for two years from the Lakes Area Regional Medical Program is being used to study the results of the center's health care team concept in preventing and curing disease. This program is closely affiliated with the newly-created department of family practice at the Medical School.• Dr. Murphy Promoted Dr. Walter T. Murphy, who has been chief of the department of radiation therapy at the Buffalo General Hospital since 1963, has been promoted to consultant of the department. The 65-year-old physician is a clinical associate professor of radiology at the Medical School. He is a 1930 Medical School graduate and did his surgical internship and residency at St. Francis Hospital, New York City. Dr. Yehuda Laor, who worked with Dr. Murphy for nine years, will be the new Chief of the department. Dr. Murphy will continue working in the department. The two physicians are looking forward to new facilities that are part of the hospital's expansion program. Currently the department treats about 100 patients a day in radia­ tion therapy and another 100 per week in the division of nuclear medicine Dr. Laor, a clinical associate in radiology at the Medical School, was born in Germany. He moved to Israel (then Palestine) as a child and was graduated from the Medical School of the University of Zurich, Switzerland in 1957. He returned to Israel for his internship and residency, then came to the Roswell Park Memorial Institute in 1962. He joined the Buffalo General Hospital in 1 9 6 4 . • WINTER, 1972 39 Family Practice Receives Grant �Dr. John H. Siegel is the new head of the department of surgery at the Buffalo General Hospital and professor of surgery at the School of Medicine. Dr. Siegel, who has been an associate professor of surgery at Albert Einstein College of Medicine in New York City, took over his new duties September 15. Dr. Theodore T. Jacobs, president of the hospital, said "Dr. Siegel brings to Buffalo an outstanding record of accomplishment in a broad area of medicine and surgery." The 39-year-old Dr. Siegel becomes the first head of surgery at the hospital since the retirement of Dr. John R. Paine in July, 1969. Dr. Elmer Milch of the BGH Medical Staff had been serving as acting head of the de­ partment. Dr. Siegel Dr. Siegel Named Surgery Chairman Dr. Siegel was Director of the Renal Transplantation Service at Albert Einstein and Associate Director of the Clinical Research Center-Acute at the same college. He was an attending surgeon at the hospital of the Albert Einstein College, as well as at the Bronx Muncipal Hospital Center. Born in Baltimore, Md., Dr. Siegel graduated from Cornell University in 1953 and received his medical degree from Johns Hopkins University in 1957. He served a straight surgical internship at Grace-New Haven Community Hospital-Yale Medical Center in 1957-1958 and did his residency in the department of surgery at the University of Michigan Medical Center from 1961 to 1965. His research training included being a Henry Strong Denison Fellow in Pharmacology at Johns Hopkins University from 1956 to 1957; a Cardiovascular Fellow, Department of Surgery, Yale Univer­ sity, 1958-1959; at the Laboratory of Cardiovascular Physiology, National Heart Institute, 1959-1961, and in Academic Surgery, De­ partment of Surgery, University of Michigan, 1962-1965. Dr. Siegel was director of the Cardiovascular Physiology Labora­ tory, Department of Surgery, University of Michigan School of Medicine, from 1962 to 1965. He then joined Albert Einstein as an instructor in surgery, becoming an assistant professor of surgery in 1967 and an associate professor of surgery in 1970. He has been an attending surgeon at the hospital there since 1966. Dr. Siegel has been the principal investigator in several projects for the National Heart Institute, as well as the National Institute of General Medical Sciences. He has published nearly 80 papers, many of them involving the use of computers to aid diagnosis of various conditions. Dr. Siegel recently took the lead role in implementing the use of computers to more accurately diagnose the conditions of patients who have suffered heart attacks. As reported in "Newsweek" magazine on April 3 (1972), Dr. Siegel, in collaboration with experts from IBM, used a small computer at the bedside of patients in the Clinical Research Center-Acute at Albert Einstein to more precisely decipher the results of cardiac catheterization. By use of the computer, Dr. Siegel and his research team found that they could obtain much more critical information from the chart. They found that the dye dilution curve on the chart would indicate the heart's pumping power and the area of heart muscle 40 THE BUFFALO PHYSICIAN �which is actually damaged. Using this data, the doctors could determine whether the patient's heart needed immediate mechanical support or surgery. Dr. Siegel said these indications were often obvious some hours before ordinary clinical signs of the patient's decline became evident, thus enabling doctors to make faster deci­ sions on methods to save the patient's life.D D r . P e t e r F. R e g a n , p r o f e s s o r o f p s y c h i a t r y a t t h e M e d i c a l S c h o o l , has accepted a two-year appointment in Paris, France to head a study of the health care education and services of several foreign countries. Dr. Regan will serve as consultant to the Organization for Economic Cooperation and Development (OECD) which is sponsoring the study. T> A "dYlS /lppOintment pQy P)p Pj>pafi ' & Dr. Regan explained that the study will involve a comparative international approach. "There are 24 nations which belong to the OECD and virtually all of these countries are in a turmoil regarding health care education and the resulting health care services," he said. Working out of the OECD headquarters in Paris, Dr. Regan will review the various ways in which these nations have structured their health care education system to meet actual service demands. As an example, Dr. Regan noted that there are approximately 200 health related professions. "It is necessary," he continued, "that persons from all these professions work together, but how well is a given country's health education system preparing its students to work together?" Dr. Regan indicated that the specific countries which will be involved in the study have not yet been determined. Dr. Regan joined the U/B faculty in 1964 as vice president for health affairs. In 1967 he was appointed U/B executive vice presi­ dent and served in 1969-70 as acting president of the University. Fie is presently a full professor of psychiatry and adjunct professor of higher education. A native of Brooklyn, Dr. Regan is a graduate of the Cornell University Medical College.D Three Medical School alumni opened a Family Practice Medical Center in Wyoming County Community Hospital in July at Warsaw, N. Y. Drs. Michael Smallwood and Robert Gibson, both of t h e class of 1969 and Frederick R. Downs, M'70, are the first group returning to the county under terms of the scholarships they received to help defray their medical education expenses. The three physicians have completed their residency in the family practice program at Deac­ oness Hospital, Buffalo. Dr. Gibson has two years of military service to complete before joining his colleagues in Warsaw. The Center will not be a clinic, but a private operation inde­ pendent of hospital administration. The physicians want to provide continual, not periodical, health care for families in the area. There have been 10 scholarship students since 1964 and seven plan to practice in the county. The others dropped out to practice elsewhere.Q WINTER, 1972 41 Rural Area Scholarships �RESEARCH STUDIES by a professor of biochemistry at the School of Medicine may not only help toward developing a better means of fertility control but improve those that are now available (the pill, etc.). Dr. Om Bahl has successfully isolated and analyzed a hormone from human pregnancy urine. It is the human chorionic gona­ dotropin or HCG, as it is termed, and becomes the first hormone of such complexity whose complete structure we now know. Pro­ duced by the placenta during pregnancy, it is responsible for the maintenance of pregnancy and early growth of the embryo. While production levels of this hormone rise during pregnancy, in certain types of cancer of the uterus that resembles pregnancy, production levels are even greater. Said the India born and University of Minnesota trained scien­ tist (Ph.D. biochemistry 1962), "not only can we now separate the two subunits of this molecule (its 231 amino acids and 55 sugars) but we can recombine them in the laboratory as well. And when we fully understand how this hormone works — our next phase of research is to unravel its various metabolic steps leading to an understanding of its complete mechanism of action — we will de­ velop a means of suppressing ovulation and thus prevent preg­ nancy." Malfunction of this hormone — one of its subunits may be formed in excess — may be responsible for certain diseases as well. Underway is a study by Dr. Bahl on the relation of this hormone to other complex molecules that may have a different function (such as thyroid stimulating hormone; other polypeptide sex hormones) but still share something in common with HCG. In a study on hormones produced during cancer of the uterus, Dr. Bahl is seeking the relationship to its cause as well as looking into other disease states where production of this hormone is greater than normal. In order to successfully analyze such a com­ plex molecule, painstaking plans had to be formulated. Said Dr. Bahl, "many of the postdoctoral fellows in my training program have contributed to this research." To analyze the carbohydrate portion of the molecule, specific enzymes were first isolated and characterized in the laboratory. Working on this phase from 1966 to 1968 was Dr. K. M. L. Agrawal. In characterizing the enzymes, specific chemical compounds had to be synthesized in the laboratory. From 1969 to 1971 Dr. K. L. Matta worked on syntheses of enzyme substrates. This was followed by successful application of enzymes to structure. Determination of the complex structure of protein came next. And the method used to separate for the first time the subunits of this molecule (on the beta subunit structure of HCG Dr. N. Swaminthan from 1970-71 and Dr. Robert B. Carlsen from 1971-present; on alpha subunit structure Dr. Ronald Bellisario from 1971 to present) are now being applied to the study of other sex hormones. All of these tools, which were developed in the Buffalo lab­ oratories to understand the structure of the HCG hormone are being applied to similar molecules involved in other key metabolic roles such as cystic fibrosis. They will be used on the next phase of their research — relating structure to hormone function, explained Dr. 42 THE BUFFALO PHYSICIAN �Bahl, who is now attempting to determine the primary site of action in the cell as well as isolate the receptor protein for HCG and other related protein sex hormones. By using modified forms of HCG a n d r e l a t e d h o r m o n e s h e w i l l s e e if a n y w i l l a c t a s i n h i b i t o r t o s u p ­ press ovulation and thus control fertility. Grants from the Population Council and the National Institutes of Health over a five year period in the range of about $200,000 have supported the five long years of carefully planned research that has led to the complete understanding of the structure of the first human hormone of such complexity, HCG.Q Dr. Vaughan Lab The Hematology Teaching Laboratory of Buffalo General Hospital h a s b e e n n a m e d t h e D r . S t u a r t L. V a u g h a n L a b o r a t o r y i n h o n o r o f the hospital's former director of clinical pathology and hematology. He was also director of its School of Medical Technology for 26 years. Dr. Vaughan, a 1924 Medical School graduate, died April 3, 1972. He was on the Medical School faculty for 43 years and joined the hospital staff in 1931. Dr. Vaughan served as director of clinical pathology and hematology from 1936 to 1966. A plaque bearing the new name of the teaching laboratory has been placed near its door. A second plaque memorializing Dr. Vaughan's "outstanding services" has been hung near the main door to the Hematology Laboratories.• Construction has started for the $91 million Comprehen­ sive Health Care Center adja­ cent to the E. I. Meyer Me­ morial Hospital. Five con­ tracts totaling $23.4 million have been awarded. Erie County expects to occupy the new facility in 1975. �Finding Cause of Infectious Diseases Quicker Dr. Caret ). van Oss (right) and Mr. Cetewayo F. Cillman (sitting, left), with the contact angle measuring apparatus. Mr. Cillman is depositing a drop of saline water on top of a fiat layer of bacteria, in order to measure its contact angle with the help of the telescope and goniometer, visible somewhat to the left of the middle in the photograph. Mr. Cillman is now writing his doctoral dissertation on this application of the contact angle method. A quick and easy test to determine the culprit for making a patient ill has resulted from the studies of microbiologist, Dr. Carel J. van Oss. In the body's first line of defense against disease, a process known as phagocytosis, bacteria are "eaten up" or destroyed by our white cells or neutrophils as they are called. Dr. Carel van Oss is editing three scientific journals. He is ex­ ecutive editor of "Preparative Bio­ chemistry," an international jour­ nal for rapid communication de­ voted to preparative methods and procedures in biological, immuno­ logical, pharmaceutical and clin­ ical chemistry, molecular biology, biochemistry and biophysics. He is co-editor of "Separation and Purification Methods," a new jour­ nal that will cover all areas involv­ ing the separation and purification of both simple and complex com­ pounds. Articles will deal with the separations of inorganic and or­ ganic substances as well as bio­ logical materials. The professor of microbiology is also on the edi­ torial committee of another new journal, "Immunological Commu­ nications." This international pub­ lication has been founded by The Center for Immunology at the Medical School. It will be devoted to promoting, on a world-wide basis, the rapid dissemination of original work on all aspects of immunology. "But," explained the professor of microbiology, "because bac­ teria differ in their surface properties, some get eaten up faster than others. When this rate of destruction is fast enough, we remain in good health. And when it is not, the invading cells go haywire and we get sick." Dr. van Oss has identified and measured the surface properties of different species of bacteria. He has correlated these data with the speed at which our white cells phagocytise or eat up various types of bacteria. This has been determined by the use of contact angles that a drop of saline water make with a flat layer of cells. In this very easy method that takes only a few moments, the angle reveals whether a dangerous germ is involved or not. If the bacterium is more hydrophobic than white cells, the angle will be larger than that of white cells and they will get eaten. When they are more hydrophilic they get wetted more easily and their contact angle is lower than that of white cells. These are the dangerous ones! However antibodies and complement can aid in increasing the angle, explained Dr. van Oss. Circulating neutrophils are like policemen. As soon as bacteria become sufficiently hydrophobic they get eaten up. The dangerous ones — the hydrophilics — are those that do not get recognized by the policemen or white cells. By tagging them with antibodies they will become more hydro­ phobic and thus get eaten up. 44 THE BUFFALO PHYSICIAN �The thermodynamics, which very satisfactorily explains why particles are ingested by white cells, was developed together with Dr. Wilhelm Neumann while he was working at SUNYAB's depart­ ment of chemical engineering (he is now at the University of Toronto). He succeeded in translating contact angles into interfacial free energies (something like surface tensions). Graduate s t u d e n t C e t e w a y o F. G i l l m a n c o n t r i b u t e d m u c h t o t h e m e t h o d o l o g y on contact angles. Said Dr. van Oss, these studies will also allow us to look for a new class of antibiotics that will help to increase the contact angle of bacteria and thus encourage phagocytosis to take place in in­ fectious diseases.D VA Hospital Director Mr. Joseph Paris, former assistant director of the Buffalo Veterans Hospital, succeeded John R. Rowan as director July 1. Mr. Rowan will become director of the Veterans Hospital in Lexington, Kentucky. Mr. Paris has been director of the Butler, Pa., Veterans Hospital since January 1971. He began his VA career in October, 1945. In 1955 h e was named assistant director of t h e Batavia, N. Y. VA Hospital. He came to Buffalo in the same capacity in 1968. The new director plans to keep his hospital in the forefront of medical technology. He noted that it is the nation's only hospital licensed to perform nuclear-powered heart pacemaker implants. " M e d i c i n e i s c o n s t a n t l y c h a n g i n g a n d if w e d o n ' t k e e p u p w i t h i t we'll be left behind. We're going to be in the business of implanting both nuclear and conventional pacemaker here for quite a while," Mr. Paris said. "Continuing close contact with the Medical School at the University is vital to successful patient care. By working with the Medical School we can develop our own potential to a maximum. "We also plan to expand the VA Hospital's connections with other city hospitals and regional VA hospitals. A program of com­ bining our resources is necessary because we've got to bring the high costs of hospitalization down. We can't keep competing and duplicating costly equipment and specialists' expertise in each hospital. A regionalization plan for Western New York VA Hospitals is now taking shape to make them all like one big hospital," the new director said. Mr. Paris sees his role as a three-pronged mission—patient care, education and research. In the area of patient care he hopes to develop a more sophisticated out-patient treatment clinic. He said the hospital is now drawing up plans for an ambulatory patient building "so we won't have to tell people who just have a cold to wait and come back for treatment when they have pneumonia. Also in the future plans is a new research building."• WINTER, 1972 45 �Two nurses with a patient in the clinic. The Lackawanna Community Health Center Dr. Arthur R. Goshin, clinical instruc­ tor in social and preventive medicine, and director ot the clinic. When Arthur R. Goshin was a third year medical student in 1968, he, several of his classmates, and some community residents had an idea. They wanted to do something about providing first-class health services in certain medically disadvantaged areas. Today, Dr. Goshin is directing that idea, the Lackawanna Community Health Center. "I am pleased with the enthusiastic acceptance of the Health Center by the community. An estimated 25,000 patient visits will be made at the Center this year," Dr. Goshin said. "The Health Center is attempting to provide to the community a comprehensive system of family-oriented health services. Em­ phasis is placed upon preventive and health maintenance care rather than episodic, acute-illness services. Medical care is of the highest quality and being rendered in a numane, personal, dignified manner. The Center is open from 9 a.m. to 9 p.m. Monday-Friday and from 10 a.m. to 1 p.m. weekends. An answering service puts a patient in touch with a physician at all other hours around the clock." 46 THE BUFFALO PHYSICIAN �The island of rounded dentists. community is Lackawanna's First Ward. It is a residential 7500 persons in some 2000 families whose homes are sur­ by industry. It has only one part-time physician and no The Health Center at 33 Wilkesbarre fills the void. Besides Dr. Coshin there are three full-time physicians—Drs. Jack Piazza and Carol Segal, both internists, and Dr. K. Vishnu Jain, a pediatrician. There are about 20 other part-time physicians work­ ing at the Center. The rest of the staff includes: four public health nurses, three licensed practical nurses, four senior public health aides, one nutritionist, one caseworker, one laboratory technician, two laboratory assistants, one X-ray technician, five office staff, two dental assistants, five part-time dentists, one dental hygienist, one bus driver. Most employees are residents of the 1st Ward Com­ munity. Dr. Carol Segal, clinical associate in medicine, with a teen-age patient. A family health worker, Barbara Swygert, visits with a patient at her home. The Health Center staff is divided into two multi-disciplinary health care teams. Each team is responsible for coordinating and providing primary services to about 1000 families. Sharing of re­ sponsibilities and team review of family health problems are the rule. Emphasis is placed upon problem follow-up and home visits. In addition, the mental health staff consisting of part-time psychi­ atrist, psychologist and psychiatric nurse frequently make family home visits. All mental health staff are affiliated with Unit 6 of Meyer Hospital. The Health Center operates under the aegis of the Erie County Health Department. Using the Lackawanna Center as a model, Dr. Goshin and the Health Department plan to open two additional family health centers this year within Buffalo's inner-city area. Addi­ tional such centers are on the drawing board for other areas of need within the County. The principal financial support for the program comes from collection of fees from patients' health insurance — Medicaid, Blue Cross and Blue Shield, etc. Any deficit is shared equally by the County and the State. The Health Center has a Board of Directors made up of con­ sumers of Health Center services. They are involved in establishing all major policies, hiring of all personnel, investigating all grievances. This board helps to ensure that services will remain relevant and ac­ countable to the community. The Health Center is also now operating the Addiction Treat­ ment and Rehabilitation Program. This program provides a wide range of medical, social and rehabilitative services to drug addicts. Methadone maintenance is one of the treatment modalities now being utilized. The program, when fully operating, will have a staff of about 30 treating over 300 heroin addicts.D WINTER, 1972 47 Dr. tin Woong Rho, clinical instructor in gynecology-obstetrics, visits with a patient. �"The public must be better informed on health resources," accord­ ing to a Louisiana physician. Dr. Joseph A. Sabatier told area health officials that individuals want their health problems and those of their relatives and friends solved immediately. "They expect this because of the tremendous advances made in science in the last decade or two." Health Resources The director of the Louisiana Regional Medical Program said "there must be a more appropriate distribution of benefits of science so that the general public can reap the profits and pleasures of scientific planning for health care to prospective planning for community commitment for health. We must increase our capacity for quality and quantity of service to the people. "We must have conversation between the providers and con­ sumers — conversation that is understood by all. The fate of RMP's depends upon all of us getting across to the community the specific information that identifies it with the community. RMP must be a real asset to all people involved in the delivery of health care," Dr. Sabatier said. In conclusion the physician said, "RMP must win public sup­ port by solving people's health problems. When this happens we will be accepted because we have developed a consistent image." • •pv t p i* Ur. l^araglia RctlfCS A physician who never refused a request for a house call (unless jn May after a 53-year career in he was too sic|< to go) retjrec| Dunkirk, New York. Dr. Joseph R. LaPaglia Sr., a 1919 Medical School graduate served his internship at St. Mary's Hospital, Roch­ ester. He was graduated from the Fredonia Normal School where he won a $100 Regents Scholarship. But the scholarship was not allowed at the UB Medical School. Two years later, in 1917, his class was disbanded and he entered the U. S. Army. During the 1918 Asian influenza epidemic he was assigned to Columbus Hos­ pital, then a 35-bed institution in Buffalo. He returned to Medical School later the same year. Dr. LaPaglia's interest in people overflowed into his personal life. He used his free time to serve his community as public school physician, school board member, city board of health and the selec­ tive service system. He has signed citations from four PresidentsHarry S. Truman, Dwight D. Eisenhower, Lyndon B. Johnson, Richard M. Nixon—for his dedicated and uncompensated service for the Selective Service System. Dr. LaPaglia also has an engraved bronze medal from President Truman and a special citation from President Johnson. In 1968 friends and citizens recognized Dr. LaPaglia for his long service in Fredonia. The following year the Medical Society of New York State honored the physician for his professional con­ tributions. Dr. LaPaglia is living with his son at 39 Longbrook Drive, Byfield, Massachusetts.D 48 THE BUFFALO PHYSICIAN �Experimental Surgery Providing an understanding of the importance of humane use of live animals in biomedical research is among the objectives of a unique graduate course, being offered for the first time this sum­ mer, by the department of laboratory animal science, at the Uni­ versity. "Introduction to Experimental Surgery" is unique in several ways. Thirty graduate students from a variety of undergraduate backgrounds, some only indirectly related to animal research, are enrolled in the course. And it is possibly the only course of its kind available to students who do not possess a professional background in surgery. Dr. Thurman S. Grafton, director of the animal laboratory facilities, noted that at present a two-semester course in experi­ mental surgery is taught, but it is open only to those having a professional surgical background. "We noticed an obvious interest in experimental surgery by other graduate students. Thus in an attempt to accommodate these students, we designed this special introductory-level course. The response has been overwhelming," Dr. Grafton said. "Students taking the course come from a wide variety of disciplines including micro-biology, physiology, health sciences education and evaluation and Pharmacology. Each student has his own thoughts on how the course will help him with research in the particular discipline," he added. Dr. Shaheen M. Al-Nakeeb, associate professor in laboratory animal science who is the primary instructor of the new course, stated that serious regard is given to the humane aspects of con­ ducting research with animals. "The course begins with an introduction which deals with respect for living tissue, emphasis on humane care and handling of animals and the regulations governing the use of live animals. We are careful to make sure that each student realizes these aspects before conducting any animal surgery," Dr. Al-Nakeeb said. Preceding any actual surgery there are introductions to an­ atomy and physiology, anesthesiology, microbiology and surgical instrumentation and equipment. "These introductions enable a graduate student of any of the biological sciences to carry out certain select experimental, sur­ gical procedures on animals, and to utilize such skills in research within his own discipline. It is not intended to produce skilled surgeons in this short time," Dr. Al-Nakeeb added. Summing up the apparent success of the course, which has only been in existence a few weeks, Drs. Grafton and Al-Nakeeb both expressed favor in the sincere interest shown thus far by the students, terming it an "enthusiasm that is delightfully stimulating."D WINTER, 1972 49 Dr. Al-Nakeeb (left) and Dr. Thurman 5. Crafton, director of the laboratory animal facilities, prepare to use an intravenous anesthetic agent on one ot the lab's pets. �VA Hospital Treats Veterans on Drugs The primary commitment of the drug program at the Veterans Ad­ ministration Hospital has been described as a "therapeutic com­ munity." This means that the program depends more on the basis of person-to-person relationships among residents and staff than on chemotherapy such as methadone. "A therapeutic community," explained one of the resident addicts, "does work in finding out what the problem is." Once this is done, he said, "he has no need for drugs." The Drug Dependence Treatment Center (Ward 10C) is re­ ferred to as EPIC House (Encountering People in Crisis). It is headed by Dr. Peter Russell, program coordinator and clinical psychologist. The Center opened in July of 1971. Dr. Russell explained that there are three separate phases in the long-term program. The first phase is the Detoxification and Evaluation Unit (DEU). EPIC House is the second phase, and the outpatient treatment program is the final stage. The DEU unit has 20 beds and is the initial admittance ward for all those asking entrance to EPIC House. A veteran who comes to the hospital with a drug problem is immediately given a bed, Dr. Russell pointed out, "as long as he is eligible" (a dishonorable discharge prevents this). He is interviewed first, said Dr. Russell, "then shaken down. We want to make absolutely sure he's clean." Methadone is used in detoxification, according to Dr. Russell, but controlled "very, very carefully." The complete process takes from one week to ten days, perhaps longer "depending on the size of his habit." While the program handles mainly heroin addicts, users of other addictive drugs are also treated. "Our main idea is to get this fellow away from the street, give him a chance to get his head together and make an appropriate decision: 'What do I want to do with my life'?" The individual then participates in various types of therapy including group, indi­ vidual, occupational and recreational. He also gets daily medical checkups. "It's really a rather full schedule," added Dr. Russell, "and always oriented toward the idea, 'What are you going to do? What's your contract with us'?" graduate work at the University of Rochester and received his M.A. and Ph.D. degrees from Penn State.• The contract is one of three kinds: simple detoxification (the person is given a regular discharge at the end of "detox": secondly, referral to other community drug programs (DDTC often refers people who consider the program too hard to other agencies such as methadone maintenance programs). The third type of 50 THE BUFFALO PHYSICIAN �contract is to request admittance to EPIC House. "This," Dr. Russell said, "is where the commitment is. All the rest is very important, but it's just a stepping stone." Prior to entering EPIC House, one must first, if recommended by the DEU staff, appear before a screening committee. Here, Dr. Russell said, the individual is questioned "very thoroughly" on his motive for wanting to join EPIC House's long term treatment pro­ gram. Upon gaining the screening committee's approval, one is placed on Level 1. He would then participate in certain house activities and simply observe others. Level 1, according to Dr. Russell, gives an individual the opportunity to see EPIC House and how it operates, and also gives the residents and staff a chance to get to know the prospective resident. After a week at Level 1, the person is again screened. At this screening, the individual tells the committee what he thinks of the House so far and the committee members tell the individual their opinion of him. Promotion to Levels 2-6 entails increased responsibilities and privileges for the resident. For the first few levels, the resident is responsible only for himself and his actions, but as he progresses, explained Dr. Russell, he is expected to realize responsibilities for other, newer residents, and for the day-to-day operation of the House. An older resident said that it was his responsibility to "pull sheets off" someone breaking the rules, but he explained he doesn't see it as responsibility, but "more like caring." The complete EPIC House program takes about five months. Dr. Russell pointed out that the time varies for each level. "Each of the first five levels takes generally three weeks while Level 6 takes about six weeks." During residency the patient seldom moves out of the hospital, but at Level 4 he gets off-ward privileges and by Level 6 he can obtain weekend passes, day care rights (where the resident can be with his family), and work passes to prepare him for the outside world. The atmosphere in EPIC House is one of community involve­ ment to help individuals work out problems which must be dealt with in order to lead a drug-free, constructive life. In working toward this goal, residents take an active part in encounter groups, individual counseling, entertainment, educational seminars, work projects, job placement and many other types of therapy. Mail is the only legal contact with anyone on the outside until Level 4, and this is opened in the presence of a staff counselor and searched for contraband. The resident is encouraged to talk over mail received or sent with the counselor. "The more we as a staff can learn and get inside the fellow's head, the more we can help him to reorient to the outside world," Dr. Russell said. The final phase of the program is Outpatient Treatment. This is primarily for the graduated residents of EPIC House, although in certain isolated instances it may be available to patients who have participated only in DEU. "The purpose of this phase of treatment is to help the individual complete his readjustment to the community-at-Iarge and maintain a stable, drug-free life," Dr. Russell concluded.• WINTER, 1972 51 Mr. David Lowalewski, a social worker on Dr. Russell's staff em­ phasized three points: (1) "the program is open to all eligible veterans; (2) the program isn't the free and easy ride to rehabilita­ tion, rather a tough, total com­ mitment, no-nonsense approach; (3) the program works for some­ body who really wants to get straight and stay straight."• Three other VA hospitals in Battle Creek, Michigan, Salem, Virginia and Syracuse, New York have similar programs.D �An informal conference for professionals and paraprofessionals. Mental Health "There is no easy road to success in the mental health field. Patience and firm conviction about the necessity for hard work and contin­ uous learning is always in order." This is what Dr. Francine Sobey, a professor of social work at Columbia University, told some 150 mental health practitioners of Western New York at a Education and Training Team workshop. Dr. Sobey, who has written a book about "the nonprofessional revolution in mental health," was the keynote speaker. "Both professional and paraprofessionals have new roles to play in stimulating the development of peer-groups, offering appropriate groups leadership skills and providing liaison. Newer levels include the social advocate and the ombudsman or mediator," Dr. Sobey said. In commenting on the sudden economic slump that has affected many social services across the nation the educator said, "human needs can not be cut like budgets. There is statistical evidence of greater need in times of unemployment."D THE BUFFALO PHYSICIAN li �"Sure I got seasick," said Senior Assistant Surgeon Lawrence Frankel of the U. S. Public Health Service, "But then, so did most of the Commanders and Lieutenants." He hastily added with a twinkle in his eyes, "not too many of the bos'ns got sick though." Dr. Frankel, a 1970 graduate of University of Buffalo Medical School did his interning at Georgetown University hospital in Washington, D. C. He is the son of Mr. and Mrs. Joseph Frankel of Syosset, Long Island, N. Y. He graduated from Syosset High School in 1963. 10,000 Mile Cruise for Dr. Frankel Dr. Frankel is now at sea completing the last leg of a 10,000 mile cruise that has taken him from Little Creek, Va., through the Panama Canal, plus liberty stops at Acapulco, Mexico and Hono­ lulu, Hawaii. The cruise will end at Guam in early May. He provides medical attention for the nearly 300 active duty and Reserve Coast Guardsmen engaged in transferring three vessels from the East Coast to Guam. The three ships, the Cutters ABSECON, CHINCONEAGUE and McCULLOUCH, are to be transferred to the Navy as part of the President's program to reduce Federal ex­ penditures. The Coast Guard's reduction included the loss of 10 ships, several stations and 2,000 men. The three ships are scheduled to be turned over to the Navy around May 10. Dr. Frankel and the Coast Guard crews will return to their duty stations at that time. "Doc" will return to Yorktown, Va. where he provides medical attention for Coast Guard and Naval personnel and their dependents. Frankel, who has had special training in pediatrics and internal medicine, said, "Fortunately, there have been very few real prob­ lems during the cruise. It's almost like a vacation for me. But, I'm here in case of an emergency. Like an insurance policy, you might say." Frankel and the Coast Guardsmen left Little Creek, Va. in mid-March on a cold damp day. With a drastic change in climates, Dr. Frankel found treating sunburn cases and heat exhaustion taking up much of his time. He has also been busy inoculating the nearly 300 men against Cholera, Yellow Fever, Smallpox, Ty­ phoid, Diphtheria and Tetanus because of the epidemic areas on the cruise schedule. The officers in the wardroom say that "Doc" Frankel has truly added color to the cruise. As a matter of fact, it was the dye from his blue sweatshirt that changed the officers' khaki colored socks to an attractive powder blue. Dr. Frankel also serves as the Morale Officer for the Cutter ABSECON, providing movies for off hour entertainment, informa­ tion on ports to be visited, beach parties, general counseling and host of shipboard recreational activities. Dr. Frankel is married and has o n e child. He will serve with the Coast Guard until June 1973, when he will enter private prac­ tice. It is a sure bet that the Coast Guardsmen will miss his ex­ cellent health care and ability to add some fun into life .n WINTER, 1972 53 Dr. Frankel's Coast Guard duty started in 1971 and ended in May. As a uniformed Public Health Serv­ ice doctor, he enjoyed his sea duty. The 26-year-old was well liked and admired by Coast Guard officers and enlisted members.EJ �Allegany County Medical Van A SELF-SUFFICIENT, multi-purpose medical van is bringing health education and preventive health care services to Allegany County in southern New York state. The $52,000 unit was purchased by the Lakes Area Regional Medical Program. It is operated by the Alfred University School of Nursing in co-operation with the Allegany County Public Health Nursing Service. "This is the only unit of its type in the world. We have had inquiries from countries in the Middle East and several states from coast to coast," Dr. Virginia Barker said. She is mobile projects director and dean of the Alfred University Nursing School. D r . Barker "The response of people living in Angelica, Caneadea, Richburg, Whitesville and Alfred to our services has been overwhelming," Dean Barker said. Health-education classes and "health assessment" examinations of children and adults are the two main categories of service. The unit provides vision and hearing tests, blood sugar screenings, urinalyses and other tests designed to indicate deviations from normal patterns. Suspected cases of illness or health de­ ficiencies are referred to family physicians. Allegany County's two hospitals, Cuba Memorial in Cuba and Jones Memorial in Wellsville, are available for residents who have no family physician Mrs. Margaret Connelly pointed out that there are only 16 physicians providing primary health care in Allegany County (popu­ lation 46,500). She is director of nursing for the county public health service. Mrs. Connelly's staff of five public health nurses, five reg­ istered nurses, one physical therapist, one speech therapist and 12 home health aides are participating in the project along with nursing students and faculty from Alfred University. Dean Barker emphasized that the nurses are not practicing medicine. "Our slogan is 'don't' wait until you get sick."Q 54 THE BUFFALO PHYSICIAN �New North Campus The new North Campus in Amherst is becoming a reality. By 1977 more than half of UB will be at the new campus. Dormitories d e s i g n e d b y a r c h i t e c t I. M . P e i w i t h s l e e p i n g c a p a c i t y f o r 8 2 0 s t u ­ dents are expected to be ready for occupancy in January (1973) at the 1200-acre North Campus, according to Dr. John D. Telfer, vice president for facilities planning. Construction currently under way or completed at the North Campus totals $115 million, but much of it is in site preparation and utilities installation. Plans now call for conversion of the present South Campus on Main Street to a healthsciences oriented campus. There will be no mass exodus to the North Campus. The conversion will be "building by building" due to the staggered funding by the Legislature as monies become available, Dr. Telfer said.n �Heart/Lung Studies Dr. Francis Klocke and Ann Salter, ad­ ministrative assistant lor the heart/lung program, check order lor new com­ puter. A two million dollar National Institutes of Health grant to a medical/ engineering team at the University over the next five years assures continuation of studies on heart and lung diseases. Said its principal investigator, Dr. Francis J. Klocke who is professor of medicine, assistant professor of physiology at the University, and chief of cardiology at the E. J. Meyer Memorial Hospital, "we hope to im­ prove our understanding of abnormal physiological processes in specific cardiovascular and pulmonary diseases so that we can de­ velop better treatment of established disease and methods for earlier detection of latent disease." With senior investigators Dr. David G. Greene (professor of medicine and associate professor of physiology), Dr. Robert A. Klocke (assistant professor of medicine), Dr. Robert E. Mates (pro­ fessor of mechanical engineering and research associate professor of medicine), and Dr. Stephen M. Wittenberg (associate professor of medicine), 19 other physicians will carry on investigations in a research program begun seven years ago that is now attracting national attention at the Buffalo General and E. J. Meyer Memorial Hospitals as well as at the School of Medicine. Studies on the coronary circulation — its normal physiology and its alterations in coronary artery disease and hypertrophy states Dr. Djavad Arani, clinical assistant professor of medicine, Mrs. Cretchen Smith, chief research nurse, look over material related to a study in cardiac catheterization with Drs. Greene and Bunnell. 56 THE BUFFALO PHYSICIAN �Dr. Robert Klocke and technician Anne Coe measure rates of reaction of oxygen with red blood cells on continuous flow reaction apparatus. — are directed by Drs. F. Klocke, Greene and Ivan L. Bunnell who is associate professor of medicine. Agreed Drs. Greene and Bunnell, "methods developed earlier to document reduction of flow in pa­ tients with coronary disease are now being used to evaluate patients with chest pain and specific coronary arteriographic patterns." These methods are utilized when diagnostic studies are made in the cardiac catheterization laboratory. They involve the breathing of inert gases such as helium and the sampling of arterial and coronary sinus blood. There are also studies underway in the operating room with associate professor of surgery, Dr. George Schimert, to evaluate the effect of venous bypass grafts as well as a variety of supportive studies in animal experimentation. Another aspect of the program will focus on mechanisms of arrythmia production. There are now two experimental models available for the study of arrythmias — injury to the heart and digi­ talis overdose. Past studies of the Meyer Hospital and other groups have revealed that variations in heart rate profoundly alter the development and persistence of certain rhythm disorders. WINTER, 1972 57 �Under Dr. Wittenberg the Meyer group is focusing on the role which beat-to-beat changes in rate play in the development of digitalis-induced arrythmias. This is being done in intact animals, said Dr. Wittenberg, and in single heart cells. "The hope is that with these powerful laboratory tools, we will arrive at a better under­ standing of the immediate determinants of arrythmia in man," he said. Dr. Mates looks over computer output on a math model of blood flow in the coronary circulation. In investigations on gas exchange the investigators are looking for factors that cause mismatching of ventilation and blood flow in the lungs as well as a better understanding of frequency distribution of these ratios throughout the lungs in both normal and abnormal states. For in a number of lung diseases, such as pneumonia and emphysema, patients have very low oxygen content in their blood. Determining the speed at which the gas exchange occurs in the lungs and duplicating its physiologic picture in the laboratory are investigators under Dr. Robert Klocke. He is quick to point to other things under study that also influence the rate of this exchange — the movement of chloride and hydrogen ions in and out of the blood cells and substances inside the red cell such as the compound 2, 3diphosphoglyceric acid that influences the way we transport oxygen and carbondioxide. "The more of it around," he explained, "the harder it is for oxygen to bind with hemoglobin." In certain acid states, a complication of lung disease, the exchange of gases may not be complete, therefore not as efficient upon leaving the lungs. Dr. Francis Klocke and Dr. Rene Oliveros, a cardiologist from Peru, are measuring barometric pressure. 58 THE BUFFALO PHYSICIAN �Dr. Wittenberg and Mr. John Curran, electrical technician, are measuring and recording blood pressure of the animals used in their research. Through the use of his modified version of continuous flow reaction apparatus, measurements of these reactions — that are all interre­ lated—can now be made. In his studies to validate a specific method to measure cardiac output and to set limits under which it can be used, this investigator has found that indocyanine green, the most commonly used dye, takes longer to bind albumin than was previously thought. But there are also programs dealing with mathematical models of heart and lung function and the development of new methods for evaluating various aspects of heart/lung malfunctions. Explained Dr. Mates, "our group's overall objective is to develop quantifica­ tion descriptions relating the clinical measurements to basic physio­ logical functions." In their attempt to develop a model describing the fluid mechanics of coronory circulation in the presence of coronary artery disease, they want to understand what constitutes a severe obstructing of the coronary artery from a fluid mechanics point of view and to isolate the factors which could potentially cause catastrophic events such as myocardial infarctions. Summed up Dr. Francis Klocke, "we are trying to address our­ selves to the major cardiopulmonary problems with which physicians are now confronted. This grant is an invaluable mechanism for allowing us to approach our research on a stable, longterm and, we hope, creative basis."D WINTER, 1972 59 �Testing the oxygen consumption, efficiency and proficiency of swimmers on the monitoring platform are Drs. Rennie, diPrampero (visiting professor from Italy), Leon E. Farhi, Hermann Rahn, all of the physiology department. Swimming Analysis What are the forces that man must overcome when he swims or moves about in water? Or his mechanical efficiency of locomo­ tion? Or his energy cost in underwater activity? And how do the stresses imposed on the muscular, respiratory and circulatory sys­ tems in this cold and viscid medium differ from those in our more natural air environment? Through the implementation of a new experimental approach, members of the department of physiology are exploring these ques­ tions with subjects who are keen on knowing the answers — the SUNYAB swim team. 60 THE BUFFALO PHYSICIAN �A team of investigators under Dr. Donald W. Rennie (professor of physiology) has long been involved in problems of man in a water environment, especially his heat balance. In the concentric submergence basin of the Laboratory of Environmental Physiology they are now starting a systematic study of locomotion in water, beginning with swimming on the surface and later going on to underwater activity. Explained Dr. Rennie, "while a great deal is known about the energy cost, mechanical efficiency, and cardiopulmonary response to walking or running, this is not so in the case of the swimmer. For no one has determined the actual water resistance or his "body drag." A simple method devised by the team that was adapted unique­ ly to the annular pool will allow this determination to be made for all kinds of surface and underwater swimming techniques. And it will cover the entire range of swimming velocities. By coupling this to more conventional methods for measuring energy metabolism and the mechanics of swimming, the team hopes to develop a whole new approach to the quantitative analysis of swimming. In their systematic study of the crawl—a common swim­ ming style—the investigators pace members of the Buffalo swim team from a movable platform on which equipment is stored for measuring oxygen consumption and heart rate. This platform also contains apparatus necessary to determine the "drag" during swim­ ming. They have postulated that neither "body drag" nor mechanical efficiency of swimming by itself is sufficient to determine the velocity that a swimmer can attain. Of crucial importance should be the ratio of efficiency to drag — "E/D ratio." Actual measurements bear out the theory that the higher the ratio, the faster the velocity that a swimmer can attain. The method, as hoped, has differentiated between good and poor swimmers. For achieving the highest E/D ratios were the swim team's better swimmers. Interestingly, and unexpectedly, women swimmers were found to have higher E/D ratios than men and theoretically for the same energy expenditure should achieve higher velocities. That they do not beat men in top competition is therefore due to the male's abil­ ity to generate more muscular power, thus compensating for his lower E/D ratio. Additional evidence for women's higher E/D ratios — their superior ability to adapt to an aquatic environment — is previous work done on the diving women of Korea and Japan. They estab­ lished a superior ability to withstand the cold stress of water. And for the layman there are practical applications of these experiments. His ability to enjoy water sports may be enhanced by calculating in a quantitative way how he can improve his technique.D WINTER, 1972 61 Dave Sexton, a sophomore, talks over an experiment with William H. Sanlord, III, UB swimming coach. �95 Faculty Promotions The following 95 members of the Medical School faculty received promotions effective July 1, 1972. livan (medicine); James F. Upson (surgery); Walter T. Zimdahl (medicine). Promotions to Professor: Doctors Edson X. Al­ buquerque (pharmacology); Stanley Cohen (pathology); Andrew Gage (surgery); Franz E. Glasauer (surgery-neurosurgery); Joseph Kite (microbiology); Carel J. van Oss (microbiology). Doctors Frank Bolgan (surgery); George C. Brady (medicine); John L. Butsch (surgery); William A. Carnahan (forensic psychiatry in de­ partment of psychiatry); Tai Soon Choi (pedi­ atrics); Michael E. Cohen (neurology); Bernard A. Daly (anesthesiology); Allie H. Freeman (psychiatry); Albert A. Gartner (anesthesiol­ ogy); Ikram Haque (surgery-neurosurgery); Frederick Helm (medicine-dermatology); Stev­ en Joyce (surgery-orthopedic surgery); Michael A. Jurca (surgery-otolaryngology); Duck Jin Kim (surgery-otolaryngology); Joseph W. Kramarczyk (anesthesiology); Herbert Lee (anesthes­ iology); Desmond Moleski (psychiatry); Oscar R. Oberkircher (pediatrics); Marjorie M. Plumb (psychology in department of psychiatry); Susana S. Reyes (psychiatry); Ravinder Tandon (medicine); William Walsh (medicine-psychia­ try); Donald J. Yung (surgery-ophthalmology). Promotions to Associate Professor: Doctors C. John Abeyounis (microbiology); James Ed­ ward Allen (surgery); Carl J. Bentzel (medicine); Constantine Chlouverakis (medicine); Thomas D. Flanagan (microbiology); C. A. Glomski (anatomy); Kyoichi Kant (microbiology); Leon­ ard Katz (medicine); Frederick C. Kauffman (pharmacology); Luis L. Mosovich (pediatrics); Robert W. Noble (medicine); Pearay L. Ogra (pediatrics); Reinhold E. Schlagenhauff (neurol­ ogy); S. Subramanian (surgery); Zebulon C. Taintor (psychiatry); Stephen Wittenberg (med­ icine). Promotions to Assistant Professor: Doctors Jon O. Flom (pediatrics); Eva Lotzova (pathology); Murray W. Stinson (microbiology). Promotion to Clinical Professor: Doctor liam F. Lipp (medicine). Promotions to Clinical Associate Wil­ Professor: Doctors Karl Balthasar (neurology); Lee L. Ber­ nards (pathology in department of medicine); Francis J. Clifford (anatomy); Donald Ehrenreich (neurology); Sattar Farzan (medicine); Irwin Friedman (medicine); Emma K. Harrod (pediatrics), also Research Instructor in medi­ cine; Jack Herrmann (surgery); William Hildebrand (surgery-otolaryngology); Clair M. Hossenlopp (psychiatry); William R. Kinkel (neurol­ ogy); Salvatorq LaTona (medicine); Warren R. Montgomery (medicine); Cornelius J. O'Connell (medicine); Joseph R. O'Connor (medi­ cine-psychiatry); Harold K. Palanker (surgery); Theodore Papademetriou (surgery-orthopedic surgery); Robert E. Reisman (medicine); Gloria L. Roblin (psychology in department of psychi­ atry); Robert Spier (surgery); Michael A. Sul­ 62 Promotions to Clinical Assistant Professor: Promotion to Research Professor: Doctor Ger­ ald P. Murphy (surgery-urology). Promotions to Research Associate Professor: Doctors Pier Luigi Bigazzi (microbiology), Wil­ liam H. Murphey (pediatrics); Thomas Provost (medicine). Promotions to Clinical Associate: Doctors Gas­ pare A. Alfano (neurology); Anthony Aquilina (medicine); Henry E. Black (medicine); Charles D. Bull (medicine); Cyril S. Bodnar (surgeryotolaryngology); Barry Herman (medicine); Sanford R. Hoffman (surgery-otolaryngology); Courtland S. Jones, Jr. (surgery-otolaryngology); Fred Lieberman (medicine); A. Charles Massaro (medicine); John J. McMahon (medicine); Lo­ renzo T. Teruel (surgery-otolaryngology); Joseph C. Tutton (neurology); Ernesto G. Zingapan (surgery-otolaryngology); Robert J. Zwirecki (neurology). Promotions to Clinical Instructor: Doctors Juan Garcia (psychiatry); Leo Michalek (surgery); Lionel Sifontes (medicine); Sara R. Sirkin (sur­ gery-ophthalmology).• THE BUFFALO PHYSICIAN �The 1915 Class Two 1915 Medical School graduates are new officers in the Association of Past Presidents of the Medical Society of the County of Erie. Dr. Carlton E. Wertz was named president and Dr. Herbert E. Wells is the new secretary. Dr. Wertz was president of the society in 1939 and Dr. Wells in 1940.D The Classes of the 1920's Dr. Marvin A. Block, M'25, received the American Medical Society on Alcoholism's medal of achievement, the organization's high­ est award, during the group's third annual meeting in Atlanta. In making the presentation, Dr. Stanley E. Gitlow, society president, cited Dr. Block's 25 years of service in the field of alcoholism and his role in gaining the AMA's recognition of alcoholism as a disease. Dr. Block has played significant roles in the Na­ tional Council on Alcoholism, the Alcohol and Drug Problems Association of North America and in the American Medical Society on Alco­ holism. He has written over 50 professional articles and books, treated thousands of pa­ tients and has helped educate thousands of other people about alcoholism throughout the world. Dr. Block is a clinical assistant professor of medicine at the Medical School.• It was a "father-son" affair at the spring commencement. The Distinguished Professor of Anatomy Dr. O. P. Jones hoods his son, O. P. Jones, 3rd, who received his Ph.D. in English. The son is on the faculty of Ohio Wesleyan University, Delaware, Ohio. The Classes of the 1930's Dr. Joseph D. Godfrey, M'31, suggests the elimination of the position of pitcher in Little League Baseball. He told the American Acad­ emy of Orthopedic Surgeons meeting in Eu­ gene, Oregon that the risks of elbow joint changes were severe enough to warrant the step. "No kid of mine would ever pitch little league baseball. The possibilities of sustaining permanent elbow restrictions of motion or an abnormal area at the elbow may definitely stem from throwing overhand at an early age. I would recommend that methods such as a pitching machine, a tee as in golf, or a toss-up mechanism be used to set the ball up to hit in both practice session and games." Dr. Godfrey is chief of orthopedic surgery at Children's Hospital and clinical professor of surgery (orthopedic) at the Medical School. He is also team physician for the Buffalo Bills, pro­ fessional football team.D Dr. Carl T. Javert, M'32, an obstetrician-gyne­ cologist, is listed in "Who's Who in America." (1971) He recently joined Hubbard Regional Hospital, Webster, Massachusetts to direct and develop the obstetrical and gynecological service.D Dr. Albert John Magnus, M'35, has been in industrial medicine for 15 years. He writes that he has been in poor health for the past 2V2 years. His address is 3116 Culver Road, Roch­ ester, New York.D Dr. Elizabeth Pierce Olmsted, M'39, was one of five University women to receive a special citation from the UB Alumni Association and the UB Community Advisory Council for achieving distinction in her career through in­ volvement in community activities. Dr. Olm­ sted is chief of staff of the ophthalmology de­ partment at Deaconess Hospital and a clinical instructor in surgery (ophthalmology) at the Medical School. She was president of the Wettlaufer Clinic staff before it merged with Dea­ coness. She is director of the Buffalo Associa­ tion for the Blind and is a consultant with the National Society for the Prevention of Blind- �Dr. Milford C. Maloney, M'53, was named full-time chairman of the department of medi­ cine at Mercy Hospital June 1. He is a clinical assistant professor of medicine at the Medical School.• The Classes of the 1940's Dr. Harold ). Palanker, M'40, clinical associate professor of surgery, is a member of various county, state and national societies in his spe­ cialty. He lives at 66 Ruskin Road, Eggertsville, New York.D Dr. Richard Ament, M'42, has been elected to the Board of Governors of the American College of Anesthesiologists. He is a clinical professor of anesthesiology at the University and attending anesthesiologist at the Buffalo General Hospital. Dr. Ament attended the 5th World Congress of Anesthesiologists in Kyoto, Japan in September. He was one of 11 dele­ gates.• Dr. Lawrence H. Golden, M'46, is co-operat­ ing with the School of Pharmacy in setting up one of the nation's first clinical pharmacoki­ netics laboratories at the Millard Fillmore Hos­ pital. Dr. Golden is chief of medicine at the hospital and a clinical associate professor of medicine. Dr. William Jusko, assistant profes­ sor of pharmaceutics at the University, is super­ visor of the new lab that enables physicians to regulate and adjust their patients' medication according to their individual drug responses.D Dr. Raymond J. Trudnowski, M'46, has been named chief of the department of anesthesiol­ ogy at Roswell Park Memorial Institute. He also received his dental degree from the University. After 14 years as an oral and maxillofacial surgeon, Dr. Trudnowski turned to anesthesia. He trained in that specialty at Buffalo General and Children's Hospitals. He is the author of several publications.• Dr. Michel A. Glucksman, M'54, is a urologist practicing in Brunswick, Georgia. He is living at 152 Fairway Oaks Drive.• Donald R. Hauler, M'57, was recently pro­ moted to Captain, Medical Corps, U.S.N. While assigned duty as Senior Medical Officer in USS ENTERPRISE CVAN-65 (1969-1972), he was awarded the Navy Commendation Medal, Meri­ torious Unit Citation and Navy Expeditionary Medal. Captain Hauler's home address is 912 Kane Circle, Walnut Creek, California.• Dr. Ann Tracy, M'58, is a clinical assistant professor of pediatrics and psychiatry at the Medical School. She also works with children at the Children's Psychiatric Center at the West Seneca State School. Dr. Tracy entered Medi­ cal School in 1944 and completed three years before getting married. She then took a leave to raise her family (two sons) and returned in 1957 to complete her fourth year in Medical School. She interned at Children's Hospital and took her residency at Buffalo State Hospital. She did other post-graduate work at Harvard Medical School and Children's Hospital, Wash­ ington, D. C.D Dr. Robert A. Brenner, M'59, clinical instruc­ tor of orthopaedic surgery, Upstate Medical Center, Syracuse, New York, is planning to work overseas throughout the next school year as volunteer overseas missionary at McCormick Hospital and McKean Leprosarium in Chiengmai, Thailand.• The Classes of the 1960's The Classes of the 1950's Dr. Joseph M. Mattimore, M'50, is the new president of the Buffalo Allergy Society. He is a clinical associate professor at the University and a Fellow of the American Academy of Pediatrics. He is also chief of pediatrics at Mercy Hospital.• 64 Dr. William E. Abramson, M'60, is a senior staff psychiatrist at the Sheppard and Enoch Pratt Hospital, Towson, Maryland. He was re­ cently appointed director of the Comprehen­ sive Drug Abuse Program at the hospital for the State of Maryland's Drug Abuse Adminis­ tration. Dr. Abramson lives at 8281 Marcie Dr., Baltimore.D THE BUFFALO PHYSICIAN �Dr. Harris C. Faigel, M'60, is author of an article "Childhood Mortality is No Way to In May a 1968 Medical School graduate will return to the community that helped him with Measure a Nation's Health" that appeared in his medical education expenses. the April, 1972 issue of Clinical Pediatrics. Dr. Paul K. M u r p h y c o m p l e t e s his naval service h e Faigel lives at 1 5 Beaver Hill Lane, New Haven, will return to the Perry Medical Center, New Conn.D York with Dr. James R. Blake, M'63, was married to Miss Marilyn Amber Linnemann in May in Beverly Hills, California where Dr. Blake has a private practice.D When his wife and three children. Dr. Dr. Murphy took both his internship and residency at the Millard Fillmore Hospital.• Dr. Lawrence J. Schwartz, M'68, is Chief Resi­ dent in Ophthalmology, Pacific Medical Center, San Francisco. He was chief investigator on an Dr. Ronald S. Mukamal, M'64, has separated from the U.S.A.F. and is now in private practice of general surgery in Whiteville, North Caro­ lina. His address is 707 North Thompson St.D Dr. August J. D'Alessandro, M'65, a psychi­ atrist employed by the state of Connecticut, is co-ordinator of psychiatric services and med­ ical services, Security Treatment Center, Middletown, Conn. He is also consultant psy­ chiatrist for the Connecticut Youth Services Commission. He has recently had articles pub­ lished in Hospital Physician, Resident Physician, and Psychiatric Quarterly.[J article published in June 72 AMA ARCHIVES OF OPHTHALMOLOGY, entitled "Electrophysio­ logic and Fluorescein Studies in Vitelliform Ma­ cular Degeneration." He lives at 2090 Green Street, San Francisco.• Dr. James A. Dunlop, M'69, is the new direc­ tor of maternal and child health at the Erie County Department of Health. He is also a clinical assistant instructor in pediatrics.D Dr. Bruce S. Rabin, M'69, a former member of The Center for Immunology (1970-72), is now (July) Assistant Professor of Pathology at the University of Pittsburgh. Dr. Donald J. Waldowski, M'65, was recently appointed Director of Pediatric Education at Spartanburg General Hospital, Spartanburg, South Carolina (affiliated with Medical Univer­ sity of South Carolina). He lives at 116 Duval He will establish a division of Diagnostic Immunopathology there as its Associate Director. Dr. Rabin has authored 18 papers in the field of immunology and lives at 1235 Malvern Avenue, Pittsburgh.• Drive.• The Classes of the 1970's Dr. Jesse M. Hilsen, M'66, is on the faculty of Mt. Sinai Hospital and Medical Center (New York City) as research psychiatrist after com­ pleting an adult and child psychology residency Dr. Neil Garroway, M'70, is now at the Vanderbilt University School of Medicine, Nash­ ville, Tennessee.• there. He is consultant to Family Court of New York City; U. S. Public Health Service; Night­ Dr. Jan Martin Novak, M'70, is now (as of ingale Bamford School; psychiatrist for U. S. July 1st) an Associate Resident in Medicine at Air Force Reserve, as well as being in private Strong Memorial Hospital in Rochester, New practice at 35 East 85th Street, New York City.D York. He was formerly Assistant Resident in Medicine at Bronx Municipal Hospital Center, Dr. David Wallack, M'66, is a clinical instruc­ tor in medicine, University of Colorado Medical School. Albert Einstein College of Medicine. His ad­ dress is 77 Clintwood Court, Rochester.• He and his wife, Bonnie, announce the birth of their first child, daughter Adriana, Dr. D e n n i s J. Rosen, M'71, of 3 Ellsworth in April. T h e Wallacks live a t 1 0 9 1 E. P a n a m a Park, Cambridge, Massachusetts, is in pediatrics residency at Boston City.Q Drive, Littleton, Colorado.• WINTER, 1972 65 �People Dr. Vincent J. Capraro, clinical professor of gynecology-obstetrics at the School of Medi­ cine, has been awarded the Diploma of Honor by the International Federation of Infantile and Juvenile Gynecology "in recognition of his many contributions in the field of adolescent and pediatric gynecology." The award was presented at its First Sym­ posium held June 23-25 at the University of Bordeaux, France where Dr. Capraro presented four papers (gynecologic examination in chil­ dren and adolescents; management of anovula­ tion; breast problems in children and adoles­ cents; volvovaginoplasty—A new technique for vaginal agenesis). The Buffalo-educated physician (MD 1945 UB; internship and residency at E. J. Meyer Memorial Hospital 1945-46 and '48-51) joined the faculty in 1951. He is a Diplomate of the American Board of Obstetrics/Gynecology and a Fellow of the International College of Sur­ geons, American College of Surgeons, and the American College of Obstetrics/Gynecology. Dr. Capraro is also chief of the division of adolescent and pediatric gynecology at Chil­ dren's Hospital.• Dr. Jean A. Cortner has received a special fellowship from the National Institutes of Health to spend a year doing research in the Department of Human Genetics and Biometry, Galton Laboratory, University College, London, England. He is taking a year's leave of absence beginning Sept. 1 from his position as professor and chairman of the Department of pediatrics at the Medical School. He is also pediatricianin-chief at Children's Hospital. His wife and three children will accompany him to Eng­ land.• 66 Dr. Daniel Rakowski, clinical assistant pro­ fessor of psychiatry, has been named acting head of the department of psychiatry at the E. J. Meyer Memorial Hospital. He has been clinical director of the department. Dr. Jimmie Holland, associate professor of psychiatry, has resigned to accompany her husband, Dr. James F. Holland, to Moscow, where he will be the first chief medical liaison officer between the National Cancer Institute and the Soviet Union. He was a research professor of medi­ cine at the Medical School and chief of medi­ cine at Roswell Park Memorial Institute. He has taken a leave of absence from both posi­ tions. As a member of the National Panel of Con­ sultants on the Conquest of Cancer, Dr. Hol­ land was a principal architect of the National Cancer Act of 1971. In Moscow he will study Russian cancer research programs to learn what is being done there and to inform the Russian scientists of progress in America. His wife will be a special consultant in Russia for the Na­ tional Institute of Mental Health. Enroute to Russia the Hollands stopped in Israel where Dr. James Holland gave the Dameshek Mem­ orial Lecture to the Israel Society of Hematology.D Five Medical School faculty members are serving on the advisory board of the abortion clinic of the Erie Medical Center at 50 High Street. They are: Drs. Jack Lippes, associate professor of gynecology-obstetrics; Dean R. Goplerud, assistant professor of gynecologyobstetrics; Harold P. Graser, clinical assistant professor of psychiatry; Murray S. Howland, clinical professor of medicine; and Robert J. Patterson, clinical instructor in gynecology-ob­ stetrics. Also serving on the board is Edythe Goetz, intake supervisor and co-ordinator, Family Service Society and Clarice S. Lechner, R.N., associate professor, maternal health nurs­ ing, School of Nursing at the University.D THE BUFFALO PHYSICIAN �of aging. The Center for Immunology at the Medical School will be involved in the project. A clinical associate professor of pediatrics at the Medical School is expanding t h e lead poisoning testing program for inner city chil­ d r e n . D r . E m m a K. H a r r o d , E r i e C o u n t y D e p u t y Health Commissioner for maternal and child health, said the $225,000 grant from the Health Services and Mental Health Administration will be used to test about 10,000 children ages 1-5. The grant money will also be used to increase public education on dangers of lead poisoning and increase follow-up assistance to families of children suffering from the ailment. It is also hoped that within five years most of the leadcontent paint will be removed from many of the city's older homes.D The man who designs the covers for THE BUFFALO PHYSICIAN is Richard Macakanja, health sciences graphic artist. His cover design (reproduced in miniature) won an "excellence in design award" and placed second in the an­ nual Inhouse Publications Contest sponsored by Industrial Art Methods. The Texaco Star magazine won first place. Mr. Macakanja's cover design depicted the 1971 Spring Clinical Days. The photos were taken by Hugo Unger, health sciences photographer. Mr. Macakanja has been on the Health Sci­ ences staff for six years. He received his BFA degree from the University in 1960 and expects to receive his MFA in January, 1 9 7 3 . • Four alumni are newly elected officers of the Western New York Society of Internal Medi­ cine. Dr. William Breen, M'55, is the new presi­ dent and Dr. Joseph Zizzi, M'58, is the new first vice president. The new treasurer is Dr. Edward Craber, M'60, and Dr. James Kanski, M'60, is secretary. Dr. Louis Kramer, a clinical associate in medicine at the Medical School, is the sec­ ond vice president.Q Dr. Morton Rothstein, professor of biology at the University, received a $1 million 5-year grant from the National Institute of Child Care and Human Development to study the causes WINTER, 1972 Dr. Louis Bakay, professor of surgery (neuro­ surgery) at the Medical School and who heads the division of neurosurgery at the Buffalo G e n e r a l , C h i l d r e n ' s a n d E. J. M e y e r M e m o r i a l H o s p i t a l s g a v e t h e p r e s t i g i o u s D r . L. P . M o u s seau Memorial Lecture at the Edmonton Gener­ al Hospital in October on "The Blood-Brain Barrier: Its Theory and Clinic Utilization. Dr. John W. Boylan, professor of medicine and physiology at the Medical School is editor of the 1971 issue of Mount Desert Island Biological Laboratory, Salisbury Cove, Maine. In the 111-page bulletin are research reports of 31 investigative groups from 18 states and three other countries who worked at the in­ dependent marine biological station during the summer of 1971.• Dr. Michael D. Garrick, assistant professor of biochemistry, participated in two symposiums in Australia and New Zealand in May. His ad­ dress, "Hemoglobins and Evolution" was given at the University of Otago, Dunedin, New Zea­ land. The paper he gave in Sydney was "The Anaemia-Induced Reversible Switch from Hae­ moglobin A to Haemoglobin C in Goats and Sheep: The Two Haemoglobins are present in the Same Cell During the Changeover." He also gave a talk at the National Institutes of Health on "Hemoglobin Switching in Goats and Sheep."• 67 �People Dr. Franz E. Glasauer, professor of neuro­ surgery at the University, was recently elected a charter member of the International Society for Pediatric Neurosurgery (May, 1972). He has been the participating neurosurgeon at the Birth Defects Clinic (Children's Hospital) since its establishment in 1966. Many of his publica­ tions deal with the diagnosis, treatment, or other problems in pediatric neurosurgery. Dr. Glasauer is a 1955 graduate of the University of Heidelberg (Germany) Medical School.• Dr. Cohen Dr. Maimon Cohen, associate professor of genetics and head of the division of cytogenet­ ics at Children's Hospital, has left to establish and head the first department of human ge­ netics at Hadassah Hebrew University Medical Center, Jerusalem. He had been on the Uni­ versity staff since 1965.• Dr. Carel J. van Oss, associate professor of microbiology, is involved in space research. An experiment on "The Electrophoresis of Latex Particles at Zero Gravity" was done in Apollo 16 on its way to the Moon, during the weight­ less period. The experimental equipment was left on the Moon. However, the photographs which were taken every 20 seconds during the experiment and the Astronauts' tape were re­ turned to Earth for analysis. This is the first of a series of experiments aiming at the pre­ parative electrophoretic separation of living cells that will be continued on Apollo 17 and Skylab 1. Dr. van Oss is a member of the Uni­ versities Space Research Association Commit­ tee on Separation Methods.• Dr. Jack Herrmann, clinical associate profes­ sor of surgery, scored a hole-in-one at the Westwood Country Club in August. He used a 4-wood to ace the 175-yard third hole. Dr. Herrmann is on the Buffalo General Hospital medical staff.D Dr. Richard G. Cooper is the new president of the Erie County Unit of the American Cancer Society. Dr. Cooper is a clinical associate pro­ fessor of medicine. Dr. Alfred M. Stein, M'58, is the vice president and president elect. He is a clinical associate professor of medicine.D 68 Drs. John Dower, professor of community pediatrics and James Markello, assistant pro­ fessor of pediatrics, (both on the staff of Chil­ dren's Hospital) are teaching nursing students in two new programs that will train nursing clinicians, practitioners and teachers in the field of child health nursing. The two graduate programs, offered for the first time, received federal grants totaling $591,148.• Two Medical School faculty members have been named Fellows in the American College of Cardiology, Dr. S. Subramanian is a clini­ cal associate professor of surgery, a pediatric cardiac surgeon, and chief of the division of cardiovascular surgery at Children's Hospital. Dr. Walter T. Zimdahl, a cardiologist, is a clini­ cal associate professor of medicine and acting chief of medicine at Deaconess Hospital.• Dr. Herbert A. Hauptman, research professor of biophysical sciences, has been named vice president and research-executive director of the Medical Foundation of Buffalo. He is inter­ nationally known for his work in determining the crystal structure of steroid hormones and other biological substances.• Dr. Guyon P. Mersereau, clinical assistant professor of psychiatry, is the new director of the Erie County Forensic Psychiatry Service. He has been acting director since February, 1970.D A 635-page book based on a study of the in­ cidence of long-term childhood illnesses in Erie County between 1946 and 1961 has been pub­ lished by the University of Pittsburgh Press. Authors are Dr. Harry A. Sultz, professor of social and preventive medicine at the Medical School; Dr. Edward R. Schlesinger, formerly as­ sistant commissioner for special health services in the State Health Department; Dr. William Mosher, Erie County Health Commissioner; and Joseph G. Feldman, former clinical instructor in social and preventive medicine at the Med­ ical School.• Three Medical School faculty members are new Fellows of the American College of Physi­ cians. They are Drs. Germante Boncaldo, M'57, clinical instructor in medicine; Thomas D. THE BUFFALO PHYSICIAN �Doeblin, M'59, clinical assistant professor of Dr. S. Mouchly Small, professor and chair­ medicine; and )ohn A. Edwards, research as­ man of the Department of Psychiatry at the sistant professor of medicine.• School of pointed to Medicine has recently been the National Board of ap­ Medical Examiners, Part III Committee for Patient Man­ The Memorial Medical Center at Niagara agement Problems. Dr. Small is the only psy­ Falls, N. Y. has received a $748,154 federal grant chiatrist on this Committee. for the community mental health center. Dr. also serves on the Written Examination Com­ Milton Robinson, M'51, psychiatric In addition, he director, mittee of the American Board of Psychiatry and said the money would be used to expand serv­ Neurology and on the American Psychiatric Association's Self-Assessment Test Committee ices—especially prevention services at all levels of community involvement. The 5th, 6th and for Patient Management Problems. This puts 7th floors of the Memorial Medical Center are him in the unique position of serving on the used for the mental health center.D three major examination committees in Ameri­ can Psychiatry. There aren't many women forensic pathol­ ogists in the United States. Dr. Judith Lehotay, a clinical assistant professor of pathology at the Medical School, is one. She describes herself as a "medical detective" or a liaison between medicine and the law. She is in the Erie County Medical Examiners' Office. Her profession re­ quires examination of bodies of persons who died through violence (murder, suicide or acci­ dent) and those not attended by a physician With Professor Peter F. Regan of the Depart­ ment of Psychiatry and Dr. Hugh Carmichael of the American Psychiatric Association in Washington, D. C. as co-authors, he published a book this year on "Lifetime Learning for Psychiatrists." This book includes the impor­ tance of self-assessment examinations and ob­ jective-type examinations for an on-going eval­ uation of clinical knowledge, skills, and com­ petence for psychiatrists.• shortly before death. Dr. Lehotay is a native of Hungary. She and her husband came to Buffalo in 1957. She interned at Children's Hospital and took her residency at Sisters' Hospital.• The new president of the Erie County Medi­ cal Society is Dr. Leonard Berman, a 1946 grad­ uate of Wayne State University, Detroit. He is not a UB graduate as was reported in the Fall Dr. Walter J. Gannon, M'44, is the new Erie County Medical Examiner. The family physician replaces Dr. Michael A. Jurca, M'42, who re­ signed to take a full time position on the Medical School faculty. Another Buffalo sur­ issue of The Buffalo Physician. Dr. Berman, a clinical associate professor of surgery at the Medical School, spent two weeks last summer visiting hospitals and medical centers in Japan, Thailand and Hong Kong.n geon, Dr. Ernest Fernandez, was also appointed medical examiner for the County. He is a native of Puerto Rico and received his M.D. from the University of Chicago.Q man of the division of orthopaedic surgery at the Medical School and the E. J. Meyer Me­ While on sabbatical leave in London the last year, Dr. Mitchell I. Rubin wrote a book on pediatric nephrology. From 1945 to 1967 Dr. Rubin was chairman of Dr. Eugene R. Mindell, professor and chair­ morial Hospital, is the new president of the Orthopaedic Research Society. He will preside at the next annual meeting in January at Las Vegas, Nevada.• the department of pediatrics at the University and pediatrician-inchief at Children's Hospital. He and Mrs. Rubin will make their home in Charleston, S. C. where Dr. Helen M. Ranney, professor of medicine, he will be associated with the Medical College is president-elect of the American Society of Hematology.D of South Carolina.• WINTER, 1972 69 �In Memoriam Dr. Edward Cook, M'33, was killed October 10 when his auto failed to make the turn onto Main Street in Buffalo and struck a light pole. He was a specialist in internal medicine and was a clinical associate in medicine on the fac­ ulty for 34 years. Dr. Cook also served on the board of internal medicine at the Buffalo Gen­ eral Hospital. He was a lieutenant colonel in the Army Medical Corps during World War II.• Dr. William W. Kunz, M'53, died September 8 in Buffalo General Hospital after a five month illness. The 45-year-old specialist in internal medicine was a member of the staff of the Brooks Memorial Hospital, Dunkirk where he headed the department of electrocardiography. He was a member and past president of the Chautauqua County Medical Society, a Fellow of the American College of Physicians, a mem­ ber of the Medical Society of the State of New York, a Diplomate, American Board of In­ ternal Medicine, the American Society of In­ ternal Medicine, and the AMA. He was also active in the Narcotics Guidance Council at Dunkirk.• )r. William C. Werkheiser, research associ­ ate professor of biochemistry and pharmacol­ ogy, died suddenly September 1. He was also a Roswell Park Memorial Institute cancer re­ searcher. He joined the Roswell Park staff as senior cancer research scientist in the experi­ mental therapeutics department in 1956 and became associate cancer research scientist in 1961. The 52-year-old Dr. Werkheiser had been on the Medical School faculty for 12 years. He received his bachelor's degree from Brown University and his master's and doctorate in biochemistry from the University of Southern California. He was a pre-doctoral fellow of the American Cancer Society and studied at Oxford University as a post-doctoral fellow of the National Cancer Institute.• l-Or. Robert F. Sullivan, M'58, died October 2 in Mercy Hospital after a long illness. He was 53 years old. He had been a general practi­ tioner for 28 years and a member of the Mercy Hospital medical staff. Dr. Sullivan was active in sports. He pitched for Canisius College and the Buffalo Municipal Baseball Feague. He was also active in several professional organiza­ tions^ Dr. Winzler Dies Suddenly Dr. Richard J. Winzler, professor in the de­ partment of chemistry at The Florida State Uni­ versity, died suddenly at his home in Tallahas­ see, Florida September 27. The biochemist had been chairman of the biochemistry department at the UB Medical School from 1965 to August 1969. Dr. Winzler rx Dr. Winzler, born in San Francisco in Sep­ tember 1914 received both his Bachelor of Sci­ ence and Doctor of Philosophy degrees from Stanford University (1936 and 1938 respective­ ly). He was a Sterling Fellow at Yale and a National Research Council Fellow in Stock­ holm, Sweden (1939-40) and at Cornell Uni­ versity (1940-41). Dr. Winzler was associated with the National Cancer Institute in Bethesda, Maryland before accepting an assistant profes­ sorship at the University of Southern California. From 1952 to 1965 he was professor and head at the University of Illinois, department of bio­ chemistry in Chicago. He came to Buffalo in 1965 to head the department of biochemistry 70 at the University until he moved to Tallahassee in 1969. Among other honors Dr. Winzler was a Visit­ ing Professor at the University of Wisconsin in 1941, a Commonwealth Fellow at the Univer­ sity of Freiburg, Germany in 1958 and a con­ sultant in medical education at the University of Chiengmai, Thailand in 1962. Author of over 175 articles in the fields of glycoprotein chem­ istry, biochemistry of cancer tissues, and mem­ brane structure, Dr. Winzler has been editor for two journals, Cancer Research and Proceed­ ings of the Society for Experimental Biology and Medicine. He had been actively associated with work of the American Cancer Society and of the National Institutes of Health. The Dr. Richard J. Winzler Memorial Fund has been established. Contributions should be sent to Dr. Earl Frieden, department of chem­ istry, Florida State University, Tallahassee, Florida, 32306.• THE BUFFALO PHYSICIAN �)r. Cathryn Jones died September 28. She was the wife of Dr. Oliver P. Jones, retired chairman and distinguished professor of anat­ omy at the Medical School. She had been as­ sistant to the medical director of the Buffalo Red Cross for the past 15 years. She was a 1935 graduate of the University of Minnesota Medical School. She came to Buffalo with her husband in 1937. The couple had four children. She served as a physician with the Red Cross blood program in 1942-43. In 1952 she re­ turned to the Red Cross. In 1941 she was an instructor for medical technologists at the Mil­ lard Fillmore Hospital.• Dr. Edward Healy, M'39, died September 26. The 59-year-old family physician was chairman of the Emergency Room Associates at Sister's Hospital, a medical program that he started. He was also the physician to the Sisters at Mount St. Joseph Convent. In 1969 Dr. Healy received the Msgr. Francis J. O'Connor Award for 25 years' service to the children of St. Mary's School for the Deaf. Dr. Healy started practic­ ing in Buffalo in 1945 after being discharged from the Army. The Major served aboard a troop ship for four years as a surgeon. He was active in several professional organizations.• Dr. Michael F. Mogavero, M'39, died Sep­ tember 18 in Millard Fillmore Hospital after suffering a heart attack at his home. The 60year-old ophthalmologist retired in 1970 after a 31-year career. He began his career as a gen­ eral practitioner and became an eye specialist after completing training at the Harvard Medi­ cal School in ophthalmology and eye surgery. He served on the medical staffs at Columbus, Sisters and Millard Fillmore Hospitals and at the Wettlaufer Clinic. Dr. Mogavero was active in several local, state and national professional organizations-^ / Dr. Stanley A. Weglikowski, M'33, died Sep­ tember 23 in Buffalo General Hospital. The 61year-old general practitioner was affiliated with Mercy Hospital. He was active in several pro­ fessional organizations.• Dr. Rose R. Donk, M'11, 215 Church Street, Newark, N. J. died August 4, according to the Lincoln Rochester Trust Company, who is handling her estate.Q WINTER, 1972 Dr. Douglas P. Arnold, M'08, died July 26 after a long illness. The 87-year-old man was hailed by his colleagues as the one who brought modern pediatrics to Buffalo. He was head of the pediatrics department at three hos­ pitals — Children's, Buffalo General and Millard Fillmore. He was a 60-year staff member at Children's and continued as a consultant mem­ ber following his retirement in 1963. He was also in charge of the Infant Welfare Clinic of the Buffalo Health Department for nearly 30 years. Dr. Arnold was on the Medical School faculty for 15 years, retiring in 1950 as a clinical pro­ fessor of pediatrics (emeritus). When he re­ tired a lecture series was established in his honor. The Douglas P. Arnold Lecture brings an outstanding doctor to Buffalo annually to discuss some special field of medicine at Chil­ dren's Hospital. He began his Buffalo practice in 1914 and his method for replacement transfusions in Rhnegative babies earned him worldwide ac­ claim in medical circles. He was the first physi­ cian to perform that procedure in the Buffalo area. Dr. Arnold interned at the Buffalo General Hospital and took his residency at Harvard. He did postgraduate study in Berlin and Munich. He was a member and past president of the Canadian Society for the Study of Diseases of Children. He was also a Diplomate of the American Board of Pediatrics and was active in several local, state and national professional organizations-^ / Dr. Richard A. Bahn, M'52, died July 4 at his home in Oxford, N. Y. The 45-year-old surgeon had been in poor health for more than one year, but had continued to practice until five weeks before he died. Dr. Bahn spent seven years as an intern and resident in surgery at the E. J. Meyer Memorial Hospital and re­ turned to the hospital to practice in 1971. From 1959 to 1963 he was in Harlan, Ky. where he practiced in the United Mineworkers Hospital. When the hospital was sold he returned to New York State and opened a private practice in Norwich where he was on the staff of the Chenango County Memorial Hospital. One of his brothers, Dr. Robert C. Bahn, is a 1947 Medical School graduate and a member of the Mayo Clinic Staff, Rochester, Minnesota.• 71 �Cruise Carnival in Cabin Category from $299 to $499 Departing from Niagara Falls, N. Y. on December 30, 1972 Here's what's included: Caribbean Cruise Carnival to • San Juan, Puerto Rico; St. Marten; St. Thomas, • Round trip jet flight to Miami Virgin Islands; Nassau, the Bahamas. This cruise will feature a special scientific program for physicians and dentists by Mirdza Neiders, D.D.S., Professor of Oral Pathology, SUNYAB School of Den­ • Accommodations aboard TSS Mardi Gras for 7 days with air conditioned staterooms • Three meals a day tistry. • Captain's Cocktail Party The program will include: 1. Early Cancer Detection • All transfers and luggage handling 2. Differential Diagnosis of Jaw Lesions • Host escort throughout 3. Oral Manifestations of Dermatologic Diseases • Briefings on what to see in each 4. Systemic Diseases with Oral Manifestations 5. Case Presentations Program fee is an additional $50.00. The cruise with the scientific session is tax deductible. port-of-call For details write or call: Alumni Office, SUNYAB 123 Jewett Parkway Buffalo, N. Y. 14214 (716) 831-4121 Departing by jet Feb. 16 is the Majorcan Carnival — 8 days & 7 nights for $359.00. From this Mediterranean Island there is an optional day in Madrid. Other trips to London and Portugal are in the planning stage. The General Alumni Board - MORLEY C. TOWNSEND, '45, President; DR. FRANK L. GRAZIANO, D.D.S., '65, President­ elect; GEORGE VOSKERCHIAN, Vice President lor Activities; FRANK NOTARO, '57, Wee President lor Administration; MRS. PHYLLIS MATHEIS KELLY, '42, Vice President for Alumnae; JAMES J. O'BRIEN, '55, Vice President for Athletics; ROBERT C. SCHAUS, '53, V/ce President for Constituent Alumni Croups; DR. GIRARD A. GUGINO, D.D.S., '61, Vice President for Development and Membership; G. HENRY OWEN, '59, Vice President for Public Relations; ERNEST KIEFER, '55, Treasurer; CHARLES M. FOGEL, '38 and ESTHER K. EVERETT, '52, Members of the Executive Committee; Past Presidents: DR. EDMOND J. GICEWICZ, M'56; ROBERT E. LIPP, '51; M. ROBERT KOREN, '44; WELLS E. KNIBLOE, '47; RICHARD C. SHEPARD, '48. Medical Alumni Association Officers: DRS. JOHN J. O'BRIEN, M'41, President; LAWRENCE H. GOLDEN, M 46, Vice President; PAUL L. WEINMANN, M'54, Treasurer; LOUIS C. CLOUTIER, M'54, Immediate Past-President; MR. DAVID K. MICHAEL, M.A. '68, Secretary. Annual Participating Fund for Medical Education Executive Board for 1971-72 — DRS. MARVIN L. BLOOM, M'43, President; HARRY G. LaFORGE, M'34, First Vice-President; KENNETH H. ECKHERT, SR., M'35, Second Vice-President; KEVIN M. O'GORMAN, M'43, Treasurer; DONALD HALL, M'41, Secretary; MAX CHEPLOVE, M'26, Immediate PastPresident. 72 THE BUFFALO PHYSICIAN �A MESSAGE FROM J O H N J. O ' B R I E N , M ' 4 1 PRESIDENT MEDICAL ALUMNI ASSOCIATION The University of Buffalo Medical Alumni Association needs your dues contribution more than ever before. It helps provide much needed School of Medicine-community interplay, such as: 1. 2. 3. 4. 5. 6. 7. SCHOLARSHIPS for medical students. CONTINUING EDUCATION. The Spring Clinical Days. REUNIONS of your graduating class. RECEPTIONS at selected medical conventions. CLUBS on a national basis. TOURS. Vacations highlighted by scientific sessions. MISCELLANEOUS. Office Expenses and other services focused at making ours a complete alumni program. We invite you to join the physicians who gave last year. Please use the envelope below and make your check payable to the "Medical Alumni Association." Your gift will add new meaning and flexibility to our program. First Class Permit No. 5670 Buffalo, N. Y. BUSINESS REPLY NO POSTAGE STAMP NECESSARY IF MAILED IN POSTAGE WILL BE PAID BY — Medical Alumni Association 2211 Main Street Buffalo, New York 14214 Att.: David K. Michael MAIL THE UNITED STATES �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 __ Office Address Home Address Year MD Received — —. If not UB, MD received from In Private Practice: Yes • _ No • In Academic Medicine: Yes • Specialty, 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Journals and magazines 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, Winter 1972 Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--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 1972-Winter 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_v06n04-1972-Winter Table Of Contents A list of subunits of the resource. Faculty Honored Pacemakers Alumni Receptions SLE Test Children's Hospital University/Hospital Partnership by President Robert L. Ketter Drug Abuse Roswell Park/Psychiatry Director Rural Health Care Prenatals Gonorrhea Test Gyn/Ob Head/Chinese Student Teaching Techniques Continuing Medical Education Community-University Day Polluted Waters New Journal/Psychiatry Grant Dr. George Thorn Moral Issue BGH Expansion Allergic Disease Center LARMP/Microbiology Grants Hallucinogens Dermatology Chairman The 1976 Class Family Practice/Dr. Murphy Surgery Chairman Dr. Regan/Scholarships First Complex Hormone Dr. Vaughan Lab/Health Center Infectious Diseases VA Hospital Director Lackawanna Health Center Health Resources/Dr. LaPaglia Surgery VA Drug Treatment Mental Health 10,000 Mile Cruise Medical Van New North Campus Heart/Lung Studies Swimming Analysis Faculty Promotions The Classes People In Memoriam Date Created Date of creation of the resource. 2022-09-15 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. v06n04 Extent The size or duration of the resource. 76 p. Spatial Coverage Spatial characteristics of the resource. New York (State)--Buffalo Rights Holder A person or organization owning or managing rights over the resource. Copyright 1972 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/d1f86cccff273e335d54dd3d190250a8.pdf cfdd047c185cab54354c9ff29bf85cb8 PDF Text Text �BUFFALO PHYSICIAN Volume 29, Number 1 ASSOCIATE VICE PRESIDENT FOR UNIVERSITY ADVANCEMENT Dr. Carole Smith Petro DIRECTOR O F PUBLICATIONS Timothy J. Conroy PUBLICATIONS MANAGER Judson Mead PRODUCTION MANAGER Ann Raszmann Brown EDITOR Nanette Tramont, R.N. ART DIRECTOR Alan J. Kegler STATE UNIVERSITY O F NEW YORK AT BUFFALO S C H O O L O F MEDICINE AND BIOMEDICAL SCIENCES Dr. John Naughton, Vice President for Clinical Affairs, Dean EDITORIAL BOARD Dr. John A. Richert, Chairman Dr. Russell W. Bessette Dr. Martin Brecher Dr. Harold Brody Dr. Richard L. Collins Mr. Ravi Desai Dr. Alan J. Drinnan Dr. James Kanski Dr. Elizabeth Olmsted Dr. Barbara Majeroni Dr. Charles Paganelli Dr. Thomas Raab Dr. Stephen Spaulding Dr. Bradley T. Truax TEACHING HOSPITALS AND LIAISONS The Buffalo General Hospital Michael Shaw Buffalo VA Medical Center Arlene Kelly The Children's Hospital of Buffalo Erie County Medical Center Mercy Hospital Millard Fillmore Health System Frank Sava Roswell Park Cancer Institute Sisters of Charity Hospital Dennis McCarthy © The State University of New York at Buffalo Buffalo Physician is published quarterly by the State University of New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. It is sent, freeof charge, to alumni, faculty, students, residents and friends. The staff reserves the right to edit all copy and submissions accepted for publication. Address questions, comments and submissions to: Editor, Buffalo Physician, State University of New York at Buffalo, University Publications, 136 Crofts Hall, Buffalo, New York 14260; or by e-mail at notes@pub.buffalo.edu. Send address changes to: Buffalo Physician, 147 CFS Addition, 3435 MainStreet, Buffalo, New York 14214 Dear Alumni and Friends, T his issue of the Buffalo Physician focuses on the increased emphasis the medical school and the Graduate Medical Dental Education Consortium have directed to Primary Care education and on selected aspects of medical practice in Western New York and throughout the country. Ms. Nan Tramont, the Editor, has done an excellent job of coordinating a large amount of information on these important areas. As I have reported previously, the medical school and the Consortium have made ' , significant commitments to foster educational change at the medical student and graduate medical education levels. The faculty through­ out all aspects of the medical school are now involved in a thorough evaluation of the current curricular offerings, and are working diligently to ensure that new initiatives designed to prepare UB's graduates appropriately for the future will be ensured. Never before in the history of American medicine has the need to coordinate educational needs with future professional career needs been as intense and necessary. UB will continue to provide leadership in this important area, and through the Buffalo Physician you will be kept abreast of the school's progress. Best regards. Sincerely, John Naughton, M.D. Vice President for Clinical Affairs Dean, School of Medicine and Biomedical Sciences Dear Fellow Alumni, P lans are well under way for this year's Spring Clinical Day. Dr.Jack Coyne, program chairperson, has organized a morning program centering on the theme of the physician's role in recognizing child abuse. This topic, along with the increasing recognition of family abuse, has become a national concern. The planned program should be most educational and informative for all participants. This year's Stockton Kimball Lecture will be given at Spring Clinical Day by Dr. Richard Krugman, dean of the School of Medicine at the University of Colorado, Denver, Colorado. Recently, the five-year class reunion chairpersons met to review plans for their respective class dinners and social events. As part of this, many of you will be contacted by them for contributions to a class gift. Please be generous if you are called and remember that funds collected are used to benefit scholarship programs for deserving medical students. Recently, the Distinguished Medical Alumnus Award was pre­ sented to Dr. Noel Rose. This presentation was made at the Past President's Dinner and it recognized Dr. Rose's outstanding achievements, as well as the past efforts of numerous Medical Alumni Presidents. The academic year for medical students is well under way, and early reports show a very enthusiastic response by students for the Community Physician Program under Dr. Roger Dayer's direction. We on the board thank you for all your continued support and encouragement as we prepare for this year's major event at Spring Clinical Day. Sincerely, Russell W. Bessette, D.D.S., M.D. '76 President, Medical Alumnus Association �Making Primary Care Primary • UB's innovative Music's charms. Page 3. programs are leading the nation in the push for primary care. Practicing their Calling It's a brave new world for today's practitioner as physicians are finding the idyllic image of the solo practitioner as endan­ gered as the 10-cent phone call. Then and Now Medical School ElAlumni UB's emphasis an primary care makes it a national leader. Page 6. Spoonful of Humor Classnotes 1 On the cover: Residents David Milling, M.D., and Colleen Mattimore, M.D., (on the right), and medical students Tami Seaman and Steve Cook (on the left) help make up the cadre of new and future primary care physicians trained at UB. �Below-average cognition may herald treatment dropout risk drinkers who tended to have more pre­ vious treatment experience. But the most striking finding, researchers said, showed that treatment completers scored significantly differently than lcoholics who have below-average cognitive abilities are more likely dropouts on the NAART and Trails B to drop out of residential treat­ tests. ment programs than those with Over half of inpatients who scored average or above-average cogni­ below-average dropped out of treatment, tive abilities, according to a recent compared to only 19 percent of the study by the Research Institute on Ad­ inpatients in the above-average group dictions. and 28 percent in the aver­ RIA research scien­ age group. tists Donna M. Czarnecki recom­ Czarnecki, Ph.D., mends that providers as­ and Gerard J. sess clients' dropout risk Connors, Ph.D., stud­ at intake, taking into con­ ied 136 clients admit­ sideration how much they ted to the RIA's 28-day drink, their treatment his­ Clinical Research Center tory, general abilities and treatment unit. The study whether or not cognition is compared clients who impaired. completed the program "Because of the way with those who left be­ alcohol and other fore it ended, either drugs affect the brain, against medical advice many clients may have or because they were some impairment when discharged for adminis­ they first enter treatment. trative reasons. Initially, the cognitively Cognitively limited dients may The study showed rates need extra help in treatment. limited clients may be over­ similar to those generally whelmed by the standard reported for such programs: 69 percent treatment program. They may need of the clients completed the treatment something extra to help them in treat­ program; 31 percent did not. As part of ment." + their admissions screening, investiga­ tors administered the North American Adult Reading Test (NAART) and the Trailmaking tests. The NAART, which entails reading aloud, provides a rough estimate of intelligence. new study by UB researchers has "Reading is not usually affected by shown that breast-feeding prema­ long-term alcohol abuse, so this should ture infants during the first three provide a stable estimate of intelligence to four weeks of life may help or general ability," Czarnecki said. protect them from developing the "Trails B, which is a paper and pencil potentially life-threatening bowel test, is a behavioral measure that is sen­ inflammation, necrotizing enterocolitis. sitive to cognitive impairment." The findings show that premature in­ Clients who dropped out were heavier i Breast-feeding premature babies may offer protection bom NEC © B u f f a l o P h y s i c i a n W fants who are not breast-fed have about a three times greater risk of developing NEC during the first four weeks than premature babies who receive any amount of breast milk during that time. Risks were nearly the same for breastand bottle-fed babies at two weeks, the results showed, with the protective ef­ fect beginning to appear during the third week, when the risk of NEC for babies who had received no breast milk was twice that of breast-fed babies. Vivien Carrion, M.D., assistant pro­ fessor of pediatrics and lead investigator on the study, presented the findings at the Society for Pediatric Research meet­ ing in April. The retrospective case-control study involved 100 premature infants admit­ ted to The Children's Hospital of Buffalo between January 1986 and December 1992 who developed NEC, and a ran­ dom group of 100 infants from the same neonatal intensive care unit who did not. Babies were matched for age, weight — all weighed less than 1,500 grams at birth — and other significant factors. An analysis of feeding methods from the infants' medical records showed that breast-feeding was significantly more prevalent among the babies who did not develop NEC than among those who did. Babies in the control group also were breast-fed longer than infants in the case group. "Our study shows that infants fed any breast milk for three weeks or longer prior to diagnosis were at lower risk for NEC than those who were not breast­ fed," Carrion said. "There were no other factors that accounted for the difference between groups." Members of the research team also included Nadir Parsa and Linda Duffy, Ph.D., both of the department of pediat­ rics and Children's Hospital. l n f e r 1 9 9 5 �Music has charms to soothe a savage surgeon, UB study says IIB study shows most with SIBS do not go on to develop sepsis P B laying music during surgery may help some surgeons relieve stress and improve their performance, a UB study suggests. But only music selected by the surgeon had a strong positive ef­ fect during an experiment designed to mimic the stress of surgery. Results showed that music selected by the re­ searchers known specifically for its calm­ ing influence resulted in only slightly decreased cardiovascular activity and no improvement in performance. The study, conducted by Karen Allen, Ph.D., andjim Blascovich, Ph.D., of the Center for the Study of Biobehavioral and Social Aspects of Health, appeared in the Sept. 21,1994 issue of the Journal of the American Medical Association. Various studies have shown the role of music in relieving patients' anxiety and pain before, during and after medical pro­ cedures, including surgery. Allen and Blascovich said theirs is the first to study music's therapeutic effect on surgeons. They assessed how music affected sur­ geons' cardiovascular reactivityand per­ formance, enlisting 50 male volunteers who listened to music during surgery to perform mental arithmetic tasks in a laboratory setting. The tasks were performed twice un­ der three conditions — music of choice, music selected by the researchers (Pachelbel's Canon in D, a well-known classical orchestral piece often included in commercial "stress-reduction" tapes) and no music. Baseline cardiovascular readings were taken before and after each task, and readings monitored during each task and music condition. Performance was rated for speed and accuracy by a researcher blind to the study conditions. Results showed the surgeons per- B u f f a l o P h esearchers at the University at Buffalo's Center for Pharmaco­ epidemiology have concluded that one of the definitions of sepsis and the conditions that precede it — adopted two years ago to help identify patients at risk of the most com­ mon cause of death in hospital intensive care units—may, in fact, raise false alarms. The study found that contrary to the definitions promulgated by the Ameri­ can College of Chest Physicians and the Society for Critical Care Medicine, 72.3 percent of patients with systemic in­ flammatory response syndrome (SIRS), considered a precursor of severe sepsis, do not go on to develop the condition. The UB study included 1,754 patients — one of the largest databases compiled on patients at risk of developing sepsis. A total of 1,649 patients, or 94 percent of the group, developed SIRS. Self-selected music engendered the best performance. formed substantially better when lis­ tening to their own selection. Cardiovascular response also was sig­ nificantly lower during the self-selected music segment. Average pulse rate was 78 beats per minute during the self-selected music, compared to 110 during both the Pachelbel selection and when no music was playing. Both systolic and diastolic blood pressure rose significantly in re­ sponse to stress during the no-music and Pachelbel segments, but remained stable during the physicians' choice of music. No specific category of surgeon-selected music was associated with favorable physi­ ological responses and improved perfor­ mance. "This experiment lends credible support to the importance of individual taste and selection of music," the authors state. "James Galway and the Chieftans playing Irish music complete with drums and tin whistles had a more positive influ­ ence on the surgeon than the soothing Pachelbel used as the control." — y B s Y L i c O I i S B a n A K W E R i New name better reflects mission and origins of research group T o recognize the partnership of science and philanthropy that has been a part of the Medical Foun­ dation of Buffalo since its found­ ing in 1956, the board of direc­ tors has announced that the organization's name has been changed to the Hauptman-Woodward Medical Research Institute, Inc. The institute's new name recognizes the contributions of its president and UB professor of biophysical sciences, Herbert A. Hauptman, and the benefac­ tion of Helen Woodward Rivas and her daughter, Constance W. Stafford, as well as better describes its biomedical re­ search mission. n t e r 1 9 9 5 © �HOSPITAL Ft! N E W S Dent Neurologic Institute offers Positron Emission Tomography T he Millard Fillmore Health Sys­ tem has become the first private health care organization in West­ ern New York to offer Positron Emission Tomography through the Dent Neurologic Institute. Isotopes for the sophisticated nuclear imaging will be provided by UB, which was the first to bring the technique to the area at its Center for Positron Emis­ sion Tomography — a cooperative ven­ ture between the university and the Department of Veterans Affairs — lo­ cated at the Buffalo VA Medical Center. Millard's PET scanner — the Exact HR PET Scanner — is one of the three most technically advanced scanners in the world. It was installed at Millard's Gates Circle facility last spring. "The potential of PET is limitless. Its measurements of functional physiologic activity in the body will not only allow more timely service to patients in need, but will also facilitate a greater under­ standing of the functioning human body in all its complexity," said William Kinkel, M.D., founding director of the Dent. + strong community ties to her position at Roswell Park," said Thomas Tomasi, M.D., Ph.D., Roswell president and CEO. Well-known in the Western NewYork community, Bontempo is the recipient of the Outstanding Woman in Business and Industry Award from UB's Com­ munity Advisory Council; the Clifton C. Thorne Award for Outstanding Achievement in Health Care and Hu­ man Services from Empire Blue Cross/ Blue Shield; and the 1989 Western New York Chapter of the National Confer­ ence of Christians and Jews Certificate of Recognition in Medicine, among oth­ ers. She holds honorary doctorates from Niagara University and Canisius Col­ lege. Bontempo received her master's de­ gree in health administration from St. Louis University in Missouri and ad­ vanced certification in health manage­ ment and finance from Yale University. She is a fellow of the American College of Healthcare Executives and an active member of the American Public Health Association and Association of Cancer Centers. + Angela Bontempo takes senior vice presidential post at RPCI i ngela Bontempo, former president and chief operating officer of Sis­ ters of Charity Hospital, has been appointed senior vice president and executive director of Roswell Park Cancer Institute. Bontempo will oversee Roswell's ad­ ministrative, operational and fiscal man­ agement. "Ms. Bontempo brings a high level of administrative experience as well as O B u f f a l o P Angela Bontempo h y s i c i a n w Roswell and Millard lo establish outpatient cenlei al Suburban B oswell Park Cancer Institute and Millard Fillmore Health System have agreed to establish an ambu­ latory oncology facility at Millard Fillmore Suburban Hospital. The new center will provide the full range of outpatient cancer services, in­ cluding chemotherapy and radiation therapy. The agreement marks the first time that Roswell, a National Cancer Insti­ tute-designated comprehensive cancer center, will operate a satellite unit at a community hospital. The project must undergo review and win approval by the local Health Systems Agency and the state Office of Health Systems Manage­ ment. Roswell and Millard officials said the facility, to be known as the Ambulatory Oncology Centers of Roswell Park Can­ cer Institute and Millard Fillmore Hos­ pitals, will ensure access to high quality cancer care to more than 450,000 people in Millard Fillmore's primary service area. The 11,500-square-foot building is scheduled to be completed in the fall of 1995. Roswell will lease space in the facility. Roswell will be responsible for pro­ viding technical and professional sup­ port for radiotherapy services; Millard will be responsible for chemotherapy services and related support services. Roswell is recruiting a director for the center and Roswell and Millard will con­ tract with each other for various admin­ istrative services. As part of the agreement, a 6 MEV linear accelerator, which Roswell will acquire as part of its major moderniza­ tion project, will be located at the cen­ ter. + i n t e r 1 9 9 5 �HOSPITAL N E W S transplant immunology." Joseph Jacobs, founder and chairman of Jacobs Engineering Group, Inc., an international engineering and construc­ tion firm with headquarters in Pasa­ dena, California, described his brother as a "compassionate human being who left an indelible mark in the field of medicine in Buffalo and at Buffalo Gen­ eral." Conditions of the grant also stipulate that there be 100 percent participation by hospital and foundation trustees in the foundation's current "Campaign for Visionary Healthcare in the 21st Cen­ tury." + Sisters Hospital opens expanded women's specially referral cenler Artist's rendering of Buffalo General Hospital's Institute for Molecular Medicine and Immunology. Record gifl will establish center for immunology research al BGH he Buffalo General Foundation will receive a $3 million gift to support the creation of an Insti­ tute for Molecular Medicine and Immunology (1MMI) in memory of former Buffalo General Hospi­ tal President Theodore T.Jacobs, M.D., '38, who died last April at the age of 82. William V. Kinnard, Jr., M.D., dis­ closed that Joseph J. Jacobs, Ph.D., brother of Theodore, will provide the gift in the form of a challenge grant that requires BGH's foundation to raise an additional $6 million. "The grant is the largest ever received by Buffalo General and its foundation, and we are tremendously grateful to Joseph Jacobs and the Jacobs family for helping us to establish this vital re­ search facility," said Kinnard, who suc­ ceeded Jacobs as BGH president in 1975 and served in the position until 1990. Citing Buffalo General Hospital's strong commitment to organ transplan­ tation and programs involving the im­ mune system and disease, Kinnard said creation of the IMMI will have a major impact on improving patient care and enhancing the treatment of disease. Kinnard said plans for the IMMI are being developed in collaboration with UB's School of Medicine and Biomedical Sciences and with other local health care providers, including Roswell Park Cancer Institute and The Children's Hospital of Buffalo. He indicated that construction of the institute would be completed by the end of the decade. "As we envision it, the institute will consist of major sub-divisions encom­ passing cancer immunology, immunopharmacology, genetics and B y T u f f a l o P h s i c i a n w i S isters Hospital has opened the Sis­ ters Specialty Center for Women, a referral center staffed byspecialists to complement the care provided by a woman's primary care physi­ cian. The new center, located in the Seton Building adjacent to the hospital, will consolidate services already in opera­ tion, such as Sisters' Breast Care Center, with new programs "to further expand our program into a referral center which will support, not compete with, our private physicians," explained David R. Verstreate, vice president for operations at Sisters. "We offer a variety of spe­ cialty services all in one location and thus provide a continuity of care for women, originating with and led by their primary care doctor." The center will offer infertility ser­ vices, endocrinology, natural family planning, breast care, perinatal medi­ cine, medical obstetrics, urogynecology, post-reproductive gynecology and gy­ necological oncology. n t e r 1 9 9 5 © �M J A UB K I N G P R I M A R Y C A R E I BECOMES A NATIONAL LEADER IN THE PUSH FOR PRIMARY CARE S NATIONAL HEALTH CARE REFORM WAS GOING DOWN THE POLITICAL TUBES IN WASHINGTON LATE THIS PAST SUMMER, A REFORM PROGRAM THAT PROMISES TO HELP CHANGE THE FACE OF MEDICAL PRACTICE FOR DECADES TO COME WAS GAINING MOMENTUM IN BUFFALO. O B u f f a l o P h y s an w n t e r 1 9 9 5 �The highly regarded and ever-expanding initiative, which would increase the number of medical students and residents pursuing primary care careers, introduced its first programs in the autumn of 1992. Led by the University at Buffalo School of Medicine and Biomedical Sciences, in conjunction with the Graduate Medical Dental Education Consortium of Buffalo (GMDECB), the primary care program is already reshaping the way medicine is taught in Buffalo. This marks the first year, for instance, that a clerkship in family medicine becomes a routine part of the third year. Primary care faculty are attending workshops to enhance teaching skills, and a novel program that places primary care residents into community practices is growing. Last June, the medical school won a prestigious, three-year, $600,000 Robert Wood Johnson Foundation grant to continue the work; last September it won a two-year, $500,000 grant from New York State for the same purpose. "I think there's a lot to be excited about," John Naughton, M.D., vice president for clinical affairs and dean of the medical school, said as he rattled off a litany of initiatives. "We're seen as one of the leaders, I think," Naughton continued. "More of our people are being asked to give talks at national meetings on our experiences, and people are coming to visit us to see what is going on." One of those visitors was Randall Zuckerman, chair of the American Medical Student Association's Generalist Physicians in Training Program. He was particularly impressed by an "externship" program that allows undergraduate medical students to work alongside primary care physicians i n their practicesduring thesummer. "Ina lot o fschools, primarycare is ^ ^ talked about," said the third-year Dartmouth Medical School student. "But A n d r e w P h o t o s by D n n z o K.C. K r a t t you have the full weight of the institution behind it." The Buffalo program strives to tip back the specialist-generalist scale without using too heavy a hand. The boldest move was the medical school's declaration that it would cap the number of residencies and evenly distribute them between primary care and the sub-specialties. The remainder of the effort, however, employs a gentler touch — one that seeks not to force people into primary care, but to make Buffalo more hospitable to primary care, and thereby encourage more young professionals to choose it on their own. The strategy is both simple and radical — remaking the image of the generalist. "Students come in with a lot of misconceptions about what primary care in the community is like," said John Feather, Ph.D., executive director of the Primary Care Resource Center, which coordinates many of the Buffalo initiatives, "that they [generalists] are behind the times, that it's not as challenging intellectually. You know, the classic Norman Rockwell picture of the family physician listening to the little girl's doll." By improving teaching technique, encouraging research and exposing students to generalists in their own practices, the programs seek to transform the old model of Rockwell's kindly but quaint doc into a role model worthy of the best and brightest. "It really takes a broader range of skills to be a generalist, but that hasn't been where society was placing their values," noted Thomas Rosenthal, M.D., chair of family medicine and project director for the Robert Wood Johnson grant. u f f a l o P h y s i c i a n W i n t e r 1 9 9 5 �UB's primary care plishment in and of itself." In 1991-92, emphasis can be traced the GMDECB's primary care residency back a quarter century, slots totaled 40 percent; in 1992-93, to its establishment of 41 percent; in 1993-94, 42 percent; one of the nation's first and in 1994-95, 43 percent. family medicine pro­ As for UB medical school gradu­ grams. In the mid-1980s, ates, the proportion entering primary as medical graduates na­ care residencies has hovered around tionally were showing 40 percent since 1991, with a jump less and less interest in from 38 percent in 1993 to 42 percent primary care, Naughton in 1994. Since the first of the demon­ said he began thinking stration project's undergraduate pro­ about providing more grams didn't begin until 1992, this comprehensive ambula­ year's match may be a better indication tory experience for of their effect. "If you wanted to get a fourth-year students. completely accurate view you would Then, in 1989, the state have to look at five years after resi­ authorized a demonstra­ dency," said Feather. "The problem is "Primary care was the type of care I was interested in when I tion project in which UB's that all the initiatives are not going to entered medical school. UB strongly supports primary care. I feel consortium of teaching have an impact on those numbers for a hospitals would pool $5 decade. It's a very long process. We're encouraged to go in that direction rathher than disuaded." million from increased turning around a battleship." I education reimburseNaughton said that while he re­ TAMI SEAMAN 1 ments to fund a broad mains committed to the original goals, Analysts have grappled for years primary care initiative. The Reimburse­ "The object is not to reach 50 percent with the paradox of a medical educa­ ment Demonstration Project's center­ for 50 percent's sake." The most im­ tion system that turns out ever more piece was a commitment to cap the portant goal, he said, is to increase the physicians to practice at ever rising number of GMDECB residencies and proportion of generalists practicing in cost without improving access to health allocate half to primary care by the the community, adding that he thinks care. In 1978, an Institute of Medicine mid-1990s. The medical school also the last several years have laid the task force suggested that things would talked enthusiastically improve if 50 percent of physicians about sending 50 percent DAVID MILLING, M.D. were generalists, the minimum in most of its graduates into pri­ industrialized countries. The national mary care residencies. "What they're doing here — increasing the ambulatory care Council on Graduate Medical Educa­ The 50 percent goals experience, giving you more clinic and more contact on an tion has recommended the same. But remain to be met. there are still two specialists for every Residencies have been outpatient basis — really enhances the primary care ideal." generalist practicing in the United capped at 788, but the States. Even if every last medical school proportion of primary graduate were to suddenly choose pri­ care slots remains below mary care from here on, it would still half. take a full decade to reach a 50-50 "This is the year it was balance. supposed to reach 50 per­ "There's been much discussion of cent," said Roseanne C. this for years and years, but not much Berger, M.D., associate momentum," said Naughton. dean for graduate medi­ "In an era where scientific advances cal education. "But what and technological advances lend them­ we have done over the selves to creating more specialists, now last three years is increase we have to recognize that while those the total number of posi­ advances are important, the manage­ tions in primary care and ment of them has to be done in a different restricted growth in the way than we've been doing," he added. non-primary care posi­ "And that means a changing attitude in tions. And that has been the way medicine is practiced." viewed as a major accom­ O B u f f a l o P h y s i c i a n W i n t e r �foundation for that. In a broad sense, the effort is based on the notion that familiarity with pri­ mary care practice will breed respect for it. Planned changes in the medical school curriculum, for instance, would introduce patient-based clinical teach­ ing in the first year. An interdiscipli­ nary clinical correlations approach will enhance basic sciences, and there will be an emphasis on problem-solving and self-learning skills. "We feel that if we can produce students who feel real comfortable and well-skilled in the ability to discover the maximum amount of information through their eyes, ears and hands, and in talking to patients, taking histo­ ries and doing the physical exam, then they will feel better equipped to enter a broad-based generalist field," said Rosenthal. "We've been teaching medi­ cal students by giving them large amounts of information organized ac­ cording to organs. We would like to restructure it so that information is still learned, but now organized ac­ cording to real world presentation." Plans call for expanding the use of office settings for pediatric and inter­ nal medicine clerkships. At the same time, efforts are under way to increase ambulatory training op­ portunities for primary care residents. Key to these efforts is the Community Aca­ demic Practice program, which has designated nine community prac­ tices around the region as ambulatory training and research sites for pri­ mary care residents, as well as medical students. CAP sites must demon­ strate a community ori­ "The primary care externship program got me hooked. I got to see entation and be willing how patients progressed over time — not how lab values do. It's to make residents an in­ corny, but I really like that. It's why I went to medical school." tegral part of their prac­ tice. They must also be willing to participate in STEPHEN COOK practice-based research. Each CAP site is connected to gree of prestige," he said. HUBNET, the medical computer net­ On the undergraduate side, more work operated by UB and its teaching students are learning about generalist hospitals. Above all, each CAP must practice through the Primary Care meet strict quality criteria. "This is one Externships open to them in the sum­ of the first times that community prac­ mers after their first and second years. tices have had to undergo This voluntary program started in 1992 COLLEEN MATTIMORE, M.D. a thorough investigation with 40 students and grew to 60 stu­ of quality," noted Paul dents by last summer. This summer 70 James, M.D., coordina­ slots are planned for students who will "The academic faculty, world-renown for its research, combined tor of the CAP program. spend six weeks working side by side with the strong faculty of general pediatricians in the community, James said that since with a generalist in a variety of com­ offers the perfect blend of primary care medicine." the first sites were desig­ munity practices. nated last year, their role "They learn a great deal of clinical has been expanded to medicine, but the goal of the program serve as community- is to see what life is like as a primary based continuity clinics care physician," said Michael Edbauer, for some primary care D.O., assistant clinical professor of pe­ residents. "Many of us diatrics and externship coordinator. "I believe that it would take don't think people appreciate what a that sustained effort of positive feeling it is to interact with a three years before people family and have them put their faith in get a real clear picture of you, how much that means to a per­ the benefits of providing son." care outside the hospi­ The program pays $1,500 to partici­ tal," he said. pating first-year students and $2,000 James has been en­ to second-year students. Zuckerman, couraged by the number of the American Medical Student Asso­ of practices applying for ciation, said the stipend not only helps CAP designation. "There financially pressed students take ad­ seems to be a great de­ vantage of the externship, but it is also B U F F A L O P H Y S I C I A N W I N T E R 1 9 9 5 O �p r i m a symbol that generalists are valued. "As far as I know, there are no other schools in the country doing anything like that," he said. Other efforts aimed at elevating the stature of primary care involve teach­ ing and research. The Teaching Effec­ tiveness Program offers workshops and resource materials designed to enhance the teaching skills of residents, as well as full-time and voluntary faculty. Re­ cent workshops included "The Internet A R C Y and HUBNET," "The Preceptor as Mentor" and "Physician Self-Aware­ ness." The thinking behind the pro­ gram is that clinical teachers have a great effect on career choice, and bet­ ter teachers make better mentors, pre­ ceptors and role models. A related effort has led to a new master's degree program called Education for the Health Professions. The program, of­ fered by the UB Graduate School of Education, began this autumn with 10 a r e physicians, most of them in primary care specialties. UB is also offering primary care fac­ ulty and residents opportunities to learn or enhance research skills. According to one description of the program, "The development of a cadre of primary care residents and faculty with an interest in primary care research provides medi­ cal students with role models, and the research they conduct generates pri­ mary care experiences for students." Cooperation Marks the Movement to Balance UB's Generalists and Specialists Creating a more even balance between generalists and specialists doesn't come easy. Not in terms of the work required, and certainly not in terms of the anxiety pro­ duced. "I think there's concern among all faculty," said John Naughton, M.D., vice president for clinical af­ fairs and dean of the UB medical school. "Specialty faculty is con­ cerned that they don't lose their role in the medical education pro­ cess. And they won't. But they do have to join with the total faculty in not only educating physicians in their own discipline, but joining in the education of generalist physi­ cians." Naughton said that ultimately specialists have less to fear from educational changes than they do from the outside world. Managed care has begun altering the generalist-specialist balance on its own — so much so that about 60 percent of specialists will be unnecessary by the year 2000, according to re­ searchers at The Johns Hopkins School of Public Health who exam­ ined physician work-force require­ ments for the Council on Graduate Medical Education. Other areas continue to be underserved by even basic health care, and calls persist for a comprehensive national ap­ proach to work force strategy. In the current environment, UB's primary care emphasis may be as much a matter of sound career counseling as prudent public health policy. "By the year 2000 it's projected there will be over 125,000 excess specialists of all types in this coun­ try," said James Nolan, M.D., chair of UB's department of medicine. "The worry is, if we don't make the primary care specialties more at­ tractive we will end up training spe­ cialists and there won't be jobs for them." Nolan recently chaired theAmeri­ can College of Physicians' Task Force on Physician Supply. The panel, reporting in the Oct. 1,1994, issue of the Annals of Internal Medi­ cine, concluded that the generalistspecialist imbalance was so severe and so persistent that "a national commission is required with regu­ latory authority to set targets for the total number and types of physi­ cians." Gerald Sufrin, M.D., chair of both urology and the Council of Clinical Department Chairpersons, senses that all faculty members realize the urgency of UB's effort. "I don't de­ tect among the various specialty de­ partments that there is an over-em­ phasis on this," he said, adding that specialists want to play a continuing role in training generalists. "There's a real sense that we should be part of the solution," he said. According to the plan for imple­ menting the Robert Wood Johnson initiative, that will happen. In de­ scribing the use of psychiatry fac­ ulty as on-site preceptors to selected primary care residents, the plan states: "This effort is a beginning step in our commitment to use the generalist initiative to strengthen the roles of our specialty faculty in the training of generalist physicians." Thomas Rosenthal, M.D., chair of family medicine and project di­ rector for the Robert Wood Johnson initiative, noted that changes in medical education and training un­ der the initiative benefit everyone. "Clearly our intent is to produce excellent clinicians, and that more of those clinicians will go into pri­ mary care," he said. "But we hope we will have excellent specialists as well as excellent generalists." The basic sciences share an equally significant role with the generalist and specialist faculty, Naughton added. "Obviously, the challenge to the institution is that all three of these important elements are working in a synergistic way," he said. "And I think they are." — A N D R E W D A N Z O �Family medicine and social and preventive medicine assis­ tant professor CarlosJaen, M.D., Ph.D., recently completed a landmark study of residents of Buffalo's lower West Side that found them considerably sicker than the U.S. population at large. The results of the first comprehensive health survey of this population found that the West Side residents face major barriers to receiving adequate health care and that they suffer from higher-than-average rates of smoking, alcohol con­ sumption, asthma and diabetes. The Primary Care Resource Center instituted summer assistantships for health services and clinical outcomes re­ search beginning in 1992-93. Plans call for expanding the assistantships and incorporating primary care into existing student research programs. Complementing the research emphasis is a clinical scholars plan that would allow a generalist resident to work toward a related advanced degree, such as one offered by the department of social and preventive medicine. A program description notes that it "will contrib­ ute importantly to altering the dichotomous view of general­ ist and specialist physicians as occupying opposite poles of the intellectual continuum in medicine." The list of specific programs and plans designed to turn out more generalists goes on. A new recruitment program for primary care residents combines previously separate efforts; it is symbolized by a series of glossy brochures that proved so popular a second printing was needed. Efforts are under way to identify which medical school applicants are more likely to pursue primary care, as are plans to make greater use of interdisciplinary and collaborative opportunities in teaching and the development of a tracking process to better learn how all the programs are affecting ultimate career choices. "There seems to be a great deal of interest among stu­ dents," said Dennis A. Nadler, M.D., associate dean for academic and curricular affairs. "When you offer students opportunities, you engender interest, and I believe we have." The work going into it all is considerable. The Primary Care Resource Center, which has taken over ivy-covered Beck Hall, oversees many of the initiatives, coor­ dinating the medical school's primary care departments with the GMDECB's residency programs. More than 100 faculty members have been involved in planning and implementing the Robert Wood Johnson Generalist Initiative, which itself has seven goals and 35 objectives. Michael Beachler, a senior program officer for the Rob­ ert Wood Johnson Foundation, said Buffalo has been making a name for itself. "They're pretty good at getting their own graduates into primary care residencies," he said. "It's not just the medical school, it's also the consortium of hospitals around the area that have come together to move in that direction. That's pretty unheard of. From my end, kudos to both, the hospitals as well as the medical school leadership." B u f f a l o P h y s i c i A Primer on Primary Care at UB QUESTION: What is the primary care program? ANSWER: It is not so much a single program—there is not even a formal name for it — as it is a philosophical commitment by UB and its teaching hospitals to produce more generalists. The commitment has led to an array of initiatives. Some of the major ones involve: # Dedicating 50 percent of residency training slots to primary care. # Revamping the medical school curriculum to more closely link clinical experiences to the basic sciences, as well as to emphasize problem-solving and self-learning. # Developing new community-based sites for medical edu­ cation and training. # Improving teaching skills. # Emphasizing primary care research. QUESTION: How is it organized? ANSWER: The focal point is the Primary Care Resource Center, which operates under the direction of the Graduate Medical Dental Education Consortium of Buffalo and the UB departments of family medicine, medicine, pediatrics and social and preventive medicine. QUESTION: How is it funded? ANSWER: Funding started with the Reimbursement Dem­ onstration Project in 1989. Under this project, the state Department of Health made GMDECB hospitals eligible for higher academic medical center teaching reimbursements. In return, and in cooperation with area health insurers, they pooled $5 million to cap and redistribute residencies and to fund generalist projects, which began in 1992. Technically, the project expired in 1994, but it is being renegotiated and is expected to continue. In 1992, UB also won a $150,000 planning grant under the Robert Wood Johnson Foundation Generalist Physician Initiative, and it was one of 14 sites nationally to be awarded a follow-up implementation grant last June. That grant is worth $600,000 over three years. Last September, UB won another $500,000 grant from the state health department, also to support generalist initiatives. + a n W i n t e r 1 9 9 5 0 �Practicing Their Calling It's a brave new world for today's practitioner Only a few short decades ago, physicians had only a few choices to make to fulfill their calling, ft But as the nation's hand-wringing over health care costs continues, those who are making a career in medicine are finding that the idyllic image of the solo practitioner that many followed into medical school is as endangered as the 10cent phone call. Instead, many physicians are finding that surviving and thriving in private practice means negotiating an alphabet soup of coalitions with names like IPA, PPO and HMO. ft Today, private-practice physicians are finding a world of options in a climate of change, ft One option becoming increasingly more popular is the group practice, either a single-specialty group or a multi-specialty group that encompasses a variety of disciplines, ft A recent study by the American Medical Association showed that the number of group practices increased dramatically in the two decades following 1965, then largely leveled off. In 1991 (the latest year for which figures were available), the AMA reported 16,576 group practices were in operation. Yet the number of physicians practicing in groups has continued to increase. Also in 1991, 32.6 per­ cent of physicians (excluding those employed by the federal government) were part of a group. "Between 1965 and 1991," the report notes, "the number of groups increased by 286 percent and the number of group physicians increased by 550 percent." Multi-specialty groups were reported to include a mean number of 24.6 physicians — more than double the mean group size in 1965. Single-spe­ cialty groups grew from 4.1 physicians in 1965 to © 6.8 in 1991. The reasons for the increase are varied. "Over the last several years, medical groups are better positioned to deal with managed care contracts," said Penny Havlicek, manager of the AMA's group practice database and an author of the study. "[A health-maintenance organization] can find in one group practice a provider for a large region, and they'd rather do that than contract with a lot of independent physi­ cians. Certainly from a managed care perspective, groups are easier to deal with." �And more remu­ nerative for their phy­ sicians. Havlicek noted that 1991 figures showed the average group-practice physician's net income (after expenses but be­ fore taxes) was $202,000; for solo or two-physician practices, the figure was $173,100. And regardless of how Congress decides to structure the nation's health care deliverysys­ tem, powerful market forces already are at work. In Minnesota and California, two states where managed care has made significant inroads, physicians are finding HMOs and other coalitions impossible to ignore. "There certainly are pressures in existence that are serious pressures in terms of practic­ ing efficiently," said David W. Emmons, an economist with the AMA's Center for Health Policy Research. "There are regions where large numbers of the patients have moved into managed care programs." In such regions, he says, physicians find it advisable to contract with those programs — or risk being cut out of the patient stream entirely. Still, Emmons says, the trends may be less overwhelming than they seem. In 1993, he said, about 48 percent of the United States' 670,336 physicians had a contract with an HMO. But only about one-third of their revenues come from HMO, independent practice asso­ ciation (IPA) and preferred provider organiza­ tion (PPO) contracts. The balance comes from more traditional health insurance providers. Beyond economics, Havlicek said "lifestyle" issues may also come into play when physicians choose a situation in which to practice. "With women increasingly going into medi­ cine, and also raising families, group practices may be seen as more accommodating to women," she said. "This might be true of young male physicians as well" — motivated "YOU really by the regular hours, vacation and weekend coverage and other sup­ ports that a group prac­ tice provides. (Not that the life of a physician ever lends itself to copi­ ous family time — no matter what kind of practice they're in, doc­ tors average nearly 59 hours a week at work.) Still, what matters most is how effectively a physician can practice his craft and his art. We took a sampling of doctors in several private-practice situations — solo prac­ tice, multi-specialty group, single-specialty group, staff-model HMO, group-model HMO and hos­ pital staff — and asked about the opportunities and limitations they face. have to be more Solo practitioner of a businessman these days than in the past. The days of hanging out a shingle and making gobs of money are long gone." Edward A. Toriello, M.D. Orthopedic surgeon "You really have to be more of a business­ man these days than in the past," said Edward Toriello, M.D., '80, who works in a two-physi­ cian practice in Brooklyn. "The days of hang­ ing out a shingle and making gobs of money are long gone." That pragmatism is crucial to today's solo practitioners, who are feeling the squeeze eco­ nomically as never before. Toriello, whose orthopedics practice is not far from the neigh­ borhood where he grew up and very much based on that neighborhood's economics, said, "My little microcosm is kind of a dinosaur, in that many of us in this area are still solo physicians. It seems that Brooklyn and Queens have a lot of small industry. [By comparison], Long Island has Drummond Corp. If your community has 80 to 90 percent of its workers work at Drummond and Drummond decides to go managed care, you pretty much have no choice." Fduurd V. Toriello. >1.1). u f f a I o P h y s i c i a n W i n t e r 1 9 9 5 �Multi-specialty group But for now, Toriello is enjoying "the indepen­ dence and freedom that you have to practice medicine the way you feel is best, not only for myself but also for my patients. I like that." He and his associate, Chris Pavlides, M.D., share Richard L. Collins, M.D. Internist Buffalo Medical Group Richard Collins, M.D., '83, has seen many sides of medical prac­ tice: from working in a hospital outpatient clinic, to directing a community health cen­ ter, to two years as an HMO staff physician. For three years now, he says he has found the right balance — as an internist with the Buffalo Medical Group, a office staff and split the rent, but maintain sepa­ rate patient loads. Toriello sees patients three days a week, 25 to 30 patients a day. Many are elderly people whose insurance is Medicare, and so the orthopedist suffers what he calls "the constant downward pressure on Medicare fee schedules." When he's not in the office, there's plenty of surgery to do, and Toriello also performs independent medical evaluations for insurance companies, "to diversify my in­ come stream." He frequently works six-day weeks, and notes that traditional wisdom says "the first 10 years is really building a private practice and building relations with internists who will re­ fer patients to you. Following that, you're in a position where your feeders are pretty well established and you can take a day off." He is, he notes dryly, in his ninth year of practice. "There are days and weeks when I feel like I'm running faster just to stay in place," he acknowledged. "And I do see that I have to be ready to move should the situation change." Toriello says he has made contacts with the physician-hospital organizations of several lo­ multi-specialty group practice with multiple locations and 80 physicians. The situation appeals to the entrepreneur in him — and to the family man. "I enjoy the independence that comes from a practice like this. I can determine my own hours and patient load." At the same time, says Collins, who has three small children, "Within the group it is comfortable because we share. There are four other primary care physicians with whom I share weekend calls. Four out of five weekends "WITHIN THE GROUP it is comfort­ able because we share. Four out of five weekends I'm I'm not on call, and that's good for family and freedom. My family life remains my top prior­ ity." A multi-specialty practice, he says, tends to support itself through internal referrals—back and forth between the primary care physicians and Buffalo Medical Group's phalanx of gyne­ cologists, cardiologists, neurologists, general surgeons, allergists, orthopedists and so on. And the group's reputation is a built-in market­ ing tool; "people are always calling Buffalo Medical Group saying, 'I want to be taken care of by someone in your group.' I have four or five calls per day inquiring about setting up care," he said. The group recently strengthened its eco­ nomic position by announcing that it plans to ally with Health Care Plan, one of Western New not on call, and that's good for family and freedom. My family life cal hospitals, "trying to preserve the ability to negotiate with managed care organizations." Still, he says, his solo practice is "a fun thing as opposed to the drudgery of just going off to work every day. I went into medicine to be my own boss, to enjoy the freedom of working with patients and doing what I feel is best. The trouble with working for someone is, if they're paying the freight, they frequently can call the tune as well." remains my top priority." Richard L. Collins, M.D. B u f f a l o P h y s i c i a n w i n t e r 1 9 9 5 �York's largest HMOs. The two intend to re­ main autonomous but will develop a more comprehensive working relationship. But Collins, who serves as a clinical assis­ tant professor for UB's School of Medicine and Biomedical Sciences, stresses that he's solely responsible for his own patient panel. Group members share equip­ ment — the primarycare physicians share a portable EKG machine, for example — and also share the costs of the group's support functions to reduce their indi­ vidual costs. In addition, Collins employs a nurse and a secretary out of his own choice to meet the unique needs of his patients. There's also the less tangible benefit of collegiality. "You want to look at an organization that's going to give you support in terms of weekend coverageand the kind of people you're working with. If you're practicing by yourself, your knowledge base is limited to yourself and the books on the shelves in your office. It's very secure to be able to walk 10 feet and share a case with your colleagues. "And it's important to be compensated for the amount of work you do rather than simply be salaried. It's kind of nice to be compensated for the exact amount of hours that you do put in and see patients." "BEING IN A specialty practice has allowed us to cover most areas of my specialty with quality and cost-effective­ ness. That's really the crux of a large single- Single-specialty group practice specialty group." Sanford R. Hoffman, M.D. Otolaryngologist Buffalo Otolaryngology Group, P.C. It was nearly a quarter-century ago that Sanford Hoffman, M.D., '65, joined Irwin Ginsberg, M.D., to form the Buffalo Otolaryngology Group. "He had a very dy­ namic practice," Hoffman said. "It's a very varied specialty, and I wanted to practice as many aspects as I possi­ bly could." Today, the group encompasses nine part­ ner physicians and two new associates with a subspecialty in facial plastic surgery. And Hoffman, who is also a clinical assistant professor in the medical school, and chairs the department of otolaryngology for Millard Fillmore Health System, says he has never stopped learning. The group has a monthly meeting devoted to business and sci­ entific topics, and daily conferrals, both formal and informal, on specific cases and proce­ dures. The ear-nose-and-throat specialists also "cross-cover" each other in surgeries, he says, providing a second pair of eyes for the delicate procedures. "Being in a specialty practice has allowed us to cover most areas of my specialty with qual­ ity and cost-effectiveness," Hoffman said. "That's really the crux of a large single-spe­ cialty group. You can get some efficiencies of care. You can buy better equipment; you can afford to have your associates go to meetings and courses which will increase their knowl­ edge and also their efficiency; you can have more efficient building and appointment sys­ tems, even in multiple locations." Buffalo Otolaryngology has expanded into sinusology, rhinology and head and neck surgery. "If you have a large group," Hoffman said, "it allows you to talk with more authority to the insurers and the employers, the people who are paying the health dollars. You can show that you have these services, and you can really evaluate yourself and look at your own practice to make sure it stays quality-oriented." For example, he says, "We were among the first in the country to develop outcomes mea­ sures for sinus disease." Sanl'ord K. Hoffman. M.D. © �tionship with that per­ son. The whole program is based on that physi­ cian." It helps, he says, that the HMO has stan­ dardized record keep­ ing: "When I see that person, I have his full chart in front of me." And preventive care, he says, is "part of the history and tradition of HMOs. It's in everybody's interest to keep people well. We've devoted a lot of effort and energy to health education and preventive guidelines" — such measuresas flu vaccinations, mammography screening and childhood immunizations. "There's a real sense of group. People talk to each other," Katz said. "There's collegiality built into the practice. We're really being called upon increasingly to be efficient, to manage care as effectively as we can. And to do that well, it's harder and harder for an individual to accomplish that." Staff-model HMO Leonard A. Katz, M.D. Director of Research and Education Programs Health Care Plan "It's the model the country's talking about," Leonard Katz, M.D., says of the Buf­ falo health maintenance organization he serves. In a decade, Health Care Plan has grown from 35 physicians to nearly 100, says Katz, who is a practicing gastroenterologist, a former associate dean of the medical school and a professor of medicine in the department of medicine. Health Care Plan, he says, is a "true group practice" — a configuration of professionals in all specialties including primary care. And, he says, "because everybody is paid by the same source, the issue of finances basically is dropped out. The payment comes through the broader organization, and that means that we're really all in it together." Within the organization, small primary-care teams — a family physician, an internist, a pediatrician, nurse practitioners, physician as­ sistants, even office staff — work together at a particular site, and arrange for night and week­ end coverage. "That's what groups can do — they can develop systems of care," Katz said. "They can make all kinds of support arrangements for the care of patients they're looking after." The staff-model HMO is built around two tenets: the idea that a primary-care physician should coordinate all of a patient's care, and the idea that prevention is the best medicine. As a specialist, Katz says, he sees himself "trying to provide the best help I can to both the patient and to the [primary-care] physician, because that physician has a long-term rela­ "IT'S the model the country's talking about, a true group practice because Group-model IIMO Kenneth E. Bell, M.D. everybody is paid by the same Medical Director, Orange County Kaiser Permanente Medical Group Anaheim, California source; the issue of finances There's business. And there's medicine. And Kenneth Bell, M.D., '61, likes to keep a comfortable distance between them. Bell is an obstetrician/gynecologist who is medical director, Orange County, for the Kai­ ser Permanente Medical Group in Southern California. The group is a for-profit organiza­ tion that contracts exclusively with the Kaiser Foundation Health Plan, a non-profit insur­ ance company. This "group-model" approach — as op­ posed to a staff-model situation, in which phy- basically is dropped out." Leonard A. Katz. M.I). B u f f a l o P h y s i c i a n W i n t e r 1 9 9 5 �sicians work directly for the in­ surer — makes all the differ­ ence, he says. "All the quality clinical deci­ sions are made by physicians of the medical group," he said. "The physicians in this medical group take care of the practice of medicine. They have other people they have hired to take care of the business. When we see patients, we don't spend time worrying about how much it costs or whether the patient can afford it or whatever. "The bottom line is, my incentives are aligned with the patients. I don't earn more or less because of the amount of care I give. I have no incentive to operate on somebody, for example. On the other hand, I have a tremendous incen­ tive to keep people healthy, because that cuts the cost of care." Bell, who was Kaiser Permanente's chief of obstetrics and gynecology in Orange County for 10 years before becoming medical director, still sees some patients — "I like delivering babies," he said. He's a clinical professor of ob/ gyn at the University of California, Irvine. And he's in a position to see how economic trends are changing the practice of medicine. "There are many problems around the coun­ try with physicians being forced into groups they have no affinity for," he said. "They have to do this because this is the only way they can maintain a practice." Private-practice physicians, he says, for a long time had no limitations on their earning power. "Now we're having limitations, and the trick is to maintain and improve quality while cutting costs." Kaiser Permanente — "the largest private health care delivery system in the world," Bell notes — stresses continuing medical educa­ tion, encouraging physicians to spend a halfday each week on their own education. It's a team approach, and that, Bell says, places its own demands on physicians. "There's a loss of autonomy compared to somebody running his own little office," he said. "You have to work as part of a team, and there's tremendous peer pres­ sure to produce quality care, to practice efficiently and have good outcomes.There's no place to hide. "Somebody who has to do everything fully by themselves will not be happy in this. It does require a team-spirited belief that we can ac­ complish more as a group than each individual going off on his own." "ALL THE quality clinical Hospital stall Eric Ten Brock, M.D. Internist Buffalo General Hospital decisions are made by physicians of the medical group. The physicians in this medical group take care of the practice of medicine." "If you're doing something you like," says Eric Ten Brock, M.D., '80, "one of the natural things is to want to teach it to somebody and share it with somebody." And teach he does — at The Buffalo General Hospital, where he hired on in 1985 and where he built up the pulmonary and critical care programs that he now directs. Ten Brock, a clinical associate professor at the medical school, at any one time might be responsible for a pulmonary critical care fel­ low, a resident and maybe a medical student. He juggles that teaching load with staff respon­ sibilities that include administering the medi­ cal intensive care unit, the hospital's sleep apnea disorder lab and the pulmonary lab. He's also chairman of Buffalo General's ethics com­ mittee. He does see patients and shares on-call duties with "a few other physicians who are also full-time hospital-based." But he acknowl­ edges that "in solo or group practice a greater percentage of time is involved with direct patient care." Building up the hospital's pulmonary divi­ sion, though, has been its own reward. Ten Brock says it's the "if I were king" response — you see how it's done in various hospitals, find out where the problems lie and then try to make it all work better. "If you run an intensive care unit you see Kenneth E. Bell, M.D. u f f a I o P h y s i c i a n W i n t e r t 9 9 5 © �Holiday Specials $2542 Performa 6115CD • Apple Multiple Scan 15" Display • Apple Design Keyboard • 14.4bps Teleport/Gold Fax Modem • ClarisWorks 60 MHz 601 RISC processor, integrated FPU, 8MB RAM, 350MB hard drive. Performa 6115CD Software includes: System 7.5, eWorld, At Ease and Macintosh PC Exchange, Up to Date/Contact, ClarisWorks 2.1, Quicken 4, MacGallery Clip Art, Spin Doctor Challenger, MacLink Plus/Easy Open Translators 7.5, Click Art Performa Collection, American Heritage Dictionary, Spectre Challenger, Family Doctor, Around the World in 80 days, New Grolier's Multimedia Encyclopedia, 3D World Atlas, Time Almanac, KidSoft CD. "YOU'RE PART of a larger organiza­ PowerBook 520C • 9.5" backlit display • PowerPC upgradeable tion, so you're not necessarily the only person who has input as to whether a $2589 50/25 MHz, 68040 processor, expansion slots for a modem, RAM, processor direct slot (PDS), 160MB Hard Disk Drive, built-in 9.5" backlit dual scan passive-matrix LCD (256 colors). certain decision is made the way you would like it to be made." Price just $ 4 8 5 Dropped! HEWLETT t PACKARD certain things that you might not want to happen. You're not always called to 'put out a fire' — you're trying to prevent those things from happening if at all possible." For example, Ten Brock said, he has stan­ dardized the procedures for patients' "ad­ vance directives" — do-not-resuscitate or­ ders, health care proxies, living wills — that can be crucial in intensive-care situations. Another example: a review process for how well the staff responds to each cardiac arrest "code" emergency. "These are things that were either not de­ veloped or existed in an unstructured form" when he came on staff, he says. "A full-time physician like myself can help firm that up somewhat by making it a little more regi­ mented." A hospital staff position, Ten Brock says, means working within the system. "You're part of a larger organization, so you're not necessar­ ily the only person who has input as to whether a certain decision is made in the way you would like it to be made. You're building something for the hospital, not necessarily for your own ben­ + efit." Hewlett Packard 560C Inkjet Printer Macintosh (InkWriter), or Intel (Inkjet) drop on demand color inkjet prints 3-4 pages per minute with 600 x 300 dpi resolution, 6 built-in and 14 truetype scalable fonts; also prints a variety a paper styles and sizes. Get Microsoft Word, Excel, PowerPoint, Mail (workstation license), and Access (Profes­ sional version) for as low as $113!! V? Microsoft Office for Windows Standard...$113 Microsoft Office for Windows Professional...$143 Microsoft Office for Macintosh...$135 Please call for current pricing, availability, and eligibility. Prices are subject to change without prior notice. Apple • Compaq • Dell • Hewlett Packard • IBM Microsoft • WordPerfect • Sony • Texas Instruments Open Mon. and Tues. 9:30am to 5pm Wed. through Fri. 9:30am to 6pm A non-profit University program for students, faculty & staff The Commons • North Campus • (716) 645-3554 • Fax: 645-3884 Uric Icn Itrock. >1. ( D B u f f a l o P h y s i c i a n w i n t e r 1 9 9 5 �ACADEMIC HEALTH PROFESSIONALS INSURANCE ASSOCIATION Insuring care for those who care Subscriber Owned • Organized • Governed PHYSICIANS • DENTISTS HEALTH PROFESSIONALS NURSES • RESIDENTS Superior policies for academic full-time and voluntary clinical faculty tt Competitive premiums it Rewarding educational programs ttComplete legal service it- Comprehensive coverage it- Dividend opportunities Academic Health Professionals Insurance Association is a subscriber owned and organized reciprocal licensed by the Insurance Department of New York State. Policy and programs of the Association are determined by a representative Board of Governors elected by subscribers at SUNY Health Science Centers. Enrollment open at all times. Transfers arranged without loss. ACADEMIC HEALTH PROFESSIONALS INSURANCE ASSOCIATION Empire State Building 350 Fifth Avenue, Suite #1512 New York, New York 10118 Ph. 212-947-4541 Fax 212-947-4572 T \1 E • • A N D 0 C Evails and programs scheduled for Sesquicenlennial celebration A s the School of Medicine and Biomedical Sciences' Sesquicentennial celebration nears, the History of the Medical School Committee is busy developing and planning exhibits, programs and events to commemorate 150 years of medical education. Slated to begin in January 1996 and continue through com­ mencement 1997, the celebration would culminate on Founder's Day — May 11, 1996 — with commencement ceremonies, including the retaking of the Hippocratic Oath by the 50th anniversary reunion class. In the spring of 1996, the American History of Medicine will hold its annual meeting in Buffalo. Key also to the celebration is a medical school ethics symposium featuring several distinguished speakers in the field of medical ethics, slated for the fall of 1996. Other regularly scheduled medical school events and lecture series will also tie into the Sesquicentennial during the celebration. The Medical Alumni Associa­ tion will publish a special Sesquicen­ tennial edition of its alumni direc­ tory, producedby Harris Publica­ tions. Also to be published are a Pictorial History of the Medical School, a special edition of Buffalo Physician and a collection of es­ says. The medical school will also sponsor a series of community ex­ hibits of its his­ tory to be dis­ played at the Above, photographs taken from the amphitheater of the lecture teach i ng hospi tals OR in the old High Street building of the medical school by Edward J. Zimm, M.D., '42. and various other sites as well. + �MEDICAL SCHOOL Jacobs releases groundbreaking MS research results CLINICAL TRIAL OF RECOMBINANT BETA INTERFERON SHOWS DRUG SLOWS BOTH PROGRESSION OF DISEASE AND NUMBER OF EXACERBATIONS B ecombinant beCa inCerferon, ad- been done on multiple sclerosis," Jacobs minisCered intramuscularly in said. "Before this, there was no believ­ weekly doses to patients with ac­ able treatment." tive relapsing multiple sclerosis, The recombinant beta interferon used is the first drug to significantly in the trial is manufactured by Biogen; it slow the progress of the disease as is the first drug identical to natural beta well as lessen the number of its flareups, interferon used in a blinded study to according to results of a Phase 111 clini­ demonstrate a statistically significant cal trial conducted by Lawrence Jacobs, impact on the progression rate of the M.D., professor of neurol­ disease. Natural beta inter­ ogy, head of the department feron acts both as an antivi­ of neurology at The Buffalo ral and an immunomo­ General Hospital and chief dulatory agent. of the Baird Multiple Scle­ The multicenter trial rosis Center. studied the effects of the Jacobs presented his drug and a placebo on 301 groundbreaking results at patients with definite MS of the annual meeting of the the relapsing-remitting or American Neurological As­ relapsing-progressive type sociation last October. The of at least one year's dura­ Lawrence Jacobs, M.D. study marks the first time a tion. The patients, aged 18 drug in a blinded clinical trial slowed to 55 years, were free of exacerbation in the progression of disability in MS. In the two months prior to the trial. the trial, recombinant beta interferon The study showed that recombinant increased the time to progression of beta interferon lengthens the time for disability — the length of the period the disease to become more disabling, during which active relapsing patients demonstrating a 75 percent increase in sustain a particular baseline — by 75 the projected time it takes for the dis­ percent. The trial also showed a 31 ease to progress one unit on the Kurtzke percent reduction in relapse rate among Expanded Disability Status Scale (EDSS) patients experiencing the disease's de­ — a standard measure of disability pro­ bilitating exacerbations, and showed a gression in MS. At the end of one year of significant reduction in the number of treatment, 20.1 percent of placeboactive brain lesions measured on MRI. treated patients had progressed by 1.09 "This is the best study that has ever EDSS units, compared to 12 percent of © B u f f a l o P h y s i c i a n w patients on recombinant beta interferon. At two years, 36.3 percent of placebo patients had progressed, compared to 22.6 percent of treated patients. Based on an analysis of the data, predictions of median time to progres­ sion by 1.0 EDSS unit were 3.1 years for placebo patientsand 5.4 years for treated patients. Patients receiving recombinant beta interferon had approximately one-third fewer exacerbations (0.62 per year) than patients receiving the placebo (0.9 ex­ acerbations per year) — representing a 31 percent reduction in relapse rate among treated patients. Placebo patients were also twice as likely to have three or more attacks during the study as were treated patients. Data from MRI studies showed a sta­ tistically significant reduction in the number and volume of active lesions in treated patients compared to placebo patients — an approximately two-fold difference in the mean number and vol­ ume of such lesions. No discernible effects were seen on T2 lesion volume, a measure of both active and inactive le­ sions. Treated patients in thestudy reported only modest side effects, including oc­ casional and transient flu-like symp­ toms (an average of eight days over two years for treated patients compared with two days over the same time for placebo patients). Nine percent of recombinant beta interferon patients stopped treat­ ment — half of which were attributed to side effects. The study was conducted at four clini­ cal centers in the U.S.: UB and Millard Fillmore Hospital's Baird MS Center; the Mellen MS Center at the Cleveland Clinic, Cleveland, Ohio; the University of Oregon, Portland, Oregon; and Walter Reed Army Medical Center/Georgetown University, Washington, D.C. i n t e r 1 9 9 5 �MEDICAL SCHOOL Insuring care for those who care THE ACADEMIC HEALTH PROFESSIONALS INSURANCE ASSOCIATION CONTINUES TO GROW AS IT PROTECTS SUNY'S FACULTY PRACTITIONERS H early four years after its found­ ing, the Academic Health Profes­ sionals Insurance Association — formed by and for faculty practi­ tioners at the State University of New York's science centers — boasts a membership that has nearly tripled to its current 647. From the beginning, Buffalo physi­ cians and dentists played a pivotal role, numbering over half of the original 220 subscribers and maintaining that lead­ ership today. The reciprocal insurance company began as an outgrowth of the series of medical malpractice insurance crises that plagued New York State physicianssince the early 1970s. The realization that faculty practitioners at SUNY science centers had developed an excellent record of risk avoidance and control in medical malpractice, and that this ex­ cellence was not recognized by conven­ tional insurance companies, spurred physicians and dentists at Buffalo, Brook­ lyn, Syracuse and Stony Brook to decide they might do better on their own. After years of study, planning and, finally, advance funding, they formed the new company, electing William P. Dillon, M.D., associate professor of gynecology/obstetrics and chief of the di­ vision of maternal/fetal medicine at The Children's Hospital of Buffalo, its chair. Dillon still holds that post, presiding over a board of governors representing the four health science centers and the United University Professions. Subscribers at each center elect their board members for four-year terms, and members serve without compensation. Management is the responsibility of the attorney-in-fact, Medical Quadrangle, which has worked with Academic in initial planning and operations since its inception. All specialties are included, as well as residents and health professionals. About half of the membership are full or associate professors.Somewhat over half ANESTHESIOLOGY CRITICAL CARE DENTISTRY DERMATOLOGY EMERGENCY MEDICINE FAMILY MEDICINE INFECTIOUS DISEASES INTERNAL MEDICINE MEDICINE NEUROSURGERY NEUROLOGY NUCLEAR MEDICINE MICROBIOLOGY OB/GYN OPHTHALMOLOGY ORTHOPEDIC SURGERY OTOLARYNGOLOGY PATHOLOGY PEDIATRICS PLASTIC SURGERY PSYCHIATRY RADIOLOGY REHABILITATION MEDICINE SURGERY UROLOGY 0 B 10 u 20 f 30 f a 40 l 50 o 70 60 p h y 80 s 73 2 19 3 29 70 O 12 88 13 14 6 2 61 5 29 17 22 73 1 3 38 17 46 4 90 i c i a n W i are insured under claims-made policies — the only type available when Aca­ demic was licensed. A substantial num­ ber transferred to occurrence policies when this choice was authorized by law in 1992. (Claims-made policies cover only incidents arising and reported within the policy year but may go back to the first claims-made policy if these are held continually by the insured; occurrence policies apply to incidents occurring during the policy year, re­ gardless of when a claim is filed.) Supported by individual capital con­ tributions in the form of loans, pre­ mium payments and guarantees of fi­ nancial responsibility, Academic is fis­ cally sound with assets of over $ 10 mil­ lion. Dividendsare promised in the near future, pending approval of the State Insurance Department. Academic requires its subscribers to participate in risk management educa­ tion programs to maintain its superior record in claims frequency (the lowest in the state) and settlements. Premium credit of 5percent for two years is granted for successful completion of the basic or advanced course. During 1992-93, nine seminars were conducted and 377 sub­ scribers attended. — B Y I R V I N G L A D I M E R Baird receives 1994 Parke Davis Teacher Development Award B onald E. Baird, D.O., clinical as­ sistant professor of family medi­ cine, has received the 1994 Parke Davis Teacher Development Award. The award recognizes Baird's contributions as a clinically based in­ structor for both graduate and under­ graduate medical education. n t e r 1 9 9 5 �iH M E D I C A L S C H 0 0 L Neuroanatomy museum opens to the public UNIQUE INSTALLATION FEATURES EXTENSIVE COLLECTION OF SPECIMENS AND THE HISTORY OF IMAGING THE BRAIN FROM PNEUMOENCEPHALOGRAM TO PET i n unusual museum de­ voted exclusively to the human brain, thought to be the only installation of its kind in the U.S., opened officially at the medical school with the dedi­ cation of the UB Museum of Neuroanatomy last September. Harold Brody, M.D., Ph.D., professor of anatomy and cell biology at UB for more than 40 years and the museum's cre­ ator, said, "The brain is so fun­ damentally beautiful, I wanted the displays also to be attrac­ tive. I knew that if they didn't look appealing, it would turn people off." Brody, a 1961 graduate of the medical school and former chair of anatomy, said the idea became a spark in his mind ever since he saw a similar installation in Copenhagen, Denmark, while there on a Fulbright fellowship in 1963. Medical students in Europe tradition­ ally learned their anatomy from such permanent exhibits because of the scar­ city of cadavers for dissection, Brody said. He helped to establish a successful donor program at The University of Copenhagen, and brought back with him the idea for a neuroanatomy mu­ seum. Thirty years later, thanks to 30-year reunion gifts from his Class of 1961, the medical school's Class of 1962 and pri­ vate individuals, his idea has been trans- B u f f a l o P 0z c p z 0 1 U ) The extensive collection features specimens, Xrays and photographs, as well as CT, MRI and PET scans of the brain. formed into an extensive collection of specimens detailing the structure of the human brain from many viewpoints. Some 70 specimens are suspended in crystalline liquid in individual Plexiglas boxes, spotlights dramatizing their char­ acteristic folds and contours. Hand-made pins tipped in blue, orange, green, lav­ ender, red, and light blue identify each specimen's features. Lining the walls are color photo­ graphs of the brain, along with a series of X-rays, CT scans, MRI scans and PET scans. h y s i c i a n W i n t e r 1 9 9 5 �MEDICAL SCHOOL One display reveals the medial sur­ face of the right hemisphere; another is delicately dissected to reveal each layer of the brain. Other displays show the cranial nerve supply, the brain's blood supply and the path of nerve impulsesin the brain that ultimately produce vi­ sion. These and several dozen additional specimens fill 10 glass display cases. Each specimen is accompanied by a written description keyed to the colorcoded pins. Leaving no details to chance, Brody, along with his assistant, Thomas Wietchy — an anatomy master's degree candidate — and Katerina Smith, a se­ nior histology technician, made the pins themselves from dental wire dipped in acrylic pigments and epoxy. The speci­ mens were dissected by Brody, Wietchy and several medical students. Medical, dental and nursing students, occupational-therapy and physicaltherapy students, doctoral candidates in psychology and speech communica­ tion and hospital residents in neurology UB professor and researcher Thomas Beam dies suddenly A professor in the department of medicine and associate professor in the department of microbiology, Beam was chief of the Buffalo VA Medical Center's infectious diseases section for 11 years, and was serving as associate chief of staff for education at the hos­ pital at the time of his death. He was certified by the American Board of Internal Medicine. Beam received his bachelor's and T homas R. Beam,Jr., M.D., a pro­ fessor and researcher in the Uni­ versity at Buffalo School of Medi­ cine and Biomedical Sciences and consultant to the U.S. Food and Drug Administration, died un­ expectedly August 17, 1994 in his of­ fice in the Buffalo VA Medical Center. medical degrees from the University He was 48. of Pennsylvania in 1968 and 1972, Beam was an infectious-diseases ex­ respectively. He joined UB as an in­ pert known internationally for his structor in the department of medi­ work on drug-resistant bacteria and cine in 1974. viruses. In 1989, he was appointed to Widely quoted in the national news direct an innovative, two-year project media, Beam was featured in stories established by the FDA and Infectious about the mounting problem of drugof Diseases Society resistant bacteria on CBSAmerica to speed up the TV's "48 Hours" and in a FDA's approval process for cover story in Newsweek. new antibiotics, and to en­ A prolific researcher, hance its monitoring of Beam authored or codrugs on the market for authored numerous text­ early warnings of adverse book chapters and ar­ effects. ticles in professional He also chaired the journals. He was a re­ FDA's Anti-Infective viewer for many profes­ Drugs Advisory Commit­ sional publications, in­ tee and, in that capacity, cluding the Journal of the in October 1990 oversaw American Medical Asso­ hearings focusing on pro­ Thomas R. Beam, Jr., M.D. ciation, Journal of Infec­ posals for modifying the tious Diseases, Annals of FDA's guidelines for approval of new Pharmacotherapy and American Jour­ antimicrobial drugs. nal of Kidney Diseases. and neurosurgery have been using the exhibits as study aids for more than a year. Brody wants the exhibit to be used by everyone and is particularly inter­ ested in bringing in students from area public schools. Groups of high-school students al­ ready have toured the museum, as did a group of students on campus for the summer. Brody will add specimens and addi­ tional materials to the museum as time and money permit. In the meantime, he hopes to establish regular hours when the museum will be open to the public. "I feel this is such a valuable asset, that anybody interested in the structure of the brain should have access to it," he said. "I think this could make a tremen­ dous contribution in a very specific way to the medical school and the commu­ nity." + He was chairman of the Antibiotics Use and Clinical Trials Committee of the Infectious Diseases Society of America. He also served as the society's liaison to the European Community and was an honorary member of the Critical Care Medicine Society of Para­ guay. He was the editor-in-chief of two national medical journals: Infections in Medicine and Abstracts in Infectious Disease. Beam was a fellow of the American College of Physicians and the Infec­ tious Diseases Society of America, and was a member of many professional organizations. He also served as a con­ sultant to numerous health facilities in Western New York, including Roswell Park Cancer Institute; J.N. Adam, Craig and West Seneca Devel­ opmental centers; The Buffalo Gen­ eral Hospital; and the Erie County Medical Center. B y n u f f a l o P h s i c i a n W i t e r 1 9 9 5 © �MEDICAL Susan McLeer named lo chair department of psychiatry Richard Erbe co-authors textbook lor "electronic superhighway" her tenure as vice chair, McLeer was assistant and associate dean of under­ graduate medicaleducation from 1976 to 1982. A visiting professor of behavior usan V. McLeer, M.D., an expert in science at Catholic University in Lille, disorders of sexually abused chil­ France, she completed a four-year visit­ dren and battered women, has been ing professorship at Smith College in appointed chair of the department Northampton, Massachusetts, last June. of psychiatry. She also had a private psychia­ McLeer was formerly try practice in Philadelphia. professor and vice chair of the A fellow of the American department of psychiatry at Psychiatric Association and The Medical College of Penn­ the Philadelphia College of sylvania in Philadelphia and Physicians, she is a member director of its division of child of several other professional and adolescent psychiatry. societies, including the Ameri­ A member of the American can Academy of Child and Medical Association's work­ Adolescent Psychiatry, the Susan V. McLeer, M.D. ing group on domestic vio­ Coalition of Physicians lence, McLeer has testified on the bat­ Against Family Violence and Physicians tered woman syndrome in several for Social Responsibility. trials. She has published numerous ar­ ticles in refereed journals on domestic violence against women and children, and has lectured widely on these topics. She was principal investigator on a recently completed four-year study of aul R. Knight, M.D., Ph.D., profes­ symptoms and psychiatricdisorder per­ sor and chair of anesthesiology and sistence following child sexual abuse, professor of microbiology, was and will continue her research at UB in appointed to a four-year term on this area and in the field of post-trau­ the Surgery, Anesthesiology and matic stress disorder in children. Trauma Study Section, Division of McLeer earned her medical degree Research Grants, for the National Insti­ from The Woman's Medical College of tutes of Health. Pennsylvania, now the Medical College Study sections review grant applica­ of Pennsylvania, and holds a master's tions submitted to NIH, make recom­ degree in psychiatry administration from that institution. Following a pedi­ mendations on the applications to the atric internship at Strong Memorial appropriate NIH advisory council or Flospital in Rochester, she did her psy­ board and survey the status of research chiatric residency at the Medical Col­ in their fields of science. Knight was nominated to the post lege of Pennsylvania, and completed a fellowship in child and adolescent psy­ because of his demonstrated compe­ chiatry there and at the Eastern Penn­ tence and achievement as evidenced by the quality of his research accomplish­ sylvania Psychiatric Institute. ments, publications in scientific jour­ She joined the faculty of her alma nals and other significant activities, mater in 1976 and built her career there in achievements and honors. psychiatry and pediatrics. In addition to B ichard W. Erbe, M.D., professor of pediatrics and medicine and chief of the division of genetics at The Children's Hospital of Buffalo, has co-authored, with faculty from Harvard and Stanford, a medical textbook available on the electronic su­ perhighway. The textbook, "Scientific American Medicine," is designed to give general practitioners, medical students, resident physicians, nursesand other health care professionals an overview of medical disciplines outside their own. Erbe's chapter, "Medical Genetics," details advances made in the past 15 years in the prediction, diagnosis and management of genetic disorders. The textbook is available worldwide on CD ROM and locally on UB's electronic medical network, HUBNET. Erbe has been a researcher and teacher of genetics for more than 25 years. Be­ fore joining the UB faculty in 1989, he was an associate professor of pediatrics and genetics at Harvard Medical School. A former member of the editorial board of The New England Journal of Medicine, Erbe has authored or coauthored more than 70 scientific ar­ ticles, reviews and book chapters. + Knight appointed lo National Institutes of Health study section © B u f f a l o P h y s i c i a n Medical student wins James Coiner Minority Research award D B medical student N. Kalaya Okereke has been selected as one of 12 medical students across the country to receive a James Comer Minority Research Fellowship from the American Academy of Child and Adolescent Psychiatry. W i n t e r 1 9 9 5 �MEDICAL The fellowship is funded through the National Institute of Mental Health. The award offersoutstanding minority medi­ cal students early exposure to research in child and adolescent psychiatry. The award includes a $2,200 grant for sum­ mer research with a child and adoles­ cent primary investigator. Okereke is working with Gary Cohen, M.D., and Peg Bohnert, M.D., both of the departments of psychiatry and pedi­ atrics, and Richard Clopper, Ph.D., of the departments of psychiatry and psy­ chology ^ on a project at The Children's Hospital of Buffalo to assess the hospital's psychiatric consultation and liaison ser­ vices. + 0E Leon E. Farhi, M.D. Buck wins fellowship lo sludy tubal ligation safety, effectiveness Medical, biological engineering institute selects Farhi as fellow G I ermaine S. Buck, Ph.D., assistant professor of social and preventive medicine, has won one of two fel­ lowships sponsored annually by the Merck Company Foundation and the Society for Epidemiology Research. The $190,000, three-year award will allow her to begin a long-term study of the safety and effectiveness of tubal ligation. The study will involve 3,000 to 4,000 women who will be followed for 10 to 20 years. Buck was one of 40 researchers con­ sidered for the fellowships, which are awarded through a national competi­ tion. Winners are selected by an indepen­ dent scientific advisory committee that considers the accomplishments of the researcher, the soundness of the pro­ posed research project and the commit­ ment of the researcher's institution to the applicant and the research. B u f f a l o P h eon E. Farhi, M.D., distinguished professor and former chair of physiology, has been named a fel­ low of the American Institute of Medical and Biological Engineer­ ing. Farhi has studied the human circula­ tory system and physiological problems of human lung gas exchange for more than 35 years. He has authored or coauthored more than 100 scientific ar­ ticles and abstracts. He was instrumental in developing new approaches for measuring cardiac output and distribution of respiratory gases within the lungs and tissues of the human body. Working with colleagues at UB, he developed a technique to measure circulatory functions in a weightless state that was applied by NASA in a space shuttle flight in 1989. Farhi received his medical degree in 1947 from the Universite St. Joseph in Beirut, Lebanon. He has served as edi­ y s i c i a n W i tor-in-chief of theJournal ofAppliedPhysiology: Respiratory, Environmental and Ex­ ercise Physiology, an editor of Undersea Biomedical Research and on the editorial board of Respiration Physiology. He is the principal investigator of two NASA-spon­ sored research projects with funding of more than $3 million to study cardiopul­ monary function in microgravity. Slaplelon elected president of pediatric nephrology society F Bruder Stapleton, M.D., A. Con| ger Goodyear professor and chair of pediatrics and pediatrician-inchief of The Children's Hospital of Buffalo, was elected president of the American Society of Pediat­ ric Nephrology. He will serve a one-year term for the society, which represents 420 pediatric kidney specialists in North America, formed to foster professional and pub­ lic education, improve patient care and promote relevant scientific research. + n t e r 1 9 9 5 © �A L U M N I 1994 reunion classes donate over 154,000 to medical school for scholarship fund I ast year's reunion classes made generous do­ nations to the medical school during the an­ nual Spring Clinical Day and Reunion Week­ end festivities. In all, $54,302 was pledged to the medical school to be used for scholarships for worthy students. Following is a list of participating class members and class totals. CLASS OF 1944 — 35,500 Dr. Howard R. Barnett Dr. Willard H. Boardman Dr. Robert L. Brown Dr. Samuel Cassara Dr. Edmund M. Collins Dr. Herman Edelberg Dr. Richard W. Egan Dr. Thomas F. Frawley Dr. Frank T. Frost Dr. Raymond A. Hudson Dr. Frank H. Long, Jr. Dr. William K. Nowill Dr. Casimer F. Pietraszek Dr. William A. Potts Dr. Theodore C. Prentice Dr. Charles H. Rosenberg Dr. Joseph Ross Dr. Sidney M. Schaer Dr. James R. Sullivan Dr. Paul L. Weygandt Dr. Robert G. Wilkinson, Jr. CLASS of 1949 — $5,040 Dr. Carmelo S. Armenia Dr. J. Bradley Aust, Jr. Dr. Harold Bernhard Dr. Manuel H. Brontman Dr. Paul T. Buerger Dr. Ralph S. Canter Dr. Lawrence M. Carden Dr. Julian M. Cullen Dr. Philip C. Dennen Dr. John D. Egan Dr. George M. Erickson Dr. Jacqueline L. Paroski Dr. Max A. Schneider Dr. John T. Sharp Dr. Leonard D. Steiner Dr. Irma M. Waldo Dr. Judith Weinstein Dr. James A. Werick CLASS OF 1954 — $4,685 Dr. Nicholas C. Carosella Dr. Louis C. Cloutier Dr. John L. Conboy Dr. Leonard P. Cons tan tine Dr. Byron A. Genner III Dr. Robert W. Haines © Dr. William J. Howard Dr. Eugene C. Hyzy Dr. Allen L. Lesswing Dr. Lucille M. Lewandowski Dr. Charles H. Marino Dr. Donald J. Murray Dr. Walter A. Olszewski Dr. Robert M. Oshrin Dr. Robert J. Pletman Dr. Stephen A. Spink Dr. Edwin B. Tomaka Dr. Paul L. Weinmann Dr. Harry S. Weinstein Dr. Donald M. Wilson CLASS OF 1959 — $6,113 Dr. Charles W. Anderson Dr. George R. Baeumler Dr. William P. Blaisdell Dr. Robert J. Brennen Dr. Robert A. Brenner Dr. Robert J. Clayton Dr. James M. Cole Dr. ConstantineJ. G. Cretekos Dr. Thomas D. Doeblin Dr. Sterling Doubrava Dr. Joseph A. Ferlisa Dr. Jacob Krieger Dr. Joseph F. Monte CLASS OF 1964 — $4,275 Dr. Jeffrey S. Carr Dr. Walter A. Ceranski Dr. Joseph A. DiPoala, Sr. Dr. Lowell S. Eranstoft Dr. Michael Feinstein Dr. Norman A. Gerber Dr. George Glowacki Dr. Harold Glucksberg Dr. Gerald B. Goldstein Dr. Michael Goldhamer Dr. Arnold H. Israelit Dr. Stephen P. Katz Dr. David A. Leff Dr. Lillian V. Ney Dr. Robert G. Ney Dr. J. Frederick Painton, Jr. Dr. Noel R. Rose Dr. Stephen C. Scheiber Dr. JohnJ. Scomillio Dr. James C. Tibbetts,Jr. Dr. Francis R. Weis, Jr. Dr. Richard W. Williams Dr. Richard E. Wolin CLASS OF 1969 — $9,167 Dr. David H. Amler Dr. Alan J. Blanc Dr. Joel B. Bowers Dr. MoiraJ. Burke Dr. James L. Cavalieri II Dr. Carl J. DePaula Dr. Dorothea A. Downey Dr. Penny A. Gardner Dr. Robert J. Gibson Dr. Lawrence S. Greenberg Dr. Hanley M. Horwitz Dr. William K. Major, Jr. Dr. Bernard C. Muscato Dr. Jonathan T. Paine Dr. James A. Patterson Dr. Michael N. Pisick Dr. Michael M. Pugliese Dr. Douglas L. Roberts Dr. Cheryl C. Rosenblatt Dr. Steven J. Sandler Dr. Ian M. Schorr Dr. David S. Schreiber Dr. Robert S. Shaps Dr. Lester S. Sielski Dr. Wilbur L. Smith, Jr. Dr. Gerald D. Stinziano Dr. Harvey I. Weinberg Dr. JamesJ. White, Jr. Dr. Madeline J. White Dr. Frederick S. Wilkinson II Dr. Marion E. Wind CLASS OF 1974 —$7,288 Dr. Daniel R. Beckman Dr. Mark L. Bernstein Dr. Alan G. Burstein Dr. John H. Clark Dr. Stephen Commins Dr. Anna G. Engel Dr. Jockular B. Ford Dr. Nicholas E. Fuerst Dr. Wayne B. Glazier Dr. Howard R. Goldstein Dr. Richard Herschcopf Dr. Jayne E. Kremzier Dr. David W. Leffke Dr. John P. Manzella Dr. Diane L. Matuszak Dr. Bruce F. Middendorf Dr. Sarah E. Moore Dr. Daniel J. Morelli Dr. Kathleen M. Mylotte Dr. GuidoJ. Napolitano Dr. Benjamin I. Opara Dr. Lawrence A. Oufiero Dr. Sanford R. Pleskow Dr. Eric J. Russell Dr. Elliott A. Schulman Dr. Joel A. Simon Dr. James A. Smith Dr. Reginald M. Sutton Dr. Bradley T. Truax Dr. Robin L. Trumball Dr. Edward L. Valentine Dr. Robert M. Weiss Dr. James M. Wetter Dr. Stuart A. Wolman Dr. Evangelos D. Xistris Dr. Stephen A. Yerkovich CLASS OF 1979 —$5,856 Dr. Philip S. Anson Dr. W. Walter Backus Dr. Walter A. Balon Dr. Gale A. Barg Dr. Robert L. Baron Dr. B. Joy Blumenreich Dr. James P. Bracikowski Dr. Robert A. Brandis Dr. Mark E. Brenner Dr. Carl V. Bundschuh Dr. Linda A. Cardone Dr. Letitia R. Clark Dr. Peter Condro, Jr. Dr. Andrew T. Costarino, Jr. Dr. John W. Crofts Dr. Scott C. Denne Dr. Thomas C. Doolittle Dr. Bruce E. Dunlap Dr. Nancy G. Dvorak Dr. Frederick A. Eames Dr. James G. Egnatcik Dr. Frederick C. Finelli Dr. Charles J. Francemone Dr. Barbara A. Fretwell Dr. N.Joseph Gagliardi Dr. Kenneth A. Hogrefe Dr. Richard T. Irene Dr. Peter J.Jederlinic Dr. Roger E. Kaiser Jr. Dr. Tade A. Kashimawo Dr. Andrew J. Majka Dr. Ramon J. Pabalan Dr. Lewis A. Roberts Dr. Jessica Rockwell Dr. Robert J. Rose Dr. Betty S. Spivack Dr. David D. Stahl Dr. Todd D. Stern Dr. Sonia M. L. Wornum CLASS OF 1984 —$4,410 Dr. Dominic J. Altieri Dr. Robert F. Amberger Dr. Nancy Bach Dr. Ephraim E. Bach Dr. Mary T. Caserta Dr. James A. De Caprio Dr. John M. Fisch Dr. Diane T. Flanigen-Roat Dr. Douglas J. Floccare Dr. John K. Fong Dr. Andrew J. Francis Dr. Roland Greco Dr. Zina D. Hajduczok Dr. William M. Healy Dr. Andrew M. Knoll Dr. William C. Leskovec Dr. Gregory A. Logsdon Dr. Thomas C. Mahl Dr. Linda D. Mandanas Dr. Nora E. Meaney-Elman Dr. Michael G. Mercado Dr. Paul Misthos Dr. Herbert B. Newton Dr. JohnJ. Picano Dr. Lauren Pueraro Dr. William E. Reichman Dr. Richard M. Rosenfeld Dr. Martin Ross Dr. Ira J. Schmelkin Dr. Andrew M. Schneider Dr. Scott C. Sherman Dr. Rony Y. Shimony Dr. Ann K. Smith-Rudnick Dr. Michelle N. Stram Dr. Jeffery G. Straus Dr. Lin-Lan Tang-Huang Dr. Andrew S. Tanner Dr. Frederick W. Tonetti Dr. Carol W. Weinstein Dr. Charles S. White Dr. Edward A. Zane Dr. Benson L. Zoghlin Dr. Mitchell E. Zuckerman CLASS OF 1989 —$1,968 Dr. Christopher J. Bartolone Dr. David R. Bloom Dr. Joseph F. Ceravolo Dr. James Chong Dr. Hayley Cohen Dr. Barbara J. Creighton Dr. Raffi M. Der Sarkissian Dr. Jane K. Doeblin Dr. Fred L. Dreher Dr. Tai-Hwang M. Fan Dr. Wayne A. Forde Dr. Dawn A. Gais Dr. Joseph S. Giglia Dr. Thomas Grimaldi Dr. Lee R. Guterman Dr. Anne Kristina E. Hart Dr. Philip G. Lauria Dr. Salvatore S. Lauria Dr. Michael Licata Dr. Louis J. LoBalsamo Dr. James L. Meisel Dr. Alison R. Moliterno Dr. Yasmin Panahy Dr. Mark R. Pundt Dr. Anne G. Rizzo-Fantin Dr. Stephen G. Rohn Dr. Mary E. Schamann Dr. Kevin M. Senn Dr. Jeanette M. Smith Dr. Stuart R. Varon Dr. Reynold Villedrouin Editor's Note: While every effort is made to verify the accuracy of the listing, omissions and misprints may occur. This report lists all donors who have made gifts as of November 8, 1994. If you have any questions, comments or concerns, please call Michael E. Benzin, Director of the Annual Appeal, at (716) 645-3312. Thank you. �Spring Clinical Day and Reunion Weekend on for April 28 - 29,1995 ' ark your calendars and be sure to set aside the time to attend the 58th An­ nual Spring Clinical Day and Reunion Weekend at the Buffalo Marriott. Reunion dinners will be held on 1 Friday evening, April 28. On Saturday, April 29, Stockton Kimball lecturer Richard Krugman, M.D., dean of the University of Colorado School of Medicine, will speak on "The Physician —• Healing the Abuse in Our Families." Class of 1955 Class of 1975 "Forty years have passed. We have so much to share. Plan your sched­ ules now to gather here in Buffalo and see old friends." John H. Peterson, M.D. Chairperson "We would like to welcome you back to our 29th Year Re­ union. We need you to make it a success. Please join us." John C. Stubenbord, M.D. Chairperson John C. Stubenbord, M.D. John H. Peterson, M.D. Class of 1980 "It was 94 degrees in Buf­ falo for our 10th year reunion. Please come and heat up the town again!" Margaret Paroski, M.D. Chairperson Class of 1945 "Each season hasits own beauty and attainments. The continuum of life fixates beyond our peak years. This is our 50th year as physicians. Let us all join in our reunion circle on April 29,1995. The most — the best — reunion to date!" Herbert E.Joyce, M.D. Chairperson James R. Kanski, M.D. Margaret Paroski, M.D. Roger s. Doyer, M.D. Class of 1960 "Time to, once again, become reacquainted,share our memories and ruminate about the future." James R. Kanski, M.D. Co-Chairperson Roger S. Dayer, M.D. Co-Chairperson Class of 1965 "Let's get together and celebrate 30 years on April 29, 1995." Joseph Cardamone, M.D. Chairperson Robert J. Patterson, M.D. Sidney Anthone, M.D. Joseph Cordamone, M.D. Class of 1950 "Don't miss our 45th. We are counting on you to make it a success." Robert J. Patterson, M.D. Co-Chairperson Sidney Anthone, M.D. Co-Chairperson Donald Copley, M.D. Elizabeth Maher, M.D. Dona|d Ting|cy/ MD Class of 1985 "The medical school and Main Street in Buffalo look a whole lot different now compared to the early '80s. Come check it out and party with old friends." Elizabeth Maher, M.D. Co-Chairperson Donald Tingley, M.D. Co-Chairperson Class of 1970 Class of 1990 "Our 25th reunion sched­ uled for April 29, 1995, is too important to pass up. It should also be great fun because we expect more than 30 of our class­ mates will be attending. Please do your best to join us for this very special quarter-century celebra­ tion!" Donald Copley, M.D Chairperson "Yes, it has been five years. Mark it down — April 29, 1995 — our fifth year reunion. Come and see what residency has done to your class­ mates!" Raymond Paolini, M.D. Chairperson Raymond Paolini, M.D. �A L U M N I James Plall While Society holds Annual Meeting for members Members of the James Piatt White Society at the organization's 1994 Annual Meeting. T he James Piatt White Society held its annual meeting last October 21 at The Country Club of Buf­ falo. The distinguished organiza­ tion, based on the values and prin­ ciples of the former dean and founder of the School of Medicine and Biomedical Sciences, contributes gen­ erously to the school's mission of pro­ viding the highest quality education, research and patient care, and helps the school continue its leadership role as one of the premier medical schools in the country. Gifts to the medical school by members of the society have helped fund biomedical and clinical research, provide schol­ arships, purchase state-of-the-art laboratory equipment and maintain innovative programming. Members of the James Piatt WHite Society for 1994 are: Dr. Kenneth M. Alford '37 Dr. Kenneth Z. Altshuler '52 Dr. Richard Ament '42 Dr. William S. Andaloro '45 Dr. George R. Baeumler '59 Dr. Jared C. Barlow '66 Dr. Charles D. Bauer '46 Dr. Ralph T. Behling '43 Dr. Richard A. Berkson '72 Dr. Harold Bernhard '49 Dr. and Mrs. Willard H. Bernhoft '35 Dr. Theodore S. Bistany '60 Dr. John C. Bivona,Jr. '68 Dr. Willard H. Boardman '44 Dr. Dennis L. Bordan '70 Dr. Martin Brecher '72 Dr. Robert J. Brennen '59 Mrs. Ann Brody Dr. Harold Brody '61 Dr. Melvin M. Brothman '58 Dr. Robert L. Brown '44 Dr. August A. Bruno '51 Dr. William M. Burleigh '67 Dr. David W. Butsch Ms. Janet F. Butsch Dr. John L. Butsch Mr. David N. Campbell Dr. Joseph G. Cardamone '65 Dr. Nicholas C. Carosella '54 Dr. and Mrs. Norman Chassin '45 Dr. and Mrs. Joseph A. Chazan '60 Dr. Michael E. Cohen '61 Dr. James M. Cole '59 Dr. Donald P. Copley '70 Dr. Edward B. Crohn '43 Dr. Julia Cullen '49 Dr. Daniel E. Curtain '47 e Dr. Richard H. Daffner '67 Dr. Peter S. D'Arrigo '56 Dr. Roger S. Dayer '60 Dr. Alfred H. Dobrak '39 Dr. Sterling M. Doubrava '59 Dr. Kenneth H. Eckhert, Sr. '35 Dr. Robert Einhorn '72 Dr. and Mrs. George M. Ellis, Jr. '45 Dr. Alfred S. Evans '43 Dr. John A. Feldenzer '83 Dr. Jack C. Fisher '62 Dr. Thomas F. Frawley '44 Dr. Matt A. Gajewski '39 Dr. Penny A. Gardner '69 Dr. Kenneth L. Gayles '73 Dr. John W. Gibbs, Jr. '67 Dr. Mala Ratan Gupta Dr. Thomas J. Guttuso '60 Mrs. Gilda L. Hansen BA '44 Dr. Reid R. Heffner, Jr. Dr. William J. Hewett '61 Dr. Joseph M. Hill '28 Ms. Elizabeth H. Hiller Dr. John M. Hodson '56 Dr. Kenneth L. Jewel '68 Dr. Herbert E.Joyce '45 Dr. Stephen T. Joyce '63 Dr. James R. Kanski,Jr. '60 Drs. Julian and Mayenne Karelitz '68 Dr. Arthur C. Klein '62 Dr. Jacob S. Kriteman '67 Dr. Paul S. Kruger '72 Dr. Joseph L. Kunz '56 Dr. and Mrs. Marvin Z. Kurlan 64 Dr. Francis J. LaLuna '68 Dr. Andre D. Lascari '60 Dr. Won Yub Lee Dr. Eugene V. Leslie '51 Dr. Laurence M. Lesser '70 Dr. and Mrs. Harold Levy '46 Dr. Lucille Lewandowski '54 Dr. Jack Lippes '47 Dr. Hing-Har Lo '74 Mrs. Grace S. Mabie Dr. William K. Major, Jr. '69 Dr. Don L. Maunz '63 Dr. Charles J. McAllister '73 Dr. Margaret P. McDonnell '82 Dr. Harry L. Metcalf '60 Dr. Merrill L. Miller '71 Dr. Eugene R. Mindell Dr. Joseph F. Monte '59 Dr. Philip D. Morey '62 Dr. John D. Mountain '33 Dr. Arthur W. Mruczek, Sr. '73 Dr. Richard J. Nagel '53 Dr. Richard B. Narins '63 Dr. John P. Naughton Drs. Robert G. and Lillian V. Ney '62 and '64 Dr. Timothy T. Nostrant '73 Dr. Thomas P. O'Connor '67 Dr. Carrie P. Ogorek '81 Dr. Yasuyo Ohta Dr. Elizabeth P. Olmsted '39 Drs. Dean and Donna Orman '65 and '84 Dr. John S. Parker '57 Dr. and Mrs. Robert J. Patterson '50 Dr. Clayton A. Peimer Dr. Victor L. Pellicano '36 Dr. James F. Phillips '47 Mr. R. Willis Post Dr. Bert W. Rappole '66 Dr. Albert C. Rekate '40 Dr. Frank T. Riforgiato '39 Dr. Charles J. Riggio '60 Dr. Richard R. Romanowski '58 Dr. Charles H. Rosenberg '44 Dr. Jeffrey S. Ross '70 Dr. Albert G. Rowe '46 Dr. Eric J. Russell '74 Dr. Agnes Samuel '76 Miss Thelma Sanes Dr. Arthur J. Schaefer '47 Dr. Max A. Schneider and Mr. Ronald S. Smelt '49 Dr. Robert N. Schnitzler '65 Dr. David S. Schreiber '69 Dr. Joseph I. Schultz '57 Dr. Roy E. Seibel '39 Dr. Elizabeth G. Serrage '64 Dr. Edward Shanbrom '51 Dr. John B. Sheffer '47 Miss Alice Simpson Dr. James A. Smith '74 Drs. Robert Smolinski and Claudia Fosket '83 and '85 Dr. JohnJ. Squadrito '39 Dr. Melvin J. Steinhart '62 Dr. William C. Sternfeld '71 Ms. Elizabeth A. Storch MS '72 — Lib Mr. Barry S. Swartz Dr. Michael S. Taxier '75 Dr. James C. Tibbetts,Jr. '64 Dr. Charles S. Tirone '63 Dr. Edward A. Toriello '80 Dr. Bradley T. Truax '74 Dr. Arnold Wax '76 Dr. Harold J. Weinstein '72 Dr. Philip B. Wels '41 Dr. JamesJ. White, Jr. '69 Dr. Gary J. Wilcox '73 Dr. Richard G. Williams '80 Dr. and Mrs. Marvin N. Winer '39 Mrs. Rose Marie L. Wong BS '50 — Pharmacy Dr. John R. Wright Dr. Gregory E. Young '77 Dr. Wende W. Young '61 Dr. and Mrs. Franklin Zeplowitz '58 Dr. and Mrs. David C. Ziegler '65 Editor's Note: While every effort is made to ensure theaccuracy of this listing,omis­ sions and misprints may occur. This re­ port lists all membersbetween October23, 1993 and October 21, 1994. If you have any questions, comments or concerns, please call Michael E. Benzin, Director of the Annual Appeal, at (716) 645-3312. Thank you. �The Perfect Prescription For Tour Conference Needs 18,000 Square Feet of Meeting Space * Conference Planning Professionals * Convenient Downtown Location « Quick Metro Ride to Main Street Campus and Medical School * Close to Buffalo General, Roswell, ECMC and Children's Hospitals Noel Richard Rose, M.D., Ph.D., '64, receives the Alumni Association's specially designed crystal bison from association vice president Frank T. Schreck, M.D., '79. Noel Rose receives Distinguished Medical Alumnus Award for 1994 H oel Richard Rose, M.D., Ph.D., professor of molecular microbi­ ology and immunology at The Johns Hopkins University, re­ ceived the Distinguished Medical Alumnus Award at a dinner at the Park Country Club of Buffalo last Sep­ tember. Rose, a specialist and pioneer in the field of autoimmunity, is a 1964 gradu­ ate of the UB medical school. A gradu­ ate of Yale University, he received a doctorate from the University of Penn­ sylvania in 1951. He founded Wayne State University's department of immunology and micro­ biology in 1973, and in 1982 became the first chair of the department of im­ munology and infectious diseases, now the department of molecular microbiol­ ogy and immunology, atjohns Hopkins. Rose began his academic career at UB, joining the faculty as an instructor in bacteriology and immunology in 1951. At UB, he worked with Ernest Witebsky, distinguished scientist, re­ searcher and director of UB's Center of m Your Guests Can Walk to Theatre, Shops, Pilot Field, Restaurants, Entertainment CME Friendly w Great Banquet Food Please Talk To Us About Preparing A Proposal So You Can Bring Your Group's Next Convention To Buffalo (716) 856-1234 E XTENSION 6142 HYATT. WE'VE THOUGHT OF EVERYTHING™ H^Y-AXT R B u f E f G a E N l C o Y P Immunology. Rose became director of the center, which now bears Witebsky's name, after his mentor's death in 1969, and holds honorary life-long member­ ship on the Ernest Witebsky Center Committee. During his 22 years at UB, he also was director of Erie County Laboratories, head of the old E.J. Meyer Memorial Hospital department of laboratories and director of UB's diagnostic laboratories. Rose left UB in 1973 to establish and head Wayne State's immunology efforts. In 1982, he went to Johns Hopkins, where he chaired the department of immunology and infectious diseases for 11 years. He is a professor in the departments of molecular microbiology and immunology, medicine and envi­ h y s i c i a n W i ronmental health sciences and director of the World Health Organization Col­ laborating Center for Autoimmune Dis­ ease in Baltimore since 1968. Rose's current research is related to self-non-self discrimination and autoim­ mune disease. He has published more than 500 articles and abstracts in pro­ fessional journals and has edited 10 books. He is editor in chief of Clinical Immunology and Immunopathology and sits on several editorial boards. n t e r 1 9 9 5 �A T S p o o n f u l o f © S t u S i l v e r s t e i n , M . D ONE LAST STANDARDIZED TEST TO TAKE! his week I find myself spending all my spare time studying for the Pediatric Boards, which I will confront next Tuesday in a hotel room in Portland, Oregon. 1 hardly have any time to catch the details of the O.J. trial and the latest dilemmas confronting Judge Lance Ito I am awaiting the appearance of a cable channel devoted entirely to the O.J. case. ("I want my O.J.TV.") Whoops! I guess it already exists and it's called CNN, or the 300-hour PBS spe­ cial on the history of baseball. Base­ ball is the only sport in which a PBS special is more captivating than a live game. I am hoping that this is the last time 1 will have to spend what seems like an eternity filling in those microscopic circles with a number two pencil. I am also not looking forward to re­ ceiving instructions on how to fill in the holes. You would think they consider that since ev­ eryone in the room is a licensed physician and has spent the equivalent of one month each taking standardized exams, they would just say, "look you know what to do, go ahead and start." No such luck. They'll have that same woman from the sec­ ond grade with the blue hair tell­ ing us that the penalty for cheating © H u m o r is expulsion from the room and the possibility of serving on the O.J. jury. (I'll get the same feeling I get listening to the YAAWN. flight attendant explain again how to act in the events of a water landing even though we are flying over Idaho.) I'm not sure if I am more anxious about taking the Boards, or myjob prospects upon passing them. I have actually had pediatric col­ leagues tell me that I am lucky that I have comedy to fall back on. It was sup­ posed to be the other way around, wasn't it? Perhaps one day I'll tell my chil­ dren, "You want to be a doctor? You'llstarve! First do something that will put food on the table — standup comedy!" Newsweek even ran a story about patients look­ ing up their symptoms on the Internet and communi­ cating to others about them. I hope Hillary and her com­ mittee don't see the story, or patients will have to get used to hearing, "Take two bytes and call me in the morning." Stu Silverstein, M.D., president of Standup Medicine Seminars of San Francisco, lectures nationwide on humor in medicine. �CLASSNOTES the wedding of Rich Stamile's PHILIP C . DENNEN daughter in Tulsa. ' 4 9 , BERNARD C. MUSCATO '69, chapter of High Risk Pregnancy — Management Option, James, Steer, Weiner and Gonik, edi­ tors, published by Saunders last May. He has seven granddaugh­ ters and two grandsons. 5 O was appointed to a six-year term R I C H A R D I . A L T E S M A N ' 7 6 , of on the board of directors of Briarcliff Manor, New York, is Mercy Hospital of Buffalo. He is president of the Westchester a past president of the medical Psychiatric Society and received staff there. added qualifications to his boards in addictions psychiatry. He is medical director of Stony S J O H N B . F R A N K E L ' 5 3 , of St. Paul, Minnesota, returned from OB/GYN practice in Southern Bernard C . M u s c a t o ' 6 9 California in the early 1990s, of A R T H U R M . S E I G E L ' 7 0 , of Lodge Hospital in Briarcliff Guilford, Connecticut, just re­ Manor. He and his wife Linda ceived his pilot's license. His celebrated their 22nd anniver­ neurology practice, he says, sary recently. They have a son, keeps him busy. 14, and daughter, 12. "Anyone moved to Washington and JOHN J . LAMAR, JR. '63, helped establish a prenatal care Salem, Newjersey, was recently MICHAEL A. HABERMAN '73, clinic. He retired in June 1993 to appointed chief of pediatrics at of Atlanta, Georgia, was installed passing through New York City St. Paul and married a grade Memorial Hospital of Salem injuneasthe 140th president of school classmate. They have 13 County. His second grandchild the Medical Association of At­ children and 13 grandchildren. and first granddaughter, Skyler lanta, at 2,000 members, the larg­ Nicole Devine, was born lastjuly, est county medical society in the weighing 7 lbs., 10 oz. Medical Association of Georgia. 9 6 E D W I N R . L A M M ' 6 0 , of Lake­ land, Florida, became medical director of the Wound Care In­ patient Subacute Center, Merid­ ian Health Care Center,last May. He has been medical director of the Meridian Nursing Center since 1988. He has four grand­ children. Two of his four chil­ dren are married. JAMES M A R K E L L O ' 6 1 , of Greenville, North Carolina, re­ cently retiredas professor of pedi­ atrics from East Carolina Univer­ sity School of Medicine. He and his wife, Rhea Markello, R.N., who also recently retired her nursing management post from East Caro­ lina University Medical Center, spend summers at their Eden, New York, residence. was elected president of the Chicago Radiological Society. authored the "Forceps Delivery" 9 wife Sandra K. Fernbach, M.D., K E N K L E M E N T O W S K I ' 6 6 , of Grand Island, New York, spent time last July in Buffalo's sister city in Poland, Rzeszow, teach­ ing extracapsular cataract and implant surgery. He also took $250,000 worth of implants and ophthalmologic equipment do­ nated by vendors to Rzeszow. B A R R Y S H U L T Z ' 6 8 , of Sink­ ing Spring, Pennsylvania, has been re-elected president of the Urologic Society of Pennsylva­ nia. He is president of Genito­ urinary Associates of Reading. He has a daughter in graduate school at Dartmouth, a son in pre-med at Davidson and an­ other son in high school. He recently met with Tom Cumbo '68 and Bruce Stoesser '68 at He is the first psychiatrist to serve in this capacity. He was also elected as an alternate di­ rector to the Medical Associa­ tion of Georgia's board of direc­ tors. A fellow of the American Psychiatric Association, he served as the president of the Georgia Psychiatric Physicians should stop and say hello." 1 9 8 0 S P A B L O R O D R I G U E Z ' 8 1 , of Warwick, Rhode Island, was awarded the 1994 American Medical Association's Young Physicians Section's Community Service Award during the AMA's annual meeting in Chicago. He chairs the Rhode Island Minor­ ity Health Advisory Committee, which awards grants for minor­ ity community-based health pro­ motion programs. Association. He is in privateprac­ J O E S E R N A ' 8 2 , tells us he is tice in Atlanta. "fortunate to continue living, E R I C R U S S E L L ' 7 4 , of Chi­ cago, Illinois, has been promoted to professor of radiology at Northwestern University Medi­ cal School. He lectured at Sym­ posium Neuroradiologicum, in Kuamoto, Japan, on imaging of the nasopharynx. Daughters Gabrielle, 12, and Meredith, 7, attend Latin School of Chicago; roaches and all, at the center of the universe — Phoenix, Ari­ zona." He is a staff physician with the U.S. Indian Health Ser­ vice and is "still" the same rank as Data. His loving wife of 10 years, Ana Laura, continues to ask around his sixth or seventh night at home, "Don't you have a call night coming up soon?" They have four children, Jose © �CLASSNOTES M O L L Y A . O ' G O R M A N ' 8 6 , of Fuhrer had Evan Fuhrer last fall. J . CURTIS HELLRIEGEL '33, a Salt Lake City, Utah, is an assis­ longtime Buffalo obstetrician- W A L T E R J . G A U D I N O ' 8 7 , of tant professor of gastroenterology at the University of Utah's Pri­ Massapequa, New York, is the mary Children's Medical Center. acting chairman of the depart­ gynecologist, died lastJuly after a long illness. An early advocate of natural childbirth, he served ment of physical medicine and M I C H A E L J . B A R T I S S ' 8 7 , of rehabilitation at Nassau County Pinehurst, NorthCarolina, is prac­ Medical Center. He is married, as chief of staff at Millard Fillmore Hospital in 1966. He also was an associate professor ticing pediatric ophthalmology with a 2-year-old daughter and and strabismus surgery with Caro­ another child on the way. He'd lina Eye Associates. His daughter, like to hear from any classmates J U L I A N J . A S C H E R ' 4 0 , died Kelsey, 6, and son Nolan, 5, have in the Long Island area. last January after a long illness. MICHAEL E. ROSENBAND '89, J O H N G E R L I N G ' 4 3 , ofAtlanta, of New York, New York, com­ died in December 1993. of obstetrics and gynecology. a new baby sister, Maeve Kathleen, bornjuly 7,1994. "Momandbaby David Kountz '85 are doing fine." pleted his residency in internal JOHN K. QUINLIVAN '45, a Miguel, 9; John David, 6; Laura D E B I D E M E S T I H A S ' 8 7 , ofBuf- medicine at Mt. Sinai Hospital Andrea, 2; and Benjamin Adam, falo, is an attending in pediatric in June 1993. As an attending plastic surgeon who served as clinical assistant professor of 1. "Our daring colleague, Sin Ping emergency medicine and prac­ physician there in 1993-94, he Lee, is doing well as a solo practi­ ticing primary care pediatrics at was awarded the 1994 Physician plastic and reconstructive sur­ Health Care Plan. She married of the Year Award. He is pursu­ gery at UB, died last August after New York State trooper Shawn ing a fellowship in cardiology at a brief illness. tioner in Chandler, Arizona." D E N I S E M . G O O D M A N ' 8 3 , of Dalton last September. North Shore Hospital in Long Chicago, Illinois, has accepted a B. EDWARD HECKMANN '48, Island. He married Gattya Lahau died unexpectedly last June in position as assistant professor of B R I A N G A L E ' 8 7 , ofRiverdale, pediatrics and pulmonary and New York, is taking a fellowship critical care medicine at North­ in cross sectional imaging at the In int pprivate i i v a i t , practice pi i i v _ c. 1 ifrom 1U111 1949 X 717 to I 1975, he also worked for Erie western University Medical New York Hospital, Cornell School. She is also an attending Medical Center. His daughter, physician at The Children's Me­ Grace, turned 2 in September. morial Hospital of Chicago. He writes that Russell and Nancy in May 1993. his home in Snyder, New York. of County and New York State and Charlottesville, Virginia, is be­ was associated with Sisters and ginning her second year of a Millard Fillmore hospitals. PAMELA A. CLARK ' 9 0 , pediatric endocrinology fellow­ A N D R E W K N O L L ' 8 4 , of Syra­ M NETTE N E T T E M. M . MCDERMOTT M C D E R M O T T '83, '83, ship at the University of Vir­ KAJM died after a seven-year battlewith cuse, New York, has been pro­ ginia. She married Michael moted to the rank of commander DeHodge, a buyer for the Uni­ breast cancer. She had built a in the U.S. Naval Reserve. versity of Virginia, last June. large internal medicine practice in Waynesboro, Virginia, and DAVID KOUNTZ '85, of Sicklerville, New Jersey, assis­ tant professor of medicine at Hahnemann University in Phila­ Riviera Beach, Florida, home last versity School of Medicine and March. Molly A. O'Gorman '86 Graduate School. a ment, Inc., there. of John F. Kennedy, died in his exercises of the Hahnemann Uni­ f offered controversial testimony investigating the assassination Excellence at the commencement f J O S E P H R . D O L C E ' 3 1 , who before the Warren Commission Practicing Physician Award of u served as medical director for Skyline Rehabilitation Manage­ in 1964 as a ballistics expert delphia, received the Battafarano B OBITUARIES l o P h y s i c i a n W i n t e r 1 9 9 5 �PLANTING A TREE UNDER WHICH YOU WILL NEVER SIT I DR. DEVILLO W. HARRINGTON, class of 1871, knew how to make his money grow. In fact, this man who in 1905 provided $5,000 through his will for the University at Buffalo School of Medicine, is still supporting UB today through the endowment his bequest created. T H I S P E R M A N E N T endowment in Dr. Harrington's name has grown to over $300,000 and today it supports the famous Harrington Lecture Series, which twice a year brings distinguished scientific speakers to the School of Medicine and Biomedical Sciences. DR. HARRINGTON'S LEGACY to UB is just one of many bequests which have established permanent and important endowed funds at the school. They enable UB to provide scholarships to outstanding students, enhance scientific research, support excellence in teaching and meet the everchanging needs of the school. You TOO can provide the School of Medicine with a measure of permanence through a bequest. Proper estate planning helps you develop a smart financial plan. A charitable bequest provides the satisfaction that comes from planting a tree under which you will never sit, but which will bear fruit for generations to come. FOR A CONFIDENTIAL consultation on making a bequest to the UB School of Medicine and Biomedical Sciences, or to receive materials to share with your attorney or estate planning advisor, please contact: STEPHEN A. EBSARY, JR. ASSISTANT DEAN AND DIRECTOR OF DEVELOPMENT SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES UNIVERSITY AT BUFFALO (716) 829-2773 �J BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3 4 3 5 MAIN STREET BUFFALO NEW YORK 1 4 2 1 4 Non-Profit Org. U.S. Postoge PAID Buffalo, NY Permit No. 311 ADDRESS CORRECTION REQUESTED 436C ROEERT LEVIN BECK HALL SOLTH CAMPUS mail The only liability coverage with this seal of approval. Medical Liability Mutual Insurance Company (MLMIC) is the only professional liability insurer approved by the Medical Society of the State of New York. Since its founding in 1975, the physicianowned and managed company has success­ fully defended more physicians than all other available insurers combined. Additionally, MLMIC has the largest and most experienced professional liabil­ ity claims department in the country, the largest risk management department of any New York State professional liability insurer, and the state's only true peer review of claims experience. Call 1-800-ASK-MLMIC (metro) or 1-800-356-4056 (upstate) for more infor­ mation and an application. MLM|C Medical Liability 3 Mutual Insurance Company Our defense never rests 2 Park Ave., New York, NY 10016 2 Clinton Sq., Syracuse, NY 13202 90 Merrick Ave., East Meadow, NY 11554 © 1993 Medical Liability Mutual Insurance Company pfasv I Partners' Press, Inc. 14 Abgott Printing, Inc. � 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Journals and magazines 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, Winter 1995 Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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Research Hospital News Making Primary Care Primary Practicing Their Calling Then and Now Medical School Alumni A Spoonful of Humor Classnotes Date Created Date of creation of the resource. 2022-09-15 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. v29n01 Extent The size or duration of the resource. 36 p. Spatial Coverage Spatial characteristics of the resource. New York (State)--Buffalo Rights Holder A person or organization owning or managing rights over the resource. Copyright 1995 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/a49e26f3077484183cdf68c6a4328045.pdf 35d2852d48ed1b17799440b8263a7804 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/. Format The file format, physical medium, or dimensions of the resource application/pdf Type The nature or genre of the resource Text PDF Text Text Gail Sher: Collected Poetry 1982-2007 A Review Essay by Andrew Schelling I first met Gail Sher in the early nineteen-eighties when we were both living in Berkeley. I’d already read her earliest published poetry and heard friends speak about her practice of both Buddhism and writing. In a modest way she was a legend among local poets & Zen students. When I actually met her, she was finishing up a book of bread recipes [From a Baker’s Kitchen, 1984/2004], an activity less surprising in those days than it might seem now. The story about Gail’s poetry was that she’d begun to write her tough, multilayered, flint-like poems, often in series, while a student at Zen Center’s Tassajara Mountain retreat. She had continued to write as a daily discipline after returning to the East Bay where she dwelt on the far fringes of the energetic language poetry crowd. The earliest events she and I appeared at together were conversations about poetry and Buddhist practice—once in San Francisco, once at Green Gulch Zen Center near Muir Beach. To my imagination though, she remained a figure of Tassajara. Tassajara lies in one of those cañados that in summer visiting season crackles with tough, aromatic brush—as well as manzanita & poison oak—deep in the mountains inland from Monterey. The site, along a boulder strewn creek, was first known to native peoples for its healing hot springs. You can only readily get there during the dry season, & only with a serviceable car, standard transmission, to take you seven miles uphill, then seven precipitous miles down a harrowing dirt road. The road twists along a valley wall held in place by the roots of dwarf oaks. When I’d visit in the seventies and eighties, I went in my big, square ’64 Pontiac, which burnt through its brakes the first time down. From then on the car stayed at China Camp, a hilltop site with primitive facilities. Seven miles down to Tassajara by foot—bathe in the creek, drink tea generously provided by the Zen Students, buy a loaf of Tassajara’s renowned bread, sit zazen in the zendo—then trudge seven miles back to the clatter of crickets. On one of those trips I heard of a poet who had taken to a daily practice of writing, and did it as a solitary discipline. So different from the gregarious poets I knew in the Bay Area! When I found Gail’s books, I imagined her having stepped from a Japanese Noh play. Her poems, sharpened by rigorous Buddhist discipline—& not to everybody’s taste—grabbed me instantly. They were tough, refreshingly hardedged, full of the natural world—constructed of bits and pieces of mineral, insect, bark, summer grass. They could cry out from the page in several languages at once, with English functioning (I thought) like a piece of steel to strike the spark. They felt classical. Despite their wild turns of phrasing, fox barks & cricket clicks, �under the surface they showed a sensibility that was refined, educated, attentive to natural detail, & enamored of the chipped, the asymmetric, the rustic. They put me in mind of the writers of Japan’s Heian court, the best of whom were women. I still hear echoes of Murasaki Shikibu or Ono no Komachi when I open Gail’s books. My ear had been tuned to Modernist rhythms & syntax by Pound’s Cantos and his haunting translation of Noh plays. I’d been schooled in the compressed poems of Lorine Niedecker and the Objectivists, had started to collect the crisp haiku-inflected translations of American Indian poems done by Frances Densmore, and gotten first-hand know-how of Asian poetry through the mustardcrackling syllables of Sanskrit. When I found Gail’s poems, they became instant companions. I knew she was up to something special. (As) on things which (headpiece) touches the Moslem was probably the book that first showed me how my own generation’s often extreme experiments with language—cracking words apart & recombining syllables or sentences in ways that carried ear & mind to completely new realms—could be more than politically radical. They could be ecologically radical, spiritually radical. I remember many poems by Philip Whalen & Diane di Prima also written at Tassajara, and maybe some by Norman Fischer or Pat Reed. Once on the twisty, uphill walk back to China Camp through burnt-over oaks—frightening wildfire had raced through in ’77 or ’78—ghost faces leapt out where the firefighter’s axes had slashed through scorched trunks and exposed bright inner wood. I composed a lengthy poem (thankfully lost long ago) to capture the California landscape with its Zen center, lizards, and rattlesnakes. Of all the writing Tassajara’s inspired, though, Gail Sher’s must be the most fully generated out of that canyon, its geothermal forces, its healing hot springs. Gail has worked with, & been instrumental in naturalizing to our North American continent, several Asian poetic traditions. This is something only a Left Coast or Pacific Rim poet could do with ease, and a direct if invisible lineage runs through her from the Far East. She has worked haiku and its linked-verse cousin renku. She has written an autobiographical account of her Buddhist training in haibun form. More recently, familiarity with yoga practice has drawn her to India’s musical tradition, and the outcome of this was the serial poem RAGA. In conversation with Tibetan Buddhism, she also wrote DOHA, a book modeled on Tibetan songs of devotion and instruction. Every plant, wild animal, watershed, well-crafted building, every poem or human being, holds a quality that is the root of its life and spirit. This quality is quite sharp, objective, wise. It is also creative and fluid so cannot be caught or described. Matsuo Basho found this spirit to animate haiku, lyric poems, the tea ceremony, archery. It runs through all of Gail Sher’s poetry—loose, alive, relaxed, content with imperfection, winding around an inward mystery. Her writing reveals the finely edged relationship between ourselves and our �surroundings. When I go to her poetry I do it the way I hike into the mountains or up a gorge, or for that matter step into a temple or meditation hall. I find things fully alive there. Not opinions, ideas, notions—just the wild spirit of living things. What is the natural habitat of North American poetry if not the great ecosystem of the Small Press? An ecosystem comprised of energy pathways, migration corridors, nutrient exchanges. It is alive with life & death chases, sweeping unpredictable weather patterns, and acts of breath-taking generosity. Gail’s poems saw light here: Rosmarie & Keith Waldrop’s Burning Deck Press, Matt & Sarah Correy’s Rodent Press, Joey Simas’s Moving Letters. But the world of publishing got rougher in the 1990’s (absorption of corporate publishing houses into media empires, overthrow of distributors who handle small presses). One response has been for poets to consolidate their resources. Gail’s poetry has moved to a new home, Night Crane Press. Small and micro presses serving the San Francisco Bay Area have taken totem animals for a long time. White Rabbit, Grey Fox, Coyote Books. Turtle Island fits in too. Now Night Crane, with its whiff of transient life, is collecting Gail Sher’s poetry into an online edition. This is a wonderful gathering. Much in these books will be rough going, though, even for seasoned readers. Tibetan words, Sanskrit, Hebrew, Japanese. Syllables cobbled into seed-like stanzas that don’t easily crack. Of course poetry has always been hard to crack. “Don’t follow in the steps of the old masters,” said one old master, “seek what they sought.” What a hard lesson. --Naropa University, Boulder, Colorado Note: This essay was written for a collected ediiton of Gail Sher's poetry that was never published as a print volume; instead it introduced the onlline edition of Gail's poetry on her website, gailsher.com. ----------------------------------- � 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 Gail Sher Collection Subject The topic of the resource Sher, Gail, 1942- Poetry -- United States Creator An entity primarily responsible for making the resource Sher, Gail, 1942- Identifier An unambiguous reference to the resource within a given context LIB-PC011 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 Gail Sher: Collected Poetry 1982-2007 A Review Essay Creator An entity primarily responsible for making the resource Andrew Schelling Publisher An entity responsible for making the resource available State University of New York at Buffalo. Poetry Collection. Is Part Of A related resource in which the described resource is physically or logically included. LIB-PC011 Identifier An unambiguous reference to the resource within a given context LIB-PC011_163 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Copyright Andrew Schelling and used with permission. For more information contact the Poetry Collection at lpo-poetry@buffalo.edu. Language A language of the resource eng https://digital.lib.buffalo.edu/files/original/bdf5419f98400fd93c35d09989cc2447.jpg 3153db213a8c7c2859d31a58145ca40d 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/. Description An account of the resource Faded, water-damaged architectural plan on aged paper showing a building layout with faint room outlines and structural details. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 47.8x87.4cm 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 Plan of Laundry, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing of part of the plan for the laundry from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum's Supervising Architect (1877-1880) and Building Superintendent (1878-1880), 1880. Includes the washing, ironing, sewing, and drying rooms. A large, aged sheet of paper displays a detailed architectural floor plan drawn with faint lines and colored markings. The paper is heavily stained, creased, and discolored, with darker water damage around the edges and folds. The plan appears vertically oriented, showing a central structure with symmetrical rooms or sections on either side, along with corridors and rectangular spaces. Additional smaller layout drawings are visible near the bottom portion of the sheet. The drawing includes fine linework, measurement markings, and structural outlines, though much of the detail is faded due to the condition of the paper. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_028_half Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/8aebd12809c21322d761063ab882d70e.jpg 495b5f668079577a834905b0e554e670 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/. Description An account of the resource Aged architectural floor plan showing labeled rooms, including ironing, drying, and washing areas, with red wall outlines and water damage along the bottom. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 83.1x67.6cm 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 Foundation Plan for Laundry, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing of the foundation plan for the laundry from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil, ink, and watercolor, 1880. A large, aged sheet of paper displays a horizontal architectural floor plan with labeled rooms and structural details. The drawing is centered on the page, with thin linework and red-highlighted walls outlining several connected rectangular rooms. Labels within the rooms include functions such as ironing room, drying room, and washing room. Additional text beneath the plan identifies it as a building plan, along with a scale notation and a superintendent’s name. The paper shows visible wear, including creases, discoloration, and extensive water staining concentrated along the bottom edge. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_027 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/9e99430b9916054333076198cb38f70e.jpg ca0209ec73ad8c23e3fb4603cac15f44 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/. Description An account of the resource Black-and-white architectural drawing of a building façade with a steep gable, circular window, and rows of rectangular windows with decorative arches. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 62.7x43.4cm 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 Male Ward elevation, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource A detail from a plan for an elevation of one of the male wards from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum's Supervising Architect (1877-1880) and Building Superintendent (1878-1880), 1880. A detailed architectural drawing shows a section of a building façade and roof structure rendered in fine black linework on a light background. The composition includes a triangular gable roof on the left with a circular window at its center, divided into segments. Below and around it are rectangular window groupings with mullions, arranged symmetrically across multiple vertical sections of the building. The roof surfaces are indicated with patterned lines suggesting shingles or tiles. On the right side, additional structural elements and partial interior or upper-level details are visible, including curved shapes that resemble staircases or architectural features. The drawing is clean and precise, with consistent line weight and minimal shading. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_026 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/937aa74b1e7d804587f6530a30d37f4d.jpg 37b65fe59d81cc153ff373539fdb9ef7 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/. Description An account of the resource Black-and-white architectural drawing of a large, symmetrical two-story building with steep gabled roofs, dormer windows, and detailed brick and wood façade. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 74.9x41.4cm 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 Male Ward elevation, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource A plan for an elevation of one of the male wards from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum's Supervising Architect (1877-1880) and Building Superintendent (1878-1880), 1880. A detailed architectural elevation drawing shows the front façade of a large, symmetrical building rendered in fine black linework. The structure features a steeply pitched roof with multiple gables, including prominent triangular end sections and a central gable with a vertical spire. Circular windows are set within the end gables, while evenly spaced rectangular windows with arched tops line both floors of the façade. The building’s exterior includes decorative brickwork, horizontal banding, and a central entrance with a small balcony or overhang above it. The drawing is clean and precise, with subtle shading and some faint discoloration marks on the paper near the top. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_025 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/74102b2437e3f896988f86a4f3ef039e.jpg 9651effb4b678453a24dc226c3893fb3 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/. Description An account of the resource Black-and-white architectural drawing showing a library section with wall details on the left and a floor plan with a grid layout on the right. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 61x53.8cm 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 Plan of Library, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource The plan for the library from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880), 1880. A precise architectural drawing presents two views of a library design on a single sheet. On the left, a vertical section view shows interior wall detailing with decorative paneling, a doorway with an arched top, and built-in elements arranged symmetrically. On the right, a floor plan outlines a large rectangular room with thick exterior walls and a patterned grid indicating tiled flooring. Smaller alcoves or recesses appear along one side, and faint structural or furnishing elements are sketched within the space. Labels on the drawing identify the views as a section and plan of the library. The composition is rendered in fine grayscale linework with subtle shading. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_024 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/efefcafacd5623e3f992731d8b599a16.jpg ad4528ac279c9a3a47aa7d4740291247 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/. Description An account of the resource Architectural sheet showing multiple elevations and cross-sections of a long, gabled stable building with arched windows and chimneys. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Elevations of Stables and Cow Barns, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #49 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil, ink, and watercolor, 1880. Drawings of elevations of stables and cow barns. A detailed architectural drawing sheet presents multiple elevations and cross-sections of a stable building. The main portion of the page shows several side views of a long, rectangular structure with a pitched roof, chimneys, and evenly spaced arched windows and doors. Each elevation is labeled to indicate different sides of the building. On the right side of the sheet, smaller sectional drawings reveal the internal roof structure, framing, and support elements, highlighted with light color accents. The paper has a slightly aged tone, with faint marks and a printed number in the upper corner. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_023 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/753bf0f10a3c14bc89e2859f0fa0f0fd.jpg ab1d7e9fb6330662a228c1e3f2a81755 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/. Description An account of the resource Architectural floor plans with red-highlighted walls showing stable building layout on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Plan of Stables and Cow Barns, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #48 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil, ink, and watercolor, 1880. Drawing of the stables and cow barns. A large architectural drawing sheet presents multiple floor plans arranged across the page. The plans are rendered in fine linework with red-highlighted walls, showing a series of connected rectangular spaces forming an L-shaped layout on the right and a separate, narrower rectangular plan on the left. Individual rooms and corridors are labeled, with small symbols and measurements indicating structural and functional details. The right-side plan includes a long central passage with adjacent rooms, while the left-side plan shows a more compact arrangement. Text in the center identifies the drawing as a stable building plan, along with scale information and a superintendent’s name. The paper has a slightly aged, yellowed tone with minor marks and discoloration. Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_022 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/60c5ca7c65128d61b4c4a3cf6cafd671.jpg 08c63541620cabe0f81082cdca394182 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/. Description An account of the resource Architectural floor plans of a stable building with L-shaped layout and partitioned stalls on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Cellar Plan of Stables and Cow Barns, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #47 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil, ink, and watercolor, 1880. Drawing of the cellars for the stables and cow barns. A large architectural drawing sheet shows multiple floor plans and structural details arranged across the page. The main plan forms an L-shaped layout on the right, with long rectangular sections filled with evenly spaced lines indicating stalls or partitions, highlighted with red and yellow accents. A narrower, separate rectangular plan appears on the left with similar internal divisions. Fine annotations, measurements, and construction details are distributed throughout the drawing, including a small set of arched opening diagrams near the center-right. Text at the top identifies the design as a stable building plan for cattle, sheep, or horses, along with scale information and a superintendent’s name. The paper has an aged, slightly yellowed tone with faint marks and creases. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_021 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/4cfac3ee7628bcc31aeee47ffbdffca4.jpg 4647793faeb0ea24d4917e6fa8890599 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/. Description An account of the resource Architectural sheet with floor plan, sections, and elevations of an infirmary building on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Plan of Ice House, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #46 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil, ink, and watercolor, 1880. Drawings of the ice house. A large architectural drawing sheet displays multiple views of an infirmary building, including a central floor plan and several elevations and cross-sections. The floor plan at the top center shows a rectangular layout with interior partitions and structural elements highlighted in red and yellow. On either side of the plan are sectional views revealing the pitched roof structure and internal supports. Along the bottom, three elevation drawings depict the exterior from different sides, showing a simple rectangular building with a gabled roof, chimneys, and evenly spaced arched windows and doors. The paper has an aged, slightly yellowed appearance with faint stains and marks, and a number is printed in the upper corner. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_020 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/e6690daed90119dfecef161a3718b06c.jpg 1e041095709ef0da784e1e1055bad48d 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/. Description An account of the resource Architectural plans and elevations of asylum laundry buildings with labeled rooms and arched-window façades on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Plan of Laundry, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #45 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil, ink, and watercolor, 1880. Elevations and plans of the laundry. A large architectural drawing sheet presents a detailed plan and multiple views of a building complex associated with a state asylum. The upper portion shows a floor plan with labeled rooms such as ironing, drying, and washing areas, connected by corridors and outlined with red-highlighted walls. Additional sections of the plan extend to adjacent structures, including boiler and work rooms. Below the plan, several elevation drawings depict the exterior of a long, rectangular building with a pitched roof, chimneys, and evenly spaced arched windows and doors. Smaller sectional drawings on either side illustrate the internal roof structure and support elements. The paper has an aged, yellowed appearance with faint stains and marks, and a number is printed in the upper corner. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_019 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/328806c544f925e181154d4bbd360920.jpg f1de56d5fb3c633ffe96c4b6e9ce0f18 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/. Description An account of the resource Architectural elevations of a workshop and bakery building with gabled roof and central tower on stained paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Elevations of Workshop and Bakery, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #44 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil and ink, 1880. Drawing of the north, south, and west elevations of the workshop and bakery. A large architectural drawing sheet shows multiple elevation views of a workshop and bakery building. The main portion presents north, south, and rear elevations of a long, symmetrical structure with a pitched roof, decorative gables, and a central tower-like feature with arched openings. The façade includes evenly spaced rectangular windows, double-door entrances, and stonework detailing. A smaller drawing in the lower corner shows an additional structural element, possibly a gate or enclosure. The paper is aged with visible creases, discoloration, and water stains, particularly along the lower edge. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_018 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/a00aeb877ab746680b5ba030f321d5c1.jpg 5c5df47a52ffc4acbbfa99049047cb3e 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/. Description An account of the resource Architectural floor plan of a workshop and bakery with labeled rooms and red-highlighted walls on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Plan of Workshop and Bakery, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #43 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil and ink, 1880. Drawing of the workshop and bakery. A large architectural drawing sheet presents a detailed floor plan labeled for a workshop and bakery. The layout forms an L-shaped arrangement, with multiple connected rectangular rooms outlined in red. Interior spaces are labeled, including areas such as a bakery, boiler room, and coal store, with fine annotations and measurements throughout. Lines extending from the main structure indicate connections to external elements or systems. The drawing is rendered in precise linework on aged, slightly yellowed paper with faint stains and marks, and a number appears in the upper corner. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_017 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/873c885c789ce1b32ae3537328a91550.jpg fafe6c630c95313ff073aaed7e16a7af 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/. Description An account of the resource Architectural elevations of a kitchen building with hipped roof and arched windows on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Kitchen for Male Wards, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #42 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil and ink, 1880. Drawing of the kitchen for the male wards. A large architectural drawing sheet shows elevation views of a kitchen building for male wards. Two main elevations are presented, labeled north and south, depicting a low, rectangular structure with a hipped roof, chimneys, and evenly spaced arched windows and doors. The building features simple brickwork detailing and a small roof vent or cupola. On the right side, a partial sectional detail shows the roof structure and wall construction. The drawing is executed in fine linework on aged, slightly yellowed paper with faint stains and marks, and a number is printed in the upper corner. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_016 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/ef75f92ceaf325705a3c53cd81fc2189.jpg 60199b28eac8322c78b8700ab7464608 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/. Description An account of the resource Architectural floor plan of a kitchen with a curved connecting corridor on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Plan of Kitchen and Connecting Corridor, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #41 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil and ink, 1880. Drawing of the kitchen for the wards and a connecting corridor. A large architectural drawing sheet presents a floor plan labeled for a kitchen and connecting corridor. The main structure appears as a compact rectangular layout with interior partitions and rooms outlined in red, accompanied by detailed annotations and measurements. Extending from the lower portion of the building is a curved corridor that connects to another smaller structure, also partially shown in plan view. Fine construction lines and notes indicate structural elements and layout details. The drawing is rendered in precise linework on aged, slightly yellowed paper with faint stains and marks, and a number appears in the upper corner. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource image/jpeg Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_015 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/076574630793890733658b5c458a4679.jpg 04ecbe2cdaf5b5be17caf0d4d589e35c 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/. Description An account of the resource Architectural elevations of a male ward building with pitched roof and rows of tall windows on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Male Ward E, North and South Elevations, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #39 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil, ink, and watercolor, 1880. Drawing of north and south elevations of Male Ward E. A large architectural drawing sheet shows two elevation views of a building labeled male ward E. The upper drawing presents the north elevation, while the lower shows the south elevation. The structure is a long, rectangular building with a pitched roof and a central gable featuring decorative detailing and a small window. The façade includes evenly spaced tall, narrow windows set above a stone foundation. The south elevation shows additional features such as a small entrance with steps and chimneys rising along the roofline. The drawing is rendered in fine linework with light color washes on aged, slightly yellowed paper, with faint stains and marks. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_014 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/502fd53964bb9eff08dab63bb9cfacc8.jpg 60a04833e56005b2799465025e962aee 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/. Description An account of the resource Front elevation drawing of a male ward building with gabled roof, dormers, and rows of windows on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Male Ward E, Front Elevation, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #38 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil, ink, and watercolor, 1880. Drawing of front elevation of Male Ward E. A large architectural drawing sheet shows the front elevation of a building labeled male ward E. The structure is a long, symmetrical building with a pitched roof and multiple gables, including prominent end gables with circular windows and smaller dormer-like projections along the roofline. The façade features evenly spaced tall windows, decorative brickwork, and a central entrance with steps. The drawing is rendered in fine linework with light color washes on aged, slightly yellowed paper, with faint stains and marks visible across the surface. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_013 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/732b96224edbb299cb61893128ea85f7.jpg 961da97e1109f71211f59bcdbf82121d 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/. Description An account of the resource Aged architectural floor plan of male ward E with T-shaped layout and rows of small rooms. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Male Ward E, First Floor, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #37 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil, ink, and watercolor, 1880. Drawing of first floor of Male Ward E. A large architectural drawing sheet shows a first-floor plan labeled for male ward E. The layout forms a T-shaped arrangement with a long central corridor extending vertically and wider wings at the top and bottom. Numerous small, evenly spaced rooms line the corridor, each outlined in red with annotations and measurements. Larger rooms appear at the ends of the plan, including a labeled dining room. Handwritten notes and markings are scattered across the drawing. The paper is heavily aged, with visible creases, tears, discoloration, and water stains, especially along the edges and folds. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_012 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/97e6839f88601c7acc0caf81e22e4d04.jpg d88717eea85b319ce99a24d4b19e48a5 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/. Description An account of the resource Front elevation drawing of male ward D building with gabled roof, dormers, and rows of windows on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Male Ward D, Front Elevation, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #33 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil, ink, and watercolor, 1880. Drawing of front elevation of Male Ward D. A large architectural drawing sheet shows the front elevation of a building labeled male ward D. The structure is a long, symmetrical building with a pitched roof featuring multiple gables and dormer windows. Prominent end gables include circular windows, and a central gable rises higher with decorative detailing. The façade is composed of brickwork with horizontal banding and evenly spaced tall windows arranged across two levels above a stone foundation. A small entrance section extends on the right side. The drawing is rendered in fine linework with light color washes on aged, slightly yellowed paper with faint stains and marks. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_011 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/dbabc1e23026118496d2662994b9a1d0.jpg 3a20316cd7385c3f5dca2506c23f7b0f 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/. Description An account of the resource Front elevation drawing of male ward C building with gabled roof, dormers, and rows of windows on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Male Ward C, Front Elevation, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #27 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil, ink, and watercolor, 1880. Drawing of front elevation of Male Ward C. A large architectural drawing sheet shows the front elevation of a building labeled male ward C. The structure is a long, symmetrical building with a pitched roof featuring multiple gables and dormer windows. Prominent end gables include circular windows, and a taller central gable rises above the roofline with decorative detailing and a finial. The façade is composed of brickwork with horizontal banding and evenly spaced tall windows arranged across two levels above a stone foundation. A small entrance extension appears on the right side. The drawing is rendered in fine linework with light color washes on aged, slightly yellowed paper with faint stains and marks. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_010 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/7c01c80e8d5bffb340e823ccfbb6c25c.jpg 9e8b7ce8482e4626af455df2a972e61d 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/. Description An account of the resource Rear elevation drawing of a multi-story male ward building with rows of windows and gabled roof on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Male Ward A, Rear Elevation, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #16 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil and ink, 1880. Drawing of rear elevation of Male Ward A. A large architectural drawing sheet shows the rear elevation of a building labeled male ward A. The structure is a long, multi-story building with a symmetrical arrangement, featuring three levels of evenly spaced tall windows across the façade. The roofline includes gabled sections at both ends and a central gable, with simple detailing. A small external staircase is visible on the right side leading to an upper entrance. The drawing is executed in fine linework without color shading on aged, slightly yellowed paper with faint marks and a printed number in the upper corner. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_009 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/e505f896f96f021609de4b5e378ce6d5.jpg 2a76553a5b2465fc8b8e67f59ca10865 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Male Ward A, Side Elevations, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Digital image of drawing #15 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil and ink, 1880. Drawing of side elevations of Male Ward A. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_008 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a href="">NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/ecf31f2909f8c5950a302951b897ecde.jpg 3fe959ef26c6260fd1eb29ceb7f8e44f 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/. Description An account of the resource Front elevation drawing of male ward A building with multiple gables and rows of tall windows on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Male Ward A, Front Elevation, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #14 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil and ink, 1880. Drawing of front elevation of Male Ward A. A large architectural drawing sheet shows the front elevation of a building labeled male ward A. The structure is a long, symmetrical, multi-story building with a pitched roof featuring prominent end gables and several smaller dormer-like projections along the roofline. A central gable rises higher with decorative detailing and a vertical element at its peak. The façade is organized with evenly spaced tall windows across three levels above a stone base, and multiple entrances are visible along the ground level. The drawing is rendered in fine linework on aged, slightly yellowed paper with faint stains, creases, and handwritten notes. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_007 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/cf5542dc8b6f6b01ff6e064af97bc37e.jpg f86ab730e421d3ac742d1bf92c1b7f5c 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/. Description An account of the resource Architectural first-floor plan of male ward A with long corridors, many small rooms, and a curved connecting section on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Male Ward A, First Floor, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #11 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil, ink, and crayon, 1880. Plan for the first floor of Male Ward A. A large architectural drawing sheet shows a detailed first-floor plan labeled for male ward A. The layout consists of a long, irregular arrangement of connected corridors and rooms, with a central vertical section branching into extended wings. Numerous small rooms line the corridors, each outlined in red and annotated with measurements and notes. On the right side, a curved corridor connects to an adjoining section with additional rooms and service areas. Handwritten notes and markings appear throughout the drawing. The paper is aged, with a yellowed tone, faint stains, and slight creasing. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_006 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/bf06fdf0d81d4f62754e87dfeac212b2.jpg f407a50861ab22dc956f348282ba76d4 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/. Description An account of the resource Architectural elevation of an administration building with central gable and rows of windows on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Administration Building, West Elevation, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing of the west elevation of the Administration Building from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil and ink, 1880 A large architectural drawing sheet shows a detailed elevation of an administration building, labeled as a west elevation. The structure features a multi-story façade with evenly spaced rectangular windows arranged in vertical rows. A central projecting section includes a gabled roof and decorative elements, including a circular window and arched detailing. The roofline extends across the building with additional gabled sections and chimneys. The drawing is rendered in fine linework on aged, slightly yellowed paper with faint stains and minimal shading. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_005 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/53458b350b51fd95ff81aeffe54d8e06.jpg 38e6e2038da84676d333c40a322a6ec3 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/. Description An account of the resource Architectural east elevation of an administration building with central gable and rows of windows on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Administration Building, East Elevation, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing of the east elevation of the Administration Building from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil and ink, 1880 A large architectural drawing sheet shows an elevation of an administration building labeled as the east elevation. The structure features a multi-story façade with evenly spaced rectangular windows arranged in vertical rows. A central projecting section includes a gabled roof with decorative detailing and a circular window, flanked by smaller gabled elements. The roofline extends across the building with additional structural sections and chimneys. The drawing is rendered in fine linework on aged, slightly yellowed paper with faint stains and minimal shading. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_004 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/ae4a8c231836a88051b864a9a03d8b15.jpg f2510f4f37aa0f6b29f4c809420a456c 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/. Description An account of the resource Front elevation drawing of an administration building with two tall towers and rows of windows on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Administration Building, Front Elevation, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #6 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil and ink. Includes drawing of the front elevation of the Administration Building, 1880 A large architectural drawing sheet shows the front elevation of an administration building. The design features a symmetrical, multi-story façade with evenly spaced windows across several levels. Two prominent tower-like structures with steep, pointed roofs rise on either side of a central section, connected by lower roof elements and decorative supports. The central portion includes detailed window groupings and arched architectural elements at the ground level. Fine linework outlines structural details, measurements, and annotations. The paper is aged, with a warm yellow tone, light stains, and slight creases. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_003 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/0268374ae3eb3019ea2231233d5b817f.jpg 917ecdfdd8658cbc0c90af4ab6b93c6c 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/. Description An account of the resource Basement plan of an administration building with symmetrical layout, curved staircases, and annotated rooms on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Administration Building Plan of Basement, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Drawing #1 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil and ink. Includes plan for the basement of the Administration Building, 1880 A large architectural drawing sheet shows a detailed basement plan labeled for an administration building. The layout is symmetrical, centered around a main rectangular core with corridors and rooms arranged on both sides. Multiple rooms are labeled and outlined, with red ink highlighting walls, structural elements, and circulation paths. Two curved staircases appear near the upper portion, and a long angled passage or external connection extends from the right side. The drawing includes numerous measurements, annotations, and construction notes. The paper is aged, with a yellowed tone, visible stains, ink marks, and slight wear. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_002 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/d5204e4d1c331ff75feaa3f26af57af4.jpg 0901454775466363b765e80c2b84fcef 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/. Description An account of the resource Title page of a book of plans for the Buffalo State Asylum for the Insane. https://digital.lib.buffalo.edu/files/original/dadd8312b6cecc1840a547f901c3da38.txt 4d506d65d7a33aac5aca51b73385f2cb 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 Plans of the Buffalo State Asylum for the Insane, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Watercolor and ink introduction page for Peter Emslie's reproduction of H. H. Richardson's plans for the Buffalo State Asylum for the Insane, 1880. Reads, "Plans of the Buffalo State Asylum for the Insane shewing all of the floors of the Administration Building and Male Wards A, B, C, D and E, also kitchen and corridor connecting same with Ward B, together with ice-house, laundry, stables, cow-barns, workshop [copyright] 1880. Peter Emslie Building Superintendent." Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context LIB-APL002_001 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/539c74c068c284ebd46aa93f3fa67613.jpg c5aeec7237e0603d36ea74c2d4896db6 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/. Description An account of the resource Aged architectural plan showing two large rooms connected by a central corridor with utility lines and equipment details. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 State Asylum for the Insane Plan of Laundry, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Part of drawing #42 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil, ink, and watercolor. Includes plans for the laundry, 1880 A worn architectural drawing shows a partial floor or service plan with a horizontal layout of connected spaces. Two large rectangular rooms appear on the left and right, with interior features faintly sketched—on the right, multiple circular elements suggest equipment or fixtures arranged in a grid. A central corridor or connection runs between the spaces, with pipes or utility lines drawn in fine lines linking areas. Red ink highlights walls and structural boundaries, while lighter lines indicate mechanical or plumbing details. The paper is heavily aged, with pronounced water stains, discoloration, creases, and darkened edges. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context C__Ze Output_LIB-APL002030 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/9f1521dc6a28e6b91267a4539fc7c089.jpg 048040fc773c1c90f4e156981ca61118 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/. Description An account of the resource Faded architectural utility plan with central structure, connecting lines, and surrounding room outlines on stained aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 State Asylum for the Insane Plan of Laundry, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Part of drawing #42 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil, ink, and watercolor. Includes the washing room of the laundry, 1880 A faded architectural drawing shows a utility or service plan with a central rectangular structure connected by straight corridors or conduits extending vertically and horizontally. The layout is symmetrical, with faint outlines of additional rooms or tanks on both sides. Thin blue and red lines indicate piping, drainage, or structural elements, intersecting at the central block. The lower edge reveals part of a longer horizontal building wall with regularly spaced openings. The paper is heavily aged, showing large water stains, discoloration, fold lines, and worn edges. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context C__Ze Output_LIB-APL002029 Date Created Date of creation of the resource. 1/22/19 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/54f8c5b57ce715862d6617ce0812f689.jpg a74a9744a5fe76bbd03b679cd5cf4592 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/. Description An account of the resource Heavily stained architectural plan with central shaft, parallel lines, and symmetrical room outlines on aged paper. 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 Peter Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource In the mid-19th century, attitudes towards mental illness were beginning to change. The Kirkbride Plan, proposed by psychiatrist Thomas Story Kirkbride, asserted the curative effects of a more natural environment featuring fresh air, natural light, and grounds with cultivated parks and farmland in the treatment of the mentally ill. This era saw a rapid increase in the construction of state asylums following the Kirkbride Plan, including the Buffalo State Asylum for the Insane, one of 73 such facilities built in the United States from 1845 to 1910. At the time of its construction, the Buffalo State Asylum was considered a state-of-the-art facility, both for its appearance and its use of therapeutic landscape design as integral to treating mental illness. With buildings designed by architect Henry Hobson (H.H.) Richardson, and grounds by prominent landscape architects Frederick Law Olmsted and Calvert Vaux, the Richardson Olmsted Campus is the preeminent example of the Richardsonian Romanesque architectural style and reflects the development of mental health institutions in the United States during the 19th and 20th centuries. Today, the 145-year-old Campus is a National Historic Landmark and home to one of the largest historic preservation projects in the nation. The pen-and-ink illustrations on view were copied directly from H.H. Richardson’s original plans by Buffalo civil engineer Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880). Creator An entity primarily responsible for making the resource Emslie, Peter Source A related resource from which the described resource is derived State University of New York at Buffalo. Architecture and Planning Library Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource Richardson, H. H. (Henry Hobson), 1838-1886 Rights Information about rights held in and over the resource Use for educational purposes only. Single copies (print, photocopy, download) are permitted for personal study, research and teaching. Format The file format, physical medium, or dimensions of the resource Architectural drawings Language A language of the resource English Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-APL002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Buffalo, New York Date Available Date (often a range) that the resource became or will become available. 1880 Is Part Of A related resource in which the described resource is physically or logically included. Emslie Illustrations of H.H. Richardson’s Buffalo State Hospital Provenance A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource. Donated to the University at Buffalo’s Architecture & Planning Library in 2018 by the Buffalo Psychiatric Center. 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. Physical Dimensions The actual physical size of the original image. 64.8x85.4cm 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 State Asylum for the Insane Plan of Laundry, 1880 Subject The topic of the resource Buffalo State Asylum for the Insane ; Richardson, H. H. (Henry Hobson), 1838-1886 ; Emslie, Peter Description An account of the resource Part of drawing #42 from H. H. Richardson's plans for the Buffalo State Asylum for the Insane, as reproduced by Peter Emslie, the Asylum’s Supervising Architect (1877-1880) and Building Superintendent (1878-1880) in pencil, ink, and watercolor. Includes the sewing room, ironing room, and drying room of the laundry, 1880 A heavily worn architectural drawing shows a large-scale plan, likely of a utility or service system integrated within a building layout. The composition is organized around a central vertical corridor or shaft, with a rectangular core in the middle containing a series of evenly spaced parallel lines—possibly indicating structural beams, pipes, or mechanical equipment. On both sides, faint outlines of rooms or bays repeat symmetrically. Red and blue lines trace walls, conduits, or drainage paths, intersecting at key junctions. The sheet is extensively stained with large water marks, creases, and torn or frayed edges, obscuring some details. Creator An entity primarily responsible for making the resource Emslie, Peter Publisher An entity responsible for making the resource available State University of New York at Buffalo. Architecture and Planning Library Date A point or period of time associated with an event in the lifecycle of the resource 1880 Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. Architecture and Planning Library Format The file format, physical medium, or dimensions of the resource image/jpeg Language A language of the resource en-US Type The nature or genre of the resource StillImage Identifier An unambiguous reference to the resource within a given context C__Ze Output_LIB-APL002028 Date Created Date of creation of the resource. 1/22/2019 Rights Information about rights held in and over the resource <a>NO COPYRIGHT – UNITED STATES</a>. The organization that has made the Item available believes that the Item is in the Public Domain under the laws of the United States, but a determination was not made as to its copyright status under the copyright laws of other countries. The Item may not be in the Public Domain under the laws of other countries. Please refer to the organization that has made the Item available for more information. https://digital.lib.buffalo.edu/files/original/c3f354f2de57cd1396efcdbfcdf83c1b.jpg 41f2a8fed654e73840ec0f99faecf12f 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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 Zontians Judge Ann T. Mikoll and Judge Mary Ann Killeen were honored as Women of the Year by the Business and Professional Women's Club of Buffalo Subject The topic of the resource Mikoll, Ann T. Killeen, Mary Ann Zemp, Henriette M. Business and Professional Women’s Club of Buffalo--Awards Women judges Women--Societies and clubs--History Description An account of the resource Henriette M. Zemp, 1967 Woman of the Year Business and Professional Women’s Club of Buffalo award winner, congratulated the 1968 Women of the Year Judge Ann T. Mikoll and Judge Mary Ann Killeen at the club's 40th anniversary meeting. Source A related resource from which the described resource is derived Buffalo courier express Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1968-10-15 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_302ZontaWomanofYearJudgeMikollJudgeKilleenB19681015_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Medium The material or physical carrier of the resource. Photographs Newspapers Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Judges Women judges Women's clubs https://digital.lib.buffalo.edu/files/original/6a2f63cbaf331376b475cfefb9fffc4b.jpg bfd9345460b1fc1ceccdf756f7830560 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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 Zontian Miss Dorothy M. Haas, Director of the University at Buffalo Student Union Subject The topic of the resource Haas, Dorothy M. State University of New York at Buffalo--Anniversaries, etc. Women--Societies and clubs--History Description An account of the resource Long-time Buffalo Zontian Miss Dorothy M. Haas, Director of the Student Union at the State University of New York at Buffalo, celebrated her nearly 40 year career at the university in 1968. Source A related resource from which the described resource is derived Buffalo evening news Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1968-10-19 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_304ZontaDorothyHaas_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Medium The material or physical carrier of the resource. Photographs Newspapers Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Student union directors Women managers Women's clubs https://digital.lib.buffalo.edu/files/original/5e5e4ecb0af77baf2a1d5bc1df4eefea.jpg 02fef54a2fd1a64958b1ec1ce185bd8e 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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 Zonta International District IV Governor Dr. Vivian Cody met with the Zonta Club of Amherst to install officers for 2000-2001 Subject The topic of the resource Cody, Vivian Havice, Shirley Harth, Phyllis Zonta Club of Amherst--Management Women--Societies and clubs--History Description An account of the resource Zonta Club of Amherst officers were installed by District IV Governor Dr. Vivian Cody (left) at the Transit Valley Country Club dinner including (left to right): Shirley Havice as President and Phyllis Harth as Second Vice President Source A related resource from which the described resource is derived Amherst bee Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 2000-05-31 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_321ZontaOfficersVivian Cody20000531_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Medium The material or physical carrier of the resource. Photographs Newspapers Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Club officers Women's clubs https://digital.lib.buffalo.edu/files/original/8ddbf35cc30c8bf72273d8e2c87e53f6.jpg c24f510c9f88c8177388a6ca6558de9a 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zontian Miss Anna M. Mandel models a novel item from her unique umbrella collection Subject The topic of the resource Mandel, Anna M. Umbrellas Women--Societies and clubs--History Description An account of the resource Long-time Buffalo Zontian Miss Anna M. Mandel, an umbrella manufacturer, also maintained an extensive collection of unusual and unique umbrellas including (pictured here) an Irish fisherman's umbrella with battery-powered lights all around for night fishing. Source A related resource from which the described resource is derived Buffalo evening news Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1968-03-09 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_296ZontaAnnaMMandelUmbrellas19680309_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Umbrellas Women's clubs https://digital.lib.buffalo.edu/files/original/1082b53a9e4ea2b5c98622b328a1bd19.jpg 325f1507724ffb82dd52ce4488b6acca 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zontian Dr. Virginia L. Cummings puts the finishing touches on a new stage set at the Grand Island Playhouse Subject The topic of the resource Cummings, Virginia L. Grand Island Playhouse Museum curators Women--Societies and clubs--History Description An account of the resource Dr. Virginia L. Cummings, Curator of Anthropology at the Buffalo Museum of Science, devotes her spare time to support the theater arts by volunteering as a scenery painter at the Grand Island Playhouse. Source A related resource from which the described resource is derived Buffalo evening news Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1959-07-25 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_242ZontaVirginiaLCummings19590725_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Theater scene painting Women's clubs https://digital.lib.buffalo.edu/files/original/73b9ec8a30d7d8acf75d5ffbe2c2a479.jpg e6ade141ccbc44cec1d0c58d90bbf2a2 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Ephemera (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 Notepaper featuring Zontian Amelia Earhart designed by Mary L. Good, Chairman, Amelia Earhart Awards Committee 1984 Subject The topic of the resource Earhart, Amelia, 1897-1937 Stationery Women--Societies and clubs--History Description An account of the resource Famed aviatrix Amelia Earhart decorates notepaper which was designed as a scholarship fund-raiser by Mary L. Good, Chairman, Amelia Earhart Awards Committee 1984 Source A related resource from which the described resource is derived Zonta International Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1984-01 Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Identifier An unambiguous reference to the resource within a given context LIB-023_337ZontaAmeliaEarhartNotepaper198401_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Stationery Women pilots Women's clubs https://digital.lib.buffalo.edu/files/original/9437bf44a8e94d15b15444bdab30f8b8.jpg 69d4beaa2c8182865de9ccac81d6218e 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Ephemera (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 Flyer for Zonta International and Buffalo Zonta highlighting its history and focus on leadership, service, education, environment and women helping women Subject The topic of the resource Zonta International Women--Societies and clubs--History Description An account of the resource Promotional flyer that highlights the multiple foci of Zonta International (since 1987) and local Buffalo Zonta (since its origins in 1919) on: leadership, service, education, environment and women helping women Source A related resource from which the described resource is derived Zonta International Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1987 Format The file format, physical medium, or dimensions of the resource Image/jpeg 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-023_336ZontaClubofBuffalo1919-1987Worldwide_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Women's clubs https://digital.lib.buffalo.edu/files/original/5e24ea42a996113350d88f7420b9953c.jpg cff6edacb79d9b6adcf6cd547afb4c68 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs 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 Zonta District 3-4 Workshop in Elma, New York included District 4 Governor Anna Parenti-Conn Subject The topic of the resource Parenti-Conn, Anna Women--Societies and clubs--History Description An account of the resource Attendees at the Zonta District 3-4 Workshop held April 5, 2003 in Elma, New York included Anna Parenti-Conn, District 4 Governor Source A related resource from which the described resource is derived Zonta International Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 2003-04-05 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_335ZontaDistrict3-4WorkshopElmaNYAnnaParentiConn20030405_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Club officers Women's clubs Workshops https://digital.lib.buffalo.edu/files/original/f8866123a56a294bebe96409b5962c62.jpg faa8921d234b1350857bcbe49132ee19 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs 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 Zonta District 3-4 Workshop in Elma, New York included District 4 Governor Anna Parenti-Conn and District 3 Governor Liz Cash Subject The topic of the resource Parenti-Conn, Anna Cash, Liz Women--Societies and clubs--History Description An account of the resource Attendees at the Zonta District 3-4 Workshop held April 5, 2003 in Elma, New York included (left to right): Anna Parenti-Conn, District 4 Governor and Liz Cash, Area 3 Director Source A related resource from which the described resource is derived Zonta International Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 2003-04-05 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_334ZontaDistrict3-4WorkshopElmaNYAnnaParentiConnLizCash20030405_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Club officers Women's clubs Workshops https://digital.lib.buffalo.edu/files/original/91128ad1d929124a364db90aedcbfba5.jpg 380e954d5fea8cf2fed79da596dcb4bd 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs 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 Zonta District 3-4 Workshop in Elma, New York included Area 3 Director Liz Cash and Buffalo Zonta President Janice Cushner Subject The topic of the resource Cash, Liz Cushner, Janice Women--Societies and clubs--History Description An account of the resource Attendees at the Zonta District 3-4 Workshop held April 5, 2003 in Elma, New York included (left to right): Liz Cash, Area 3 Director and Janice Cushner, Buffalo Zonta President Source A related resource from which the described resource is derived Zonta International Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 2003-04-05 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_333ZontaDistrict3-4WorkshopElmaNY20030405_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Club officers Women's clubs Workshops https://digital.lib.buffalo.edu/files/original/8bc97760922436f76cd0da4eaefd3c53.jpg 36ff58f7b14b1c6b8b81b6b511673c7a 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs 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 Attendees at the Zonta International Current and New Members Orientation Social for new members that joined between 2000-2003 Subject The topic of the resource Morrison, Winifred Ceppaglia, Debbie LeClerk, Yvette Levey, Lillian Lanza, Sharon Women--Societies and clubs--History Description An account of the resource Buffalo Zonta members attending an orientation social for both current and new Buffalo Zonta members held April 1, 2003 included(left to right): Dr. Winifred Morrison, Debbie Ceppaglia, Yvette LeClerk, Lillian Levey and Sharon Lanza Source A related resource from which the described resource is derived Zonta International Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 2003-04-01 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_332ZontaOrientationSocial20030401_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Socials Women's clubs https://digital.lib.buffalo.edu/files/original/70727ee0dbfd8c2457927fb6c51e9451.jpg b9145c4fc75e96dd8a347a6b8f707f8e 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Ephemera (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 Program for Zonta Club of Buffalo Installation of Officers Annual Dinner 2004 Subject The topic of the resource Zonta International--Management Women--Societies and clubs--History Description An account of the resource Buffalo Zonta single sheet program for their annual dinner for the installation of officers for 2004-2005 including a listing of the officers and the text of the Zonta blessing. Source A related resource from which the described resource is derived Zonta International Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 2004-05-18 Format The file format, physical medium, or dimensions of the resource Image/jpeg 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-023_331ZontaOfficerInstallationDinnerProgram20040518_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Club officers Dinners Women's clubs https://digital.lib.buffalo.edu/files/original/ebef3e249ef6c5353f6508c3ccf1d3fc.jpg cadff265894d3f896f96e3a68f758049 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Ephemera (text) Ephemera (images) 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 Invitation for Zonta International Current and New Members Orientation Social for 2000-2003 Subject The topic of the resource Zonta International--Membership Parties Women--Societies and clubs--History Description An account of the resource Decorative invitation for a wine and cheese orientation social for both current and new Buffalo Zonta members that joined between 2000-2003 held April 1, 2003 Source A related resource from which the described resource is derived Zonta International Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 2003-04-01 Format The file format, physical medium, or dimensions of the resource Image/jpeg 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-023_330ZontaOrientationSocialFlyer20030401_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Invitations Socials Women's clubs https://digital.lib.buffalo.edu/files/original/e35a0558b15f6d860aaad390d0695522.jpg 400ef42bbb36b74743e9299028279b1e 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 JoAnn Falletta, Buffalo Philharmonic Orchestra Music Director, receives the Marian de Forest Community Service Award from Zonta International Subject The topic of the resource Falletta, JoAnn--Awards Buffalo Philharmonic Orchestra Zonta International--Awards Conductors (Music)--Awards Women--Societies and clubs--History Description An account of the resource A representative of Zonta International presented the first Marian de Forest Community Service Award to BPO Music Director JoAnn Falletta at Kleinhans Music Hall, Buffalo, New York. Marian de Forest was both the founder of Zonta International and co-founder of the Buffalo Music Foundation. The award, named in her honor, was presented every two years to an individual who demonstrated commitment to improving the quality of life of the community. Source A related resource from which the described resource is derived Buffalo News Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 2001-10-27 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_329ZontaDeForestAwardJoAnnFallettaB20011025_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Conductors Women conductors Women's clubs https://digital.lib.buffalo.edu/files/original/c92e16623a8ef341a553cd423944bc00.jpg c1eca50a3dc76563b5a42c4e7c44b4e4 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Ephemera (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 Program interior for Pan Am Women's Leadership Conference Gala dinner May 2001 Subject The topic of the resource Pan Am Women's Leadership Conference (2001 : Buffalo, N.Y.) Congresses and conventions Women--Societies and clubs--History Description An account of the resource The City of Lights Gala dinner was held as a part of the Pan Am Women's Leadership Conference during May 2001 and sponsored by area women's organizations including Zonta International. Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 2001-05-19 Format The file format, physical medium, or dimensions of the resource Image/jpeg 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-023_328ZontaPanAmLeadershipConfDinnerText20110519_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Dinners Leadership conference Programs Women's clubs https://digital.lib.buffalo.edu/files/original/c797be78e7390a2429ce4636a5a14ba1.jpg 6b223b70e300a302f2b4c6538689205d 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Ephemera (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 Program cover for Pan Am Women's Leadership Conference Gala dinner May 2001 Subject The topic of the resource Pan Am Women's Leadership Conference (2001 : Buffalo, N.Y.) Congresses and conventions Women--Societies and clubs--History Description An account of the resource The City of Lights Gala dinner was held as a part of the Pan Am Women's Leadership Conference during May 2001 and sponsored by area women's organizations including Zonta International. Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 2001-05-19 Format The file format, physical medium, or dimensions of the resource Image/jpeg 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-023_327ZontaPanAmLeadershipConfDinner20110519_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Dinners Leadership conference Programs Women's clubs https://digital.lib.buffalo.edu/files/original/f386d54c065544501f1d81c2a9e13c15.jpg 0ab36a5cc9090aeccde5f373cf9d2469 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Ephemera (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 Program cover for 'Spirits of the City' play in commemoration of the 1901 Pan-American Exposition in Buffalo Subject The topic of the resource Pan-American Exposition (1901 : Buffalo, N.Y.) Odden, Glenn Madigan, Tim Buffalo and Erie County Historical Society Historical drama, American Women--Societies and clubs--History Description An account of the resource The play, set during the 1901 Pan-American Exposition in Buffalo, was written by local authors/playwrights Glenn Odden and Tim Madigan and presented at the Buffalo and Erie County Historical Society. The play featured famous local historical characters including Zonta founder Marian de Forest and Dr. Roswell Park. Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 2001-03-02 Format The file format, physical medium, or dimensions of the resource Image/jpeg 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-023_326ZontaSpiritsoftheCityPlayCover20010302_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Historical drama Women's clubs https://digital.lib.buffalo.edu/files/original/d4885e2370eed8e5ad6e2f09400292da.jpg 259545387d0be722ad3d36bc3da22aef 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Actress Louise Reger plays Marian de Forest in 'Spirits of the City' play in commemoration of the 1901 Pan-American Exposition in Buffalo Subject The topic of the resource Pan-American Exposition (1901 : Buffalo, N.Y.) Reger, Louise Duguay, Marshall, Starzynski, Michael De Forest, Marian, 1864-1935 Historical drama, American Women--Societies and clubs--History Description An account of the resource The play set during the 1901 Pan-American Exposition in Buffalo, was written by local authors/playwrights Glenn Odden and Tim Madigan and starred (left to right): Marshall Duguay as Dr. Roswell Park, Louise Reger as Marian de Forest and Michale Starzynski as William Jennings Bryan Source A related resource from which the described resource is derived Gusto (Buffalo news) Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 2001-03-02 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB023_325ZontaSpiritsoftheCityPlayStars20010302_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Historical drama Women's clubs https://digital.lib.buffalo.edu/files/original/f01478c0a66657ba6621bd37c3b3dc7b.jpg a4e15b1f50872755d9dc494f48f4883a 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Tribute to Marian de Forest, founder of Zonta International, was inducted into the National Women's Hall of Fame in 2001 Subject The topic of the resource De Forest, Marian, 1864-1935 Zonta International National Women's Hall of Fame (Seneca Falls, N.Y.) Women--Societies and clubs--History Description An account of the resource Marian de Forest, distinguished author, music impresario, pioneer journalist and Zonta founder in 1919 not only founded the organization but also served as its first president and was intimately involved with the organization for most of her life Source A related resource from which the described resource is derived Buffalo News Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 2001-03-17 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_324ZontaMarianDeForestIntlWomensHallFameB20010317_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Women's clubs https://digital.lib.buffalo.edu/files/original/c4b7c145b3c8e8487138744045fa3acb.jpg e2bc205f21daebb14944a1a4c4abd2aa 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Certificates 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 New York State Senate Certificate of Recognition presented to Dr. Vivian Cody, 2001 Subject The topic of the resource Cody, Vivian New York (State). Legislature. Senate--Awards Women--Societies and clubs--History Description An account of the resource Women of Distinction certificate of recognition for noteworthy achievements by Dr. Vivian Cody in 2001 presented by the New York State Senate (signed by New York State Senator Mary Lou Rath) Source A related resource from which the described resource is derived New York (State). Legislature. Senate Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 2001-06-05 Format The file format, physical medium, or dimensions of the resource Image/jpeg 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-023_323ZontaVivianCodyNYSSenateCertificateofRecognition20010605_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Women's clubs https://digital.lib.buffalo.edu/files/original/d360a46423497b0fa39eb1d1e178c68e.jpg a7ff2447ea87c83f33b1ffedc4e67fe1 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs 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 Zonta International District IV Governor Dr. Vivian Cody and Buffalo Zonta President Toni Majchrzak present Jane Klausman Scholarship to winner Subject The topic of the resource Cody, Vivian Majchrzak, Toni Zonta International--Funds and scholarships Women--Societies and clubs--History Description An account of the resource Zonta International District IV Governor Dr. Vivian Cody and Buffalo Zonta President Toni Majchrzak present the Jane Klausman Scholarship winner with her award Source A related resource from which the described resource is derived Zonta International Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 2000-10 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_322ZontaVivianCodyToniMajchrzakPresScholarship200010_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Club officers Scholarships Women's clubs https://digital.lib.buffalo.edu/files/original/010df5e7f8c3e5f5f93284e796f0482e.jpg 9dd33f7a5e7855bd2b4992434c594877 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Ephemera (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 Cover from Buffalo Zonta Installation Dinner Meeting program 2000 Subject The topic of the resource Zonta International--Management Women--Societies and clubs--History Description An account of the resource The Buffalo Zonta Installation Dinner Meeting was held at Harry's Harbour Place Grille, Buffalo, New York and highlighted the inauguration of the terms of Buffalo Zonta officers for 2000-2001. Source A related resource from which the described resource is derived Zonta International Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 2000-05-16 Format The file format, physical medium, or dimensions of the resource Image/jpeg 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-023_320ZontaInstallationDinnerProgram20000316_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Dinners Women's clubs https://digital.lib.buffalo.edu/files/original/02ec5ba2e7a6d82a184491b8947f2728.jpg dc784f11d597307a8aae00d26efee055 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs 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 Lafayette High School girls who are enrolled in a Zonta-sponsored program to expand business skills training Subject The topic of the resource Vu, Thuy Cotto, Denise Zonta International--Funds and scholarships Women--Societies and clubs--History Description An account of the resource A program of expanded business skills training partially financially supported by Zonta of Buffalo Foundation involved Lafayette High School Academy of Finance female students who wanted to get a jump on their careers in the business world. Program participants included (left to right): Thuy Vu and Denise Cotto. Source A related resource from which the described resource is derived Buffalo Business First Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1999-06-14 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_319ZontaZClubLafayetteHighB19990614_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Business skills training High school students Women's clubs https://digital.lib.buffalo.edu/files/original/5245bfed48ccb9d32d85731655a35b87.jpg 2ed2d17e1ee9ec59b4bc55e148c676e3 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Certificates 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 Program cover for Zonta International's 80th year anniversary celebration 1919-1999 Subject The topic of the resource Zonta International--Anniversaries, etc. Women--Societies and clubs--History Description An account of the resource The Zonta International 80th year celebration program cover from 1999 entitled: 'The International Connection: Past, Present, Future' which was held in Buffalo, New York the origin point of the organization. Source A related resource from which the described resource is derived Zonta International Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1999-11-06 Format The file format, physical medium, or dimensions of the resource Image/jpeg 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-023_318Zonta80thAnniversaryProgram19991106_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Anniversaries Women's clubs https://digital.lib.buffalo.edu/files/original/e9933d0a6594117c30f8f4d8bc10bd4f.jpg 6ba78c85d36fe0737e8c2559c13888ca 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Long-time Buffalo Zontian Virginia L. Cummings, Director of the Buffalo Museum of Science from 1970 to 1979 Subject The topic of the resource Cummings, Virginia L. Buffalo Museum of Science--Management Women--Societies and clubs--History Description An account of the resource Dr. Virginia L. Cummings dedicated most of her life and career to the Buffalo Museum of Science, first as the Curator of Anthropology and later in administrative roles. Her father Carlos E. Cummings was the Buffalo Museum of Science Assistant Director and, later, Director, while she was growing up. Virginia served as Museum Director from 1970-1979 . During her tenure, exhibits were modernized, special displays were mounted and fund-raising drives were initiated for the first time. She passed away on April 16, 1997. Source A related resource from which the described resource is derived Buffalo news Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1997-12-28 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_ 317ZontaVirginiaLCummingsDirectorMusSciTributeB19971228_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Museum directors Women museum directors Women's clubs https://digital.lib.buffalo.edu/files/original/f550aeaba63fc9bfa31aba9337d1d384.jpg 9cae10737eb4333e012b768264490052 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zonta International officer Vivian Cody joins fellow environmentally-minded volunteers for a Glad Bagathon Subject The topic of the resource Cody, Vivian Bronnenkant, Carol Ladds, Joann Refuse collection Women--Societies and clubs--History Description An account of the resource Members of Zonta International participate in a major cleanup project around Hoyt Lake in Delaware Park, Buffalo, New York including (left to right): Carol Bronnenkant, Vivian Cody and Joann Ladds Source A related resource from which the described resource is derived Buffalo news Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1995-05-07 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_316ZontaGladBagathonCleanupHoytLakeB19950507_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Environmental cleanup Volunteers Women's clubs https://digital.lib.buffalo.edu/files/original/ba0a70d94be85a52e2c3619a14813e09.jpg 5f6d3eab446780fda1e9111dd3c61b77 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs 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 Zonta International District 4 Lieutenant Governor Dr. Vivian Cody, Senior Research Scientist in Molecular Biophysics, University at Buffalo Subject The topic of the resource Cody, Vivian Zonta International--Management Women--Societies and clubs--History Description An account of the resource UB professor Dr. Vivian Cody was Buffalo Zonta President from 1990-1992 and later served in several important roles in Zonta International administration Source A related resource from which the described resource is derived Hauptman-Woodward Research Institute Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1998 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_315ZontaVivianCodyLtGovDistrictIVB1998_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Club officers Research scientists Women scientists Women's clubs https://digital.lib.buffalo.edu/files/original/6ca711090d3ee8c67cf3aae1ec26d992.jpg 7ae8edad7a8e6d573c4b4856d7547748 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Ephemera (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 Zonta International District 4 Special Recognition Award 1995, Daisy Waters, District Governor Subject The topic of the resource Zonta International. District IV--Awards Waters, Daisy Women--Societies and clubs--History Description An account of the resource Zonta International District IV Special Recognition Award for outstanding activity in the area of Community Service under District Governor Daisy Waters Source A related resource from which the described resource is derived Zonta International Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1995-09-30 Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Text Identifier An unambiguous reference to the resource within a given context LIB-023_314ZontaDistrictRecognitionAward19950930_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Club officers Women's clubs https://digital.lib.buffalo.edu/files/original/c6509b6570a6596c7d487a475e61e4c0.jpg cdbfd02a742675045c538f77c064202e 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zontians Dorothy L. Richmond and Anna Parenti-Conn model vintage costumes for the club's Diamond Jubilee celebration Subject The topic of the resource Parenti-Conn, Anna Richmond, Dorothy L. Zonta International--Anniversaries, etc. Women--Societies and clubs--History Description An account of the resource Anna Parenti-Conn (right), Chairman of Buffalo Zonta's 60th anniversary, together with Dorothy L. Richmond (left), display fashions circa 1919, the year Zonta was founded Source A related resource from which the described resource is derived Buffalo news Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1994-10-20 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_313Zonta75thAnniversaryAnnaParentiConnPresB19941020_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Anniversaries Vintage fashion show Women's clubs https://digital.lib.buffalo.edu/files/original/86adae70c3983de545e3e7a829024427.jpg f529bbcd9fddcecda090d79cf47a53e2 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Prominent Buffalo Zonta members in festive attire attended a 1931 convention banquet Subject The topic of the resource Oatman, Jessie Neun, Dora MacKenzie, Cora Shank, Dorothy Cleveland, Helen Sedweek, Tess Schwinn, M. Grace Noye, Florence Congresses and conventions Women--Societies and clubs--History Description An account of the resource Zontians attending a 1931 convention banquet included (left to right): Jessie Oatman, Dora Neun, Cora MacKenzie, Dorothy Shank, Helen Cleveland, Tess Sedweek, Grace Schwinn and Florence Noye Source A related resource from which the described resource is derived Buffalo courier express Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1931-10 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_312ZontaConventionBanquet193110_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Banquets Conventions Women's clubs https://digital.lib.buffalo.edu/files/original/f63a5c0400625d845603f734f3710d06.jpg 937d9263bf2105928c02e6aa8cc41155 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zonta President Miss Allalee A. Babbidge, Vice President of the Marine Midland Trust Company, speaking with her Assistant Vice President Subject The topic of the resource Babbidge, Allalee A. Cabana, Oliver F. Marine Midland Trust Company--Management Women--Societies and clubs--History Description An account of the resource Marine Midland Trust Company Vice President and Buffalo Zonta President Miss Allalee A. Babbidge consulting with Assistant Vice President Oliver F. Cabana at the bank Source A related resource from which the described resource is derived Buffalo courier express Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1969-02-08 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_311ZontaAllaleeABabbidgeVPMarineMidland19690208_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Bank managers Club officers Women's clubs https://digital.lib.buffalo.edu/files/original/e5ba1147bdfabfb3bd13df6d562c946b.jpg ddcbee80a3769325bda2fd767f4b077b 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zontians Miss Margaret J. Barry and Olga Cloke met with UN official Mrs. Inga Thorsson at the Zonta International 50th anniversary celebration Subject The topic of the resource Barry, Margaret J. Cloke, Olga Thorsson, Inga Zonta International--Anniversaries, etc. Women--Societies and clubs--History Description An account of the resource Miss Margaret J. Barry, Chairman of Zonta International's 50th anniversary celebration, chatting with fellow Zontian Mrs. Olga Cloke and keynote speaker Mrs. Inga Thorsson, Director of the Social Development Division of the United Nations, Department of Economics and Social Affairs Source A related resource from which the described resource is derived Buffalo courier express Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1969-11-09 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_310ZontaMargaretBarryClokeDistrictIVGovernorUNOfficial19691109_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Anniversaries Government officials Women's clubs https://digital.lib.buffalo.edu/files/original/5cbd1dc128ca8e20cd3483d6fdee210f.jpg bd621912346d489b54db53cea2e4da9a 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zonta International officers for 1969-1970 included Buffalo Zontians Mrs. Herbert Knight as governor and Mrs. John F. Reid as district secretary Subject The topic of the resource Knight, Ella Reid, John F., Mrs. Bower, Mary Lou Raczkiewicz, Edmund S., Mrs. Zonta International--Management Women--Societies and clubs--History Description An account of the resource Zonta International's district officers included (left to right): Mrs. Herbert (Ella) Knight as governor, Mrs. John F. Reid as district secretary, Miss Mary Lou Bower of Oil City, Pa. Zonta as treasurer and Mrs. Edmund S. Raczkiewicz of Lockport Zonta as lieutenant governor Source A related resource from which the described resource is derived Buffalo courier express Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1969-11-10 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_309ZontaDistrictOfficers19691110_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Club officers Women's clubs https://digital.lib.buffalo.edu/files/original/c45e25f1b20520623809784b13c6765c.jpg 16781a4628f74df1d063a9007f6784d6 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zonta's officers for 1969-1970 included Miss Allalee A. Babbidge as President Subject The topic of the resource Barry, Margaret J. Babbidge, Allalee A. Turner, Edward J., Mrs. Morphy, Walter C., Mrs. Women--Societies and clubs--History Description An account of the resource Buffalo Zonta's officers elected for 1969-1970 were (left to right): Miss Margaret J. Barry as First vice president, Miss Allalee A. Babbidge as President, Mrs. Edward J. Turner as Treasurer and Mrs. Walter C. Morphy as Second vice president Source A related resource from which the described resource is derived Buffalo courier express Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1969-03-19 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_308ZontaOfficers19690319_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Club officers Women's clubs https://digital.lib.buffalo.edu/files/original/03d287af796f6dece9b1024a64b49acc.jpg e2925351fbc2e1ab7081a694a4872019 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zonta President Miss Allalee A. Babbidge and Mrs. Herbert Knight met with Zonta International President Mrs. Helvi Sipila of Helsinki, Finland Subject The topic of the resource Sipila, Helvi Babbidge, Allalee A. Knight, Ella Zonta International--Anniversaries, etc. Women--Societies and clubs--History Description An account of the resource Key planners for the Zonta International 50th anniversary celebration and conference included (left to right): Mrs. Helvi Sipila, an attorney and Zonta International President from Helsinki, Finland and Buffalo Zontians Miss Allalee Babbidge and Mrs. Herbert (Ella) Knight Source A related resource from which the described resource is derived Buffalo courier express Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1969-11-03 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_307Zonta50thAnniversaryBook19691103_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). International club officers Women's clubs https://digital.lib.buffalo.edu/files/original/a392bfbdd783b068931ddab816e4fb1c.jpg 5791488cdfc4ae95b9fa953b939c33f0 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zontians Miss Margaret J. Barry, Miss Allalee A. Babbidge and Mrs. Herbert Knight met to plan Zonta's 50th Anniversary Conference Subject The topic of the resource Barry, Margaret J. Babbidge, Allalee A. Knight, Ella Zonta International--Anniversaries, etc. Women--Societies and clubs--History Description An account of the resource Key planners for the Zonta International 50th anniversary celebration and conference included (left to right): Miss Margaret J. Barry, Buffalo Zonta President Miss Allalee Babbidge and Mrs. Herbert (Ella) Knight Source A related resource from which the described resource is derived Buffalo evening news Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1969-08-21 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_306Zonta50thAnniversary19690821_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Anniversaries Conferences Women's clubs https://digital.lib.buffalo.edu/files/original/033938e3279e42df1d70e4d94e172bc9.jpg 6cd804ef2d641734d3421106604d21ef 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Elected officers of the Zonta Club of Cheektowaga-Lancaster formed in 1969 and sponsored by Buffalo Zonta Subject The topic of the resource Dempsey, Teresa M. Straubinger, Joseph P., Mrs. Zonta Club of Cheektowaga-Lancaster--Management Women--Societies and clubs--History Description An account of the resource Officers of the Zonta Club of Cheektowaga-Lancaster included: Mrs. Teresa M. Dempsey as President and Mrs. Joseph P. Straubinger as Vice president Source A related resource from which the described resource is derived Buffalo courier express Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1969-02-13 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_305ZontaOfficersCheekLancaster19690213_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Club officers Women's clubs https://digital.lib.buffalo.edu/files/original/eebb4194b51417df66049f64cc78d0ba.jpg 9ea363a40b842abcaa68e2225e3044d1 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zonta President Miss Dorothy W. Grauer awards scholarships to two college students pursuing studies in the health science field Subject The topic of the resource Grauer, Dorothy W. Murray, Kathleen A. Travis, Mildred M. D'Youville College--Students Nursing students Women--Societies and clubs--History Description An account of the resource Miss Dorothy Grauer (left), Buffalo Zonta President, shaking hands with two Zonta education grant winners: Miss Kathleen A. Murray (center) and Miss Mildred M. Travis (right) who are both nursing students at D'Youville College, Buffalo, New York Source A related resource from which the described resource is derived Buffalo courier express Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1968-10-16 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_303ZontaPresDorothyWGrauerAwardsScholarshipsA19681016_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Club officers Health science students Scholarships Women's clubs https://digital.lib.buffalo.edu/files/original/6d71343a4fe07fd3a27dcf587f06069f.jpg 1fce624f3673457017b7b79114c69e4f 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zonta guest speaker Dr. Clifford C. Furnas, President Emeritus of the University of Buffalo, is flanked by Buffalo Zonta's First and Second vice presidents Subject The topic of the resource Furnas, C. C. (Clifford Cook), 1900-1969 Babbidge, Allalee A. Scudder, Jeannette University of Buffalo--Presidents Women--Societies and clubs--History Description An account of the resource Participants in the Buffalo Zonta luncheon at which University of Buffalo President Emeritus Clifford C. Furnas (center)was guest speaker included: Buffalo Zonta First Vice President Miss Allalee A. Babbidge (left) and Buffalo Zonta Second Vice President Miss Jeannette Scudder (right) Source A related resource from which the described resource is derived Buffalo courier express Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1968-07-31 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_301ZontaCliffordCFurnasBabbidgeScudder19680731_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Club officers Guest speakers Women's clubs https://digital.lib.buffalo.edu/files/original/a2e47c22591165b933a48e3a7e92c2d8.jpg bbfe0b02f53004edb38e9de617d00b24 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zontian delegates to the 39th Zonta International Convention in Minneapolis, Minnesota Subject The topic of the resource Fernbach, Betty Grauer, Dorothy W. Rick, Esther Knight, Ella Congresses and conventions Women--Societies and clubs--History Description An account of the resource Buffalo Zontians that were delegates to the 39th Zonta International Convention in Minneapolis, Minnesota (1968) included: Mrs. Paul A. (Betty) Fernbach, Miss Dorothy W. Grauer, Mrs. Walter (Esther) Rick and Mrs. Herbert (Ella) Knight Source A related resource from which the described resource is derived Zonta International Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1968-07-17 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_300ZontaConventionFernbachGrauerRickKnight19680717_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Conventions Women's clubs https://digital.lib.buffalo.edu/files/original/fabba51cc45b4156bbe9b39090750c22.jpg 76236a7db77a78243c64ff3b6ce364a2 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zontian Judge Mary Ann Killeen shakes hands with Senator Robert F. Kennedy upon his 1968 visit to Buffalo Subject The topic of the resource Killeen, Mary Ann Kennedy, Robert F., 1925-1968 Women judges Women--Societies and clubs--History Description An account of the resource Buffalo Zontian Judge Mary Ann Killeen was selected to greet Senator Robert F. Kennedy when he visited Buffalo, New York as a part of his presidential campaign in the summer of 1968. Robert F. Kennedy was assassinated shortly after midnight on June 5, 1968 in Los Angeles, California this photograph was rerun in a local Buffalo newspaper a week later. Source A related resource from which the described resource is derived Buffalo evening news Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1968-06-13 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_299ZontaMaryAnnKilleenRobertFKennedy19680613_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Politicians Women judges Women's clubs https://digital.lib.buffalo.edu/files/original/372d28d41fc32eefb2275345751e51f5.jpg 059187cc8f04881807a821d9a5093e18 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zontians Mrs. Paul A. (Betty) Fernbach and Judge Madge Taggart prepare for a new members welcome tea Subject The topic of the resource Taggart, Madge Fernbach, Betty Women judges Women--Societies and clubs--History Description An account of the resource Retired Family Court Judge Madge Taggart (right), ably assisted by Mrs. Paul A. (Betty) Fernbach (left), hosted a tea in her antique-adorned Williamsville home to welcome new members of Buffalo Zonta. Source A related resource from which the described resource is derived Buffalo courier express Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1968-04-20 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_298ZontaTeaNewMembers19680420_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Judges Teas Women judges Women's clubs https://digital.lib.buffalo.edu/files/original/dc1db60328256e2b604bf1beee24028f.jpg 28b79451e60ad2ccc7b25d758ef07b76 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zonta officers for 1968-1969 included Miss Dorothy W. Grauer as President and Miss Allalee A. Babbidge as First vice president Subject The topic of the resource Grauer, Dorothy W. Babbidge, Allalee A. Women--Societies and clubs--History Description An account of the resource Buffalo Zonta officers elected for 1968-1969 included (left to right): Miss Dorothy W. Grauer, president, and Miss Allalee A. Babbidge as first vice president Source A related resource from which the described resource is derived Buffalo evening news Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1968-04-19 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_297ZontaOfficersDorothyGrauerPres19680419_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Club officers Women's clubs https://digital.lib.buffalo.edu/files/original/a186b07fe4dba6ce75a8a57455a5240c.jpg c4858be652839ff921fed47f50ab5289 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Photographs Newspapers 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 Zontian Miss Anna M. Mandel, chairperson of a fund-raising party to honor the late Zontian Amelia Earhart Subject The topic of the resource Mandel, Anna M. Earhart, Amelia, 1897-1937--Awards Parties Scholarships Women--Societies and clubs--History Description An account of the resource Late Zontian Amelia Earhart was honored by a bridge, tea and fashion show event at the Statler organized by Buffalo Zonta with the goal of swelling the international fund to aid budding aviatrixes. Source A related resource from which the described resource is derived Buffalo evening news Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1939-02-05 Format The file format, physical medium, or dimensions of the resource Image/jpeg Type The nature or genre of the resource Still Image Identifier An unambiguous reference to the resource within a given context LIB-023_295ZontaAnnaMandel19390205_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Fund raising Parties Women's clubs https://digital.lib.buffalo.edu/files/original/241fd4d63892fd0b82044fbca5931746.jpg ee5a2c43d068e9b9de39c5b35752c39b 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 Zonta International Collection Subject The topic of the resource Zonta International--History Women--Societies and clubs--History Description An account of the resource Zonta International occupies a distinguished position within the rich cultural heritage of Buffalo, the Western New York region, as well as in women’s world history in general. The very first Zonta Club (Zonta Club of Buffalo) was founded in Buffalo, New York , in 1919 by pioneering journalist, playwright and music impresario Marian de Forest and five other businesswomen. From this local beginning, the club has grown to become a leading global organization of women (and, more recently, men) professionals empowering all women worldwide. Zonta International is in 67 countries and boasts more than 33,000 members in over 1200 clubs. The mission of Zonta International is to advance the status of women worldwide by improving the legal, political, economic, health and professional status of women, locally and globally, through service and advocacy. Zonta International’s vision is a world in which women’s rights are recognized as human rights and every woman ids able to achieve her full potential. Zonta takes its name from the Lakota Sioux word meaning “honest and trustworthy” which encapsulates the primary values of the club. The collection includes more than 300 photographs, documents and other items showing the club’s history. These unique and previously-unpublished materials are from the organization’s archival collection which is housed in the University at Buffalo Archives. Publisher An entity responsible for making the resource available State University of New York at Buffalo Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Still Image Text Date Created Date of creation of the resource. 2021/07 Is Part Of A related resource in which the described resource is physically or logically included. LIB-023 Zonta International Collection Date A point or period of time associated with an event in the lifecycle of the resource 1919-2016 Contributor An entity responsible for making contributions to the resource Zonta International Rights Information about rights held in and over the resource For educational and non-commercial uses only. Rights Holder A person or organization owning or managing rights over the resource. State University of New York at Buffalo 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. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Ephemera (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 Flyer announcing a Buffalo Zonta-sponsored party to celebrate the second anniversary of the Zonta Club of Amherst Subject The topic of the resource Zonta Club of Amherst--Anniversaries, etc. Parties Women--Societies and clubs--History Description An account of the resource Buffalo Zonta-hosted party to celebrate the second anniversary of their protege club The Zonta Club of Amherst at the Buffalo Trap and Field Club, Williamsville, New York Source A related resource from which the described resource is derived Zonta International Publisher An entity responsible for making the resource available State University of New York at Buffalo Date A point or period of time associated with an event in the lifecycle of the resource 1967-06-28 Format The file format, physical medium, or dimensions of the resource Image/jpeg Language A language of the resource eng Type The nature or genre of the resource Text Identifier An unambiguous reference to the resource within a given context LIB-023_294ZontaPartyFlyerZontaAmherst19670628_001 Date Created Date of creation of the resource. 2016-05-01 Is Part Of A related resource in which the described resource is physically or logically included. Zonta International Collection LIB-023 Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</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. For other uses you need to obtain permission from the rights-holder(s). Anniversaries Parties Women's clubs